RN - Day & NOC

PACS
$51 - $58Onsite

About The Position

The primary responsibility of this position is to supervise the day-to-day nursing activities of the facility during the tour of duty, in accordance with current federal, state, and local standards, guidelines, and regulations. The goal is to ensure the highest degree of quality care is maintained at all times.

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 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 and the willingness to work harmoniously with and supervise other personnel.
  • Ability to plan, organize, develop, implement, and interpret the 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.
  • 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 that pertain 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 be willing to 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, unencunbered, 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 that reference materials and the Nursing Service Procedures Manual are current.
  • Ensure that all nursing service personnel comply with established procedures and job descriptions.
  • Make written and oral reports/recommendations to the Director concerning the operation of the nursing service department.
  • Participate in the facility’s quality assurance program for the nursing service department.
  • Participate in facility surveys (inspections) made by authorized government agencies.
  • Admit, transfer, and discharge residents as required.
  • Complete accident/incident reports as necessary.
  • Attend various committee meetings of the facility as required.
  • Assist in preparing reports of the nursing service programs and activities for committees.
  • Provide information to the Quality Assurance and Assessment Committee as requested.
  • Implement recommendations from established committees as instructed by the Director.
  • Ensure sufficient licensed practical and/or registered nurses and certified nursing assistants are available for the tour of duty.
  • Develop work assignments and delegate administrative authority to Charge Nurses.
  • Ensure that all nursing assistants are enrolled in or have graduated from an approved nursing assistant training program.
  • Make daily rounds to ensure personnel are performing work assignments correctly and report findings to the Director.
  • Monitor absenteeism to ensure adequate staffing.
  • 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.
  • Participate in employee performance evaluations and determine staffing requirements.
  • 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.
  • Inform nursing service personnel of new admissions and ensure rooms are ready.
  • Greet newly admitted residents and escort them as necessary.
  • Make rounds with physicians as necessary and encourage timely documentation.
  • Consult with residents, families, and physicians in planning resident care.
  • Notify physicians and next-of-kin of changes in resident 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 accuracy and completeness.
  • Provide direct nursing care as necessary.
  • Start IVs, obtain specimens for lab tests.
  • Take TPRs, blood pressures, etc., as necessary.
  • Report problem areas to the Director and assist in developing corrective action.
  • Keep the Director informed of resident status and other related matters.
  • Assist the Charge Nurse in monitoring 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 completeness and accuracy.
  • Inspect nursing service treatment areas daily for cleanliness and safety.
  • Ensure 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 personnel performing tasks with potential exposure participate in appropriate in-service training.
  • Ensure adequate supply of personal protective equipment is available.
  • Ensure personnel follow established procedures for the use and disposal of personal protective equipment.
  • Monitor personnel to ensure they follow established safety regulations.
  • Ensure all nursing service personnel comply with established departmental policies and procedures.
  • Ensure nursing service work areas are maintained in a clean and sanitary manner.
  • Ensure all resident care rooms, treatment areas, etc., are maintained in a clean, safe, and sanitary manner.
  • Ensure nursing service personnel follow established handwashing and hand hygiene procedures.
  • Ensure 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 nursing service personnel follow established infection control procedures.
  • Participate in the development, implementation, and maintenance of procedures for reporting hazardous conditions or equipment.
  • Ensure all personnel wear and/or use safety equipment when lifting or moving residents.
  • Report missing/illegible labels and MSDSs to the safety officer.
  • Recommend equipment and supply needs to the Director.
  • Ensure an adequate stock level of medications, medical supplies, and equipment is maintained.
  • Assist the Maintenance Director in developing a preventive maintenance program.
  • Participate in the development and implementation of procedures for the safe operation of all nursing service equipment.
  • Ensure only trained and authorized personnel operate nursing service equipment.
  • Ensure all personnel operate nursing service equipment in a safe manner.
  • 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 written 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 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 for compliance with the care plan.
  • Keep abreast of economic conditions and recommend adjustments in nursing services.
  • Report suspected or known incidence of fraud relative to billings, cost reports, kickbacks, etc.
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