RN - FT - H

PACS•San Diego, CA

3d•$48 - $52•Onsite

About The Position

The Registered Nurse (RN) is responsible for assisting the Director of Nursing Services in directing the day-to-day functions of the nursing activities in accordance with current rules, regulations, and guidelines that govern the long-term care facility. This role involves participating in the development and maintenance of policies and procedures, ensuring the availability of current reference materials, and overseeing compliance with nursing service procedures. The RN will also participate in the facility's quality assurance program, assist with resident assessments and care plans, and manage administrative duties such as completing medical forms and reports. Additionally, the RN will play a key role in committee functions, personnel management, direct nursing care, staff development, safety and sanitation, equipment and supply management, and budget planning. This position requires a supportive team member who can contribute to and exemplify the team concept, demonstrating knowledge of nursing and medical practices, laws, and regulations pertaining to nursing care facilities.

Requirements

Must possess, as a minimum, 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 such action.
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.
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 providing quality care.
Must demonstrate the knowledge and skills necessary to provide care appropriate to the age-related needs of the residents served.
Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to nursing care facilities.
Must have patience, tact, a cheerful disposition and enthusiasm.
Willingness to handle difficult residents.
Willingness 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 will 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 that reference material at nurses’ stations is current and recommend new materials.
Ensure that the Nursing Service Procedures Manual is current and reflects daily procedures.
Ensure that all nursing service personnel comply with the procedures set forth in the Nursing Service Procedures Manual.
Make written and oral reports/recommendations to the Director concerning the operation of the nursing service department.
Periodically review the department’s policies, procedure manuals, job descriptions, etc., and make recommendations for revisions.
Assist in developing methods for coordinating nursing services with other resident services.
Ensure that all nursing service personnel are in compliance 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 (inspections) made by authorized government agencies.
Periodically review the resident’s written discharge plan and participate in its updating.
Assist the Director in planning the nursing services portion of the resident’s discharge plan.
Meet with the nursing staff and support personnel to plan the department’s services, programs, and activities.
Admit, transfer, and discharge residents as required.
Complete accident/incident reports as necessary.
Interpret the department’s policies and procedures to personnel, residents, visitors, and government agencies.
Perform administrative duties such as completing medical forms, reports, evaluations, studies, and charting.
Ensure that a sufficient number of licensed practical and/or registered nurses are available for the tour of duty.
Ensure that a sufficient number of certified nursing assistants are available for the tour of duty.
Develop work assignments and/or assist in completing and performing tasks.
Delegate administrative authority, responsibility, and accountability to each Charge Nurse.
Ensure that all nursing assistants are enrolled in or have graduated from an approved nursing assistant training program.
Ensure that all nurse aide trainees are under the direct supervision of a licensed nurse.
Make daily rounds of the nursing service department to ensure personnel are performing work assignments correctly.
Monitor absenteeism to ensure adequate nursing care personnel are on duty.
Ensure that established policies and procedures, including dress codes, are followed by all departmental personnel.
Review complaints and grievances made or filed by department personnel.
Develop and maintain a good working rapport with inter-department personnel and other departments.
Create and maintain an atmosphere of warmth, personal interest, and positive emphasis.
Meet with the shift on a regularly scheduled basis to identify and correct problem areas.
Review and evaluate the department’s workforce and make recommendations to the Director.
Participate in employee performance evaluations, determining staffing requirements, and making recommendations concerning dismissals, transfers, etc.
Ensure that 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 that departmental computer workstations are properly logged off or password protected when unattended.
Inform nursing service personnel of new admissions, their expected time of arrival, and room assignment.
Ensure that rooms are ready for new admissions.
Greet newly admitted residents and escort them to their rooms.
Make rounds with physicians as necessary.
Encourage physicians to record and sign progress notes and orders in a timely manner.
Inform the Director when physician visits are not made in a timely manner.
Consult with the resident, family, and physician in planning the resident’s care, treatment, and rehabilitation.
Notify the resident’s attending physician and next-of-kin of changes in the resident’s condition.
Visit residents daily to observe and evaluate their physical and emotional status.
Ensure that 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, obtain specimens for lab tests as ordered.
Take TPRs, blood pressures, etc., as necessary.
Report problem areas to the Director and assist in developing and implementing corrective action.
Keep the Director informed of resident status and other related matters through reports.
Assist the Charge Nurse in monitoring seriously ill residents.
Authorize the use of restraints when necessary and in accordance with facility policies.
Ensure that RNs and LPNs comply with procedures for administration, storage, and control of medications and supplies.
Monitor medication passes and treatment schedules.
Review medication cards for completeness, accuracy, and adherence to stop order policies.
Inspect nursing service treatment areas daily to ensure they are clean and safe.
Ensure that residents who are 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 the death of a resident.
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 that personnel performing tasks with potential exposure to blood/body fluids participate in appropriate in-service training.
Ensure that an adequate supply of personal protective equipment is available.
Ensure that personnel follow established procedures for the use and disposal of personal protective equipment.
Monitor personnel to ensure they are following established safety regulations.
Ensure that all nursing service personnel comply with established departmental policies and procedures.
Ensure that nursing service work areas are maintained in a clean and sanitary manner.
Ensure that all resident care rooms, treatment areas, etc., are maintained in a clean, safe, and sanitary manner.
Ensure that nursing service personnel follow established handwashing and hand hygiene procedures.
Ensure that nursing service personnel participate in and conduct fire safety and disaster preparedness drills.
Participate in the development, implementation, and maintenance of the infection control program.
Ensure that nursing service personnel follow established infection control procedures when isolation precautions are necessary.
Participate in the development, implementation, and maintenance of procedures for reporting hazardous conditions or equipment.
Ensure that all personnel wear and/or use safety equipment when lifting or moving residents.
Report missing/illegible labels and MSDSs to the safety officer.
Recommend to the Director the equipment and supply needs of the department.
Ensure that an adequate stock level of medications, medical supplies, and equipment is maintained.
Assist the Maintenance Director in developing a preventive maintenance program for nursing service equipment and supplies.
Participate in the development and implementation of procedures for the safe operation of all nursing service equipment.
Ensure that only trained and authorized personnel operate nursing service equipment.
Ensure that all personnel operate nursing service equipment in a safe manner.
Monitor nursing procedures to ensure efficient use of nursing service supplies.
Ensure that appropriate MSDSs are on file for hazardous chemicals.
Participate in the development of written preliminary and comprehensive assessments of each resident's nursing needs.
Participate in the development of a written plan of care for each resident.
Encourage resident participation in the development and review of their care plan.
Review resident care plans for appropriate goals, problems, approaches, and revisions.
Ensure that all personnel involved in resident care are aware of the resident’s care plan.
Review nurses’ notes to determine if the care plan is being followed.
Assist the Resident Assessment/Care Plan Coordinator in planning, scheduling, and revising the MDS.
Review resident’s medical and nursing treatments to ensure they are provided in accordance with the care plan and wishes.
Keep abreast of economic conditions and recommend adjustments in nursing services.
Report suspected or known incidence of fraud relative to false billings, cost reports, kickbacks, etc.
Assist with the overall supervision and management of the nursing staff.
Perform other duties as assigned.