The Behavior Nurse Supervisor is responsible for the coordination of mood and behavioral health services provided to residents living at Rock Haven. Each resident must receive and the facility must provide the necessary behavioral health care to attain or maintain the highest practicable physical, mental and psychosocial well-being, in accordance with the comprehensive assessment and plan of care. Behavioral health encompasses a resident's whole emotional and mental well-being, therefore an individualized approach to care is essential. The Behavioral Nurse Supervisor will work closely with facility staff and medical and mental health providers to achieve the goal of person centered care in each resident's individual behavior management plan.
The individual is expected to assist the Director of Nursing while practicing within Federal, State, and local rules, regulations and guidelines They are tasked with not only ensuring the effective and efficient operation of the behavior management program, but also, supervising staff on an every other weekend rotation.
60% - Coordinates and monitors the Behavior Management Program during scheduled weekdays:
Participate in a complete comprehensive assessment of resident needs, strengths, goals, life history and preference using the resident assessment instrument (RAI). This will result in a review of the behavior problem Care Area Assessment (CAA) triggered for each resident and assessments of all disciplines, lab reports, medications and treatment records.
Assess each individual's resident's needs through an examination of mental statues and obtain a complete history of the resident's behavior symptoms from appropriate individuals, including; staff and family members or person most familiar with the resident to develop a behavior management program.
Develop a recommendation form with recommended interventions into a behavior care plan, if applicable. After development, select an observation period to monitor the identified behavior and interventions to establish a baseline.
Use careful analysis and care planning to plan and implement the most effective interventions that will meet unmet needs, change targeted behavior, increase desired behaviors, promote resident safety and security and enhance the resident's quality of life. A focus must be on the creation of non-pharmacologic specific interventions to address approaches specific to the risk factors of behavior symptoms, casual and contributing factors, and resident preferences. Document successful interventions in the resident's care plan with an attainable goal.
Track, monitor and manage the GDR program as described below.
Review documentation with the interdisciplinary team to determine if the resident is experiencing trends or patterns in mood and behavior, and which interventions are most effective in lessening the targeted behavior.
Evaluate the effectiveness of the pharmacological and/or non-pharmacological interventions by attending interdisciplinary care plan meetings, gradual dose reduction reviews, behavioral health committees, and weekly behavior rounds.
Communicate proactively with providers to assess the need for psychotropic drugs and to determine the need for a psychiatric consultant beyond the PCP. Communicate resulting treatment recommendations from a psychiatric consult to the patient's PCP.
Provide education including specific mood and behavior interventions and approaches as applicable to facility staff.
If behavior management strategies are not effective assess the resident's current status and in conjunction with the discharge policy, make appropriate intervention or placement decisions if the resident is a potential danger to the safety, health or welfare of themselves or others.
20% - Nurse Supervisor coordinates the care of residents/clients on assigned shift.
Communicates shifts concerns by unit to appropriate staff (e-mails, voice mail etc).
Serves as administrative authority for the smooth function of assigned unit.
Notifies Administrator, DON or ADON of urgent concerns during the shift. (When the concern is non-urgent, notifies manager by phone message or e-mail.)
Performs rounds at least twice each shift to monitor the conditions and care of acutely ill residents/clients.
Receives reports throughout the shift.
Assists RNs to assess residents who are experiencing acute changes.
Provides clinical expertise in the management of medical and psychiatric emergencies.
Responds to Code Blue, Medical Assist and Code Green situations. Assists staff as needed.
Provides clinical expertise in medical management, crisis and behavior management techniques.
Supervises staff and assures survey compliance on a daily basis. Provides guidance and support to staff to better plan work flow
Initiates investigations for all alleged incidents of abuse, neglect or misappropriation of resident belongs. Maintains administrative records.
Audits charts routinely. Provides clinical expertise in documentation including MDS, Medicare PPS, acute illness charting, weekly summaries and care planning.
Participate in the following: QAPI, Behavior/GDR meeting, Care conferences.
Provide on-going education and competency testing, to the nursing staff on designated unit.
Assist Nurse Managers with completion of Admissions when necessary.
Manage day-to-day infection control monitoring
10% - Quality Assurance and Regulatory compliance
Meets routinely with the nurse manager group and the interdisciplinary teams.
Represents nursing on the Rock Haven Quality Assurance Committee.
Assists with the development and implementation of Nursing Policies and Procedures.
Directs nursing department in survey compliance, quality assurance and staff development activities.
Reviews injury and risk forms. Assures that preventive measures have been initiated.
Reviews investigations for all alleged incidents of abuse, neglect or misappropriation of resident belongs. Maintains administrative records. Reports to the State per regulation.
Receives employee, resident and family grievances. Refers information to appropriate supervisor. Works with NHA to assure that grievances are resolved.
Directs staff response to emergencies such severe weather, fire or bomb scare. Participates in fire drills. Directs disaster evacuation plan as needed.
5% - Public Relations
Provides tours of the facility to families.
Complete referral forms for any inquiries/tours. Reviews all referral to determine medical and nursing needs.
Referral visits to assess the needs of new admissions with complex needs.
Represents the facility at community events.
Collaborates with appropriate community and governmental policy making bodies.

5% - Other duties as assigned.
Manages Call offs and ensure coverage of the units-Current theory base in medical, geriatric and psychiatric nursing
-Current knowledge of State and Federal nursing home regulations.
-Computer skills including e-mail, word processing, work scheduling system and American Data.
-Ability to prepare clear, concise reports.
-Knowledge of needs of client populations and treatment sources.
-Ability to plan, assign and direct the work of others.
-Ability to communicate effectively orally and in writing.
-Ability to read, analyze and interpret practice standards, professional journals, technical procedures and government standards and regulations.
-Ability to solve complex problems and deal with a variety of issues.
-Ability to effectively present information and respond to questions from managers, employees, residents, families, professionals and the general public
-Ability to work well as a team leader/member.
-Skill in reviewing clinical work of others according to professional standards and practice guidelines.
-Skill with Microsoft Office Suite, American Data ECS, and Personality (scheduling program) software programs.
-Ability to enter accurate information into charts and reports.

-Registered Professional Nurse with current Wisconsin Licensure in good standing.

-Previous work experience in assessing mental health needs including dementia care.

-Work experience as a professional nurse, preferably in related fields (long-term care, medical-surgical nursing, mental health or nursing supervision).

-Supervisory experience in a team leader role.

-CPR/AED certification required

Physical elements:
-Ability to sit, stand, bend, and stoop for periods of time.
-Ability to lift up to 50 pounds occasionally.
-Ability to work in a stressful environment.
-Ability to respond to emergency/crisis situations.
-Ability to push/pull a medication cart.
-Exposure to noise.
-Exposure to blood and/or body fluids.
 
-Uses personal protective equipment as needed but not limited to: gloves, gowns, goggles and protective shield.
-May be subject to potentially hostile and emotionally upset residents, family members, personnel, visitors,
etc.
-May be subject to falls, burns, odors, etc., throughout the work day.
-May be exposed to infectious waste, diseases, blood, body fluids, conditions, etc.
-Work is inside in a skilled nursing home facility.