RN
General Description
Under the direction of the Unit Manager, Assistant Director of Nursing Services or
Director of Nursing Services, responsible for supervision of assigned staff and providing
quality nursing care to residents to maintain or attain the highest practical level of
functioning. Coordinates nursing care in accordance with Facility policies and
procedures, state requirements, Department of Health regulations, and Federal Health
Care Administration regulations.
Essential Duties
1. Contributes to Facility quality assessment and improvement initiatives.
2. Assesses residents upon admission, develops and updates instant and
comprehensive care plans as needed.
3. Transcribes, clarifies, and implements physician’s orders.
4. Administers and monitors resident medications and treatments per physician’s
orders. Maintains accurate medication administration records and treatment
administration records. Verifies medication cart is secure and clean. Secures
narcotics per Facility policy and state regulations.
5. Communicates status of residents to incoming licensed personnel according to
established procedures at shift change. Performs medication inventory at the
beginning and end of the shift with another licensed nurse and immediately
notifies supervisor of discrepancies.
6. Assesses and documents residents change in condition; develops, documents, and
implements appropriate nursing interventions; and notifies physician and
appropriate persons as needed.
7. Updates and maintains accurate resident clinical files.
8. Conducts personal physical assessment of residents for skin breakdown upon
admission and as assigned.
9. Supervises, trains, and delegates job tasks to certified nursing assistants and unit
clerks.
10. Communicates status of residents, new admissions, scheduled appointments,
assigned baths, restorative instructions, changes in specialized diets, and other
individualized patient instructions to certified nursing assistant staff at shift
change.
11. Verifies resident rooms, therapeutic equipment, and nursing areas are clean and
organized.
12. Responsible for managing resident meal times and providing appropriate
supervision.
13. Verifies supplements, snacks, and fluids are passed per protocol and schedule.
14. Makes daily resident rounds and verifies completion of job tasks assigned to
certified nursing assistants.
15. Responsible for accurate documentation of resident information including, but not
limited to:
a. Resident skin condition;
b. Diet and supplements;
c. Special equipment needs;
d. Continence and protection used;
e. Weight gain or loss;
f. Side rail use and reason for use
g. Assistance required by resident
16. Completes employee and resident incident report forms.
Standard Requirements
1. Supports the Mission, Values and Vision of the Facility.
2. Is knowledgeable of resident rights and supports an atmosphere which allows for
the privacy, dignity and well-being of all residents in a safe, secure environment.
3. Supports, cooperates with, and implements specific procedures and programs for:
OSHA and safety, including standard precautions and safe work practices,
established fire/safety/disaster plans, risk management, and security, report and/or
correct unsafe working conditions, equipment repair and maintenance needs.
4. Adheres to:
a. Confidentiality of all data, including resident, employee and operations
data.
b. HIPAA regulations
c. Quality Assurance requirements and compliance with regulatory
requirements.
d. Compliance with current law and policy to provide a work environment
free from sexual harassment and illegal and discriminatory behavior.
e. Code of Conduct and Compliance Program when performing work
functions.
5. Supports and participates in common teamwork:
a. Cooperates and works together with all co-workers; plan and complete job
duties with minimal supervisory direction, including appropriate
judgment.
b. Uses tactful, appropriate communications in sensitive and emotional
situations; addresses family satisfaction issues immediately and assists in
resolving the matter in a professional manner.
c. Follows up as appropriate with supervisor, co-workers or residents
regarding reported complaints, problems and concerns.
d. Promotes positive public relations with residents, family members and
guests.
e. Completes requirements for in-service training, acceptable attendance,
uniform and dress codes including personal hygiene, and other work
duties as assigned.
f. Participates as assigned in the orientation of new staff and demonstrates a
positive, helpful, and enthusiastic attitude.
6. Immediately reports incidents of alleged resident abuse or neglect or alleged
violations of residents’ rights to Director of Nursing or Executive Director.
7. Knowledgeable of age specific developmental factors specific to adult and
geriatric residents (i.e. physical, cognitive and socialization factors) in planning
delivery of care.
8. Maintains current practice standards or changes by participating in educational
opportunities provided by the Facility and outside resources.
Other Duties
Provides hands on nursing care to residents as needed as a registered professional nurse,
consistent with the state’s Nurse Practice Act.
Perform tasks which are supportive in nature to the essential functions of the job, but
which may be altered or redesigned depending upon individual circumstances. Performs
other work duties as assigned.
Qualifications
Education/Training: Graduate of an approved school of nursing; current nursing license
to practice as a registered nurse in the state. Must have current CPR certification.
A.D.A.A.A (Americans with Disabilities Act) As Amended) REQUIREMENTS:
Must be able to bend, stoop, push, pull, and walk and stand for most of the working day.
Requires manual dexterity sufficient to provide hands-on care to residents as well as to
operate standard office machines such as fax, telephone, etc. Requires normal range of
hearing and vision. Must be free from communicable disease. Must be able to lift a
minimum of 50 pounds, and transfer and transport residents. Must be able to carry and
transport supplies. Must be able to pass a physical examination and annually thereafter,
providing medical clearance for employment. Must be capable of performing the
essential functions of the job, with or without reasonable accommodations.
Skill(s): Proficient reading, writing, grammar, and mathematics skills; proficient
interpersonal relations and communicative skills; knowledge of drug interactions, side
effects, and incompatibilities; decision-making skill; proficient assessment skills; basic
computer skills; able to operate various medical and office equipment; auditory and
HISTORY:
Must be able to communicate in English, both verbally and in writing, and
possess sufficient communication skills to perform the tasks required.
Experience: Previous work experience in a long term care setting preferred. Supervisory
experience and organizational skills in a long term care setting preferred.