Purpose of Position/Summary: Incumbent works as a Registered Nurse (RN) in the Nursing Department of the Indiana Veterans' Home. Performs all aspects of nursing care, within the scope of the Indiana Nurse Practice Act, utilizing specialized knowledge, judgement and skill. The RN4 works with minimal supervision, and has some management responsibilities and accountability to one nursing unit, or area of nursing (i.e. Education, Care Planning). Reports to Nurse Supervisor 6.

Essential Duties/Responsibilities: Administers medications and treatments as ordered by a physician; Assesses residents based on principles of biological, physical and behavioral sciences; Documents results and reports results to the physician; Communicates changes of conditions to families; Takes vital signs; Transcribes physician orders; Answers call lights and responds to any resident request for assistance; Follows recommended safety and infection control standards; Adheres to resident's rights at all times; Maintains correct controlled substance counts during shift; Completes required documentation of nursing notes, transfer forms and other records; Assists with orientation of new employees; Participates in resident care planning, MDS's and documentation; Assist with monthly change over of all necessary forms; Completes and distributes nurse aide assignments; Gives a thorough report to on-coming shift. Responds to codes;

Job Requirements: Must be licensed as and maintain license as a Registered Nurse in Indiana; Ability to understand and communicate with residents, other staff and families; ability to complete required paperwork correctly and legibly; ability to provide safe, efficient nursing care, following all applicable state and Veterans' Administration rules, IVH policies and procedure and all HIPAA rules; ability to use medical equipment within the scope of licensure; ability to prioritize workload; ability to be flexible; ability to assess resident's and report to the physician; ability to administer medications and treatments in a safe, efficient manner, recognizing medication side effects; ability to know approved abbreviations and appropriate terminology; ability to write care plans, based on individual needs; ability to operate AV equipment; ability to respond appropriately to medical emergencies and make appropriate decisions; must attend required inservices.

Supervisory Responsibilities/Direct Reports: May assign and review work of Nursing Attendants in assigned area; reports to Nurse Supervisor 6

Difficulty of Work: Work involves complex judgement decisions, based on scientific and biological principles. Must demonstrate sound nursing judgement in assessment of residents.

Responsibility: RN is legally responsible for own nursing actions, with minimal supervision, requiring judgement for use of specialized knowledge. Failure to utilize good judgement may be deterimental to resident care and to facility reputation.

Personal Work Relationships: Works with residents, professional and non-professional staff, residents' families, visitors, volunteers and staff from other facilities.

Physical Effort: Must be able to walk and stand for long periods of time; must be able to bend, stoop, twist, reach above shoulders, push/pull, must be able to assist with lifting and transferring residents, from 100 to 500 pounds, using a gait belt or other accepted practices, or with a mechanical device.

Working Conditions: Work is generally on a nursing care unit, office or classroom, in a controlled environment; may be exposed to body fluids and cleaning chemicals; may be exposed to violent residents.