Parkhouse is currently seeking an Weekend RN Supervisor for all shifts (7a-3p, 3p-11p and 11p-7a) Will train if needed.

As a member of the interdisciplinary team, the assumes responsibility and accountability for nursing services delivered to residents.

The RN Supervisor provides direct care, administers treatments and medications, organizes, and distributes daily assignments to direct care staff consistent with staff competency and each individual resident's comprehensive resident assessment and plan of care. Supervises direct care staff and makes decisions about resident care needs during shifts concerning scope of clinical competence, consistent with facility policies and procedures. Ensures that “Flow of Care” is followed.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Makes daily compliance rounds on units at least at beginning and at end of shift to observe, examine or interview residents, to verify information from ongoing shift, to monitor regulatory compliance, to determine staff assignments, and provides /receives report.
• Develops and distributes resident care assignments to direct care staff. Assignments match resident needs with skills of direct care staff, and maintain consistency to the extent practicable. Adjusts assignments according to availability of qualified staff. Changes assignments if necessary during shift to meet resident needs.
• Describes care plan goals and approaches to direct care staff so that care plan is consistently implemented on all shifts by all caregivers. Seeks input from nurse aides about residents’ condition, functional abilities, preferences and alternative approaches to care. Monitors delivery of care and services throughout shift to ensure needs are met, tasks are completed, and that work of direct care staff is of acceptable quality and quantity. Administers medications, treatments and provides direct care to residents on unit according to physician orders and in compliance with facility policies and procedures.
• Performs physical assessment (or gathers appropriate data) of new admissions and current residents as indicated by change in condition or as required by regulation. Completes assigned sections of resident assessment instruments used in nursing home.
• With participation of interdisciplinary team members and resident, to the extent practicable, develops, implements, evaluates, and revises plans of care with measurable objectives and timetables to assist each resident to attain or maintain highest practicable physical, mental, and psychosocial well-being. Coordinates care and delivery of services with all disciplines. Consults with and refers relevant resident care issues to attention of interdisciplinary care team members.
• Modifies approaches in plans of care to accommodate resident needs and preferences, to manage risk factors for functional decline and to improve functional abilities.
• Respects rights of residents regarding freedom of choice, consent for care and services, refusals of treatment and implementation of advance directives if any. Promptly consults with Director of Nursing (DON), Unit Managers, and Social Worker if unsure of proper course of action that respects resident's rights, complies with facility policies and procedures and that is consistent with state and federal laws and regulations.
• Completes required documentation of care and services delivered during shift including subjective findings, objective symptoms, interventions, and resident responses to interventions. Completes required documentation of special circumstances including accident/incident reports in compliance with state and federal laws and regulations.
• Completes written 24-hour facility report. Gives and listens to verbal shift report making special note of significant changes in condition, admissions, transfers, discharges, initiation or use of physical or chemical restraints, unnecessary use of any drug, incidents, medication errors, loss of resident property or evidence of resident or family dissatisfaction.
• Informs the resident in advance about care and treatment and any changes to the plan of care.
• Reports relevant information to the DON, Assistant Director of Nursing ADON), and Unit Manager including, interdisciplinary team functioning and communication, regulatory compliance issues, resident risk factors, sadden changes in resident behavior, expressed dissatisfaction by resident or family, refusals of treatment, unexplained injuries, staff behavior (positive and negative), staffing needs, equipment and supply needs, opportunities to revise policies, procedures, improve quality.
• Provides coaching and supervisor to staff members under appropriate circumstances. Applies facility policies about progressive discipline correctly. Removes staff member from unit if necessary to avoid endangerment to health or safety of residents or other staff members. Reports all job actions taken to DON, ADON, and Unit Manager promptly.
• Attends in-service education programs as assigned. Applies information to job tasks. Observes, documents, and monitors all resident psychiatric and/or physical changes and responses to treatment. Refers to / consults with other disciplines when appropriate.
• Initiates and updates the resident care plans for residents as changes occur, independent of scheduled reviews.

Education:

• Graduate of an accredited school of nursing

Certificate/Licenses:

• Current, active license as a Registered Nurse in state of employment. No findings in the State Registry concerning abuse, neglect, mistreatment of residents or misappropriation of residents’ property. CPR Certification is required. Gerontology certification desired.

Work Experience:

• One-year experience providing direct care to residents in long-term care setting. Prior experience as Charge Nurse or similar supervisory experience preferred.

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