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 the 3-11 PM shift. This supervision must be in accordance with current federal, state, and local standards, guidelines, and regulations. The RN will assist the Director of Nursing Services in directing nursing activities, developing and maintaining policies and procedures, and ensuring the highest degree of quality care is maintained at all times. The role involves administrative, committee, personnel, nursing care, staff development, safety, sanitation, equipment, supply, care plan, assessment, budget, and planning functions, all under the overall supervision and management of the nursing staff.

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.
  • Must be a supportive team member, contribute to and be an example of teamwork 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, unencunbered, 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.

Nice To Haves

  • Knowledge and experience with PCC preferred.

Responsibilities

  • Supervise the day-to-day nursing activities of the facility during the 3-11 PM shift.
  • 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 necessary updates.
  • Ensure that the Nursing Service Procedures Manual is current and that all personnel comply with its procedures.
  • Make written and oral reports/recommendations to the Director concerning the operation of the nursing service department.
  • Periodically review department policies, procedure manuals, and job descriptions, and recommend revisions.
  • Assist in developing methods for coordinating nursing services with other resident services.
  • Ensure that all nursing service personnel comply with their respective job descriptions.
  • Participate in the development, maintenance, and implementation of the facility’s quality assurance program for the nursing service department.
  • Participate in facility surveys conducted by government agencies.
  • Periodically review and update the resident’s written discharge plan.
  • Assist the Director in planning the nursing services portion of the resident’s discharge plan.
  • Meet with nursing staff and support personnel to plan department services, programs, and activities.
  • Admit, transfer, and discharge residents as required.
  • Complete accident/incident reports as necessary.
  • Interpret department policies and procedures to personnel, residents, visitors, and government agencies.
  • Perform administrative duties such as completing medical forms, reports, evaluations, studies, and charting.
  • Maintain confidentiality of assigned user ID, password, and resident protected health information.
  • Report suspected or known violations of disclosure policies and unauthorized attempts to access facility information.
  • Attend various committee meetings (e.g., Infection Control, Policy Advisory, Pharmaceutical, Quality Assessment) as required.
  • Assist in preparing reports on nursing service programs and activities for committees.
  • Provide information to the Quality Assurance and Assessment Committee as requested.
  • Participate in developing the agenda for Care Plan Committee meetings.
  • Implement recommendations from established committees as instructed by the Director.
  • Ensure sufficient licensed nurses and certified nursing assistants are available for the shift.
  • Develop work assignments and delegate administrative authority to Charge Nurses.
  • Ensure nursing assistants are enrolled in or have graduated from an approved training program.
  • Ensure nurse aide trainees are under the direct supervision of a licensed nurse.
  • Make daily rounds to ensure personnel are performing work assignments according to standards and report findings to the Director.
  • Monitor absenteeism to ensure adequate staffing and report problem areas.
  • Ensure departmental policies, including dress codes, are followed.
  • Review and address complaints and grievances from department personnel.
  • Foster a good working rapport with inter-departmental personnel.
  • Create and maintain a positive and calm environment on the unit.
  • Conduct regular shift meetings to identify and correct problem areas.
  • Review and evaluate the department’s workforce and make recommendations to the Director.
  • Participate in employee performance evaluations and staffing requirement assessments.
  • Ensure departmental disciplinary action is administered fairly.
  • Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals.
  • Report known or suspected incidents of fraud.
  • Ensure departmental computer workstations are logged off or password protected when unattended.
  • Inform nursing staff of new admissions and ensure rooms are ready.
  • Greet and escort newly admitted residents.
  • Make rounds with physicians as necessary and encourage timely documentation.
  • Inform the Director of any delays in physician visits.
  • Consult with residents, families, and physicians in planning resident care.
  • Notify physicians and next-of-kin of changes in resident condition.
  • Visit residents daily to assess their 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 vital signs and blood pressures.
  • Assist in monitoring seriously ill residents.
  • Authorize the use of restraints when necessary and in accordance with facility policies.
  • Ensure RNs and LPNs comply with medication and supply administration, storage, and control procedures.
  • Monitor medication passes and treatment schedules.
  • Review medication cards for completeness and accuracy.
  • Inspect nursing service treatment areas daily for cleanliness and safety.
  • Ensure residents who are 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 and call funeral homes when requested.
  • Participate in developing and conducting in-service training classes.
  • Assist in developing annual facility in-service training programs.
  • Assist the Director in planning clinical supervision for nurse aide trainees.
  • Attend and participate in continuing education programs.
  • Assist the Safety Officer in developing safety standards for the nursing service department.
  • Identify, evaluate, and classify tasks with potential exposure to blood/body fluids.
  • Ensure personnel participate in in-service training for tasks involving potential exposure.
  • Ensure adequate supply of personal protective equipment is available and used correctly.
  • Monitor personnel to ensure adherence to safety regulations.
  • 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 when isolation precautions are necessary.
  • Participate in developing and implementing procedures for reporting hazardous conditions or equipment.
  • Ensure personnel use safety equipment when lifting or moving residents.
  • Report missing/illegible labels and MSDSs.
  • Recommend department equipment and supply needs to the Director.
  • Ensure adequate stock levels of medications, medical supplies, and equipment.
  • Participate in developing a preventive maintenance program for nursing service equipment.
  • Participate in developing and implementing procedures for the safe operation of nursing service equipment.
  • Ensure only trained and authorized personnel operate nursing service equipment.
  • Ensure nursing service equipment is operated safely.
  • Monitor nursing procedures to ensure efficient use of supplies and avoid waste.
  • Ensure appropriate MSDSs are on file for hazardous chemicals.
  • Participate in the development of resident assessments and care plans.
  • Encourage resident participation in care plan development and review.
  • Review resident care plans for appropriate goals, problems, and revisions.
  • Ensure all personnel are aware of and refer to the resident’s care plan.
  • Review nurses’ notes to determine if the care plan is being followed.
  • Assist in planning, scheduling, and revising the MDS, including RAPs and Triggers.
  • Review resident’s medical and nursing treatments to ensure they align with the care plan.
  • Keep abreast of economic conditions and recommend adjustments to nursing services.
  • Report suspected or known incidence of fraud relative to billings, cost reports, kickbacks, etc.

Benefits

  • Pay Range starting at: $45.00 per hour (DOE)
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