Position Summary: The purpose of this position is to supervise, provide and coordinate nursing care in compliance with facility policies and procedures and to assess residents’ care needs and take appropriate action.

Essential Functions:

• Attend work as scheduled and follow company’s call-off procedures

• Follow established standards of nursing practices and implement facility policies and procedures.
• Interpret existing policies and procedures to nursing assistants, restorative nursing assistants, residents, families and physicians.
• Supervise and evaluate all direct resident care and initiate corrective action as necessary.
• Obtain report from nurse being relieved and record sufficient information to implement appropriate follow-up action as necessary.
• Provide report to nurse coming on duty, including sufficient information for follow-up action as necessary.
• Take appropriate action to assure adequate staffing to meet residents’ needs.
• Conduct resident rounds daily, reporting problems to nursing supervisor and initiating corrective action.
• Identify safety hazards and initiate corrective action immediately.
• Identify resident problems and emergency situation and initiate emergency care and “life-saving” measures in the absence of a physician.
• Follow, supervise and evaluate implementation of the Residents’ Rights Program.
• Participate in facility education programs.
• Provide supervision to Nursing Assistant providing direct resident care.
• Attend staff meetings, interdisciplinary team meetings, rehabilitation meetings, in-service classes and committee meetings as assigned.
• Follow staffing guidelines and make nursing assignments according to qualifications of staff and characteristics of the resident population.
• Administer and document direct resident care, medications and treatments per physicians’ orders and accurately record all care provided.
• Provide instruction for appropriate nursing care to licensed nurses and Nursing Assistants.
• Perform comprehensive assessment of residents as assigned.
• Document comprehensive assessment of residents as assigned.
• Develop and implement an accurate comprehensive care plan based on each resident’s needs and his/her comprehensive assessment.
• Promptly report changes in residents’ conditions to the physician, Director of Nursing Service and responsible party, and take follow-up action as necessary.
• Follow facility admission procedures and communicate resident admission to other departments, physicians and ancillary service providers.
• Competently perform basic nursing skills.
• Follow facility discharge /transfer procedure and coordinate discharge/transfer with other departments, physicians and ancillary service providers.
• Complete documentation related to the resident’s discharge/transfer.
• Listen to resident, family, or physician concerns and initiate corrective action and/or report concerns to Nursing Supervisor.
• Count narcotics, check emergency kit and exchange keys.
• Check meal trays and nourishment to ensure proper diet is served and residents are assisted as necessary.
• Supervise the application and removal of all restraints and devices used to position and enable residents to function as independently as possible.
• Notify physician, when necessary, of changes in residents’ conditions, weight, medication errors, medication not available, abnormal laboratory/X-Ray results and any other unusual observations.
• Document resident progress notes as required.
• Document daily notes on unstable residents, Medicare residents and recently admitted residents.
• Consistently work cooperatively with residents, nursing staff, physicians, families, consultant personnel, community agencies and ancillary service providers.
• Be responsible for the safety of residents under his/her supervision.
• Observe infection control procedures.
• Adhere to Corporate Compliance Program Code of Conduct and policies and procedures.
• Protect the privacy of resident Protected Health Information.
• Protect the confidentiality and security of all resident and facility information.

Non-Essential Functions:

• Attends all required training, in-service, and staff meetings.
• Strives to maintain a safe working environment through the prevention of accidents, the preservation of equipment, and the achievement of safe working practices.
• Maintains a positive and professional demeanor toward all associates, customers, vendors, clients.
• Adheres to all policies and procedures of Spring Hills PASL, LLC.
• Performs other duties as assigned.

Experience and Education:

• Applied Associate, Diploma or Bachelors degree from an accredited school of nursing or institute; and one year of LTC /Skilled experience.
• Must have a Registered Nurse’s License current, with no judgments against it, in the state in which he/she is practicing.
• Must be BLS and CPR certified; ACLS a plus.

Physical Requirements: Standing (1/3-2/3), walking (1/3-2/3), using hands to finger, handle or feel (over 2/3), reach with hands and arms (over 2/3), climb and balance (under 1/3), stoop, kneel (under 1/3), talk or hear (over 2/3), taste or smell (under 1/3). Lifting up to 10 pounds (1/3 - 2/3), Up to 25 pounds (under 1/3); Up to 50 pounds (under 1/3); up to 100 pounds (under 1/3), more than 100 pounds (none)