REGISTERED NURSE FULL TIME & PART TIME

LITTLE FLOWER MANOR•Darby, PA

8h•Onsite

About The Position

PURPOSE OF YOUR POSITION: The primary purpose of your job position is to provide direct nursing care to the residents, and to supervise the day-to-day nursing activities performed by nursing assistant. Such supervision must be in accordance with current federal, state, and· local standards, guidelines, and regulations that govern our facility, and as may be required by the Director, to ensure that the highest degree of quality care is maintained at all times. DELEGATION OF AUTHORITY: As a Staff Nurse, you are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties. JOB FUNCTIONS: Every effort has been made to keep your job description as complete as possible. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is a logical assignment to the position. You are expected to be able to perform the essential functions of this position as described in the following job description. ADMINISTRATIVE FUNCTIONS: Direct the day-to-day functions of the nursing assistants in accordance with current rules, regulations, and guidelines that govern the long-term care facility. 3 Ensure that the written policies and procedures that govern the day-to-day functions of the nursing service department are followed by all nursing personnel assigned to you. 3 Ensure that the Nursing Service Policy Manual is followed in rendering nursing care. 3 Cooperate with other resident services when coordinating nursing services to ensure that the resident's total regimen of care is maintained: i.e., according to resident care plan. 3 Ensure that all nursing service personnel are following their respective job descriptions. 3 Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., as necessary. 3 Communicates residents needs, care and other pertinent information to other staff verbally and in writing on the 24 hour report. 3 Participate in surveys (Inspections) made by authorized government agencies. 2 Make written and oral reports/recommendations concerning the activities of your shift as required. 3 Interpret the department's policies and procedures to personnel, residents, visitors, and government agencies as required. 3 Admit, transfer, and discharge residents as required. 2 CHARTING AND DOCUMENTATION: Fill out and complete accident/incident reports. 3 Submit to Nurse Supervisor as required. 3 Chart all accidents/ incidents involving the resident. Follow established procedures. 3 Encourage attending physicians to review treatment plans, record and sign their orders, progress notes, etc., in accordance with established policies. 3 Chart nurses' notes in an informative and descriptive manner that reflects the care provided to the resident, as well as the resident's response to the care. Complete and file required recordkeeping forms/charts upon the resident's admission, transfer, and/or discharge. 3 Receive telephone orders from physicians. Record new/changed diet orders. Forward information to the Dietary Department. 3 Transcribe physician's orders to resident charts, medications cardex, treatment/cardex, as required. 3 Report all discrepancies noted concerning physician's orders, diet change, charting error, etc., to the Supervisor. 3 Perform routine charting duties as required and in accordance with our established Charting and Documentation Policies and Procedures. Sign and date all entries made in the resident's medical record. Fill out and complete Transfer Forms in accordance with our established procedures. DRUG ADMINISTRATION FUNCTIONS: Prepare and administer medications as ordered by the physician. 2 Assure that prescribed medication for one resident is not administered to another. 3 Verify the identity of the resident before administering the medication/treatment. 2 Order prescribed medications, supplies, and equipment as necessary, and in accordance with our established policies. 3 Ensure that an adequate supply of supplies and equipment are on hand to meet the nursing needs of the residents. 3 Ensure that narcotic records are accurate for your shift. 3 Return discontinued drugs, as required, and in accordance with our established procedures. 3 Notify the attending physician of automatic stop orders prior to the last dosage being administered. 3 Review Medication Administration Record for completeness of information, accuracy in the transcription of the physician's order, and adherence to stop order policies. 3 Notify the Supervisor of all drug and narcotic discrepancies noted on your shift. 3 Notify the Supervisor of any medication errors and fill out appropriate incident form. 3 PERSONNEL FUNCTIONS: Inform the Supervisor of staffing needs when assigned personnel fail to report to work. 3 Develop work assignments, and/or assist in completing and performing such tasks. 3 Make daily rounds of your unit to ensure that nursing service personnel are performing their work assignments in accordance with acceptable nursing standards. Report problem areas to the Supervisor. 2 Report absentee call-ins to the Supervisor. 3 Review complaints and grievances made or filed by our assigned personnel. Make appropriate reports to the Supervisor as required or as may be necessary. 3 Ensure that disciplinary action is administered fairly and without regard to race, color, creed, national origin, age, sex, religion, handicap or marital status. 3 Develop and maintain a good working rapport with inter-departmental personnel, as well as other departments within the facility to assure that nursing services and activities can be adequately maintained to meet the needs of the residents. 3 Assure that department personnel, residents, and visitors follow the departments established policies and procedures at all times. Create and maintain an atmosphere of warmth, personal interest and positive emphasis, as well as a calm environment throughout the unit and shift. Meet with your shift's nursing personnel, on a regularly scheduled basis, to assist in identifying and correcting problem areas, and/or the improvement of services. 3 Give/receive the nursing report upon reporting in and ending shift duty hours. 