What are the responsibilities and job description for the Registered Nurse- Evening Shift position at ADP Workforce Now?
BETHESDA
REGISTERED NURSE
JOB DESCRIPTION
Job Summary: Provides quality, efficient, and loving care to each resident in a personalized way. Administrates medications and performs treatments as ordered by physicians. Informs physicians and families of changes in physical or mental conditions. Insures the safety and wellness of each resident and promotes healing, strives to make the lives of each resident as comfortable and happy as possible. Through close and direct supervision of nursing assistants, promotes high quality nursing care. Provides direction, re-direction, correction, and instruction to NA/R’s. Though cooperation with the Case Managers and RN Supervisors in keeping close daily contact with the needs of the residents.
Full-Time Benefits:
Full-time employees are eligible for the following benefits:
- Health Insurance through Nice and Proximal
- Dental & Vision Insurance
- Short-Term Disability
- 401(k) with up to a 6% employer match
- Health Savings Account (HSA)
Job Relationships:
- Reports to: Case Manager or RN Supervisor.
- Secondary Reporting to: Director of Nursing or Assistant Director of Nursing
- Interrelationships with: Other nursing staff, Department Directors, Dietary Department, Transportation Aides, Medical Secretary, Activity Department, Chaplain, Social Services, Housekeepers, Laundry, Maintenance, and Administrator.
- Internal Relationships: Residents and their families
- External Contacts: Visitors to the building, physicians, and other health care personnel, and volunteers
- Supervisory Responsibilities: Nursing Assistants
Hours of Work: Shift work will vary depending on shift and floor. Includes required weekend and holiday rotation. Shifts available - Evening Shift: 02:00p.m to 10:30 p.m.
Dress code: Clean, fitted scrubs in solid colors or simple patterns. Bethesda shirts. Footwear: Closed-toe, comfortable, slip-resistant shoes. Hair and Hygiene: Maintain a high standard of cleanliness, oral hygiene, and deodorant. Neatly tied back if long. Identification: Visible name badge, worn on chest area. PPE: Compliance with facility guidelines for masks, gloves, goggles, etc. if applicable. Piercings: Covered or removed if posing infection or safety risk. Tattoos: Covered or removed if posing infection or safety risk. General Appearance: Clean, unwrinkled scrubs. Minimal jewelry/accessories. Nails must be kept clean and neatly trimmed or filed. Jeans with no holes or rips on Fridays.
Essential Requirements of Work: (minimum qualifications necessary to function at full productivity.)
- Education:
- Graduate from approved school of nursing and currently licensed in the State of Minnesota as a Registered Nurse
- Maintain 24 continuing education credits every two-years.
- Attending in-services and workshops to update knowledge of all nursing procedures and medication.
- Experience:
- Experience to provide knowledge of all basic nursing procedures and how they are done properly.
- Experience in the proper administration of medication
- Knowledge and ability to perform CPR when needed
- Medication administration including PO, IM, Subq, Intradermal, and IV
- Dressing changes
- Catheterization- male and female
- N.G. tube placement
- Tube feedings
- Trachea care
- IV administration and site care
- Vital signs
- Personal:
- Ability to read and follow oral and written communication.
- Ability to deliver oral and written communications
- Detail oriented to insure no medication errors
- Well-developed time management skills- able to prioritize and delegate
- Ability to direct and supervise NA/R staff.
- Interest in gerontology
- Have a professional image
- Ability to be calm and level headed
- Have common sense and moral integrity
- Ability to insure confidentiality
- Ability to communicate difficult issues in a tactful manner
- Ability to learn from mistakes
- Provide a pleasant attitude and cheerful disposition towards staff, family and residents
- Arrive to work and depart from work on a timely basis
- Ability to use a computer
- Job Knowledge:
- Knowledge of nursing policies and procedures
- Knowledge of aseptic technique and infection control practices
- Ability to assess resident’s condition with knowledge of which warrant quick action and to whom it should be reported
- Thorough knowledge of medications and the proper administration of them including time, dose, route frequency and side effect
- Through knowledge of State and Federal regulations as related to the administration of medication and treatments
- Supervisory knowledge and abilities
- Ability to read and understand all physicians’ orders and other orders given
- Possess an alertness and awareness of signs and symptoms of changes in resident’s conditions
Physical Demands of the Job:
- Frequent bending and stooping
- Standing for prolonged periods of time
- Patient handlers must sign & comply with the Skilled Nursing Facility Safe Patient Handling Policy
- Pushing/pulling of medication cart
Mental Demands of the Job:
- Working in an environment with many residents who exhibit a wide range of emotions and needs including occasionally aggressive behavior
- Ability to work within time restraints
- Ability to work in an environment with frequent interruptions and having skills to prioritize job duties
- Ability to change work assignments with short notice
Quality Performance Results in:
- Residents feeling good about themselves and showing signs of being physically and mentally healthy
- They willingly cooperate when give their medications
- The RN will also benefit positively by seeing residents who are happy and enjoy a cooperative relationship
- Residents will feel comfortable to share their needs and problems
Principle Job Responsibilities:
Responsibilities: Appropriately and safely administer medications according to physician’s orders with 100% accuracy following all necessary procedures.
