General Purpose:
Responsible for
supervision of the delivery of care to residents on assigned Unit. Assess
resident needs, develop care plans, administer nursing care, evaluate
nursing care, and supervise CNAs and
other personnel in the delivery of nursing care.
Essential Job Functions:
This facility
expects their employees to promote an atmosphere of teamwork with other
employees and hospitality and comfort for its residents. Therefore, the following
list of duties
is not all-inclusive:
- Attend therapy meetings.
- Complete assessments of residents at admission and discharge from unit.
- Supervise nursing personnel
assigned to the Unit.
- Document services rendered
to residents in Unit for billing purposes.
- Write admission notes or evaluate
admission notes and chart additional essential information.
- Identify and prioritize primary nursing problems. Place charting profile
of prompters in front of chart.
- Develop care plan addressing immediate nursing problems.
- Attend weekly meetings,
working with therapy
and nursing department to optimize
reimbursement and make decisions regarding decertification and discharge.
- Make daily rounds on the unit to monitor resident
care and status or residents.
- Implement care plans for residents on the unit in compliance with physician’s orders.
- Implement established nursing
policies and procedures on the unit, educating nursing support staff according to
facility guidelines.
- Notify resident or legal representative of pending discharge
24 hours in advance.
- On date of discharge, chart complete discharge summary, to include
discharge planning and referrals.
- Keep complete and accurate record
of sign in/out sheets for staffing hours.
- Assign duties to LPNs and nursing assistants working on the unit, as directed.
- Work closely with the Director
of Nursing in resolving grievances with nursing staff,
family members, and residents.
- Promote favorable working conditions and relationships with the
administration, medical staff, consultants, other departments, residents, family members, volunteers, agencies, and any
other individual or group affiliated with Unit and the facility.
- Handle and report
disciplinary action that requires immediate attention during your tour of duty in the absence of the Director of
Nursing, Assistant Director of Nursing and Administrator.
- Review charting on a weekly basis for accuracy and completeness. Verify
that nurses’ charting correlates with what therapy
is charting. Document
in resident’s chart
pertinent information about significant change in resident’s condition.
- Maintain a safe working environment, complying with infection
control and body mechanic
procedures.
- Respond to need for staffing
shortages by arranging
for replacement staff.
- Supervise and perform
treatments or venipunctures, as needed.
- Track infection control, exposure control, and resident care trends to
provide proactive improvement. Identify areas of concern
and offer recommendations and suggestions to the
Director of Nursing.
- Fill in as Charge Nurse when necessary.
- Audit nursing charges
as instructed by Director of Nursing.
- Inform Central Supply of any supplies that are needed for the Unit.
- Attend in-service education
programs in order to meet facility educational requirements.
- Be familiar with Standard Precautions, Exposure Control Plan, Fire Drill and Evacuation Procedures and know how to use
the information.
- Maintain confidentiality of resident and facility records/information.
- Protect residents from neglect, mistreatment, and abuse.
- Protect the personal
property of the residents of the facility.
- Others as directed
by the supervisor or administrator.
Minimum Qualifications:
- Registered Nurse with current state license.
- Excellent technical, assessment and documentation skills.
- Good leadership qualities.
- Organized and detailed
in work performance.
- Good communication skills
with excellent self-discipline and patience.
- Genuine caring for and interest
in elderly and disabled people
in a nursing facility.
- Comply with the Residents’ Rights
and Facility Policies
and Procedures.
- Perform work tasks within the physical demand
requirements as outlined
below.
- Perform Essential Duties
as outlined above.
