RN Day Shift

MARKESAN RESIDENT HOME INCORPORATED•Markesan, WI

4d•Onsite

About The Position

The RN provides direct nursing care to residents and supervises the day-to-day nursing activities of nursing assistants, LPNs, and nursing support staff. The role carries charge-nurse authority and accountability for assigned duties, and work must follow applicable federal, state, and local standards and facility procedures to maintain quality care. The charge nurse follows written protocols, directs nursing care and support personnel under general RN supervision, and accepts the assignment only when adequately prepared through education or training. The position oversees nursing services in a long-term care facility, including staff direction and coaching, resident admissions and discharges, documentation, medication administration, care planning and assessment, resident rights, and safety and infection-control practices. The RN works with residents, families, physicians, facility staff, and other departments to coordinate care and respond to changes in residents’ conditions. The work takes place in office areas and throughout nursing service areas, including drug rooms, nurses’ stations, and resident rooms. The role involves frequent interruptions and interaction with residents, families, visitors, personnel, and government representatives, including people who may be hostile or emotionally upset. Work beyond normal hours, temporary work in other positions, and emergency call-back may be required. The position may involve exposure to infectious waste, diseases, and hazardous chemicals, and attendance at continuing education programs.

Requirements

Nursing degree from an accredited college or university, or graduation from an approved LPN/LVN program.
Current, unencumbered, active Wisconsin license as an RN or LPN/LVN.
Ability to read, write, speak, and understand English.
Ability to make independent decisions when circumstances warrant.
Ability to deal tactfully with personnel, residents, family members, visitors, government agencies or personnel, and the public.
Knowledge of nursing and medical practices and procedures, and of laws, regulations, and guidelines for long-term care.
Leadership and supervisory ability, including willingness to work harmoniously with and supervise other personnel.
Ability to plan, organize, develop, implement, and interpret programs, goals, objectives, policies, and procedures for quality care.
Patience, tact, a cheerful disposition, enthusiasm, and willingness to handle difficult residents.
Willingness to seek out new methods and principles and incorporate them into nursing practices.
Ability to communicate information about a resident’s condition.
Must not pose a direct threat to the health or safety of others in the workplace.
Must meet the facility’s general health requirements, including medical and physical examination.
Ability to work with ill, disabled, elderly, emotionally upset, and at times hostile people, and to cope with the mental and emotional stress of the position.
Ability to see and hear, or use prosthetics that enable these senses to function adequately for the position.
May need to assist with resident evacuation during emergencies.

Responsibilities

Direct and supervise the day-to-day work of nursing assistants, LPNs, med techs, nurse techs, and other nursing support staff in accordance with facility policies and applicable regulations.
Ensure assigned nursing personnel follow facility policies, procedures, and the Nursing Service Procedures Manual; review procedures and recommend revisions.
Plan shift services with assigned nursing and support personnel, coordinate nursing services with other departments, and participate in the nursing department’s quality assurance program.
Assist with nursing services aspects of discharge planning; admit, transfer, and discharge residents; and complete accident and incident reports and other administrative records.
Coach, train, discipline, evaluate, and provide leadership to assigned nursing staff; report staffing concerns and call-ins, make personnel recommendations, and conduct rounds to monitor work and standards.
Complete and maintain resident records, including admission, transfer, and discharge forms, nurses’ notes, charting, and documentation of physician orders and resident care.
Receive and record physicians’ telephone orders, transcribe orders to resident records and care materials, and report discrepancies to the DON or RN on call.
Prepare and administer medications as ordered; maintain adequate medication and supply stocks; ensure medication records are accurate; report discrepancies; and dispose of drugs and narcotics according to procedures.
Coordinate admissions and resident orientation, complete physician rounds, arrange diagnostic and therapeutic services when needed, and consult with physicians about resident care and treatment.
Provide professional nursing services, including catheterization, tube feedings, suctioning, dressing changes, ostomy and drainage care, IVs, and collection of specimens for laboratory tests.
Monitor resident condition and care, notify physicians and next of kin of condition changes, and update the DON or RN on call about decompensation or changes requiring complex care modifications.
Review and update care plans, complete assigned quarterly nursing assessments, participate in requested care conferences, and ensure staff follow resident care plans.
Protect resident confidentiality, dignity, privacy, and rights; document and address complaints and grievances; and report and investigate allegations of abuse or misappropriation of property.
Ensure personnel follow infection-control and personal protective equipment procedures, use safety equipment when moving residents, and report hazardous conditions or equipment.
Coordinate with residents, families, support departments, and facility personnel to plan for resident needs, and follow required procedures in the event of a resident death or emergency.