About The Position

The primary responsibility of this Registered Nurse (RN) position 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 requires ensuring 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 and solve practical problems.
  • Ability to deal tactfully with personnel, residents, family members, visitors, government agencies, and the general public.
  • Leadership and supervisory ability and 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 team work 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.
  • Must be able to move intermittently throughout the workday.
  • Must be able to speak and write the English language in an understandable manner.
  • Must be able to cope with the mental and emotional stress of the position.
  • Must be able to see and hear or use prosthetics that enable these senses to function adequately.
  • Must function independently, and have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies.
  • Must meet the general health requirements set forth by the policies of this facility, which include a medical and physical examination.
  • Must be able to relate to and work with the ill, disabled, elderly, emotionally upset, and, at times, hostile people within the facility.
  • Must be able to push, pull, move, and/or lift a minimum of 25 pounds to a minimum height of 5 feet and be able to push, pull, move, and/or carry such weight a minimum distance of 50 feet.
  • May be necessary to assist in the evacuation of residents during emergency situations.

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 necessary written materials.
  • Ensure the Nursing Service Procedures Manual is current and that personnel comply with its procedures.
  • Make written and oral reports/recommendations to the Director concerning the nursing service department's operations.
  • Periodically review and recommend revisions for departmental policies, procedure manuals, and job descriptions.
  • Assist in coordinating nursing services with other resident services for continuity of care.
  • Ensure nursing service personnel comply with their respective job descriptions.
  • Participate in the facility’s quality assurance program for the nursing service department.
  • Participate in facility surveys conducted by government agencies.
  • Periodically review and update resident discharge plans.
  • Assist the Director in planning the nursing services portion of resident discharge plans.
  • 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 departmental policies and procedures to personnel, residents, visitors, and government agencies.
  • Perform administrative duties such as completing medical forms, reports, evaluations, charting, etc.
  • Maintain confidentiality of user ID, password, and resident protected health information.
  • Report suspected or known violations of disclosure or unauthorized attempts to access facility information systems.
  • Attend various committee meetings (e.g., Infection Control, Policy Advisory, Pharmaceutical, Quality Assessment) as required.
  • Assist in preparing reports for committee meetings.
  • Provide information to the Quality Assurance and Assessment Committee.
  • Participate in developing the agenda for Care Plan Committee meetings.
  • Implement recommendations from established committees as instructed by the Director.
  • Ensure sufficient licensed nurses and certified nursing assistants are available for the tour of duty.
  • Develop work assignments and delegate administrative authority to Charge Nurses.
  • Ensure nursing assistants are enrolled in or have graduated from an approved training program and are supervised.
  • Make daily rounds to ensure personnel perform work assignments according to standards and report findings.
  • Monitor absenteeism to ensure adequate staffing and report problem areas.
  • Ensure departmental policies, including dress codes, are followed.
  • Review and report personnel complaints and grievances to the Director.
  • Foster good working relationships with inter-departmental personnel.
  • Create and maintain a positive and calm environment.
  • Hold regular meetings with shift personnel to address problem areas and improve services.
  • Review and evaluate the department's workforce and make recommendations.
  • Participate in employee performance evaluations, staffing requirements, and recommendations for dismissals/transfers.
  • Ensure fair disciplinary action is administered.
  • Report occupational exposures and suspected fraud.
  • Ensure departmental computer workstations are logged off or password protected.
  • Inform nursing staff of new admissions and ensure rooms are ready.
  • Greet and escort new admissions.
  • Make rounds with physicians as necessary and encourage timely documentation.
  • Inform the Director of delayed physician visits.
  • Consult with residents, families, and physicians on care plans.
  • Notify physicians and next-of-kin of changes in resident condition.
  • Conduct daily rounds to assess resident physical and emotional status.
  • Ensure direct nursing care is provided by qualified personnel.
  • Review nurses’ notes for accuracy and adherence to care plans.
  • Provide direct nursing care as necessary.
  • Start IVs and obtain specimens.
  • Take TPRs and blood pressures.
  • Admit, transfer, and discharge residents.
  • Report problem areas and assist in corrective action.
  • Keep the Director informed of resident status and related matters.
  • Monitor seriously ill residents.
  • Authorize the use of restraints when necessary.
  • Ensure RNs and LPNs comply with medication and supply procedures.
  • Monitor medication passes and treatment schedules.
  • Review medication cards for accuracy and adherence to policies.
  • Inspect 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 resident deaths and call funeral homes when requested.
  • Participate in developing, planning, and conducting in-service training classes.
  • Assist in developing annual facility in-service training programs.
  • Assist the Director in planning clinical supervision for nurse aide trainees.
  • Attend continuing education programs to maintain licensure.
  • Assist the Safety Officer in developing safety standards.
  • Identify, evaluate, and classify tasks with potential exposure to blood/body fluids.
  • Ensure personnel receive training prior to tasks involving potential exposure.
  • Ensure adequate supply and proper use/disposal of personal protective equipment.
  • Monitor personnel adherence to safety regulations.
  • Ensure compliance with established safety and sanitation policies and procedures.
  • Ensure work areas are clean and sanitary.
  • Ensure resident care rooms and treatment areas are clean, safe, and sanitary.
  • Ensure personnel follow handwashing and hand hygiene procedures.
  • Ensure personnel participate in fire safety and disaster preparedness drills.
  • Participate in the infection control program.
  • Ensure personnel follow infection control procedures for isolation precautions.
  • Participate in developing and maintaining procedures for reporting hazardous conditions.
  • Ensure personnel use safety equipment when lifting or moving residents.
  • Report missing/illegible labels and MSDSs.
  • Recommend department equipment and supply needs.
  • Ensure adequate stock levels of medications, medical supplies, and equipment.
  • Assist in developing a preventive maintenance program for equipment.
  • Participate in developing and implementing procedures for safe operation of equipment.
  • Ensure only trained personnel operate equipment.
  • Ensure equipment is operated safely.
  • Monitor supply usage to avoid waste.
  • Ensure MSDSs are on file for hazardous chemicals.
  • Participate in developing resident assessments.
  • Participate in developing resident care plans.
  • Encourage resident participation in care plan development and review.
  • Review resident care plans for appropriate goals, problems, and revisions.
  • Ensure personnel are aware of and refer to resident care plans.
  • Review nurses’ notes to ensure care plans are followed.
  • Assist in planning, scheduling, and revising MDS, including RAPs and Triggers.
  • Review resident treatments to ensure they align with care plans.
  • Keep abreast of economic conditions and recommend adjustments to nursing services.
  • Report suspected fraud related to billings, cost reports, kickbacks, etc.
  • Assist with the overall supervision and management of the nursing staff.
  • Perform other duties as assigned.

Benefits

  • Salary Negotiable
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