Registered Nurse (RN)

Type

Full-time

Salary

$40.00/hour

Contact Information

Contact: Human Resources
Phone: 916-649-2000
Fax: 916-649-1716
Email: kevin@cypressh.com
Website: asburyparknursing.com

Description

RN %u2013 Job Duties and Responsibilities

WAGE NEGOTIABLE WITH EXPERIENCE

Essential Functions

Interpersonal, Teamwork & Misc.

- Communicates unresolved work-related issues productively & effectively solves problems

- Handles confidential information appropriately and is HIPAA compliant

- Friendly and courteous to residents, co-workers etc, and takes ownership in solving problems (taking initiative where appropriate)

- Works well in a team, owning personally assigned work and assisting wherever needed to get the job done

- Follows established policies and guidelines

- Reliable and predictable attendance

Administrative Functions

- Direct the day-to-day functions of the nursing assistants in accordance with current rules, regulations, and guidelines that govern the long-term care facility.

- Ensure that all nursing personnel assigned to you comply with the written policies and procedures established by this facility.

- Periodically review the department%u2019s policies, procedure manuals, job descriptions, etc. Make recommendations for revisions.

- Meet with your assigned nursing staff, as well as support personnel, in planning the shifts%u2019 services, programs, and activities.

- Ensure that the Nursing Service Procedures Manual is current and reflects the day-to-day nursing procedures performed in this facility.

- Ensure that all nursing service personnel comply with the procedures set forth in the Nursing Service Procedures Manual.

- Make written and oral reports/recommendations concerning the activities of your shift as required.

- Cooperate with other resident services when coordinating nursing services to ensure that the resident%u2019s total regimen of care is maintained.

- Ensure that all nursing service personnel are in compliance with their respective job descriptions.

- Participate in the development, maintenance, and implementation of the facility%u2019s quality assurance program for the nursing service department.

- Participate in facility surveys (inspections) made by authorized government agencies as may be requested.

- Periodically review the resident%u2019s written discharge plan. Participate in the updating of the resident%u2019s written discharge plan as required.

- Assist in planning the nursing services portion of the resident%u2019s discharge plan as necessary.

- Interpret the department%u2019s policies and procedures to personnel, residents, visitors, and government agencies as required.

- Complete accident/incident reports as necessary.

- Write resident charge slips and forward to the Business Office.

- Maintain the Daily Census Report and submit to the Business Office as required.

- Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., as necessary.

Charting and Documentation

- Complete and file required recordkeeping forms/charts upon the resident%u2019s admission, transfer, and/or discharge.

- Encourage attending physicians to review treatment plans, record and sign their orders, progress notes, etc., in accordance with established policies.

- Receive telephone orders from physicians and record on the Physicians%u2019 Order Form.

- Transcribe physician%u2019s orders to resident charts, cardex, medication cards, treatment/care plans, as required.

- Chart nurses%u2019 notes in an informative and descriptive manner that reflects the care provided to the resident, as well as the resident%u2019s response to the care.

- Fill out and complete accident/incident reports. Submit to Director as required.

- Chart all reports of accidents/incidents involving residents. Follow established procedures.

- Record new/changed diet orders. Forward information to the Food Services Department.

- Report all discrepancies noted concerning physician%u2019s orders, diet change, charting error, etc., to the Nurse Supervisor.

- Fill out and complete transfer forms in accordance with established procedures.

- Ensure that appropriate documentation concerning unauthorized discharges is entered in the resident%u2019s medical record in accordance with established procedures.

- Perform routine charting duties as required and in accordance with established charting and documentation policies and procedures.

- Sign and date all entries made in the resident%u2019s medical record.

Drug Administration Functions

- Prepare and administer medications as ordered by the physician.

- Verify the identity of the resident before administering the medication/treatment.

- Ensure that prescribed medication for one resident is not administered to another.

- Ensure that an adequate supply of floor stock medications, supplies, and equipment is on hand to meet the nursing needs of the residents. Report needs to the Nurse Supervisor.

- Order prescribed medications, supplies, and equipment as necessary, and in accordance with established policies.

- Ensure that narcotic records are accurate for your shift.

- Notify the Nurse Supervisor of all drug and narcotic discrepancies noted on your shift.

- Review medication cards for completeness of information, accuracy in the transcription of the physician%u2019s order, and adherence to stop order policies.

- Notify the attending physician of automatic stop orders prior to the last dosage being administered.

- Dispose of drugs and narcotics as required, and in accordance with established procedures.

Personnel Functions

- Participate in employee performance evaluations, determining your shift%u2019s staffing requirements, and making recommendations to the Nurse Supervisor concerning employee dismissals, transfers, etc.

- Inform the Nurse Supervisor of staffing needs when assigned personnel fail to report to work.

- Report absentee call-ins to the Nurse Supervisor.

- Review and evaluate your department%u2019s work force and make recommendations to the Nurse Supervisor.

- Develop work assignments and/or assist in completing and performing such assignments.

