RN

PACS Group•San Antonio, TX

20d•Onsite

About The Position

The Registered Nurse supervises day-to-day nursing activities during the assigned tour of duty in accordance with applicable federal, state, and local standards and facility guidelines, maintaining the highest degree of quality care. The RN assists the Director of Nursing Services with nursing department operations, staffing, policies and procedures, quality assurance, resident assessments and care plans, and coordination of resident services. The role also provides direct nursing care as needed and supports the training, safety, and performance of nursing personnel. The position involves working in office areas and throughout the nursing service area, including nurses’ stations, medication rooms, and resident rooms. The RN interacts with residents, families, facility personnel, medical staff, visitors, and government agencies. Work may extend beyond normal hours and include weekends, holidays, or emergency call-back. The role may involve exposure to infectious materials and hazardous chemicals, and may require assisting with resident evacuation.

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.
Ability to read, write, speak, and understand English; read technical procedures and policy and procedure manuals; and present information and respond to questions.
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, and agencies.
Leadership and supervisory ability and willingness to work harmoniously with and supervise other personnel.
Ability to plan, organize, develop, implement, and interpret programs, objectives, policies, and procedures needed to provide quality care.
Knowledge and skills to provide care appropriate to residents’ age-related needs; knowledge of nursing and medical practices and of laws, regulations, and guidelines applicable to nursing care facilities.
Patience, tact, a cheerful disposition, enthusiasm, willingness to handle difficult residents, and openness to new methods and principles.
Ability to communicate information about a resident’s condition and to function independently with flexibility and personal integrity.
Must not pose a direct threat to the health or safety of others in the workplace.
Current, unencumbered, active RN license in the state of practice; current CPR certification; and required continuing education and licensing maintained in good standing with the State Board of Nursing.
Ability to move intermittently during the workday; speak and write understandably; cope with mental and emotional stress; and see and hear adequately, with prosthetics if needed.
Must meet facility general health requirements, including medical and physical examination requirements.
Ability to work effectively with ill, disabled, elderly, emotionally upset, and at times hostile people.
Ability to push, pull, move, and/or lift at least 25 pounds to a height of at least 5 feet and carry or move it at least 50 feet; may need to assist with resident evacuation.

Nice To Haves

Knowledge of and experience with PCC.

Responsibilities

Assist the Director of Nursing Services with day-to-day nursing department operations and help maintain and update nursing policies, procedures, manuals, and reference materials.
Report on nursing department operations and recommend revisions, improvements, and corrective actions to the Director.
Coordinate nursing services with other resident services and participate in the facility’s quality assurance program and authorized inspections.
Review and assist with residents’ discharge plans; participate in planning department services and activities; and admit, transfer, and discharge residents as required.
Complete administrative documentation, including medical forms, reports, evaluations, studies, charting, and accident or incident reports.
Attend facility committee meetings, provide requested reports and information, participate in care plan and discharge plan reviews, and implement committee recommendations as directed.
Ensure adequate licensed nurse and nursing assistant staffing for the assigned shift; develop or assist with work assignments and delegate duties to Charge Nurses.
Make daily rounds, monitor staffing and absenteeism, review complaints and grievances, assess the workforce, and participate in performance evaluations and staffing recommendations.
Maintain effective working relationships and a calm, supportive environment for residents and staff; meet regularly with shift personnel to identify and address service issues.
Report occupational exposures, suspected fraud, information-system access concerns, and other incidents in accordance with facility policies.
Coordinate admission preparations, greet newly admitted residents, make rounds with physicians as needed, and consult with residents, families, and physicians about care and treatment.
Visit residents daily to observe and evaluate physical and emotional status; notify the attending physician and next of kin of changes in condition.
Provide direct nursing care as needed, including starting IVs, obtaining specimens, taking vital signs and blood pressures, and assisting in monitoring seriously ill residents.
Review nursing notes and care delivery; monitor medication administration and treatment schedules; review medication cards; and ensure compliance with medication and supply procedures.
Ensure resident checks, respond to resident and family concerns, arrange transportation for discharged residents as needed, and notify family members of a resident’s death when applicable.
Participate in planning and conducting in-service training, support annual training programs, assist with clinical supervision of nurse aide trainees, and maintain continuing education and licensure.
Support safety, sanitation, and infection-control programs; ensure staff training and use of personal protective equipment; monitor hand hygiene, safe equipment use, and emergency drills.
Help identify hazardous conditions and ensure clean, safe, and sanitary nursing work areas and resident care spaces.
Recommend and monitor department equipment and supply needs, maintain adequate stock, support preventive maintenance, and ensure equipment is operated safely by trained and authorized personnel.
Participate in resident nursing assessments and written care plans; encourage resident involvement; review goals and care approaches; and ensure staff understand and follow care plans.
Assist with MDS planning and scheduling, including RAPs and Triggers, and review treatments for consistency with resident care plans and wishes.
Monitor economic conditions and recommend nursing service or equipment adjustments to support continued quality care.
Assist with overall supervision and management of nursing staff and carry out delegated administrative responsibilities.