Overview

The Registered Nurse (RN) will utilize the nursing process of assessment, planning, implementation, and evaluation to ensure quality-nursing care and to maximize the quality of life for the residents and patients. The RN is an integral member of the clinical support team, and collaborates with other multidisciplinary members to meet the clinical needs of the residents. The RN is an active supporter of the culture change initiatives, and serves as a role model and mentor to others.

In addition, the RN will demonstrate a strong commitment to the philosophy and mission of Orchard Cove and recognize resident’s dignity and choice in all aspects of daily life. They are an active participant in the activities, work, and social environment of the households, and strive to make every resident encounter into a positive and meaningful experience and opportunity, while ensuring the provision of safe and efficient quality care.

Responsibilities

Core Competencies:

• Demonstrates empathy and compassion with all interactions with residents and with families
• Articulates importance of supporting independence and resident choice when caring for residents
• Demonstrates strong communication skills and ability to foster teamwork
• Articulates commitment to excellence and high-quality care
• Articulates the importance of accountability and personal ownership related to teamwork and resident care
• Demonstrates strong critical thinking skills
• Demonstrates ability to coach and mentor others to achieve high quality care

Position Responsibilities:

• Ensures all care delivered is within the scope and established standards of safe professional nursing practice and HSL core competencies
• Collaborates with other members of the clinical support team (MD, NP, nurses, social worker, therapists, dietician) to meet the clinical needs of the resident and monitor outcomes of care
• Adheres to best practice recommendations and implements evidence-based interventions to ensure optimum outcomes for residents
• Practices in a primary nursing model and maintains accountability for a set of assigned residents/patients
• Collaborates and participates in care planning activities and supports autonomy and individual choice wherever possible

• Ensures adherence to the plan of care, revises as necessary, and ensures the plan accurately reflects an individualized approach to resident’s needs
• Documents appropriately in the electronic medical record
• Identifies and seeks out necessary resources as needed to ensure the provision of safe and effective care
• Delegates and supervises clinical care delivered by the licensed practical nurse and the nursing assistant
• Assumes accountability for his/her own learning needs and professional development
• Demonstrates critical thinking abilities in problem resolution
• Role models professional behavior
• Actively participates in shared governance, committees, etc.
• Collaborates in the development of new work processes and systems
• Serves as a resource and support to the elder assistants in the households
• Identifies and responds to safety concerns on the household and neighborhood
• Maintains compliance with policies, procedures, practice and regulatory matters
• Participates in the collection and monitoring of quality data to ensure high standards of care
• Participates in performance improvement projects
• Participate and assists with activities (i.e. assist with serving meals)
• Serves as a coach and mentor to all staff, i.e. Nursing/Resident assistants and LPNs
• May be assigned charge nurse responsibilities. Responsibilities may include:

• Giving shift report to on coming staff
• Provide clinical/supervisory oversight to assigned unit during shift
• Delegate assignments to team assigned to shift
• Initiate necessary reports including DPH, incident reports, concern resolutions
• Assure completion of admission or discharges during shift
• Attend rounds (wound, physician etc.)
• Provides oversight of LPN assessments (as assigned) and co-signs nursing assessments and initial care plans

• The above covers the most significant responsibilities of the position. It does not, however, exclude other duties, which would be in conformity with the level of the position. Completes special projects as assigned

Required Qualifications

• Graduate of approved school of nursing required; BSN preferred
• Current Massachusetts license as an R.N. in good standing
• Previous experience preferred
• Understand the philosophy and support the model of care at HRC required
• Must be professional, proactive, collaborative, conscientious and results-oriented individual. Must have an optimistic and positive demeanor, excellent oral and written communication skills, good intuition and able to adapt to changing priorities and display good, sound judgment with a sense of humor
• Superb organizational skills. Must have solid analytical skills. Must be creative and proactive yet disciplined, discriminating and able to streamline work volume in order to maintain bottom line efforts in midst of multi-tasking and daily re-prioritizing. Must have ability to innovate, think strategically and conceptually, manage multiple projects simultaneously and handle even difficult situations
• Must be motivated to learn and flexible to change
• Computer literacy required
• Excellent English language skills, written and verbal

Preferred Qualifications

1. Must be professional, proactive, collaborative, conscientious and result-oriented individual. Must have an optimistic and positive demeanor, excellent oral and written communication skills, good intuition and able to adapt to changing priorities and display good, sound judgement with a sense of humor.

2. Superb organizational skills. Must have solid analytical skills. Must be creative and proactive yet disciplined, discriminating and able to streamline work volume in order to maintain bottom line efforts in midst of multi-tasking and daily re-prioritizing. Must have ability to innovate, think strategically and conceptually, manage multiple projects simultaneously and handle even difficult situations. 

3. Must be motivated to learn and flexible to change.