Nursing Unit Manager, LPN

United Church Homes•Jackson, OH

13d

About The Position

The Nursing Unit Manager is responsible for overseeing staff education, evaluations, disciplines, and HR management; acts as the medical records management system champion; and supervising nursing personnel on multiple units to deliver nursing care within scope of practice, coordinating care delivery, ensuring residents' needs are met in accordance with professional standards of practice through physician orders, community policies and procedures, and federal, state and local guidelines. Essential Functions Statement(s) Oversees staff development, including the training and education of nursing staff Ensures competencies for STNAs (including catheter, medpath, dressing changes, etc.) Conducts monthly STNA meetings, discussing any new issues, training, resident concerns, etc. Completes daily audits of electronic medical records, including follow-up with employees to ensure accuracy Completes audits of the electronic medication program Liaises with corporate office regarding electronic medical records, troubleshooting as necessary Assists Director, Nursing as necessary Makes rounds with doctor and nurse practitioner weekly Oversees restorative care program Conducts interviews for new hires Demonstrates knowledge of location and use of Nursing Policy and Procedure Manual; Reviews employee call-off's, calls in off-duty employees or adjusts assignment sheet to adequately cover staffing; Participates in directing, and assigning nursing staff; Communicates appropriate information to team members, physicians, families and supervisor; Assigns resident care responsibilities and supervises subordinates on scheduled shift; Disciplines subordinates with verbal/written warnings, or suspends subject to discharge, pending investigation; Staffs the department with capable people; Plans the work for employees with due regard for performance and skills; Ensures employees are adequately oriented and trained to perform their duties; Assists and encourages employees to understand where/how their role impacts the community and corporation; Sets meaningful individual objectives and specific job expectations; Ensures employees know what is expected and the standards by which they will be evaluated; Gives adequate guidance and supervision and periodically reviews employee performance; Recommends promotions and pay for employees as merited, recognizing and rewarding initiative, imagination and work well done; Creates an environment encouraging excellence and sets a good example; Gives employees sufficient authority to make the necessary decisions to carry out their assignments; Coaches/counsels/disciplines personnel as necessary; Establishes and maintains effective communication regarding performance, both with employees and leadership; Properly manages employees; personnel information; Provides employees with training and instructions on safe work practices and regularly reviews work activities, materials and facilities to eliminate potential hazards; Identifies and maintains accountability for security within assigned areas of responsibility; Ensures employees understand their obligations to protect company and employee property; Takes appropriate action when security infractions occur; Takes positive action to ensure equal opportunity in the conduct of all business activities without regard to race, religion, color, age, sex, marital status, national origin, disability, or veteran status; Receives, investigates and responds to employee grievances; Demonstrates a caring attitude toward UCH's residents, family members, employees, and other company guests as the need arises; Ensures subordinates are helpful, caring, and responsive to all guests; Devotes adequate time and attention to personal development and training, particularly in HR management; Receives, investigates and responds to employee grievances Oversees the proper execution of the following: NG/tube insertion, placement and irrigation; Colostomy care, including irrigation; Foley catheter care, including insertion and irrigation; Texas catheter application; Straight catheterization; Tube feeding, including hanging and labeling, operating the pump, calculating intake and output, ensuring dietary recommended feeding allowances are maintained, monitoring the weights of residents, assessing for abdominal distention and feeding, residual tube placement Administers proper assessment skills and techniques as appropriate, including the following; Gastrointestinal, genitourinary, pulmonary, cardiac, circulatory, neurological, musculoskeletal, and integumentary assessments; Positioning techniques; Transfer techniques; ROM exercises; Properly performs emergency procedures including: properly administers oxygen, suctions, performs CPR, and uses the ambu bag; Performs glucometer checks Administers IVs through the