- Administer medications by mouth or directly to the skin, eyes, ears, nose, or rectum
- Use the six rights always when administering medications (Right patient, Right medications, Right dose, Right route, Right time, and Right record)
- Comply with governmental regulations when administering medications
- Uses standard medication references
- Medications can be given up to ½ hour before and ½ hour after designated time (i.e. an 8:00 a.m. medication can be given anytime between 7:30 a.m. to 8:30 a.m.)
- Crush medication when needed
- Observe residents for properly taking medications
- Sign and document on med sheets
- Set up med cart with needed supplies, re-stock, and clean at the end of shift.
- Count and be responsible for narcotics at the beginning and end of shift together with another nurse or TMA; sign book.
- Check note, follow through and order medication with new physician’s orders, making sure order is complete and correct.
- Assist TMA’s with medication administration oversight.
Responsibility: Appropriately and safely do procedures and treatments as ordered by physician or per plan of care.
- Perform treatments as listed on MAR or “To Do” list as ordered.
- Obtain equipment, explain procedure to resident, follow proper policy and procedure, observe resident’s status and response to treatment, and document results.
- Procedures and treatments include but are not limited to:
- Dressing changes
- Catheterizations
- Tube feedings
- Trachea care
- IV administration and site care
- Vitals signs
- Respiratory therapy including nebulizer treatments
- Blood glucose monitoring
Responsibility: Perform all charting functions with neatness and accuracy on a timely basis.
Tasks:
- Chart all daily needs and problems, as needed or as required.
- Perform scheduled charting from “To do” list, monthly ADL charting and weekly behavior charting
- Record on 24-hour report daily special needs or problems and other pertinent information
- Check and change resident care plans when a resident’s condition changes, medication, treatment or behavior changes.
- MDS and QAR charting as requested by RN Supervisor
- Complete and follow-up on incident reports
- Assist Care Managers/RN Supervisor with completing necessary paperwork for Doctor appointments, transfers, and hospital admissions
Responsibility: Implement resident care through delivery of quality care (with communication and documentation)
Tasks:
- Take telephone orders
- Call physicians
- Process and check orders
- Do rounds with physician if Care Manager/RN Supervisor is not available.
- Assist lab person with lab work as needed
- Obtain IA’s or other specimens when ordered by physician
- Obtain UA’s or other specimens when ordered by physician
- Be a good listener to family members and report their concern to proper departments
- Give tender, loving care and supportive conversation to residents and their families in time of need or death
- Be familiar with and obey all laws regarding resident rights and vulnerability including reporting any incidents of known or suspected resident abuse or neglect
- Observe any changes or problems that develop on a daily basis
- Provide the necessary follow-up
- Report o Case Manager/RN Supervisor new needs or problems
- Notify family if appropriate
- Check appointments for the day and get exchange forms ready for physician
- Check on any ill residents for their immediate needs
- Inform NA/R’s of these needs
- Check 24-hour report from previous shifts or days not worked and start 24-hour report for day with known information
- Report off to oncoming nurse with daily information obtained
- Assist Case Manager/RN Supervisor with admission and discharge of residents
- Attend and participate in quarterly care conferences as requested by Case Manager.
- Have charts and all other information ready and well prepared.
- Check emergency equipment at beginning of shift
- Assure vital signs and weights are taken and recorded. Check for accuracy.
- Respond to any internal emergencies in the building
- Perform Heimlich and/or CPR when needed.
- Asses any resident with incident involving injuries
- Set-up emergency medical care if needed
- Assume overall care for the building when no RN Supervisors are in house by responding as requested and as you deem necessary.
- ! and O nourishments
Responsibility: Observe and supervise all nursing assistants in their work performance
Tasks:
- Observe and supervise all nursing assistants in their work performance. Direct the care of residents by assessing staff available and resident’s needs.
- Supervise and teach new procedures when needed
- Insure the practice of safe work habits at all times
- Report to and receive report on resident’s daily needs from nursing assistants at the beginning and end of shifts.
- Get report from nurse on duty from the previous shift
- Make sure all scheduled nursing assistants are on duty
- Investigate all staff incidents, resident incidents, and vulnerable adult reports.
- Assure residents immediate safety
- Make Report
- Report to Case Manager/RN Supervisor
- Do performance evaluations of NA/R’s on employment anniversary.
- Attempt to solve any problems that develop
- Assist nursing assistants with performing direct resident cares including dressing, grooming, bathing, oral cares, ambulating, transferring, feeding, and toileting/
- Confer with supervisor on any issue regarding staffing, personnel issues, or resident concerns that you don’t feel you are able to handle.
Responsibility: Promote and participate in professional and growth.
Tasks:
- Attend nursing in-services
- Attend professional staff meetings
- Use resource material available
- Possess knowledge of policies and procedures and act accordingly
- Maintain a professional image
- Maintain professional conduct and provide leadership
- Attend outside workshops to enhance on the job performance and maintain professional license. Share information.
- Assure confidentiality, dignity, and resident rights at all times
- Offer suggestions and participate in quality improvement projects
- Accept constructive criticism and suggestions gracefully.
- Maintain a pleasant attitude and cheerful disposition towards staff, family, and residents
- Assist in orientation of new personnel as needed.
- Provide support to other staff, recognizing the stresses in this job
Professional and Personal Growth
- Report for and leave the work area on a timely basis
- Participate in annual performance evaluation process
- Write yearly personal goals
- Participate in all required in-service programs at Bethesda.
- Maintain a professional conduct and pleasant, friendly
- Be willing to learn and change to meet needs that arise.
Salary : $39 - $44