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Job Summary: Responsible for the direction of short-term rehab and respiratory resident care in the skilled nursing setting. Manages licensed and non-licensed clinical staff. Consults with staff, physicians, management team on nursing problems and interpretation of facility policies to ensure resident needs are met. Maintains performance improvement activities for Nursing Services and participates in CQI activities. May assist in formulating a budget.

This position is for our subacute short-term rehabilitation unit. Must have experience with PICC lines. Trach experience preferred.

DUTIES AND RESPONSIBILITIES:

Demonstrates Competency in the Following Areas:

• Initiates and assists in the development and implementation of policies and procedures that govern the Nursing Services in collaboration with appropriate services.
• Establishes and maintains job specifications and descriptions for Nursing Services staff in conjunction with Administration. Provides education, disciplines and evaluations of nursing staff.
• Provides 24/7 RN oversight for assigned units ensuring residents needs are met on all shifts.
• Ensure staff demonstrate adequate documentation and are following documentation requirements, policy, procedure.
• Demonstrates adequate appropriate documentation in the residents record, follows documentation expectations and policy/procedure.
• Represents Nursing Services on various committees, i.e., Infection Prevention and Control, and Performance Improvement.
• Makes rounds on nursing unit daily.
• Participates in the performance improvement functions by collecting and verifying data, as needed. Ensures required nursing audits are completed and delegated as needed or requested.
• Consults other departments, as appropriate, to provide for an interdisciplinary approach to the residents needs.
• Treats residents and their families with respect and dignity. Identifies and addresses psychosocial, cultural, ethnic and religious/spiritual needs of residents and their families.
• Ensures licensed nurses can perform required skills per policy, assists in completion of skills competencies for assigned staff on the units. Provides teaching when needed.
• Follows direction from DON, maintains a positive professional attitude.
• Ability to adequately assess and reassess pain. Utilizes appropriate pain management techniques. Educates the resident and family regarding pain management. Commuincates to medical and IDT any time residents trigger for pain, ensures residents pain is addressed.
• Completes an accurate individualized comprehensive care plan for all assigned residents, completes a thorough RN assessment and record review to direct care planning. Consults with resident, family and staff regarding care preferences and care planning.
• Completes and reviews baseline care plan per DOH regulation with residents and families with in 48 hours of receiving resident to unit.
• Communicates any careplan changes to staff, residents and families to ensure care planning interventions are effective and followed.
• Attends all care plan meegtings for assigned residents, reviews care plan with staff, resident and family to ensure accuracy.
• Works closely with MDS department to ensure accurate and adequate documentation of ADL and nursing notes are in place for reembersment.
• Ensures all risk factors and MDS triggers are identified by thoughrogh assessment of the resident and a care plan with appropriate interventions in place for all risk factors identified.
• Monitors and reviews CMI quality measures for assigned residents, ensures triggered residents are addressed and a plan of care is in place. Educates all assigned staff regarding quality measures and oversees the over all quality of care provided on units.
• Demonstartes ability to delegate tasks appropriately, supervise lpns and certified nursing assistants, exhibits follow through and follow up with delegated tasks.
• Provides RN assessments of resident required for accident/incidents, acute changes in condition, admissions, MDS and care planning.
• Organizes workload, completing tasks in a timely manor, meets MDS deadlines
• Provides medication to resident as needed, is able and willing to safely complete a med pass when ever needed or directed. Follows the seven (7) medication rights and reduces the potential for medication errors.
• Performs all aspects of resident care in an environment that optimizes resident safety and reduces the likelihood of medical/health care errors.
• Supports and maintains a culture of safety and quality demonstrates as participates in our Brand Integrity core values.
• Supervises licensed nurses in their daily work. Takes ownership of assigned staff outcomes, growth and developement along with employee retention rates on unit.
• Coordinates and directs resident care and education by monitoring residents condition and assisting licensed nurses to ensure changes in condition are identified and immediately addressed with medical, IDT and families. Promotes the highest level of quality of life for residents ensureing a safe environment free from harm.
• Exhibits genuine interest in and appreciation of adults in the later years of life. Advocates for the residents of the facility.
• Is a motivated, independent individual who can organize workload so that all functions are completed appropriately.

Professional Requirements:

• Adheres to dress code, wears name badge, appearance is professional, neat and clean. No long artificial nails, no large or long dangling jewelry, no large dangling earrings.
• Completes annual education requirements.
• Maintains regulatory requirements and active NYS certification.
• Maintains resident confidentiality at all times.
• Reports to work on time and as scheduled, completes work within designated time.
• Wears identification while on duty, uses computerized punch time system correctly.
• Completes education/in-services in a timely fashion. Monthly and annually and as requested.
• Attends annual review and department inservices, as scheduled.
• Attends staff meetings such as shift huddles/reports.
• Represents the organization in a positive and professional manner.
• Actively participates in performance improvement and continuous quality improvement (CQI) and QAPI activities.
• Complies with all organizational policies regarding ethical business practices.
• Communicates the mission, ethics and goals of the facility.
• Makes eye contact, smiles and greets others by name
• Make an effort to get to know team members, residents and their families.
• Learn about and deliver on the needs of the residnets
• Do what you say you will do
• Follow up in a timely manner
• Take time to listen to and understand others
• Recognize and share successes of our Life in Balance culture in action
• Be willing to help others
• Reach out and ask for help when needed
• Speak positively about our care center and the people who live & work here
• Bring positivity and fun to the work environment
• Accept and learn from mistakes
• Be flexible and adaptive to changes in the work environment
• Seek to find solutions to problems
• Take responsibility for the quality of your work
• Seek out information you need to be your best
• Share your knowledge and expertise to help others
• Be knowledgable and enthusiastic about our care center and what we do
• Communicate and work together across departments

Regulatory Requirements:

• Graduate of an accredited school of nursing.
• Current Registered Nurse licensure in State of New York.
• Current BCLS certification.

Skills:

• Basic computer knowledge.
• Clinical knowledge of complex subacute care needs.

Physical Demands:

• For physical demands of the position, including vision, hearing, repetitive motion, and environment, reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position without compromising resident care.