following: Conducts IV site care; Applies and monitors a Heparin Lock; Mixes, hangs and administers IV solutions to patients; Computes rate of IV fluid administration; Operates the infusion pump Performs suctioning, as necessary including tracheotomy, nasotracheal and Tracheotomy care Administers gastrostomy care through proper irrigation and placement check Applies proper sterile and isolation techniques as necessary Collects lab specimens as required Demonstrates expertise in the care of the patient with a central line; Flushes, infusions, monitoring, tubing, and bag changes, add mixing of meds; Demonstrates expertise in the care of the patient with hyper alimentation; Piggybacking of lipids, site care, obtaining orders, checking contents of bag and label compared to order; Demonstrates knowledge of and monitors for potential complications related to central lines, PICC lines, administration of hyper alimentation Supervises and assists with meal service, as necessary; Consults with dietician regarding any special dietary needs and follows through on dietary recommendations; Monitors residents with significant weight loss/gain and reports it to the physician and dietician; Identifies residents at risk for nutritional problems and implements preventative measures; Checks food brought by family members, ensuring it complies with residents' orders, dietary needs and safety Documents medications, treatments, and prn's according to policy; Completes 24 hour report daily; Monitors residents' intake and output; Participates in the monthly medication renewal process; Completes forms used throughout the residents chart; Documents any exceptions to residents' condition, including daily charting on ill residents; 24-, 48-, or 72-hour follow-up charting on residents with infections; incidents or new admits; Interprets policies and procedures to personnel, residents, visitors, and government agencies as required; Ensures residents charge slips are completed and forwarded to the appropriate department for processing; Accurately maintains daily census reports and submits to business office daily, as applicable; Completes medical forms, reports, evaluations, studies, charting, etc, as necessary; Records new/changed diet orders and forwards information to the Dietary department; Reports any discrepancies noted concerning physician's orders, diet changes, charting errors, etc, to supervisor Assists in completion of the care plans (acute and long term); Participates in care conferences as deemed necessary; Assists in completion of the MDS; Evaluates effectiveness of care interventions, identifies problems/trends and develops alternative interventions; Understands resident's rights and conducts (as appropriate) investigations related to any alleged abuse; Ensures progress notes are reflective of care plan and approaches thereon are properly followed; Assures assigned nursing assistants are aware of the resident care plans, and ensure nursing assistant refers to the care plan prior to administering care Conducts pre-admission assessments Oversees the admission process; Orients patient to room, facility, policies; Obtains necessary physician orders; Completes nursing admission assessments; Orders necessary medication, supplies and diagnostic test; Informs nursing personnel of new admissions, expected time of arrival, room assignments, admitting diagnosis, etc. Obtains written or verbal report from admitting facility on resident prior to or at the time of admission; Oversees the discharge process through the following: Completes post discharge plan; Educates resident on post discharge needs; Completes discharge paperwork; Informs nursing personnel of planned discharges for their shift; Arrange for discharge transportation Oversees the successful transfer of a patient; Ensures documentation is accurately completed for admission, discharge and transfer Ensures staff delivers quality care and service, according to UCH policies and procedures, reporting violations, abuse or mistreatment to proper authorities Dementia Special Care Unit; Follows all appropriate safety and security guidelines, procedures and protocol for residents in the Unit; Maintains appropriate, effective communication with residents, and with residents’ family or other significant relationships; Provides all care, treatment and services with appropriate dementia care protocols; Participates in relevant educational and training activities as appropriate Maintains confidentiality of necessary information; Handles unusual occurrences calmly and logically to maintain continuity of business and duties; Performs any miscellaneous work assignments as may be required Participates in special activities as necessary (e.g., safety committee; mentoring/orientation/new hires; etc.) Attends quality assurance and other meetings as required Performs all other duties as assigned or directed

