RN – Registered Nurse 7a-7p and 7p-7a

Position Title Registered Nurse (RN)
Department Nursing
Reports to: Director of Nursing
FLSA Status: Non-Exempt

Hours: 7a-7p and 7p-7a

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Essential Duties

Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position.

Administrative Functions

• Participate in facility surveys (inspections) made by authorized government agencies as requested by the Administrator or Director of Nursing Services.
  • Admit, transfer, and discharge residents as required.
  • Complete accident/incident reports as necessary.
  • Interpret the department’s policies and procedures to personnel, residents, visitors, and government agencies as required.
  • Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., as necessary.
  • Agree not to disclose assigned user ID code and password for accessing resident/facility information and promptly report suspected or known violations of such disclosure to the Administrator.
  • Agree not to disclose resident’s protected health information and promptly report suspected or known violations of such disclosure to the Administrator.
  • Report any known or suspected unauthorized attempt to access facility’s information system.

Personnel Functions

• Develop work assignments, and/or assist in completing and performing such tasks.
• Review complaints and grievances made or filed by department personnel. Make appropriate reports to the Director as required or as may be necessary.
• Develop and maintain a good working rapport with inter-department personnel, as well as other departments within the facility to ensure that nursing services and activities can be adequately maintained to meet the needs of the residents.
• Create and maintain an atmosphere of warmth, personal interest and positive emphasis, as well as a calm environment throughout the unit and shift.
• Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals in accordance with the facility’s policies and procedures governing accidents and incidents.
• Report known or suspected incidents of fraud to the Administrator.
• Ensure that departmental computer workstations left unattended are properly logged off or the password protected automatic screen-saver activates within established facility policy guidelines.

Nursing Care Functions

• Ensure that rooms are ready for new admissions.
  • Greet newly admitted residents upon admission. Escort them to their rooms as necessary
  • Make rounds with physicians as necessary.
  • Encourage attending physicians to record and sign progress notes, physicians’ orders, etc., on a timely basis and in accordance with current regulations.
  • Inform the Director when physician visits are not made in a timely manner.
  • Consult with the resident, his/her family, and the resident’s physician in planning the resident’s care, treatment, rehabilitation, etc., as necessary.
  • Notify the resident’s attending physician and next-of-kin when there is a change in the resident’s condition.
  • Visit residents on a daily basis in order to observe and evaluate each resident’s physical and emotional status.
  • Ensure that direct nursing care be provided by a licensed nurse, a certified nursing assistant, and/or a nurse aide trainee qualified to perform the procedure.
  • Provide direct nursing care as necessary.
  • Start IVs, obtain sputum, urine and other specimens for lab tests as ordered.
  • Take TPRs, blood pressures, etc., as necessary.
  • Admit, transfer and discharge residents as necessary.
  • Report problem areas to the Director. Assist in developing and implementing corrective action.
  • Assist the Charge Nurse in monitoring seriously ill residents.
  • Authorize the use of restraints when necessary and in accordance with our facilities policies and procedures.
  • Monitor medication passes and treatment schedules to ensure that medications are being administered as ordered and that treatments are provided as scheduled.
  • Ensure that residents who are unable to call for help are checked frequently.
  • Meet with residents, and/or family members, as necessary. Report problems to the Director.
  • Assist in arranging transportation for discharged residents as necessary.
  • Inform family members of the death of the resident.
  • Call funeral homes when requested by the family.

Equipment and Supply Functions

• Recommend to the Director the equipment and supply needs of the department.
• Ensure that an adequate stock level of medications, medical supplies, equipment, etc., is maintained on premises at all times to meet the needs of the resident.
• Assist the Maintenance Director in developing a preventive maintenance program for maintaining the nursing service department’s equipment and supplies in a safe and operable manner.
• Participate in the development and implementation of the procedures for the safe operation of all nursing service equipment.
• Ensure that only trained and authorized personnel operate the nursing service department’s equipment.
• Ensure that all personnel operate nursing service equipment in a safe manner.
• Monitor nursing procedures to ensure that nursing service supplies are used in an efficient manner to avoid waste.
• Ensure that appropriate MSDSs are on file for hazardous chemicals used in the nursing service department.

Qualification

• • Education and/or Experience Must possess, at a minimum, a Nursing Degree an accredited college or university.
  • Must have training in rehabilitative and restorative nursing practices. 2 years or more experience preferably in a long-term care facility.
  • Language Skills Must be able to read, write, speak, and understand the English language. Ability to read technical procedures. Ability to read and comprehend policy and procedure manuals.
  • Ability to effectively present information and respond to questions from managers and employees.

• Mathematical Skills Ability to apply concepts such as fractions, percentages, ratios and proportions to practical situations.

• Reasoning Ability Must possess
• the ability to make independent decisions when circumstances warrant such action with the ability to solve practical problems.
  • the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public.
  • leadership and supervisory ability and the willingness to work harmoniously with and supervise other personnel.
  • the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures, etc., that are necessary for providing quality care.
• Must demonstrate the knowledge and skills necessary to provide care appropriate to the age-related needs of the residents served.
• Be a supportive team member, contribute to and be an example of team work and team concept.
• Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to nursing care facilities.
• 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 a resident’s condition.
• Must not pose a direct threat to the health or safety of other individuals in the workplace.
• Certificates, Licenses, Registrations must possess a current, unencumbered, active license to practice as an RN in this state.
• Current CPR certification.
• Knowledge and experience with PCC preferred.
• Must maintain all required continuing education/licensing.
• Must remain in good standing with the State Board of Nursing at all times.

Physical Demands

• Must be able to speak and write the English language in an understandable manner.
• Must be able to cope with the mental and emotional stress of the position.
• Must be able to see and hear or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully met.
• Must function 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 this 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.
• Must be able to push, pull, move, and/or lift a minimum of 25 pounds to a minimum height of 5 feet and be able to push, pull, move, and/or carry such weight a minimum distance of 50 feet.
• May be necessary to assist in the evacuation of residents during emergency situations.

Work Environment

• The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• Is subject to hostile and emotionally upset residents, family members, personnel, and visitors.
  Communicates with the medical staff, nursing personnel, and other department directors.
  Works beyond normal working hours and on weekends and holidays when necessary.
• Is subject to injury from falls, burns from equipment, odors, etc., throughout the workday, as well as reactions from dust, disinfectants, tobacco smoke, and other air contaminants.
• Is subject to exposure to infectious waste, diseases, conditions, etc., including TB, AIDS, Coronavirus and Hepatitis B viruses.
• May be subject to the handling of and exposure to hazardous chemicals.
• Maintains a liaison with the residents, their families, support departments, etc., to adequately plan for the residents’ needs.