3 Provide leadership to nursing personnel assigned to your unit/shift. 3 Act as a role model for nursing assistants in caring for elderly.3 NURSING CARE FUNCTIONS: Inform nursing personnel of new admissions, their expected time of arrival, room assignments, etc. 3 Ensure that rooms. are ready for new admissions. 3 Greet newly admitted residents upon admission. 3 Escort to room as necessary. 3 Make rounds with physicians as necessary. 2 Implement and maintain established nursing objectives and standards. 3 Cooperate with and coordinate social and activity programs with nursing service schedules. 3 Notify the resident's attending physician when the resident is involved in an accident or incident. 3 Make periodic check to evaluate the resident's physical and emotional status and intervene therapeutically as needed. 2 Administer professional services, such as: ADL assistance 1, bathing, dressing 1, transfers 1/2, catheterization, tube feedings, suction, applying and changing dressings/bandages, packs, colostomy and drainage bags, giving range of motion exercises, care of the dead/dying, etc., as required. 1/2 Participate in the orientation of new resident's family members to the facility. 3 Requisition and arrange for diagnostic and therapeutic services t as ordered by the physician, and in accordance with our established procedures. 3 Meet with residents, and/or family members, as necessary. Report problem areas to the Supervisor. 3 Admit, transfer and discharge residents as necessary. 3 Remove the resident's chart for specific treatments, medication orders, diets, etc., as necessary. 3 Carry out restorative and rehabilitative programs, to include self-help and care. 2 Check foods brought into the facility by the resident's family/visitors to assure that it is within the resident's dietary allowances. Report problem areas to the Supervisor and Dietary Supervisor. 3 Consult with the resident's physician in providing the resident's care, treatment, rehabilitation, etc., as necessary. 3 Notify the resident's attending physician and next-of-kin when there is a change in the resident's condition. 3 Work with the facility's consultants. 3 Call funeral homes when requested by the family. Initiate new/changed care plans on residents. Ensure that established post-morten procedures are followed. Obtain sputem, urine and other lab tests as ordered. Take and record TPR's, blood pressures, etc., as necessary. Makes rounds at the beginning and end of each shift and as appropriate. STAFF DEVELOPMENT Assist in implementation of an effective orientation program that orients the new employee to your shift, its policies and procedures, and to his/her job position and duties. Assist in standardizing the methods in which work will be accomplished. Attend and participate in continuing educational programs designed to keep you abreast of changes in your profession, as well as to maintain your license on a current status. SAFETY AND SANITATION: Monitor your assigned personnel to assure that they are following established safety regulations in the use of equipment and supplies. Ensure that your assigned work areas (i.e., nurses' stations, medicine preparation rooms, etc.) are maintained in a clean and sanitary manner. Ensure that your units' resident car rooms, treatment areas, etc., are maintained in a clean, safe and sanitary manner. Ensure that your assigned personnel participate in and conduct all fire safety and disaster preparedness drills in a safe and professional manner. Participate in the development, implementation and maintenance of the infection control program for monitoring communicable and/or infectious diseases among the residents an personnel. Ensure that your assigned personnel follow established infection control procedures when isolation precautions become necessary. Participate in the development, implementation and maintenance of the procedures for reporting hazardous conditions or equipment. Ensure that your assigned personnel follow established handwashing techniques in the administering of nursing care procedures. Ensure that your assigned personnel use Universal Precautions in resident care. EQUIPMENT AND SUPPLIES: Assure that a stock level of medical supplies, equipment, etc., is maintained on your unit at all times to adequately meet the needs of the resident. Participate in the development and implementation of the procedures for the safe operation of all nursing service equipment. Ensure that only trained and authorized personnel operate your unit's equipment. Ensure that all personnel operate nursing service equipment in a safe manner. Monitor nursing procedures to ensure that nursing service supplies are used in an efficient manner to avoid waste. MISCELLANEOUS: Assist in training department personnel in identifying tasks that involve potential exposure to blood/body fluids. Assure that nursing personnel follow established procedures in the use and disposal of hazardous waste. Is reponsible for completion of nursing summaries according to posted schedule. Is responsible for monitoring and scheduling of lab tests. Participates in resident care conferences. WORKING CONDITIONS: Works in office area(s) as well as throughout the nursing service area (i.e., drug rooms, nurses' stations, resident rooms, etc.). Sits, stands, bends, lifts and moves intermittently during working hours. Is subject to frequent interruptions. Is involved with residents, personnel, visitors, government agencies/personnel, etc., under all conditions and circumstances. Is subject to hostile and emotionally upset residents, family members, loud and unpleasant noises. Communicates with medical staff, nursing personnel and other department supervisors. Attends and participates in continuing educational programs . May be exposed to hazardous infectious diseases, substances, contaminated articles, etc., including the potential exposure to the AIDS and Hepatitis B viruses. Is subject to falls, burns from equipment, odors, electrical, mechanical hazards, toxins, dust, poisonous substances and chemicals throughout the day. Maintains a liaison with the residents, their families, support departments, etc. to adequately plan for the resident's needs.

