RN (All Shifts)Full Time

PACS•Los Angeles, CA

6d•Onsite

About The Position

This position involves 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. The role requires participation in developing, maintaining, and updating policies and procedures, ensuring reference materials are current, and recommending necessary written materials. The Registered Nurse (RN) will also ensure that all nursing service personnel comply with established procedures and participate in the facility's quality assurance program. This role includes admitting, transferring, and discharging residents, completing accident/incident reports, and performing administrative duties such as completing medical forms and charting. The RN is responsible for ensuring the availability of sufficient licensed nursing staff and certified nursing assistants for their tour of duty, developing work assignments, and monitoring absenteeism. They must also ensure that departmental disciplinary actions are administered fairly and report occupational exposures and suspected fraud. The RN will provide direct nursing care as necessary, monitor medication passes and treatment schedules, and ensure nursing service areas are clean and sanitary. Additionally, the role involves participating in staff development, safety and sanitation initiatives, and managing equipment and supply needs. The RN will also participate in the development and review of resident care plans and assessments, and keep abreast of economic conditions to recommend adjustments in nursing services.

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.
Must possess the 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 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, unencumbered, 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.
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 as necessary 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 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 (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.
Agree not to disclose assigned user ID code and password for accessing resident/facility information and promptly report suspected or known violations.
Agree not to disclose resident’s protected health information and promptly report suspected or known violations.
Report any known or suspected unauthorized attempt to access facility’s information system.
Attend various committee meetings of the facility (e.g., Infection Control, Policy Advisory, Pharmaceutical, Quality Assessment) as required.
Assist in preparing written and/or oral reports of the nursing service programs and activities to submit to committees.
Provide information to the Quality Assurance and Assessment Committee as requested.
Participate in developing the agenda for the Care Plan Committee meetings.
Participate in regularly scheduled reviews of the discharge plans and make them available to the Care Plan Committee.
Implement recommendations from established committees as instructed by the Director.
Ensure that a sufficient number of licensed practical and/or registered nurses are available for your tour of duty.
Ensure that a sufficient number of certified nursing assistants are available for your tour of duty.
Develop work assignments and/or assist in completing and performing such 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 in accordance with acceptable nursing standards.
Report findings to the Director.
Monitor absenteeism to ensure adequate nursing care personnel are on duty.
Report problem areas to the Director.
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 and make appropriate reports to the Director.
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, as well as a calm environment.
Meet with your shift on a regularly scheduled basis to identify and correct problem areas or improve services.
Review and evaluate your department’s work force and make recommendations to the Director.
Participate in employee performance evaluations, determining staffing requirements, and making recommendations to the Director 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 to the Administrator.
Ensure that departmental computer workstations left unattended are properly logged off or password protected.
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 upon admission and escort them to their rooms.
Make rounds with physicians as necessary.
Encourage attending physicians to record and sign progress notes and physician’s orders on a timely basis.
Inform the Director when physician visits are not made in a timely manner.
Consult with the resident, his/her family, and the resident’s physician in planning the resident’s care, treatment, and rehabilitation.
Notify the resident’s attending physician and next of kin when there is a change in the resident’s condition.
Visit residents on a daily basis to observe and evaluate their physical and emotional status.
Ensure that direct nursing care is provided by a qualified licensed nurse, certified nursing assistant, or nurse aide trainee.
Review nurses’ notes to ensure they are informative and descriptive of the nursing care being provided and reflect the resident’s response.
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 the status of residents and other related matters through written/oral 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 all RNs and LPNs on your shift comply with written procedures for the 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 the nursing service treatment areas daily to ensure they are maintained in a clean and safe manner.
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 the resident and 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 routine and job-related functions 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 your shift’s 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 all 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 become 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 and supplies when lifting or moving residents.
Report missing/illegible labels and MSDSs to the safety officer or other designated person.
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 department 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 nursing service supplies are used efficiently.
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 the resident to participate in the development and review of his/her care plan.
Review resident care plans for appropriate goals, problems, approaches, and revisions.
Ensure that all personnel involved in providing care are aware of the resident’s care plan.
Ensure that nursing personnel refer to the resident’s care plan prior to administering daily care.
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.
Recommend to the Director the equipment needs of the nursing service department.
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.