RN - Full-Time

PACS•Auburn, WA
•$32 - $37

About The Position

The Registered Nurse supervises the facility’s day-to-day nursing activities during the assigned tour of duty, in accordance with applicable standards, regulations, and facility procedures, to maintain high-quality resident care. The role assists with nursing department administration, staffing and supervision, direct resident care, care planning, staff development, safety, infection control, and equipment and supply management. The RN is delegated the administrative authority, responsibility, and accountability needed to carry out assigned duties and assists with overall supervision and management of nursing staff. The position requires a nursing degree from an accredited college or university, training in rehabilitative and restorative nursing practices, and at least two years of experience, preferably in long-term care. The RN must hold a current, unencumbered state RN license and current CPR certification, maintain required continuing education and licensure, and remain in good standing with the State Board of Nursing. Experience with PCC is preferred. The work takes place in office areas and throughout nursing service areas, including drug rooms, nurses’ stations, and resident rooms. It involves frequent movement and interruptions, interaction with residents and their families, staff, visitors, medical personnel, and government agencies, and possible exposure to infectious diseases, hazardous chemicals, and other workplace hazards. Work beyond normal hours, weekends, holidays, and emergency call-backs may be necessary. Physical demands include moving throughout the workday and pushing, pulling, moving, or carrying at least 25 pounds; assisting with resident evacuation may be necessary.

Requirements

  • Nursing degree from an accredited college or university.
  • Training in rehabilitative and restorative nursing practices.
  • At least two years of experience; long-term care facility experience is preferred.
  • Current, unencumbered, active license to practice as an RN in the state.
  • Current CPR certification.
  • Maintain required continuing education and licensing and remain in good standing with the State Board of Nursing.
  • Ability to read, write, speak, and understand English; read technical procedures and policy and procedure manuals; and present information and respond to questions effectively.
  • Ability to apply fractions, percentages, ratios, and proportions to practical situations.
  • Ability to make independent decisions, solve practical problems, and deal tactfully with personnel, residents, families, visitors, government agencies, and the public.
  • Leadership and supervisory ability, willingness to supervise personnel, 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 residents’ age-related needs; ability to communicate information concerning a resident’s condition.
  • Patience, tact, a cheerful disposition, enthusiasm, and willingness to work with difficult residents and incorporate new methods into nursing practice.
  • Must not pose a direct threat to the health or safety of others in the workplace.
  • Ability to move intermittently throughout the workday, communicate understandably, cope with mental and emotional stress, and see and hear adequately or use prosthetics that enable these senses.
  • Ability to push, pull, move, or carry at least 25 pounds to a height of at least five feet and a distance of at least 50 feet; may need to assist with resident evacuation.
  • Must meet facility general health requirements, including a medical and physical examination, and be able to work with ill, disabled, elderly, emotionally upset, or hostile individuals.

Nice To Haves

  • Knowledge of and experience with PCC.
  • Experience in a long-term care facility.

Responsibilities

  • Assist the Director of Nursing Services with day-to-day nursing department operations and compliance with applicable rules, regulations, policies, and procedures.
  • Help develop, maintain, and update nursing policies, procedures, manuals, reference materials, and quality assurance activities.
  • Prepare required reports and recommendations, review department policies and job descriptions, and coordinate nursing services with other resident services.
  • Participate in facility surveys, committee meetings, discharge planning, care plan meetings, and implementation of committee recommendations.
  • Admit, transfer, and discharge residents; complete required administrative forms, reports, charting, and incident reports.
  • Ensure adequate licensed nursing staff and nursing assistants are available for the assigned tour of duty; make work assignments and delegate responsibilities to charge nurses.
  • Conduct rounds, monitor staffing and attendance, review personnel complaints, participate in evaluations, and report staffing or performance concerns to the Director.
  • Promote effective working relationships and a calm, supportive environment for residents and staff; ensure personnel follow department procedures and receive fair disciplinary treatment.
  • Inform nursing staff about new admissions and prepare rooms; greet and orient newly admitted residents as needed.
  • Make rounds with physicians, support timely documentation of physician notes and orders, consult with residents and families about care, and notify physicians and next of kin of changes in resident condition.
  • Visit residents daily to observe and evaluate physical and emotional status; provide direct nursing care as needed and monitor seriously ill residents.
  • Review nursing notes and ensure care is provided by qualified personnel in accordance with resident wishes and care plans.
  • Start IVs, collect specimens, take vital signs, monitor medications and treatments, review medication records, and ensure compliance with medication procedures.
  • Inspect treatment areas and resident care areas for cleanliness and safety; ensure residents unable to call for help are checked frequently.
  • Communicate resident status and other pertinent matters to the Director; meet with residents or family members and report problems.
  • Arrange transportation for discharged residents as needed and notify family members of a resident’s death; contact funeral homes when requested by the family.
  • Participate in developing and conducting staff in-service training, clinical supervision for nurse aide trainees, and continuing education.
  • Support safety, sanitation, infection prevention, and emergency preparedness programs; ensure proper use of protective equipment, safe equipment operation, hand hygiene, and hazardous-condition reporting.
  • Recommend equipment and supply needs; help maintain adequate stocks and safe, operable equipment; ensure only trained and authorized personnel use nursing equipment.
  • Participate in resident assessments and care plan development and review; ensure staff know and follow resident care plans and assist with MDS planning, scheduling, and revisions.
  • Monitor economic conditions affecting nursing services and report suspected or known fraud involving billing, cost reports, or kickbacks.
  • Protect resident and facility information by safeguarding access credentials and reporting suspected privacy violations or unauthorized system access.
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