GENERAL DESCRIPTION: Responsible for the residents and management of the nursing staff. Provide leadership and guidance for other professional and ancillary staff. Is responsible to assure the optimal level quality of care is provided to the residents.

EDUCATION, EXPERIENCE AND QUALIFICATIONS: Must be a Registered Professional Nurse with current New

York State registration and have previous geriatric and/or supervisory experience. May consider a LPN with management experience.

DUTIES AND RESPONSIBILITIES:

• Work by prearranged assignment, but must be able to accept changes and adapt to added assignments as the need arises.

• Assume responsibilities for and direct activities relating to health and nursing care of all residents at Elm Manor Nursing and Rehabilitation Center

• Will be responsible for medication room and narcotic keys. Any discrepancy in the count will be reported to the Director of Nursing.

• Make rounds frequently to check all residents; check with residents mentioned in report to evaluate their condition, and participate in direct services whenever the need arises.

• Accurate reporting and documentation of resident status and care needs information.

• Evaluate and recommend improvements needed to give quality care to residents.

• Assist resident's attending physician during visits/rounds.

• Report to physicians residents' condition changes, etc., as indicated.

• Record telephone orders on physician order sheets and that nothing/follow through occurs by Charge Nurse.

• See that medications are administered and recorded according to the Pharmaceutical Policies and Procedures and that narcotics are accurately accounted for.

• Assist with noting physician's orders and sees that they are carried out. Perform such treatments or procedures as required in the nursing policies and procedures manual.

• Will schedule and obtain laboratory specimens as ordered by the physician or Medical Director.

• Will assist with follow-through or may initiate precautionary measures in case of suspected infection in cooperation with the Infection Control Nurse.

• Assign personnel and make staff adjustments according to needed coverage to meet resident needs.

• Acquire replacement staff when an employee calls in; assist with scheduling as needed.

• See that personnel are oriented to duties assigned to them and evaluate job performance of staff under their supervision.

• Request supplies as needed.

• Practice economy is use of supplies and utilities.

• Maintain an open line of communication with the Director of Nursing, Medical Director, Nurse Managers, other departments and consulting agencies of residents' status and needs and staff and unit needs. Responsible for notifying residents' primary contact if residents' status changes.

• Complete and distribute daily census sheets.

• Assist with updating care plans as indicated. Institute disciplinary measures as indicated to nursing staff with Director of Nursing's knowledge.

• Ensure that established policies and procedures including dress codes are followed by departmental personnel.

• Perform any other pertinent duties as assigned by my supervisor.

• I understand that emergency conditions may require me to temporarily work shifts other than the one for which I have applied and been assigned, and agree to such scheduling change or overtime when necessary to ensure proper operations of Elm Manor as directed by my supervisor.

PERSONAL REQUIREMENTS AND WORKER TRAITS:

• The ability to work in a team concept and communicate effectively with staff at all levels, community groups, families and residents.

• The ability to relate to people in a manner to gain confidence and establish support.

• The ability to organize, plan and manage the activities of a multidiscipline program.

• The flexibility to adjust to changing conditions and situations.

• Must have professional skills and aptitudes in decision making as well as professional manner and appearance.

PHYSICAL DEMANDS AND WORKING CONDITIONS:

• Works in well ventilated, well lighted, congenial atmosphere.

• Walking, sitting, lifting and transferring residents.

VOCATIONAL DEVELOPMENT:

• Attends in-service programs and staff development programs as provided by the facility to maintain compliance with the Department of Health and other regulatory agencies as well as Folts Center policies and procedures.

JOB HAZARDS: Minors are prohibited from performing certain duties involving the use of power driven equipment and the mixing and usage of chemicals as outlined by labor law regulations.

Lifting requirements/restrictions.

• Is subject to exposure to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses.

PERSONAL PROTECTIVE EQUIPMENT: N/A

CONTACTS: Residents, Families, Nursing Staff, Employees