RN - Full Time

Vetras Healthcare LLC•Torrington, WY

6h•Onsite

About The Position

The Registered Nurse is responsible for performing a variety of duties to provide quality nursing care to residents and to coordinate total nursing care for residents. This includes implementing specific procedures and programs, participating with the Director of Nursing in establishing specific goals, determining work procedures, and expediting work flow. The role ensures compliance with all operating policies and procedures and State and Federal regulations, communicates with and supervises appropriate personnel, and provides daily and periodic reports.

Requirements

Must be a graduate of a state approved school of professional nursing.
At least six months as a staff nurse in a long-term care facility.
Hold a current, unencumbered license in this state as a registered nurse.
As required attend annual in-service programs.
Participate in continuing education activities and obtain required contact hours.
Knowledge of nursing policies and procedures; administration of medication, possible side effects, and treatment as prescribed; federal, state, and local laws and regulations relating to resident care; comprehensive knowledge of nursing practices; physical, psychological, social, and medical needs of residents; organizational structure and duties of employees under supervision of charge nurse.
Ability to problem solve and demonstrate sound judgment by taking appropriate actions regarding questionable finding or concerns.
Ability to investigate and follow-through on orders or request for services, accidents/or prevention of accidents.
Professional standards and the code of ethics must always be adhered to.
Cooperative, willing to work, courteous.
Ability to read, write, and follow written and oral instructions.
Knowledge of and ability to meet regulations of: Centers for Medicare and Medicaid Services (CMS); State Health Department; OSHA, Life Safety Codes; Facility Policies and Procedures; Nursing Standards of Practice; and Nurse Practice Act.
Residents always come first, and their needs will be met unless there is a conflict with the needs of others or the organization.
Residents, resident families, co-workers, and visitors will be treated with respect, dignity, and kindness.
Support the mission, vision, and values of the facility.
Employee behavior will consistently be in a manner that demonstrates both employee’s and the company’s commitment to an ethical, honest, and above-board approach in all dealings with employees, customers, suppliers, and the community.
Report to work on time and for scheduled shifts as attendance is required to perform the duties and responsibilities of this position.
Must be able to hear well enough to communicate with co-workers and residents.
Dexterity necessary to handle and manipulate equipment and supplies.
Must be able to read reports, instructions, and observe residents.
Ability to use the computer to document care, such as eMAR, eTAR, physician orders, activities of daily living and other areas as instructed.

Nice To Haves

Professional memberships: Recommended and encouraged

Responsibilities

Perform a variety of duty work flow quality nursing care to residents and to coordinate total nursing care for residents.
Implement specific procedures and programs.
Participate with the Director of Nursing in establishing specific goals.
Determine work procedures and expedite work flow.
Ensure compliance with all operating policies and procedures and State and Federal regulations.
Communicate with and supervise appropriate personnel.
Provide daily reports and other periodic reports.
Assess residents and analyze obtained information to develop appropriate interventions to prevent decline.
Record signs of change in condition and notify appropriate staff per facility protocol.
Observe conditions that indicate possible need for restorative nursing programs and notify appropriate staff per facility protocol.
Inform the physician of changes in assessment when appropriate.
Participate in the MDS process as assigned with the assessments, such as falls, braden, urinary continence, and AIMS.
Assist with completion of the MDS and CAAs as requested.
Administer medications and treatments to residents.
Monitor administration of intravenous fluids.
Place orders for medication from the pharmacy.
Assess residents upon admission to develop interim care plan and further assess in depth to contribute to the complete care plan.
Update care plans as warranted and required.
Attend and participate at Plan of Care meetings as scheduled.
Respond to emergencies, assess the condition of the resident, and decide on the type of medical attention.
Notify the physician when a change in condition occurs.
Call appropriate ambulance service if needed.
Notify family when resident is transferred or admitted to the hospital or change in condition.
Confer with residents and families.
Make referrals to other departments when appropriate.
Maintain resident clinical files and keep charts updated.
Document appropriately, including changes in medical and physical condition, response to antibiotic therapy, report of weight loss or gain and response to change, complete accurate and timely physician’s information, report of PEG tube potency, report of adverse reactions to medication, report of unusual behaviors, and report of pressure ulcer condition and weekly response to treatment.
Complete employee and resident incident report forms and complete follow-up investigation forms.
Make rounds to see each resident daily and as needed.
Ensure that residents are aware of the services that are available to them.
Encourage residents to participate in activities program and provide staff support to enable residents to get to and from and participate in activities.
Maintain accountability for controlled substances.
Inventory medications at the beginning and end of the shift with another licensed nurse.
Notify supervisor of discrepancies.
Support the facility’s medical supply system and follow procedures for resident charge items.
Communicate status of residents to incoming personnel according to established procedures.
Communicate with physicians.
Transcribe, clarify, and implement physicians’ orders.
Supervise the certified nursing assistants and determine work procedures, prepare work schedules, expedite workflow, evaluate, counsel and discipline.
Ensure that certified nursing assistants and all supervised personnel adhere to standard job requirements.
Perform all duties of the LPN as needed.
Use the computer to document care, such as eMAR, eTAR, physician orders, activities of daily living and other areas as instructed.
Perform related duties as assigned or as the situation dictates.