About The Position

The Registered Nurse assists the Director of Nursing Services with the day-to-day operation of nursing services in a long-term care facility. The role supports resident care, department administration, staffing and supervision, care planning, quality assurance, safety, infection control, staff development, and coordination with residents, families, physicians, facility departments, committees, and government agencies. The RN provides direct nursing care as needed and carries delegated administrative authority and accountability for assigned duties. The position includes work in offices and throughout nursing service areas, including nurses’ stations, medication rooms, and resident rooms. It involves frequent interruptions and interaction with residents, families, personnel, visitors, medical staff, and government representatives. Work may extend beyond normal hours and include weekends, holidays, and emergency call-back. The role may involve exposure to infectious materials, hazardous chemicals, and other workplace hazards, and may require assisting with resident evacuations.

Requirements

  • Nursing degree from an accredited college or university.
  • Training in rehabilitative and restorative nursing practices.
  • At least 2 years of experience; long-term care facility experience is preferred.
  • Current, unencumbered, active RN license in the state.
  • Current CPR certification.
  • Ability to read, write, speak, and understand English, including technical procedures and policy and procedure manuals.
  • Ability to present information effectively and respond to questions from managers and employees.
  • Ability to apply fractions, percentages, ratios, and proportions to practical situations.
  • Ability to make independent decisions, solve practical problems, and deal tactfully with residents, families, personnel, visitors, government agencies, and the public.
  • Leadership and supervisory ability, and ability to plan, organize, develop, implement, and interpret programs, goals, policies, and procedures.
  • Knowledge of nursing and medical practices and of laws, regulations, and guidelines applicable to nursing care facilities.
  • Knowledge and skills to provide care appropriate to the age-related needs of residents; patience, tact, a cheerful disposition, and willingness to work with difficult residents.
  • Ability to communicate information about a resident’s condition and to work effectively as a team member.
  • Ability to cope with the mental and emotional stress of the position and work effectively with ill, disabled, elderly, emotionally upset, or hostile individuals.
  • Ability to move intermittently during the workday and to push, pull, move, or carry at least 25 pounds to a height of at least 5 feet and for a distance of at least 50 feet.
  • Ability to see and hear adequately, or use prosthetics that enable these senses to function adequately for the position.
  • Must meet facility general health requirements, including medical and physical examination.
  • Must not pose a direct threat to the health or safety of others in the workplace.
  • Must maintain required continuing education and licensing and remain in good standing with the State Board of Nursing.

Nice To Haves

  • Knowledge and experience with PCC preferred.
  • Long-term care facility experience preferred.

Responsibilities

  • Assist the Director of Nursing Services with directing the day-to-day nursing department and maintaining compliance with applicable rules, regulations, policies, and procedures.
  • Help develop, maintain, and update nursing policies, procedures, manuals, reference materials, and quality assurance practices; report operational matters and recommend revisions to the Director.
  • Coordinate nursing services with other resident services and participate in facility surveys, discharge planning, care plan activities, and committee meetings.
  • Admit, transfer, and discharge residents; complete related reports and documentation; communicate department policies as required.
  • Help ensure adequate licensed nurse and nursing assistant staffing, develop work assignments, delegate duties, monitor attendance and performance, and report staffing or personnel concerns to the Director.
  • Make daily rounds, support nursing staff, maintain a calm and positive unit environment, address complaints, and participate in evaluations and staffing recommendations.
  • Observe residents daily, coordinate care with residents, families, and physicians, report changes in condition, and assist with care planning and discharge arrangements.
  • Provide direct nursing care as needed, including starting IVs, collecting specimens, taking vital signs, monitoring seriously ill residents, and assisting with admissions, transfers, and discharges.
  • Monitor medication administration and treatment schedules, review medication records and nurses’ notes, and ensure care is provided in accordance with orders, resident care plans, and residents’ wishes.
  • Maintain safe, clean, and sanitary nursing areas; promote hand hygiene, infection control, fire and disaster preparedness, safe equipment practices, and appropriate use of personal protective equipment.
  • Report occupational exposures, hazardous conditions, suspected fraud, privacy or information-system violations, and other incidents in accordance with facility procedures.
  • Recommend and monitor department equipment and supply needs, maintain adequate stock, support preventive maintenance, and promote safe and efficient equipment and supply use.
  • Participate in staff training and continuing education, including required in-service programs and clinical supervision of nurse aide trainees.
  • Assist with resident assessments and written care plans, ensure personnel know and follow care plans, and support MDS, RAP, and trigger processes.
  • Support nursing department budget and planning activities and report suspected or known fraudulent activity.
  • Maintain confidentiality of resident protected health information and facility access credentials.
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