- Provide leadership to nursing personnel assigned to your unit/shift.

- Make daily rounds of your unit/shift to ensure that nursing service personnel are performing their work assignments in accordance with acceptable nursing standards. Report problem areas to the Nurse Supervisor.

- Ensure that all nursing assistants are enrolled in or have graduated from an approved nursing assistant training program.

- Ensure that all nurse aide trainees are under the direct supervision of a licensed nurse.

- Meet with your shift%u2019s nursing personnel, on a regularly scheduled basis, to assist in identifying and correcting problem areas, and/or to improve services.

- Ensure that department personnel, residents, and visitors follow the department%u2019s established policies and procedures at all times.

- Develop and maintain a good working rapport with inter-departmental 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.

- Review complaints and grievances made or filed by your assigned personnel. Make appropriate reports to the Nurse Supervisor as required or as may be necessary. Follow facility%u2019s established procedures.

- Ensure that departmental disciplinary action is administered fairly and without regard to race, color, creed, national origin, age, sex, religion, handicap, or marital status.

- Receive/give the nursing report upon reporting in and ending shift duty hours.

- Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals in accordance with the facility%u2019s policies and procedures governing accidents and incidents.

Nursing Care Functions

- Inform nursing personnel of new admissions, their expected time of arrival, room assignment, etc.

- Ensure that rooms are ready for new admissions.

- Greet newly admitted residents upon admission. Escort them to their rooms as necessary.

- Participate in the orientation of new residents/family members to the facility.

- Make rounds with physicians as necessary.

- Requisition and arrange for diagnostic and therapeutic services, as ordered by the physician, and in accordance with our established procedures.

- Consult with the resident%u2019s physician in providing the resident%u2019s care, treatment, rehabilitation, etc., as necessary.

- Review the resident%u2019s chart for specific treatments, medication orders, diets, etc., as necessary.

- Implement and maintain established nursing objectives and standards.

- Make periodic checks to ensure that prescribed treatments are being properly administered by certified nursing assistants and to evaluate the resident%u2019s 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.

- Cooperate with and coordinate social and activity programs with nursing service schedules.

- Notify the resident%u2019s attending physician when the resident is involved in an accident or incident.

- Notify the resident%u2019s attending physician and next-of-kin when there is a change in the resident%u2019s condition.

- Carry out restorative and rehabilitative programs, to include self-help and care.

- Inspect the nursing service treatment areas daily to ensure that they are maintained in a clean and safe manner.

- Administer professional services such as; catheterization, tube feedings, suction, applying and changing dressings/bandages, packs, colostomy, and drainage bags, taking blood, giving massages and range of motion exercises, care for the dead/dying, etc., as required.

- Use restraints when necessary and in accordance with established policies and procedures.

- Obtain sputum, urine and other specimens for lab tests as ordered

- Take and record TPRs, blood pressures, etc., as necessary.

- Monitor seriously ill residents as necessary.

- Check foods brought into the facility by the resident%u2019s family/visitors to ensure that it is within the resident%u2019s dietary allowances. Report problem areas to the Nurse Supervisor and Dietary Supervisor.

- Ensure that personnel providing direct care to residents are providing such care in accordance with the resident%u2019s care plan and wishes.

- Ensure that residents who are unable to call for help are checked frequently.

- Meet with residents, and/or family members, as necessary. Report problem areas to the Nurse Supervisor

- Admit, transfer and discharge residents as necessary.

- Assist in arranging transportation for discharged residents as necessary.

- Ensure that discharged residents are escorted to the pick-up area.

- Inform family members of the death of the resident.

Staff Development

- Participate in developing, planning, conducting, and scheduling in-service training classes that provide instructions on %u201Chow to do the job,%u201D and ensure a well-educated nursing service department.

- Implement and maintain an effective orientation program that orients the new employee to your shift, its policies and procedures, and to his/her job position and duties.

- Assist in standardizing the methods in which work will be accomplished.

- Assist in training department personnel in identifying tasks that involve potential exposure to blood/body fluids.

- Assist the Director in planning clinical supervision for nurse aide trainees.

- Attend and participate in outside training programs.

- Attend and participate in annual facility in-service training programs as scheduled (e.g., OSHA, TB, HIPAA, Abuse Prevention, Safety, Infection Control, etc.).

- Attend and participate in advance directive in-service training programs for the staff and community.

- Attend and participate in continuing education programs designed to keep you abreast of changes in your profession, as well as to maintain your license on a current status.

Safety and Sanitation

- Monitor your assigned personnel to ensure that they are following established safety regulations in the use of equipment and supplies.

- Ensure that established departmental policies and procedures, including dress codes, are followed by your assigned nursing personnel.

- Assist the Director and/or Infection Control Coordinator in identifying, evaluating, and classifying routine and job-related functions to ensure that tasks in which there is potential exposure to blood/body fluids are properly identified and recorded.