Requirements

Associate's Degree (two year college or technical school) Required, Field of Study: Nursing
1 plus years of experience
Must be able to proficiently operate a computer, the Internet, Microsoft Office, other relevant software programs and basic office and nursing equipment
Successful completion of a state-approved pre-licensure nursing education program
Active nursing license conferred by the state Board of Nursing
Must obtain and maintain mandatory, state and federal requirements and certifications for practice or occupation
Must be CPR certified
Special care/dementia care employees will have additional training in caring for and treating dementia residents
Must be able to work with elderly residents, families and other health care staff members
Must be able to adhere to all terms and conditions set forth in the United Church Homes Employee Handbook
Must participate in Continuing Education Ohio State Requirements
Active RN license conferred by the Board of Nursing
Must meet, in a timely manner, the residents" total care, supervisory and emotional needs as determined by the resident assessment
Must monitor above and beyond regular supervision those residents with increased emotional needs and/or those residents who present behaviors that cause problems for themselves or other residents (or both)
Assist, when necessary, with prompt evacuation of non-ambulatory residents
Must have first-aid training, evidenced by documentation

Responsibilities

Oversees staff development, including the training and education of nursing staff
Ensures competencies for STNAs (including catheter, medpath, dressing changes, etc.)
Conducts monthly STNA meetings, discussing any new issues, training, resident concerns, etc.
Completes daily audits of electronic medical records, including follow-up with employees to ensure accuracy
Completes audits of the electronic medication program
Liaises with corporate office regarding electronic medical records, troubleshooting as necessary
Assists Director, Nursing as necessary
Makes rounds with doctor and nurse practitioner weekly
Oversees restorative care program
Conducts interviews for new hires
Demonstrates knowledge of location and use of Nursing Policy and Procedure Manual
Reviews employee call-off's, calls in off-duty employees or adjusts assignment sheet to adequately cover staffing
Participates in directing, and assigning nursing staff
Communicates appropriate information to team members, physicians, families and supervisor
Assigns resident care responsibilities and supervises subordinates on scheduled shift
Disciplines subordinates with verbal/written warnings, or suspends subject to discharge, pending investigation
Staffs the department with capable people
Plans the work for employees with due regard for performance and skills
Ensures employees are adequately oriented and trained to perform their duties
Assists and encourages employees to understand where/how their role impacts the community and corporation
Sets meaningful individual objectives and specific job expectations
Ensures employees know what is expected and the standards by which they will be evaluated
Gives adequate guidance and supervision and periodically reviews employee performance
Recommends promotions and pay for employees as merited, recognizing and rewarding initiative, imagination and work well done
Creates an environment encouraging excellence and sets a good example
Gives employees sufficient authority to make the necessary decisions to carry out their assignments
Coaches/counsels/disciplines personnel as necessary
Establishes and maintains effective communication regarding performance, both with employees and leadership
Properly manages employees; personnel information
Provides employees with training and instructions on safe work practices and regularly reviews work activities, materials and facilities to eliminate potential hazards
Identifies and maintains accountability for security within assigned areas of responsibility
Ensures employees understand their obligations to protect company and employee property
Takes appropriate action when security infractions occur
Takes positive action to ensure equal opportunity in the conduct of all business activities without regard to race, religion, color, age, sex, marital status, national origin, disability, or veteran status
Receives, investigates and responds to employee grievances
Demonstrates a caring attitude toward UCH's residents, family members, employees, and other company guests as the need arises
Ensures subordinates are helpful, caring, and responsive to all guests
Devotes adequate time and attention to personal development and training, particularly in HR management
Receives, investigates and responds to employee grievances
Oversees the proper execution of the following: NG/tube insertion, placement and irrigation; Colostomy care, including irrigation; Foley catheter care, including insertion and irrigation; Texas catheter application; Straight catheterization; Tube feeding, including hanging and labeling, operating the pump, calculating intake and output, ensuring dietary recommended feeding allowances are maintained, monitoring the weights of residents, assessing for abdominal distention and feeding, residual tube placement
