Position Details

* Job Title Shift: 1st Shift

* Job Title Status: Full-Time

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Summary/Objective:

Responsible for administering medications in the skilled nursing setting. Adheres to the standards of care on the unit, manages the environment to maintain resident safety. Performs duties through the nursing delegation process.

Essential Functions:

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

* Performs work assignment in accordance with acceptable nursing standards as delegated by the RN

* Provides medication pass to assigned residents as ordered by physician and as delegated by the RN

* Utilizes pharmacy, drug references and licensed nurses for medication administration questions

* Maintains awareness of actual and potential side effects, adverse reactions, contraindications, and purposes of medication

* May not administer meds by the following routes:

* Central lines

* IV

* IV lock

* Nasogastric tube

* injection (including SQ or IM) (note: some states may allow with a completed competency but it is the policy of this Center that only nurses will administer injections including insulin injections)

* Takes and records vital signs and indicated. (should demonstrate competency for BPs if manual cuff is utilized). Reports results to nurse.

* Keeps medication cart stocked and clean

* Gives/receives report at shift change

* Maintains assigned work area, (i.e. nurse station, med cart, medication room, etc.) resident care rooms, and treatment areas in a clean, organized and sanitary manner

* Monitors medication supply and informs the nurse if medication orders are needed

* Informs nurse of any noted change in condition

* Attends regularly conducted staff meetings as scheduled by the Director of Nursing

* Participates regularly in continuing education in-service programs

* Responsible for resident/patient medication pass during his/her respective shift

* Provides required patient observations and interventions

* Provides respiratory care, e.g. oxygen, nebulizer treatments as ordered by MD after completing competency with the RN

* Performs blood glucose testing as ordered by MD after completing competency with the RN

* Prepares and administers medications and documents medication administration in PCC.

* Completes all basic treatments and documents in PCC. Reports any changes noted to the charge nurse. Basic treatments include; ointments, creams, dressings to a stage 2 and below and any treatment that doesn't require an assessment.

* Administers any scheduled narcotics per MD order without the assist of the nurse. If any PRN (narcotic or non-narcotic) is requested by the resident, the nurse must be notified prior to administering the PRN for assessment purposes.

* If unable to give a medication, documents in the progress notes the reason for missed administration and reports to the charge nurse.

* Counts all controlled drugs with other nurse at shift change and notifies the DON / Unit Manager of all drug and narcotic discrepancies noted on your shift (note the second person counting must be a nurse)

* Keeps medication room and medication cart locked according to regulations

* Complies with rules and regulations applicable to position and act in accordance with Center's Compliance Program

* Attends and participates in in-service training, performance improvement ("QAPI") committees and other meetings as scheduled and directed

* Safety

* Knows and follows center rules

* Follows center dress and hygiene policies

* Demonstrates proper use of equipment. Reports equipment needs or repairs

* Follows center smoking policies

* Reports any incidents or accidents of residents, staff or visitors to the appropriate center personnel

* Reports all hazardous conditions/equipment to Supervisor

* Performs duties, which may include transportation of residents, as assigned in Center Disaster Plan

* Uses required protective equipment

* Follows infection control standards, policies and procedures

* Resident Rights

* Knows Resident Rights. Helps the residents/patients exercise and/or protect their rights

* Reports resident/patient complaints to management

* Maintains confidentiality of resident/patient information

* HIPAA

* Follows and adheres to Center's policies and procedures implementing HIPAA requirements for the privacy and security of protected health information

* Uses and/or discloses only minimum amount of Protected Health Information necessary to complete assigned tasks

* Reports all suspected violation of company's HIPAA policies or procedures to Center Privacy Designee

Work Environment/Physical Requirements

The responsibilities of this position involve significant physical activities including standing, lifting (up to 50 pounds unassisted), bending, stooping, pushing, pulling and twisting. All nursing department employees of nursing homes may be required to provide lifting and transfer assistance to residents. Lifting and/or transferring some residents will require use of a lifting device and /or assistance of other staff.

Required Education and Experience

* Current State certification as a Medication Aide/TMA

* Must maintain state required continuing education/in-servicing and keep three years of records showing required in-servicing.

* Must maintain required hours of work (per state guidelines) and keep three years of records showing required hours of work

* Minimum 1-year nurse assistant experience

* Must have and maintain current CPR certification

Preferred Education and Experience

* Experience in a fast-paced environment

* Post-acute care or health care experience preferred.

Skills, Knowledge, and Abilities:

Meets all health requirements imposed by law. Ability to read, write, speak, and understand English. Ability to relate positively, effectively, and appropriately with residents/patients. Families, community members, volunteers, and other center staff. Possess special interest in, and a positive attitude about, working with long-term care residents/patients and the elderly. Demonstrates basic computer knowledge and ability with an aptitude to learn company applications.

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

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