- Ensure that all personnel performing tasks that involve potential exposure to blood/body fluids participate in appropriate in-service training programs prior to performing such tasks.

- Ensure that an adequate supply of personal protective equipment are on hand and are readily available to personnel who perform procedures that involve exposure to blood or body fluids.

- Ensure that your assigned work areas (i.e., nurses%u2019 stations, medicine preparation rooms, etc.) are maintained in a clean and sanitary manner.

- Ensure that your unit%u2019s resident care rooms, treatment areas, etc., are maintained in a clean, safe, and sanitary manner.

- Ensure that your assigned personnel follow established handwashing and hand hygiene technique in the administering of nursing care procedures.

- Ensure that your assigned personnel participate in and conduct all fire safety and disaster preparedness drills in a safe and professional manner.

- Participate in the development, implementation, and maintenance of the infection control program for monitoring communicable and/or infectious diseases among the residents and personnel.

- Ensure that your assigned personnel follow established infection control procedures when isolation precautions become necessary.

- Ensure that nursing personnel follow established procedures in the use and disposal of personal protective equipment.

- Participate in the development, implementation, and maintenance of the procedures for reporting hazardous conditions or equipment.

- Ensure that all personnel wear and/or use safety equipment and supplies (e.g., back brace, mechanical lifts, etc.) when lifting or moving residents.

- Report missing/illegible labels and MSDSs to the safety officer or other designated person.

Equipment and Supply Functions

- Recommend to the Nurse Supervisor the equipment and supply needs of your unit/shift.

- Ensure that an adequate stock level of medications, medical supplies, equipment, etc., is maintained on your unit/shift at all times to meet the needs of the residents.

- 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 your unit/shift%u2019s 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.

Care Plan and Assessment Functions

- Review care plans daily to ensure that appropriate care is being rendered.

- Inform the Nurse Supervisor of any changes that need to be made on the care plan.

- Ensure that your nurses%u2019 notes reflect that the care plan is being followed when administering nursing care or treatment.

- Review resident care plans for appropriate resident goals, problems, approaches, and revisions based on nursing needs.

- Ensure that your assigned certified nursing assistants (CNAs) are aware of the resident care plans. Ensure that the CNAs refer to the resident%u2019s care plan prior to administering daily care to the resident.

- Assist the Resident Assessment/Care Plan Coordinator in planning, scheduling, and revising the MDS, including the implementation of CAA%u2019s and Triggers.

Budget and Planning Functions

- Report suspected or known incidence of fraud relative to false billings, cost reports, kickbacks, etc.

Resident Rights

- Maintain the confidentiality of all resident care information including protected health information. Report known or suspected incidents of unauthorized disclosure of such information.

- Monitor nursing care to ensure that all residents are treated fairly, and with kindness, dignity, and respect.

- Ensure that all nursing care is provided in privacy and that nursing service personnel knock before entering the resident%u2019s room.

- Ensure that all nursing service personnel are knowledgeable of the residents%u2019 responsibilities and rights including the right to refuse treatment.

- Review complaints and grievances made by the resident and make a written/oral report to the Nurse Supervisor indicating what action(s) were taken to resolve the complaint or grievance. Follow the facility%u2019s established procedures.

- Maintain a written record of the resident%u2019s complaints and/or grievances that indicates the action taken to resolve the complaint and the current status of the complaint.

- Report and investigate all allegations of resident abuse and/or misappropriation of resident property.

- Ensure that nursing staff personnel honor the resident%u2019s refusal of treatment request. Ensure that such requests are in accordance with the facility%u2019s policies governing advance directives.

Miscellaneous

- Provide data to the Quality Assurance & Assessment Committee as requested.

Physical Capabilities

- Must be able to move intermittently throughout the workday.

- Frequent bending and reaching.

- 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 meet the general health requirements set forth by the policies of this facility which includes an annual TB screening and physical examination.

- Must be able to stand for and walk for extended periods of time.

- Must be able to lift and carry up to 25 pounds.

- Requires infrequent lifting of weight up to 100 pounds with assistance.

- Frequent pushing and pulling of carts.

- Infrequent transporting of residents.

- Must be able to cope with the mental and emotional stress of the position.

Environment Conditions

- Inside work, normal temperatures, some noise, occasional fumes/odors, chemical exposure, and potential exposure to bloodborne pathogens.

- This job cannot be performed without exposure to the stresses associated with an intimate, 24-hour skilled care environment that delivers care and services primarily to disabled and cognitively impaired residents in an aging population.

- Examples of these stresses include, but are not limited to: emergency health or safety response, weekend and holiday duty, unusual or impaired behavior by residents, family reactions to having a loved one in a nursing home, death and dying, oversight of state surveyors, ombudsmen and federal officials, presence of consultants and attorneys, and variable involvement of medical staff.

- HIPAA is a law that must be followed by all healthcare personnel at every level. This position is a Mandated Reporter regarding the suspicion of elder abuse and may have access to Protected Health Information (PHI).

Updated on March 9, 2022