RN/Desk Nurse-Full time

PACS

3d•Onsite

About The Position

The Registered Nurse (RN) General Purpose is responsible for supervising the day-to-day nursing activities of the facility during their tour of duty, ensuring adherence to current federal, state, and local standards, guidelines, and regulations. This role supports the Director of Nursing (DON) and/or Assistant Director of Nursing (ADON) to maintain the highest degree of quality care at all times. The position 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 overall supervision and management of the nursing staff.

Requirements

Nursing Degree from an accredited college or university.
Training in rehabilitative and restorative nursing practices.
2 or more years of experience, preferably in a long-term care facility.
Ability 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 and solve practical problems.
Ability to deal tactfully with personnel, residents, family members, visitors, government agencies, and the general public.
Leadership and supervisory ability and willingness to work harmoniously with and supervise other personnel.
Ability to plan, organize, develop, implement, and interpret programs, goals, objectives, policies, and procedures.
Knowledge and skills necessary to provide care appropriate to the age-related needs of the residents served.
Supportive team member, contributing to and exemplifying team work and team concept.
Knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines pertaining to nursing care facilities.
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.
Ability 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.
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 meet the general health requirements set forth by the policies of this facility, which include a medical and physical examination.
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

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 materials at nurses’ stations are current and recommend necessary written materials.
Ensure the Nursing Service Procedures Manual is current and that personnel comply with it.
Make reports and recommendations to the Director concerning the operation of the nursing service department.
Periodically review department policies, procedure manuals, and job descriptions, recommending 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 conducted by government agencies.
Periodically review and update the resident’s written discharge plan.
Assist 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.
Interpret department policies and procedures to personnel, residents, visitors, and government agencies.
Perform administrative duties such as completing medical forms, reports, evaluations, and charting.
Maintain confidentiality of user ID, password, and resident protected health information.
Report suspected or known violations of disclosure and unauthorized attempts to access facility information systems.
Attend various committee meetings (e.g., Infection Control, Policy Advisory, Pharmaceutical, Quality Assessment) as required.
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.
Implement recommendations from established committees as instructed by the Director.
Ensure sufficient licensed nurses and certified nursing assistants are available for the tour of duty.
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 to the Director.
Ensure personnel follow established policies and procedures, including dress codes.
Review and address complaints and grievances from department personnel.
Foster good working relationships 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 to the Director.
Participate in employee performance evaluations and determine staffing requirements.
Ensure departmental disciplinary action is administered fairly.
Report occupational exposures and known/suspected incidents of fraud.
Ensure departmental computer workstations are logged off or password protected when unattended.
Inform nursing staff of new admissions, their expected arrival, and room assignments.
Ensure rooms are ready for new admissions and greet new residents.
Make rounds with physicians as necessary and encourage timely recording of progress notes and orders.
Inform the Director of delayed 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 observe and evaluate their physical and emotional status.
Ensure direct nursing care is provided by qualified personnel.
Review nurses’ notes for informativeness, descriptiveness, and adherence to resident wishes.
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 the Charge Nurse in monitoring seriously ill residents.
Authorize the use of restraints when necessary.
Ensure RNs and LPNs comply with medication and supply procedures.
Monitor medication passes and treatment schedules.
Review medication cards for completeness and accuracy.
Inspect 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 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 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 and proper use/disposal of personal protective equipment.
Monitor personnel adherence to safety regulations.
Ensure personnel comply with established departmental policies and procedures.
Maintain clean and sanitary nursing service work areas and resident care rooms.
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 procedures for reporting hazardous conditions or equipment.
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 the 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 appropriate MSDSs are on file for hazardous chemicals.
Participate in developing resident assessments and care plans.
Encourage resident participation in care plan development and review.
Ensure personnel are aware of and refer to the resident’s care plan.
Review nurses’ notes to ensure care plan adherence.
Assist in planning, scheduling, and revising the MDS, including RAPs and Triggers.
Review resident 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.
Assist with the overall supervision and management of the nursing staff.
Perform other duties as assigned.