ALF LPN/RN PRN (on-call)

INDEPENDENT ORDER OF ODD FELLOWS • Walla Walla, WA

3d • $30 - $48 • Onsite

About The Position

This PRN (on-call) position in the Assistant Living Facility (ALF) involves providing direct nursing care to residents and supervising day-to-day nursing activities performed by certified nursing assistants and caregivers. The role operates under current federal, state, and local regulations and guidelines, as well as established facility policies and procedures. The position requires providing 'Limited Nursing Services' as defined by WAC 388-78A-265 and following a nursing model to promote holistic resident care. Responsibilities include maintaining documentation, administering medications, transcribing physician orders, assessing resident status changes, and providing nursing leadership to the caregiving staff during shifts. The role also involves collaborating with the interdisciplinary team, participating in management meetings, and ensuring adequate supplies and equipment. A strong emphasis is placed on treating residents with dignity and respect, promoting resident rights, and maintaining a culture of compliance with all facility policies, procedures, and regulations. This includes adhering to safety and hygiene measures, maintaining confidentiality of protected health information, and reporting any noncompliance or potential violations.

Requirements

• A Nursing degree from an accredited college or university.
• Current BLS (Basic Life Support) certification.
• Currently unrestricted license as a Licensed Practical Nurse or Registered Nurse in Washington State.
• Must be a supportive team member, contribute to and be an example of teamwork.
• Ability to think, act, and intervene independently in both routine and emergency situations.
• Ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel and the general public.
• Ability to treat personnel, residents, family members, visitors, government agencies/personnel and the general public with respect.
• Ability to cope with stress and to handle crises.
• Ability to give and take constructive criticism.
• Ability to be a mentor who models expectations and who has the ability to train and teach new staff.
• Ability to resolve problems directly, quickly, and completely with people involved without gossiping or backbiting.
• Must be flexible and be able to adapt.
• Must be self-motivated and be able to prioritize.
• Must have patience, tact, and willingness to deal with difficult residents, family and staff.
• Must be able to relay information concerning a resident’s condition.
• Must not pose a threat to the health and safety of other individuals in the workplace.
• Must be able to move intermittently throughout the workday.
• Meets general health requirements according to facility policy, including medical and physical exams and checking immunity status to various infectious diseases.
• Ability to assist in evacuation of residents during emergency situations.
• Ability to bend, stoop, kneel, crouch, perform overhead lifting and perform other common physical movements as needed for the position.
• Must possess leadership, supervisory ability and willingness to work harmoniously with and supervise other personnel.
• Must be able to follow oral and written instructions.
• Communicates with medical and nursing staff, and other departments.
• Compliance as a Condition of Employment and Performance Appraisal Agreement to abide by all standards, policies, and procedures of the facility, including the facility’s compliance and ethics program, is a condition of employment. Compliance will be a factor in evaluating job performance. Violations, including failure to report violations, will result in disciplinary action, up to and including termination.

Nice To Haves

• Prior experience in long-term care preferred but not required.

Responsibilities

• Renders professional nursing care for the care, comfort, and well-being of the residents of the Assist Living Facility (ALF).
• Provides “Limited Nursing Services” as described in WAC 388-78A-265.
• Follows the nursing model to promote holistic care for the residents.
• Maintains appropriate nursing documentation (alert charting, MD visits, new orders, incident reports, etc.).
• Accounts for narcotics in accordance with established procedures.
• Checks in and accounts for medication deliveries.
• Participates in the admission, discharge and transfers of residents as required.
• Assesses for changes in residents’ status, notifying the physician and resident’s family or representative and documenting accordingly.
• Transcribes physician orders to medical records and carries out orders as written.
• Prepares and administers medications as per physicians’ orders and observes for adverse effects as indicated.
• Provides nursing leadership to caregiving staff and handles staffing issues during the shift, including call-ins.
• Assists caregivers with answering pendants as able.
• Assists with pharmacy follow-ups as needed.
• Destroys non-narcotic medications as needed.
• Assists with medication return process to pharmacies.
• Checks all medication carts on a weekly basis for narcotics that need to be reordered, which includes faxing the doctors for narcotic renewals as needed.
• Checks insulin and eye drop dates on a weekly basis and reorders as needed.
• Assists with processing daily physician orders.
• Performs rounds to ensure resident needs are being met and personnel are performing their assigned duties.
• Collaborates with other members of the interdisciplinary team as needed to ensure residents’ needs are holistically met.
• Participates in management team meetings as indicated to discuss census changes, resident changes in status or care need, or complaints or concerns.
• Reports any incidents or unusual occurrences to the resident care manager and assisted living administrator and participates in the investigative process as needed.
• Participates in end of life care as required.
• Ensures that there is adequate stock of supplies and equipment and notifies appropriate personnel of needs.
• Promotes teamwork, mutual respect, and effective communication.
• Participates in the survey process when inspection surveys arise.
• Ensures that infection control principles are followed and helps correct deficiencies in practice as noted.
• Completes projects assigned by the administrator.
• Treats all residents with dignity and respect.
• Promotes and protects all residents’ rights.
• Establishes a culture of compliance by adhering to all facility policies and procedures.
• Completes with standards of business conduct, and state/federal regulations and guidelines.
• Follows appropriate safety and hygiene measures at all times to protect residents and themselves.
• Maintains confidentiality of protected health information, including verbal, written, and electronic communications.
• Reports noncompliance with policies, procedures, regulations, or breaches in confidentiality to appropriate personnel.
• Reports any retaliation or discrimination to HR or compliance officer.
• Reports any allegations of abuse, neglect, misappropriation of property, exploitation, or mistreatment of residents to supervisor and/or administrator.
• Protects residents from abuse, and cooperates with all investigations.
• Reports any occupational exposures to blood, body fluids, infectious materials, and/or hazardous chemicals in accordance with facility policy.
• Participates in all life safety and emergency drills and trainings.
• Fulfills responsibilities as assigned during implementation or activation of the facility’s emergency plan.
• Reports work-related injuries and illnesses immediately to supervisor.
• Follows established infection control policies and procedures.
• As a condition of employment, completes all assigned training and skills competency.

Benefits

• None explicitly mentioned, but the job description implies a supportive work environment and opportunities for professional development through mentorship and training.

What This Job Offers

• Career Level: Mid Level