Registered Nurse - PRN

PACS Group•Forest Grove, OR

13d•Onsite

About The Position

The primary responsibility of the Registered Nurse (RN) is to supervise the day-to-day nursing activities of the facility during their tour of duty, in accordance with current federal, state, and local standards, guidelines, and regulations. This role ensures the highest degree of quality care is maintained at all times, under the direction of the Director of Nursing (DON) and/or Assistant Director of Nursing (ADON) when applicable.

Requirements

Must possess a Nursing Degree from an accredited college or university.
Must have training in rehabilitative and restorative nursing practices.
2 years or more experience, preferably in a long-term care facility.
Must be able to read, write, speak, and understand the English language.
Ability to read technical procedures.
Ability to read and comprehend policy and procedure manuals.
Ability to effectively present information and respond to questions from managers and employees.
Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.
Ability to make independent decisions when circumstances warrant.
Ability to solve practical problems.
Ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public.
Leadership and supervisory ability and the willingness to work harmoniously with and supervise other personnel.
Ability to plan, organize, develop, implement, and interpret programs, goals, objectives, policies, and procedures necessary for quality care.
Must demonstrate the knowledge and skills necessary to provide care appropriate to the age-related needs of the residents served.
Be a supportive team member, contribute to and be an example of teamwork and team concept.
Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines pertaining to nursing care facilities.
Must have patience, tact, a cheerful disposition and enthusiasm, as well as the willingness to handle difficult residents.
Must be willing to seek out new methods and principles and incorporate them into existing nursing practices.
Must be able to relate information concerning a resident’s condition.
Must not pose a direct threat to the health or safety of other individuals in the workplace.
Must possess a current, unencunmbered, active license to practice as an RN in this state.
Current CPR certification.
Must maintain all required continuing education/licensing.
Must remain in good standing with the State Board of Nursing at all times.

Nice To Haves

Knowledge and experience with PCC preferred.

