Job Details

Certificates, Licenses, Registrations:
• Must have a current state license to practice as a registered nurse (RN) or licensed practical nurse
(LPN).
• Current CPR certification
• Additional certification in nursing specialty desired.
Minimum Qualifications:
• Excellent communication and interpersonal skills.
• Computer knowledge
• Freedom from use of and effects of drugs and alcohol in the workplace.
• Meets state and federal criminal background check requirements.
ESSENTIAL FUNCTIONS AND JOB RESPONSIBILITIES
To perform this job successfully, an individual must be able to perform each key function satisfactorily.
Reasonable accommodations may be made to enable individuals with disabilities to perform the key
functions.
1. Coordinates the nursing care of residents on the unit assuring all residents are assigned staff
capable of providing appropriate care to the resident.
2. Provides safe and accurate Medication Related interventions to residents.
a. Administers and documents medications and treatments according to each resident’s
medication schedule using current standards of medication pass technique. Medication
administration includes:
i. Oral
ii. Parenteral
iii. Injections
iv. Enteral
v. Inhaler
vi. Eye drops
vii. Ear drops
viii. Rectal orifice
ix. Topical
x. IV Therapy
b. Knows the rational for the effect of mediations and treatments and correctly administers
same.
c. Provides treatments per the physician order including wound care, urinary
catheterization, oxygen care, tracheotomy care, etc.
d. Orders and receives medications from the pharmacy.
e. Conducts an accurate accounting of all narcotics, signing for count and exchange of keys
to medication carts and medication room.
f. Promptly responds to resident requests for pain intervention and documents such in the
resident record.
3. Accurately transcribes and coordinates the implementation of physician orders including but not
limited to:
a. Scheduling labs, x-rays, physician or clinic visits.
b. Transfer of residents to hospitals/clinics
c. Communicating with ancillary companies the need and use of services

d. Changes in treatment, medication or other physician services
e. Restorative and Rehabilitative care including restorative nursing practices and equipment.
4. Performs nursing assessments regarding the health status of residents. Notifies the physician of
changes in status and promptly implements and documents new orders.
5. Develops a plan of care based on assessment, implementing nursing care.
6. Selects and institutes appropriate nursing interventions that might be required to stabilize a
resident’s condition and /or prevent complications.
7. Contributes to the resident’s assessment (MDS/CAA’s) and the development of a plan of care.
8. Consults with physician or licensed independent practitioner regarding general resident care
needs.
9. Clarifies any order or treatment regimen believed to be inaccurate, non-effective, or
contraindicated by consulting with the appropriate licensed practitioner and notifying the
ordering practitioner when making the decision not to administer medication or treatment.
10. Accurately reports and documents the resident’s symptoms, responses and status.
11. Designs, promotes and organizes resident education and counseling based on health needs.
12. Informs the resident and/or legal representative of incidents or changes in condition and
documents same in chart. Collaborates with the resident, members of the healthcare team and,
when appropriate, the resident’s legal representative/significant other in the interest of the
resident’s health care.
13. Consults with, utilizes and initiates referrals to appropriate community agencies and healthcare
resources to provide continuity of care.
14. Makes resident rounds throughout the shift to assess physical and emotional status and to initiate
any required nursing interventions.
15. Responds to resident and family concerns promptly; ensures that each concern is documented
and a resolution is initiated.
16. Coordinates admission, discharge and transfer of residents.
17. Obtains report from nurse working off going shift, provides report to nurse coming on duty ad
keeps the Director of Nursing or others as appropriate informed about the status of resident and
related matters
18. Maintains an accurate 24 hour report and documents changes in resident conditions and
significant issues needed for continuity of care and safety of residents.
19. Monitors and assists with the serving and documentation of prescribed diets and fluid intake.
20. Understands fire and emergency, safety and security procedures to include elopement.
21. Checks emergency equipment (oxygen and suction) and emergency medication kit (if
application).
22. Uses nursing equipment and supplies according to manufacturer’s guidelines.
23. Accepts only those nursing assignments that are commensurate with one’s own education
preparation, experience, knowledge and ability; obtains instruction and supervision as necessary
when implementing nursing procedures or practices.
24. Actively participates in Quality Assurance and reports concerns to supervisor.
25. Interprets Company policy and makes decisions based on the application of those policies where
applicable.
26. Exercise unimpaired judgment in the interest of the Company.
27. Performs other duties as assigned.