Registered Nurse NOC Shift

Odd Fellows•Walla Walla, WA

2d•Onsite

About The Position

The Registered Nurse (RN) on the NOC shift may provide direct nursing care to residents and supervises the day-to-day nursing activities performed by licensed practical/vocational nurses and certified nursing assistants. This role ensures adherence to federal, state, and local regulations, as well as facility policies and procedures. The position promotes holistic care for residents, manages admissions, discharges, and transfers, and assesses changes in resident status, communicating with physicians and families. The RN transcribes physician orders, administers medications, performs wound treatments, and schedules follow-up appointments and transportation. Direct care skills include colostomy changes, tube feedings, wound care, suctioning, and IV administration. The role involves performing rounds, collaborating with the interdisciplinary team, participating in management meetings, and potentially assisting with performance evaluations and disciplinary actions. The RN also handles reporting concerns, incidents, and grievances, participates in end-of-life care, ensures adequate stock of supplies, and initiates/updates care plans. Promoting teamwork, mutual respect, and effective communication is essential, as is participation in survey processes and QAPI activities. Ensuring infection control principles are followed and correcting deficiencies are key responsibilities. Additional tasks include treating residents with dignity and respect, promoting residents' rights, establishing a culture of compliance, following safety and hygiene measures, maintaining confidentiality, reporting noncompliance and retaliation, reporting allegations of abuse, protecting residents from abuse, reporting occupational exposures, participating in emergency drills, and reporting work-related injuries. Compliance with facility policies and procedures is a condition of employment and will be a factor in performance evaluations.

Requirements

Ability to read, write, speak and understand the English language.
Must be a supportive team member, contribute to and be an example of team work.
Ability to make independent decisions when circumstances warrant such action.
Ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel and the general public.
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.
Prior experience in Skilled Nursing strongly preferred but not required.
A Nursing degree from an accredited college or university.
Current unrestricted license as a Registered Nurse (RN) or Licensed Practical Nurse (LPN) in Washington State.
Current CPR certification.

Nice To Haves

Prior experience in Skilled Nursing

Responsibilities

Directs the daily activities of the licensed practical/vocational nurse and certified nursing assistants.
Follows the nursing model to promote holistic care for the residents.
Ensures that policies and procedures are complied with by nursing personnel assigned.
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 record and carries out orders as written.
Prepares and administers medications as per physicians’ orders and observes for adverse effects as indicated.
Performs wound treatments as per physicians’ orders, observes for changes and documents accordingly as indicated.
Schedules follow up appointments for residents and transportation needs as indicated.
Provides nursing leadership to nursing personnel assigned to the unit.
Provides direct care skills such as colostomy changes, tube feedings, wound care, suctioning, IV administration, etc.
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.
May assist in evaluating work performance of nursing personnel and implements discipline according to operational policies and as directed.
Informs appropriate departments of concerns or complaints and files grievances as necessary.
Reports any incidents or unusual occurrences to the unit manager, assistant director or nursing or director of nursing and participates in the investigative process as needed.
Participates in end of life care as required.
Ensures that there is adequate stock of medications, supplies, equipment and notifies appropriate personnel of needs.
Initiates, reviews and updates care plans as required.
Promotes teamwork, mutual respect, and effective communication.
Participates in the survey process when inspection surveys arise.
May participate in QAPI activities as needed or assigned.
Ensures that infection control principles are followed and helps correct deficiencies in practice as noted.
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.
Complies 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.
Completes all assigned training and skills competency.