Registered Nurse (RN)- Night Shift

Job Description

Job Description

New Pay scale

POSITION PURPOSE: 

Organizes and directs assigned unit duties to provide quality nursing care to residents.

ESSENTIAL FUNCTIONS OF POSITION:

• Responsible during the shift for the total nursing care of residents in the assigned unit.

• Assumes responsibility for compliance with Federal, State, Local, and company regulations.

• Explains procedures and treatments and care plan to resident.

• Administers prescribed medications and treatments in accordance with approved nursing techniques.

• Transcribes physician's orders.

• Charts progress notes in an informative, factual manner that reflects the care administered as well as the resident's response to care.

• Receives /gives report from/to nurse he /s he is relieving/coming on and records sufficient infonnation and implements appropriate follow-up action as necessary

• Follows established procedures for charting and reporting all reports of incident/accidents for res idents and employees.

• Conducts frequent rounds to evaluate effectiveness of care delivery.

• Prepares equipment and a ids Physician during treatment and exami nation of resident.

• Maintains awareness of comfort and safety needs ofr esident.

• Observes resident, records significant conditions and reactions, and notifies supervisor or Physic ian of resident ' s condition and reaction to drugs, treatments, and significant incidents .

• Takes temperature, pulse, blood pressure, and other vital signs to detect deviations from nonnal and assess condition of resident.

• Responds to emergency situations based upon nursing standards, policies, procedures, and protocol.

• Assists in completion of the care plans (acute and long term) and is involved in the care conferen ce as deemed necessary.

• Participates, reports to DON/ Administrator and conducts (as appropriate) investigations related to any alleged abuse.

• Ensures that documentation i·s reflective of the care plan and that the approaches on the care plan are being followed.

• Assures that assigned CNAs are aware of the resident care plan, and ensure that the nursing assistant refers to the care plan prior to administering care.

• Monitors that CNA documentation is completed daily .

• Takes report from CNAs to facilitate accurate documentation in resident medical record.

• Follows company policy and procedure in the event a restraint must be utilized.

• Coordinates residents' rehabilitation program with therapists to ensure 24 hour rehabilitation needs are met.

• Identifies residents at risk for nutritional problems and implements preventative measures.

• Records new/changed diet orders. Forwards information to the Dietary Department.

• Makes beds, bathes and feeds resident, when necessary.

• Assures documentation is accurately completed for admission, discharge and transfer.

• Supervises and evaluates implementation of the "Resident's Rights".

• Participates in department or unit quality improvement activities.

• Follows facility procedure requesting supplies and charges for items ordered through Central Supply.

• Participates and attends periodic in-services and staff meetings.

• Perform additional duties as assigned.

EDUCATION/ REQUIREMENTS:

Current State of LVN/LPN with a minimum of 2 years related experience; or equivalent combination of education and experience. Good standing in the state registry is required.