Job Summary:
Supervises nursing personnel to deliver nursing care and within scope of practice coordinates care delivery, which will ensure that the patient's need are met in accordance with professional standards of practice through physician orders, center policies and procedures, and federal state and local guidelines. Currently licensed as an LPN or RN.
Qualifications:
- Must have a current state license to practice as a registered nurse (RN) preferred or licensed practical nurse (LPN). Current CPR certification desired.
- Minimum two years experience in long term care working as a floor nurse or like position. .
- Excellent understanding of state and federal regulations governing skilled nursing facilities.
- Must have excellent assessment, planning, organization, communication and interpersonal skills with an understanding of person centered care.
- Ability to work flexible shifts including periodic weekends, holidays and off shifts.
- Ability to work well with an interdisciplinary team and health care providers.
- Ability to establish and maintain rapport with team members and external stakeholders.
- Ability to read, analyze and interpret, professional journals, technical procedures or governmental regulations. Ability to communicate orally and through written reports and other documents relating to resident, staff and others. Ability to effectively present information and respond to questions from groups of executives, managers, clients, customers, and the public.
- Ability to define and solve problems, collect data, establish facts and draw valid conclusions. Ability to interpret an extensive variety of technical journals and deal with several abstract and concrete variables. Essential Functions and Responsibilities:
Food Service Responsibilities:
- Consults with dietary regarding the special dietary needs of the patients and follows through on dietary recommendations.
Monitors patients with significant weight loss and gain and reports this to the physician and dietary needs, and safety. Documentation Responsibilities:
Documents medications, treatments, prn's per facility policy.
- Completes 24 hour report daily.
- Monitors patient intake and output.
- Participates in the monthly medication renewal process.
- Accurately completes and is familiar with the forms used throughout the patients chart.
- Documents in progress notes any exceptions to patient condition, including daily charting on ill patients, 24, 48,or 72 hour follow up charting on patients with infections, incidents, new admissions or those with a change in condition.
- Completes documentation to reflect progress or lack of progress of patients participating in Quality of Life Practice Guide.
- Interpret Department's policies and procedures to personnel patients, visitors, and government agencies as required.
- Accurately maintains daily census reports and submits to business office daily.
- Performs administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc. as necessary.
- Records new/changed diet orders. Forwards information to the Dietary Department.
Reports any discrepancies noted concerning physician's orders, diet changes, charting errors, etc. to the Nurse Supervisor/Manager. Care Plan Responsibilities:
Assists in completion of the care plans (acute and long care) and is involved in the care conference as deemed necessary.
- Assists in completion of the MDS and is knowledgeable in the MDS process.
- Evaluates the effectiveness of the care interventions, identifies problems and trends and develops alternative interventions.
- Participates and conducts (as appropriate) investigations related to any alleged abuse.
- Has knowledge and understanding of Patient Rights.
- Ensures that the progress notes are reflective of the care plan and that the approaches on the care plan are being followed.
- Assures that assigned nursing assistants are aware of the patient care plans, and ensure that the nursing assistant refers to the care plan prior to administering care.
- Admission, Discharge and Transfer per center procedures.
- Assures documentation is accurately completed for admission, discharge and transfer.
- All other duties as assigned.