CCMC Registered Nurse

Job Description

Job Description

Description:

POSITION PURPOSE:  

The RN is directly responsible to the Administrator for ethical, professional, and adequate delivery of health services to residents that meet or surpass regulations; promote over-all resident well-being through direct services, over-sight and training of health services staff; and has essential training and compassion in the provision of care to residents with dementia.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following:

Supports the holistic well-being of residents at Clatsop Care Memory Community.

Supports the success of employees including contributing to an environment of mutual respect and individual growth. 

Functions within the scope of practice for a Registered Nurse in the State of Oregon.

The RN shall participate in the development and implementation of any facility policies that affect the delivery of health care services. 

Delegates to appropriate staff nursing tasks in accordance with the rules of the Oregon State Board of Nursing and the Oregon Administrative Rules for Assisted Living.

Ensures that all medications and treatments are given in accordance with Physician Orders and coordinates the medication delivery system. 

Audits MAR and TAR records at least monthly.

Monitors resident vitals – prepares monthly documentation sheet.

Assures that quarterly recaps are accomplished.

Meets with Consultant Pharmacist and facilitates actions in accordance with recommendations. In the event the consultant pharmacists is unavailable, reviews all medications and treatment at least every 90 days.

Reviews and forwards pharmacy recommendations to resident physicians and ensures implementation or appropriate documentation for refusals.

Consults on residents with behavioral symptoms before psychoactive medications or restraints are requested by the facility. Implements PRN parameter sheets, and interventions on any psychotropic medication.

Participates in quality assurance program providing audits and attending meetings as assigned by Administrator.

Participates with the facility administrator and other department directors in development and maintenance of practices and procedures that promote infection control, fire safety, quality assurance and hazard reduction.

Participates in educational programs in accordance with licensure and facility needs, including new employee orientation and in-services.

Is available 24/7 by telephone for staff consultation – returns phone calls in timely manner.

Participates with the Administrator in the hiring of employees assigned to health services.

Directs, supervises, and evaluates Medication Aides/Team Leaders.

RN will give input and assistance when needed for employee evaluations.

Reviews resident’s individual service plan in accordance with rules for licensure and assures services are delivered in accordance with mutually agreed upon plan.

Participates in service planning when resident is receiving nursing services or experiences a significant change in condition.

The RN is knowledgeable of the general health and well-being of every resident in the facility.

Participates in coordinating off-site and on-site health services by other providers and reviews service plan changes made as a result of provision of on-site services.

Approves facility system for tracking controlled substances. Assists Medication aides in the destructions of medications.

Participates in negotiated managed Risk Agreements when residents chose activities that are contraindicated to good health and safety practices with Facility Administrator.

Reviews resident accident and incident reports and assures that established procedures are followed. Submits reports to Administrator within 30 days of occurrence – monthly.

Conducts an Admission Assessment when requested by Administrator to ensure residents are placed at appropriate levels and that the facility has the ability to meet their need requirements.

Participates with the facility administrator in making budget recommendations and facilitates budgetary compliance when necessary.

The RN shall be informed regarding resident’s conditions, including when a significant change in a resident’s condition warrants nursing or medical intervention. Assures that health services staff are informed of resident change in conditions.

Participates in those committee meetings as assigned by the Administrator.

Provides Hepatitis B shots to staff.

Provides for medication error analysis and reporting. She/he will also teach and counsel staff regarding these errors if it is required.

RN will coordinate with other entities when a resident is out of facility for health reasons.

Coordinates and schedules physician’s appointments for residents with acute conditions or changes in conditions.

The RN will have set office hours to be available to residents and families for consultation.

The RN will maintain and track, discharges, wound, medication, and behavior alerts.

The RN will refer and assess residents in need of outside services (i.e. CBH, Tuality, Home Health, etc.)

Will conduct Assisted Device assessment for all residents with mobility aides to ensure that they are non-restraining or a managed risk is implemented along with Administrator.

Other duties as assigned by and in cooperation with the Administrator.

NON-ESSENTIAL JOB FUNCTIONS include the following:

All aspects of the job are essential.

UNIVERSAL PRECAUTIONS:

Exposure to Blood/Body fluids is possible.

QUALIFICATION REQUIREMENTS:

Graduate of an accredited program of nursing education. Current registration as a RN in good standing with the State of Oregon.

One year experience in working with an elderly population.

Good mental and physical health, sound judgment and high moral standards, and a sincere desire to work with the aged and those with limited capacity for self-care and in-particular with residents with varying degrees of dementia. Patience and compassion are essential.

Ability to manage and supervise employees. Interest and ability in teaching, evaluating, and assisting health care staff in improving their skills.

Capacity to develop and learn new theories, techniques and principles and implement them.

Ability to make independent decisions.

Willingness to attend workshops and institutes in field of Geriatrics and Dementia Care.

Adequate computer skills and ability to use electronic records related to health care.

Ability to communicate with staff, residents, families, outside providers and general public effectively through oral and written communications.

PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Able to ambulate, bend, stoop, kneel, squat and move a maximum of 40 pounds during routine care of an assigned Group of Residents for an 8 hour shift.

Visual and auditory activity within normal limits with or without prosthetics.

Frequent walking.

Push and pull wheelchairs and other equipment occasionally.

Must function independently, have flexibility and the ability to work effectively with residents, personnel and support agencies and maintain a calm environment.

WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee would encounter while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• The noise level in the work environment is usually moderate.