RN PRN

PACS•San Antonio, TX
•Onsite

About The Position

The Registered Nurse supervises day-to-day nursing activities during the assigned tour of duty and helps ensure care meets applicable federal, state, and local standards and facility requirements. The role assists the Director of Nursing Services with nursing department operations, staff supervision, resident care, care planning, quality assurance, safety, infection control, and facility compliance. The RN may provide direct nursing care and is delegated the authority and accountability necessary to carry out assigned responsibilities. The position works throughout office and nursing service areas, including nurses’ stations, medication rooms, treatment areas, and resident rooms. It involves frequent interaction with residents, families, staff, visitors, medical personnel, and government agencies. The RN may work beyond normal hours, on weekends and holidays when necessary, and may be called back during emergencies. The role is subject to exposure to infectious materials, hazardous chemicals, and other workplace conditions described in the posting.

Requirements

  • Nursing degree from an accredited college or university.
  • Training in rehabilitative and restorative nursing practices.
  • Two or more years of experience; long-term care facility experience is preferred.
  • Current, active, unencumbered RN license in the state of practice.
  • Current CPR certification.
  • Maintain required continuing education and licensure and remain in good standing with the State Board of Nursing.
  • Ability to read, write, speak, and understand English; read technical procedures and policy 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 interact tactfully with residents, families, personnel, visitors, and government agencies.
  • Leadership, supervisory, planning, organization, and communication abilities; willingness to work harmoniously with and supervise other personnel.
  • 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; patience, tact, flexibility, and willingness to handle difficult situations and incorporate new methods into nursing practices.
  • Ability to move intermittently, communicate in English, cope with mental and emotional stress, and see and hear adequately (with prosthetics if needed).
  • Ability to work with ill, disabled, elderly, emotionally upset, and sometimes hostile people.
  • Ability to push, pull, move, or lift at least 25 pounds to a height of five feet and carry or move it at least 50 feet; may assist with resident evacuation during emergencies.
  • Meet facility general health requirements, including medical and physical examination.

Nice To Haves

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

Responsibilities

  • Assist the Director of Nursing Services with day-to-day nursing department operations and compliance with applicable rules, regulations, and guidelines.
  • Help develop, maintain, review, and implement nursing policies, procedures, manuals, and quality assurance activities.
  • Coordinate nursing services with other resident services and participate in facility surveys, committees, care plan meetings, and discharge planning.
  • Complete or oversee administrative documentation, reports, incident reports, resident admissions, transfers, and discharges.
  • Help ensure adequate licensed nursing and nursing assistant staffing for the assigned tour of duty; develop work assignments, delegate duties, conduct rounds, and report staffing or performance concerns.
  • Support staff development, in-service education, performance evaluations, and clinical supervision of nurse aide trainees.
  • Observe and evaluate residents, communicate changes in condition to physicians and next of kin, consult with residents and families about care, and provide direct nursing care as needed.
  • Perform nursing tasks such as starting IVs, collecting specimens, taking vital signs, and assisting with monitoring seriously ill residents.
  • Monitor medication administration, treatment schedules, medication records, and compliance with medication and supply procedures.
  • Review nursing documentation and care plans, and help ensure resident care follows plans, medical orders, and resident wishes.
  • Promote safety, sanitation, hand hygiene, infection control, emergency preparedness, and appropriate use of personal protective equipment.
  • Recommend and monitor department equipment and supply needs; promote safe operation and maintenance of nursing equipment.
  • Report suspected fraud, privacy or information-system violations, occupational exposures, hazardous conditions, and other concerns through facility procedures.
  • Maintain effective working relationships and a calm, supportive environment for residents, families, staff, and visitors.
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