Responsibilities

Assist the Director of Nursing Services in directing the day-to-day functions of the nursing activities.
Participate in developing, maintaining, and updating written policies and procedures for the nursing service department.
Ensure reference materials at nurses’ stations are current and recommend new materials.
Ensure the Nursing Service Procedures Manual is current and reflects daily procedures.
Ensure all nursing service personnel comply with the Nursing Service Procedures Manual.
Make written and oral reports/recommendations to the Director regarding the nursing service department's operation.
Periodically review department policies, procedure manuals, and job descriptions, recommending revisions.
Assist in developing methods for coordinating nursing services with other resident services.
Ensure all nursing service personnel comply with their respective job descriptions.
Participate in the development, maintenance, and implementation of the facility’s quality assurance program for the nursing service department.
Participate in facility surveys conducted by government agencies.
Periodically review and update the resident’s written discharge plan.
Assist the Director in planning the nursing services portion of the resident’s discharge plan.
Meet with nursing staff and support personnel to plan department services, programs, and activities.
Admit, transfer, and discharge residents as required.
Complete accident/incident reports.
Interpret department policies and procedures to personnel, residents, visitors, and government agencies.
Perform administrative duties such as completing medical forms, reports, evaluations, studies, and charting.
Maintain confidentiality of assigned user ID code and password for accessing resident/facility information and report violations.
Maintain confidentiality of resident’s protected health information and report violations.
Report any suspected unauthorized attempt to access the facility’s information system.
Attend various committee meetings of the facility (e.g., Infection Control, Policy Advisory, Pharmaceutical, Quality Assessment).
Assist in preparing reports of nursing service programs and activities for committee submission.
Provide information to the Quality Assurance and Assessment Committee.
Participate in developing the agenda for Care Plan Committee meetings.
Participate in reviews of discharge plans and make them available to the Care Plan Committee.
Implement recommendations from committees as instructed by the Director.
Ensure sufficient licensed practical and/or registered nurses are available for the shift.
Ensure sufficient certified nursing assistants are available for the shift.
Develop work assignments and assist in completing tasks.
Delegate administrative authority, responsibility, and accountability to Charge Nurses.
Ensure all nursing assistants are enrolled in or have graduated from an approved training program.
Ensure nurse aide trainees are under direct supervision of a licensed nurse.
Make daily rounds to ensure personnel are performing work assignments according to standards and report findings.
Monitor absenteeism to ensure adequate staffing and report problem areas.
Ensure established policies and procedures, including dress codes, are followed.
Review and address complaints and grievances from department personnel.
Develop and maintain good working rapport with inter-departmental personnel.
Create and maintain a positive and calm environment.
Meet with shift personnel to identify and correct problem areas.
Review and evaluate the department’s workforce and make recommendations.
Participate in employee performance evaluations, determine staffing requirements, and make recommendations regarding dismissals/transfers.
Ensure departmental disciplinary action is administered fairly.
Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals.
Report known or suspected incidents of fraud.
Ensure departmental computer workstations are logged off or password protected when unattended.
Inform nursing staff of new admissions, their expected arrival time, and room assignment.
Ensure rooms are ready for new admissions.
Greet and escort newly admitted residents to their rooms.
Make rounds with physicians as necessary.
Encourage physicians to record and sign progress notes and orders timely.
Inform the Director of untimely physician visits.
Consult with residents, families, and physicians in planning resident care.
Notify the resident’s physician and next-of-kin of changes in condition.
Visit residents daily to observe and evaluate their physical and emotional status.
Ensure direct nursing care is provided by qualified personnel.
Review nurses’ notes for informativeness, descriptiveness, and reflection of resident response to care.
Provide direct nursing care as necessary.
Start IVs and obtain specimens for lab tests.
Take TPRs and blood pressures.
Report problem areas and assist in developing corrective action.
Keep the Director informed of resident status and related matters.
Assist the Charge Nurse in monitoring seriously ill residents.
Authorize the use of restraints when necessary and in accordance with facility policies.
Ensure RNs and LPNs comply with medication and supply administration, storage, and control procedures.
Monitor medication passes and treatment schedules.
Review medication cards for completeness, accuracy, and adherence to stop order policies.
Inspect nursing service treatment areas daily for cleanliness and safety.
Ensure residents unable to call for help are checked frequently.
Meet with residents and/or family members as necessary.
Assist in arranging transportation for discharged residents.
Inform family members of a resident's death.
Call funeral homes when requested by the family.
Participate in developing, planning, conducting, and scheduling in-service training classes.
Assist the In-service Director/Educator in developing annual facility in-service training programs.
Assist the Director in planning clinical supervision for nurse aide trainees.
Attend and participate in continuing education programs.
Assist the Safety Officer in developing safety standards for the nursing service department.
Assist the Director and/or Infection Control Coordinator in identifying, evaluating, and classifying tasks with potential exposure to blood/body fluids.
Ensure personnel performing tasks with potential exposure participate in appropriate in-service training.
Ensure adequate personal protective equipment is available and used correctly.
Monitor personnel to ensure adherence to safety regulations.
Ensure compliance with established departmental policies and procedures.
Ensure nursing service work areas are clean and sanitary.
Ensure resident care rooms and treatment areas are clean, safe, and sanitary.
Ensure personnel follow established handwashing and hand hygiene procedures.
Ensure personnel participate in fire safety and disaster preparedness drills.
Participate in the development, implementation, and maintenance of the infection control program.
Ensure personnel follow established infection control procedures for isolation precautions.
Participate in the development, implementation, and maintenance of procedures for reporting hazardous conditions or equipment.
Ensure personnel use safety equipment and supplies when lifting or moving residents.
Report missing/illegible labels and MSDSs.
Recommend equipment and supply needs to the Director.
Ensure adequate stock levels of medications, medical supplies, and equipment.
Assist the Maintenance Director in developing a preventive maintenance program for equipment and supplies.
Participate in the development and implementation of procedures for the safe operation of nursing service equipment.
Ensure only trained and authorized personnel operate nursing service equipment.
Ensure personnel operate nursing service equipment safely.
Monitor nursing procedures to ensure efficient use of supplies and avoid waste.
Ensure appropriate MSDSs are on file for hazardous chemicals.
Participate in the development of resident assessments.
Participate in the development of a resident care plan.
Encourage resident participation in care plan development and review.
Review resident care plans for appropriate goals, problems, approaches, and revisions.
Ensure personnel are aware of and refer to the resident’s care plan.
Review nurses’ notes to determine if the care plan is being followed.
Assist the Resident Assessment/Care Plan Coordinator with MDS and RAPs.
Review resident’s medical and nursing treatments for adherence to the care plan.
Keep abreast of economic conditions and recommend adjustments to nursing services.
Report suspected or known incidence of fraud related to billings, cost reports, kickbacks, etc.
Assist with the overall supervision and management of the nursing staff.
Accept delegated administrative authority, responsibility, and accountability for assigned duties.