Bear Mountain Healthcare’s Vision

• Upon arrival check daily allocation sheet for staffing ; make adjustments to sheet to reflect any changes and be prepared to fill unit vacancy should staffing warrant or as assigned by DNS

• Check appointment calendar in supervisor’s office (M-F) for residents’ schedules, times, places, and CNA assigned

• Check white board in supervisor’s office for DNS updates.

• Obtain report from off-going supervisor

• Count E-box narcotics and sign accordingly

• 1st rounds-Review report information with charge nurses identifying problems, change in condition, pharmacy issues, supply needs, ensure paperwork for appointments is complete- adding any appropriate labs or x-rays etc; preparation for discharges.

• Complete RN assessment and SBAR for residents with change in condition,

• Conduct a walking round head count.

• Review APRN book for entries and place calls as needed to APRN or MD.

• Ensure that charge nurses have prepared C.N.A. worksheet with I and O’s, weights, showers, appointments.

• Review BM book, I and O book, ADL flow sheets, Q 15 minute sheets and three day bladder diary. Address issues with the charge nurse.

• (Mon-Fri.) Bring to Am report new/readmission, discharge, acute hospital, transfer, A & I’s, charts, I and O books, supervisor’s fluid tracking form. Report to clinical team highlights from the past 24 hour period (or 72 hours after weekend). Include results from previous day’s appointments, x-rays, tests, etc.

• From Am report and team discussion give clear instructions and information back to the charge nurses

• Confer with the APRN/MD (upon his/her arrival) and review clinical concerns, change(s) in condition, labs needed, follow-up.

• Check lab fax machine in supervisor’s office for lab results and highlight log as received.

• Check pharmacy fax machine in supervisor’s office for prior authorizations and ordered too soon notification. Please note that x-ray, ultrasound, dialysis info will be sent to the conference room printer.

• Update census sheet with admissions, discharges, MLOA, room changes.

• Complete acute transfer log when resident is hospitalized; update status next shift.

• Make rounds to ensure that residents are groomed, beds made, and environment is safe.

• Monitor and assist in dining room for lunch. Ensure seating plan is followed ; C.N.A.’s are present and timely; Residents are returned to their room after lunch for care.

• Ensure 24 hour report sheets are thorough and completed by charge nurses. Add information as needed.

• Assist charge nurses with transcribing orders, as time allows

• Demonstrate good customer service with all contacts.

• Update DNS as acute changes occur (falls w/injury, acute hospital transfers, risk issues)

• Give report to on-coming supervisor including outstanding labs, calls to APRN/MD, residents on LOA, new admission paperwork in process, pending admissions. Count narcotics

Additional daily duties as needed

• Complete Re/New admission packet and required paperwork. Re-visit every new admission the next day to ensure paperwork is completed, medication is available, equipment needs met etc.

• Ensure reportable events are completed and investigation is thorough. Review reportable events from the previous shift to ensure they are completed especially MD and family notification

• In the event of acute transfer, ensure that all pertinent information is sent along with the W-10, call ER and give them info on resident.

• Check all residents on IV therapy

• Ensure that residents on the ambulation sheet get ambulated on the shift.

• Replace staffing, call-outs ( in the absence of scheduler )

Benefits:

• Medical/Dental/Vision

• Paid Sick/Vacation/PTO/Holidays

• Ongoing education with free CEUs

• EAP (Employee Assistance Program)

• Employee Recognition Events & Employee discount program