Administers proper assessment skills and techniques as appropriate, including the following; Gastrointestinal, genitourinary, pulmonary, cardiac, circulatory, neurological, musculoskeletal, and integumentary assessments; Positioning techniques; Transfer techniques; ROM exercises
Properly performs emergency procedures including: properly administers oxygen, suctions, performs CPR, and uses the ambu bag
Performs glucometer checks
Administers IVs through the following: Conducts IV site care; Applies and monitors a Heparin Lock; Mixes, hangs and administers IV solutions to patients; Computes rate of IV fluid administration; Operates the infusion pump
Performs suctioning, as necessary including tracheotomy, nasotracheal and Tracheotomy care
Administers gastrostomy care through proper irrigation and placement check
Applies proper sterile and isolation techniques as necessary
Collects lab specimens as required
Demonstrates expertise in the care of the patient with a central line; Flushes, infusions, monitoring, tubing, and bag changes, add mixing of meds
Demonstrates expertise in the care of the patient with hyper alimentation; Piggybacking of lipids, site care, obtaining orders, checking contents of bag and label compared to order
Demonstrates knowledge of and monitors for potential complications related to central lines, PICC lines, administration of hyper alimentation
Supervises and assists with meal service, as necessary
Consults with dietician regarding any special dietary needs and follows through on dietary recommendations
Monitors residents with significant weight loss/gain and reports it to the physician and dietician
Identifies residents at risk for nutritional problems and implements preventative measures
Checks food brought by family members, ensuring it complies with residents' orders, dietary needs and safety
Documents medications, treatments, and prn's according to policy
Completes 24 hour report daily
Monitors residents' intake and output
Participates in the monthly medication renewal process
Completes forms used throughout the residents chart
Documents any exceptions to residents' condition, including daily charting on ill residents; 24-, 48-, or 72-hour follow-up charting on residents with infections; incidents or new admits
Interprets policies and procedures to personnel, residents, visitors, and government agencies as required
Ensures residents charge slips are completed and forwarded to the appropriate department for processing
Accurately maintains daily census reports and submits to business office daily, as applicable
Completes medical forms, reports, evaluations, studies, charting, etc, as necessary
Records new/changed diet orders and forwards information to the Dietary department
Reports any discrepancies noted concerning physician's orders, diet changes, charting errors, etc, to supervisor
Assists in completion of the care plans (acute and long term)
Participates in care conferences as deemed necessary
Assists in completion of the MDS
Evaluates effectiveness of care interventions, identifies problems/trends and develops alternative interventions
Understands resident's rights and conducts (as appropriate) investigations related to any alleged abuse
Ensures progress notes are reflective of care plan and approaches thereon are properly followed
Assures assigned nursing assistants are aware of the resident care plans, and ensure nursing assistant refers to the care plan prior to administering care
Conducts pre-admission assessments
Oversees the admission process
Orients patient to room, facility, policies
Obtains necessary physician orders
Completes nursing admission assessments
Orders necessary medication, supplies and diagnostic test
Informs nursing personnel of new admissions, expected time of arrival, room assignments, admitting diagnosis, etc.
Obtains written or verbal report from admitting facility on resident prior to or at the time of admission
Oversees the discharge process through the following: Completes post discharge plan; Educates resident on post discharge needs; Completes discharge paperwork; Informs nursing personnel of planned discharges for their shift; Arrange for discharge transportation
Oversees the successful transfer of a patient
Ensures documentation is accurately completed for admission, discharge and transfer
Ensures staff delivers quality care and service, according to UCH policies and procedures, reporting violations, abuse or mistreatment to proper authorities
Dementia Special Care Unit
Follows all appropriate safety and security guidelines, procedures and protocol for residents in the Unit
Maintains appropriate, effective communication with residents, and with residents’ family or other significant relationships
Provides all care, treatment and services with appropriate dementia care protocols
Participates in relevant educational and training activities as appropriate
Maintains confidentiality of necessary information
Handles unusual occurrences calmly and logically to maintain continuity of business and duties
Performs any miscellaneous work assignments as may be required
Participates in special activities as necessary (e.g., safety committee; mentoring/orientation/new hires; etc.)
Attends quality assurance and other meetings as required
Performs all other duties as assigned or directed