Requirements

Must possess as a minimum, a graduate of a State approved School of Nursing with current Pennsylvania licensed as an R.N.
Knowledge of Nursing Care procedures.
Must possess a current, unencumbered license to practice as an RN in Pennsylvania.
Must be able to read, write, speak, and understand the English language and a minimum of 18 years of age and of good moral character.
Must possess the ability to make independent decisions when circumstances warrant such action and to remain calm during emergency situations.
Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel and the general public.
Must possess the ability and the willingness to work harmoniously with professional and non-professional personnel.
Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to long-term care.
Must possess leadership and supervisory ability and the willingness to work harmoniously with professional and non-professional personnel.
Must possess the ability to plan, organize, develop, implement and interpret the programs, goals, objectives, policies, procedures, etc., that are necessary for providing quality care.
Must have patience, tact, a cheerful disposition and enthusiasm, as well as be 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 be able to move intermittently throughout the work day.
Must be able to speak and write the English language in an understandable manner with a good memory.
Must be able to cope with the mental and emotional stress of the position.
Must possess sight, hearing, touching, smelling senses or use prosthetics that will enable these senses to function adequately to assure that the requirements of this position can be fully met.
Must function independently and have flexibility, personal integrity and the ability to work effectively with residents and personnel, and support agencies.
Must be in good general health and demonstrate emotional stability.
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 lift, push, pull, and move equipment, supplies, etc., in excess of fifty pounds. Must be able to assist in the evacuation of residents.
Must be able to perform the essential functions of the position including climbing, balancing, carrying, crouching, grasping kneeling, reaching, standing, and stooping.

