Come join our passionate team at the Carl T. Curtis Health Education Center Nursing Home in Macy, NE. This state of the art facility located on the Omaha Nation Indian Reservation houses a majority of the community's venerated Elders and working here will immerse you in our deep and rich cultural heritage. By joining our organization, you will become part of a team that embraces diversity, promotes cultural sensitivity, and nurtures professional growth. We offer a supportive work environment, ongoing training and development opportunities, competitive compensation, and comprehensive benefits.

Our nursing home is a 25-bed unit that services include medical, nursing, and related services with an emphasis on rehabilitative and restorative nursing to promote individuals to the highest possible mental and physical capacity. The Nursing Home provides a home-like atmosphere that incorporates cultural and traditional beliefs and activities. The Nursing Home offers a spiritual room for any religious services, including traditional Native American devotions services and prayer meetings.

This position necessitates frequent travel to Macy, NE, where the job duties are performed.

Benefits:

• 401(a)
• Worker's Compensation
• 16 Paid Holidays
• Annual Vacation Leave
• Accrued Sick Leave
• Other Leave (Jury Duty/Military/Education/Religious/Cultural)
• Comprehensive & Affordable Medical/Dental/Vision Insurance
• $30,000 Life Insurance
• FMLA
• Short Term Disability

SUMMARY: The position will provide direct nursing care to residents who are sick, injured, convalescent, or disabled. Under general supervision, they will deliver care to patients utilizing the nursing process of assessment, planning, intervention, implementation, and evaluation, in accordance with established philosophy. Nurses collaborate with other professional disciplines to ensure effective patient care delivery and achievement of desired patient outcomes. They must effectively interact with patients and significant others while maintaining the standard of professional nursing. Their focus will be on maximizing patients' functional abilities, as well as promoting, maintaining, and restoring their physical and mental health in an intermediate nursing facility setting. Such supervision must be in accordance with current federal, state, and local standards, guidelines, and regulations that govern the facility, and as may be required by the Director of Nursing to ensure that the highest degree of quality care is maintained at all times.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following:

• May be necessary to assist in the evacuation of residents during emergency situations.
• Demonstrates applicable knowledge of policies and procedures related to the Registered Nurse/LPN
• Demonstrates ability to perform technical skills for the Registered Nurse including the patient’s treatment, emergency procedures, as determined by the competency assessment program.
• Perform other duties as assigned.

NURSING DUTIES:

• Consults and coordinates with health care team members to assess, plan, implement and evaluate patient care plans and directs Certified Medication Managers and Certified Nursing Assistants in duties.
• Prepares and administers (orally, subcutaneously) and records prescribed medications. Reports adverse reactions to medications or treatments in accordance with the policy regarding the administration of medications by a licensed registered nurse
• Records patients’ medical information and vital signs
• Assesses the patients’ ability to do routine daily tasks
• Assists patients with such basic needs as dressing, eating, and bathing, and encourages patients to do things for themselves to retain feelings of independence and self-esteem
• Recognizes and manages syndromes common to older adults, including: cardiovascular, respiratory, gastrointestinal, urinary, hematological, musculoskeletal, endocrine, neurological, psychiatric/psychosocial, integumentary, sensory and pain problems
• Prepares equipment and aids physician during examination and treatment of patient
• Facilitates older adults’ active participation in all aspects of their own health care
• Involves, educates, and when appropriate, supervises family/significant others in implementing best practices for older adults
• Promotes the desirability of quality end-of-life care for older adults
• Records all care information concisely, accurately and completely, in a timely manner, in the appropriate format and on the appropriate forms
• Performs other position-related duties as assigned, depending on assignment setting and scope of practice per State and/or Federal guidance related to license held.

OTHER RESPONSIBILTIES:

• Completes required orientation as directed by facility
• Follows facility and safety rules and procedures while on assignment
• Follows facility Nursing Policy and Procedure Manual
• Respects cultural and religious practices of residents
• Upholds HIPAA regulations
• Punctual and dependent for assigned/confirmed shifts

QUALIFICATION REQUIREMENTS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

EDUCATION and/or EXPERIENCE:

• Graduate of an accredited nursing program
• Minimum of one (1) year LTC experience or ability to train on site with positive clinical reference.
• Geriatric Nursing experience preferred
• Nursing Supervisory experience preferred

CERTIFICATIONS, LICENSES, REGISTRATIONS:

• Current nursing license, in good standing with the State licensing board
• Federal-, State- credentials current and on file (within approved timeframe): For example, current CPR, CMS COVID Prevention, Mandatory Reporter for vulnerable adults certificates of completion.
• Valid Driver’s License preferred, and insurable under insurance guidelines.
• Must pass a pre-employment drug test, physical and background check.

Working Conditions:

Because patients need round-the-clock care, working hours include days, nights, weekends and holidays. The number of patients assigned per shift will vary with facility and specialty, if applicable. Nurses spend considerable time walking, bending, stretching and standing; they assist in patient transfers. Nurses must guard against back injury because they may have to assist CNAs in patient lifts and transfers; they must follow proper body mechanics and procedures for lifting/moving patients. Nurses may face hazards from exposure to chemicals and infectious diseases. In addition, the population cared for will contain patients that are confused, irrational, agitated, or uncooperative, from diagnoses, such as Alzheimer’s.

Physical Demands

• Ability to lift twenty (20) pounds. Moving, lifting or transferring of patients may involve lifting of up to fifty
• (50) pounds, as well as assist with weights of more than one-hundred (100) pounds.
• Ability to stand for extended periods
• Fine motor skills
• Visual acuity

Knowledge, Skills, and/or Abilities:

• Must have good oral and written communication skills.
• Must have the ability to give direction as well as receive.
• Must possess ability to make independent decisions when circumstances warrant such action.
• Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public.
• Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to long-term care.
• Must possess leadership and supervisory ability and the willingness to work harmoniously with and supervise other personnel.
• Must possess the ability to plan, organize, develop, implement, and interpret the program goals, objectives, policies and procedures, etc., that are necessary for providing quality care.
• Must have patience, tact, a cheerful disposition and enthusiasm, as well as the willingness to handle difficult residents.
• Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices.
• Must be able to relate information concerning resident’s condition.
• Must not pose a direct threat to the health or safety of other individuals in the workplace.
• Must be able to move intermittently throughout the work day.
• Must function in independently and have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies.
• Must meet the general health requirements set forth by the policies of the facility which include a medical and physical examination.
• Must be able to relate to and work with the ill, disabled, elderly, emotionally upset, and, at times, hostile people within the facility

PLEASE NOTE: P.L. 93-638, Indian Preference and Tribal Employment Rights Ordinance, (TERO), will be practiced, however all qualified applicants will be considered.

Job Type: Full-time

Pay: $40.00 - $50.00 per hour

Medical specialties:

• Geriatrics

Physical setting:

• Long term care
• Nursing home

Standard shift:

• Day shift
• Night shift

Supplemental schedule:

• Holidays
• Overtime

Weekly schedule:

• 3x12
• 4x12
• Rotating weekends

Application Question(s):

• How many years of supervisory experience do you have?

Experience:

• Nursing: 1 year (Preferred)

License/Certification:

• BLS Certification (Preferred)
• RN License (Required)

Ability to Relocate:

• Omaha, NE: Relocate before starting work (Required)

Work Location: On the road