About The Position

The primary responsibility of this Registered Nurse (RN) position is to supervise the day-to-day nursing activities of the facility during their tour of duty. This supervision must be in accordance with current federal, state, and local standards, guidelines, and regulations that govern the facility and may be required by the Director of Nursing (DON) and/or Assistant Director of Nursing (ADON) when applicable, to ensure that the highest degree of quality care is maintained at all times. The role involves administrative, committee, personnel, nursing care, staff development, safety and sanitation, equipment and supply, care plan and assessment, budget and planning functions, as well as supervisory requirements. The RN is delegated the administrative authority, responsibility, and accountability necessary for carrying out assigned duties.

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.
  • 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.
  • Willingness to work harmoniously with and supervise other personnel.
  • Ability to plan, organize, develop, implement, and interpret programs, goals, objectives, policies, and procedures.
  • 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 pertaining to nursing care facilities.
  • Must have patience, tact, a cheerful disposition and enthusiasm.
  • Willingness to handle difficult residents.
  • Willingness 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.
  • 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

  • Supervise the day-to-day nursing activities of the facility.
  • 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 the nurses’ stations is current and recommend new materials.
  • Ensure the Nursing Service Procedures Manual is current and that personnel comply with it.
  • Make reports and recommendations to the Director concerning the nursing service department.
  • Review department policies, procedure manuals, and job descriptions, and recommend revisions.
  • Assist in coordinating nursing services with other resident services.
  • Ensure nursing service personnel comply with their job descriptions.
  • Participate in the facility’s quality assurance program for the nursing service department.
  • Participate in facility surveys and inspections.
  • Review and update resident discharge plans.
  • Assist in planning the nursing services portion of the resident’s discharge plan.
  • Meet with nursing staff and support personnel to plan services, programs, and activities.
  • Admit, transfer, and discharge residents.
  • Complete accident/incident reports.
  • Interpret department policies and procedures.
  • Perform administrative duties such as completing medical forms, reports, and charting.
  • Maintain confidentiality of user ID, password, and resident information.
  • Attend various committee meetings (e.g., Infection Control, Policy Advisory, Pharmaceutical, Quality Assessment).
  • Assist in preparing reports for committee meetings.
  • Provide information to the Quality Assurance and Assessment Committee.
  • Participate in developing the agenda for Care Plan Committee meetings.
  • Review and make resident care plans available to the Care Plan Committee.
  • Implement recommendations from committees as instructed by the Director.
  • Ensure sufficient licensed nurses and certified nursing assistants are available for the shift.
  • Develop work assignments and delegate tasks.
  • Delegate administrative authority, responsibility, and accountability to Charge Nurses.
  • Ensure nursing assistants are enrolled in or have graduated from an approved training program.
  • Ensure nurse aide trainees are under direct supervision.
  • Make daily rounds to ensure personnel are performing work assignments correctly.
  • Monitor absenteeism and report problem areas to the Director.
  • Ensure departmental policies, including dress codes, are followed.
  • Review and report on complaints and grievances from department personnel.
  • Foster a good working relationship with inter-departmental personnel.
  • Create and maintain a positive and calm environment.
  • Meet with shift personnel to identify and correct problem areas.
  • Review and evaluate the department’s workforce and make recommendations.
  • Participate in employee performance evaluations and staffing requirement determination.
  • Ensure fair disciplinary action is administered.
  • Report occupational exposures and suspected fraud.
  • Ensure computer workstations are logged off or password protected.
  • Inform nursing staff of new admissions and room assignments.
  • Ensure rooms are ready for new admissions.
  • Greet and escort new admissions.
  • Make rounds with physicians as necessary.
  • Encourage timely recording and signing of physician notes and orders.
  • Inform the Director of delayed physician visits.
  • Consult with residents, families, and physicians on care planning.
  • Notify physicians and next-of-kin of resident condition changes.
  • Visit residents daily to assess 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 and obtain specimens for lab tests.
  • Take TPRs and blood pressures.
  • Report problem areas and assist in developing corrective action.
  • Keep the Director informed of resident status and related matters.
  • Assist in monitoring seriously ill residents.
  • Authorize the use of restraints when necessary.
  • Ensure compliance with medication and supply administration, storage, and control procedures.
  • Monitor medication passes and treatment schedules.
  • Review medication cards for accuracy and adherence to policies.
  • Inspect nursing service treatment areas daily for cleanliness and safety.
  • Ensure residents 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 a resident's death.
  • Call funeral homes when requested by the family.
  • Participate in developing and conducting in-service training classes.
  • Assist in developing annual facility in-service training programs.
  • Assist in planning clinical supervision for nurse aide trainees.
  • Attend continuing education programs.
  • Assist the Safety Officer in developing safety standards.
  • Identify, evaluate, and classify tasks with potential exposure to blood/body fluids.
  • Ensure personnel participate in training for tasks involving potential exposure.
  • Ensure adequate supply of personal protective equipment is available.
  • Ensure personnel follow procedures for use and disposal of personal protective equipment.
  • Monitor personnel adherence to safety regulations.
  • Ensure compliance with departmental policies and procedures.
  • Ensure nursing service work areas are clean and sanitary.
  • Ensure resident care rooms and treatment areas are clean, safe, and sanitary.
  • Ensure personnel follow handwashing and hand hygiene procedures.
  • Ensure personnel participate in fire safety and disaster preparedness drills.
  • Participate in the infection control program.
  • Ensure personnel follow infection control procedures for isolation precautions.
  • Participate in developing and implementing procedures for reporting hazardous conditions.
  • Ensure personnel use safety equipment when lifting or moving residents.
  • Report missing/illegible labels and MSDSs.
  • Recommend equipment and supply needs to the Director.
  • Ensure adequate stock levels of medications, supplies, and equipment.
  • Assist the Maintenance Director in developing a preventive maintenance program.
  • Participate in developing procedures for safe operation of nursing service equipment.
  • Ensure only trained personnel operate nursing service equipment.
  • Ensure personnel operate equipment safely.
  • Monitor nursing procedures to ensure efficient use of supplies and avoid waste.
  • Ensure MSDSs are on file for hazardous chemicals.
  • Participate in developing resident assessments.
  • Participate in developing resident care plans.
  • Encourage resident participation in care plan development and review.
  • Review resident care plans for appropriate goals, problems, approaches, and revisions.
  • Ensure personnel are aware of and refer to resident care plans.
  • Review nurses’ notes to ensure care plans are followed.
  • Assist in planning, scheduling, and revising MDS, including RAPs and Triggers.
  • Review resident treatments to ensure they align with care plans.
  • Keep abreast of economic conditions and recommend adjustments to nursing services.
  • Report suspected fraud related to billings, cost reports, etc.
  • Assist with the overall supervision and management of the nursing staff.

Benefits

  • Equal opportunity employer status
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