Responsibilities

Provide direct nursing care to the residents
Supervise the day-to-day nursing activities performed by nursing assistant
Direct the day-to-day functions of the nursing assistants in accordance with current rules, regulations, and guidelines that govern the long-term care facility
Ensure that the written policies and procedures that govern the day-to-day functions of the nursing service department are followed by all nursing personnel assigned to you
Ensure that the Nursing Service Policy Manual is followed in rendering nursing care
Cooperate with other resident services when coordinating nursing services to ensure that the resident's total regimen of care is maintained: i.e., according to resident care plan
Ensure that all nursing service personnel are following their respective job descriptions
Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., as necessary
Communicates residents needs, care and other pertinent information to other staff verbally and in writing on the 24 hour report
Participate in surveys (Inspections) made by authorized government agencies
Make written and oral reports/recommendations concerning the activities of your shift as required
Interpret the department's policies and procedures to personnel, residents, visitors, and government agencies as required
Admit, transfer, and discharge residents as required
Fill out and complete accident/incident reports
Submit to Nurse Supervisor as required
Chart all accidents/ incidents involving the resident. Follow established procedures
Encourage attending physicians to review treatment plans, record and sign their orders, progress notes, etc., in accordance with established policies
Chart nurses' notes in an informative and descriptive manner that reflects the care provided to the resident, as well as the resident's response to the care
Complete and file required recordkeeping forms/charts upon the resident's admission, transfer, and/or discharge
Receive telephone orders from physicians
Record new/changed diet orders. Forward information to the Dietary Department
Transcribe physician's orders to resident charts, medications cardex, treatment/cardex, as required
Report all discrepancies noted concerning physician's orders, diet change, charting error, etc., to the Supervisor
Perform routine charting duties as required and in accordance with our established Charting and Documentation Policies and Procedures
Sign and date all entries made in the resident's medical record
Fill out and complete Transfer Forms in accordance with our established procedures
Prepare and administer medications as ordered by the physician
Assure that prescribed medication for one resident is not administered to another
Verify the identity of the resident before administering the medication/treatment
Order prescribed medications, supplies, and equipment as necessary, and in accordance with our established policies
Ensure that an adequate supply of supplies and equipment are on hand to meet the nursing needs of the residents
Ensure that narcotic records are accurate for your shift
Return discontinued drugs, as required, and in accordance with our established procedures
Notify the attending physician of automatic stop orders prior to the last dosage being administered
Review Medication Administration Record for completeness of information, accuracy in the transcription of the physician's order, and adherence to stop order policies
Notify the Supervisor of all drug and narcotic discrepancies noted on your shift
Notify the Supervisor of any medication errors and fill out appropriate incident form
Inform the Supervisor of staffing needs when assigned personnel fail to report to work
Develop work assignments, and/or assist in completing and performing such tasks
Make daily rounds of your unit to ensure that nursing service personnel are performing their work assignments in accordance with acceptable nursing standards. Report problem areas to the Supervisor
Report absentee call-ins to the Supervisor
Review complaints and grievances made or filed by our assigned personnel. Make appropriate reports to the Supervisor as required or as may be necessary
Ensure that disciplinary action is administered fairly and without regard to race, color, creed, national origin, age, sex, religion, handicap or marital status
Develop and maintain a good working rapport with inter-departmental personnel, as well as other departments within the facility to assure that nursing services and activities can be adequately maintained to meet the needs of the residents
Assure that department personnel, residents, and visitors follow the departments established policies and procedures at all times
Create and maintain an atmosphere of warmth, personal interest and positive emphasis, as well as a calm environment throughout the unit and shift
Meet with your shift's nursing personnel, on a regularly scheduled basis, to assist in identifying and correcting problem areas, and/or the improvement of services
Give/receive the nursing report upon reporting in and ending shift duty hours
Provide leadership to nursing personnel assigned to your unit/shift
Act as a role model for nursing assistants in caring for elderly
Inform nursing personnel of new admissions, their expected time of arrival, room assignments, etc
Ensure that rooms. are ready for new admissions
Greet newly admitted residents upon admission
Escort to room as necessary
Make rounds with physicians as necessary
Implement and maintain established nursing objectives and standards
Cooperate with and coordinate social and activity programs with nursing service schedules
Notify the resident's attending physician when the resident is involved in an accident or incident
Make periodic check to evaluate the resident's physical and emotional status and intervene therapeutically as needed
Administer professional services, such as: ADL assistance 1, bathing, dressing 1, transfers 1/2, catheterization, tube feedings, suction, applying and changing dressings/bandages, packs, colostomy and drainage bags, giving range of motion exercises, care of the dead/dying, etc., as required
Participate in the orientation of new resident's family members to the facility
Requisition and arrange for diagnostic and therapeutic services t as ordered by the physician, and in accordance with our established procedures
Meet with residents, and/or family members, as necessary. Report problem areas to the Supervisor
Admit, transfer and discharge residents as necessary
Remove the resident's chart for specific treatments, medication orders, diets, etc., as necessary
Carry out restorative and rehabilitative programs, to include self-help and care
Check foods brought into the facility by the resident's family/visitors to assure that it is within the resident's dietary allowances
Report problem areas to the Supervisor and Dietary Supervisor
Consult with the resident's physician in providing the resident's care, treatment, rehabilitation, etc., as necessary
Notify the resident's attending physician and next-of-kin when there is a change in the resident's condition
Work with the facility's consultants
Call funeral homes when requested by the family
Initiate new/changed care plans on residents
Ensure that established post-morten procedures are followed. Obtain sputem, urine and other lab tests as ordered
Take and record TPR's, blood pressures, etc., as necessary
Makes rounds at the beginning and end of each shift and as appropriate
Assist in implementation of an effective orientation program that orients the new employee to your shift, its policies and procedures, and to his/her job position and duties
Assist in standardizing the methods in which work will be accomplished
Attend and participate in continuing educational programs designed to keep you abreast of changes in your profession, as well as to maintain your license on a current status
Monitor your assigned personnel to assure that they are following established safety regulations in the use of equipment and supplies
Ensure that your assigned work areas (i.e., nurses' stations, medicine preparation rooms, etc.) are maintained in a clean and sanitary manner
Ensure that your units' resident car rooms, treatment areas, etc., are maintained in a clean, safe and sanitary manner
Ensure that your assigned personnel participate in and conduct all fire safety and disaster preparedness drills in a safe and professional manner
Participate in the development, implementation and maintenance of the infection control program for monitoring communicable and/or infectious diseases among the residents an personnel
Ensure that your assigned personnel follow established infection control procedures when isolation precautions become necessary
Participate in the development, implementation and maintenance of the procedures for reporting hazardous conditions or equipment
Ensure that your assigned personnel follow established handwashing techniques in the administering of nursing care procedures
Ensure that your assigned personnel use Universal Precautions in resident care
Assure that a stock level of medical supplies, equipment, etc., is maintained on your unit at all times to adequately meet the needs of the resident
Participate in the development and implementation of the procedures for the safe operation of all nursing service equipment
Ensure that only trained and authorized personnel operate your unit's equipment
Ensure that all personnel operate nursing service equipment in a safe manner
Monitor nursing procedures to ensure that nursing service supplies are used in an efficient manner to avoid waste
Assist in training department personnel in identifying tasks that involve potential exposure to blood/body fluids
Assure that nursing personnel follow established procedures in the use and disposal of hazardous waste
Is reponsible for completion of nursing summaries according to posted schedule
Is responsible for monitoring and scheduling of lab tests
Participates in resident care conferences