RN/Registered Nurse FT NIGHT SHIFT

JOBSUMMARY:

Theprimary purpose of your job position is to provide direct nursing care to theresidents, and to supervise the day-to-day nursing activities performed by licensedpractical nurses and nursing assistants.

JOBDUTIES & RESPONSIBILITIES: AdministrativeFunctions
• Organizeand assign all jobs to be done on tour of duty so that workload is evenlydistributed among nursing personnel on the basis of staff qualifications, sizeand physical layout of the facility.
• Periodicallyreview department policies, procedures and job descriptions and makerecommendations for revisions.
• Implementestablished policies and procedures.
• Ensurethat all nursing personnel assigned to you comply with the written policies andprocedures established by this facility.
• Meetwith your assigned nursing staff and support personnel to plan appropriateservices, programs and activities for your shift.
• Cooperatewith other resident services when coordinating nursing services to ensure thatthe resident's individual care plans are being followed.
• Participatein the development, maintenance, and implementation of the facility's qualityassurance program.
• Requestconferences with the Director of Nursing as needed to discuss resident,personnel and facility related business.
• Participatein facility surveys made by authorized regulatory agencies as requested.
• Periodicallyreview the resident's written discharge plan and participate in updating thatplan as required.
• Admit,transfer and discharge residents as required.
• Placeand receive, personally, all calls to and from physicians.

Chartingand Documentation
• Assistin updating the resident care plans as instructed by the MDS/Care PlanCoordinator and/or Director of Nursing.
• Chartnurses' notes in an informative and descriptive manner that reflects the careprovided to the resident, as well as the resident's response to the care.
• Documentstatus of each resident on the chart at least weekly, more often if significantchange occurs or as directed. Follow up with monthly and quarterly summaries asinstructed.
• Makerounds with physician, as directed, and record visits in resident's chart.
• Transcribe,accurately and promptly, all physician's orders.
• Directdocumentation and make weekly detailed evaluation of all resident documentationso that chart reflects progress and condition of resident at all times.
• Approveand sign charts when observations are made.
• Insurethat all medications and treatments are charted and signed followingadministration of the medication/treatment, by the administering person.
• Reportall discrepancies noted concerning physician's orders, diet change, chartingerror, etc. to the ADON or DON.
• Completeaccurate accident/incident reports as necessary.
• Fill out and complete transfer forms in accordancewith established procedures.

DrugAdministration Functions
• Prepare and administer medications as ordered byphysician.
• Verify the identity of the resident beforeadministering the medication/treatment.
• Ensure that prescribed medication for one residentis not administered to another.
• Ensure that an adequate supply of floor stockmedications, supplies, and equipment are on hand to meet the nursing needs ofthe residents.
• Order prescribed medications, supplies, andequipment as necessary and in accordance with established policies.
• Ensure that narcotic records are accurate for yourshift.
• Notify the ADON or DON of all drug and narcoticdiscrepancies noted on your shift.
• Prepare, administer and record all parenteral,intramuscular, sub-cutaneous injections.
• Administer I.V. fluid therapy in accordance withpolicy and procedure.
• Administer or supervise all treatments prescribed byphysician.
• Dispose of drugs and narcotics as required and inaccordance with established procedures.

NursingCare Functions
• Implement and maintain established nursingobjectives and standards.
• Make rounds at least every two (2) hours to ensurethat certified nursing assistants are properly administering prescribed careassignments.
• Make general observation and evaluation of theresident's physical and emotional status. Make note of any significant changesand communicate those changes to the ADON/DON according to facility policy andprotocol.
• Ensure that direct nursing care is provided by alicensed nurse, a certified nursing assistant, and/or a nurse aide traineequalified to perform the procedure.
• Cooperate with and coordinate social and activityprograms with nursing service schedules.
• Notify the resident's physician and/or next of kinwhen the resident is involved in an accident/incident or if there is asignificant change in the resident's condition.
• Cooperate with restorative and rehabilitativeprograms as requested.
• Inspect the treatment areas to ensure they aremaintained in a clean and safe manner.
• Administer professional services such as:catheterization, tube feedings, suction, applying and changing dressings, packscolostomy and drainage bags, taking blood, giving massages and range of motionexercises, care for the dead/dying, etc. as required.
• Administer restraints for residents in accordancewith physician's orders, established policies and procedures.
• Obtain sputum, urine and other specimens for labtests as ordered.
• Take and record TPR's, blood pressures, etc. asnecessary.
• Monitor seriously ill residents as necessary.
• Check foods brought into the facility by theresident's family/visitors to ensure it is within the resident's dietaryallowances. Report problems to theADON/DON.
• Ensure that personnel providing direct care toresidents are providing such care in accordance with the resident's care planand wishes.
• Ensure that residents who are unable to call forhelp are checked frequently.
• Meet with residents, and/or family members, asnecessary. Report problems/complaintspromptly to the ADON/DON.
• Admit, transfer and discharge residents asnecessary.
• Ensure that discharged residents are escorted to thepick-up area.
• Inform family members of the death of the resident.
• Ensure that established postmortem procedures arefollowed.
• Conduct week skin checks as assigned.

HumanResource Functions
• Assist the SDC in developing, planning, conductingand scheduling in-service training classes that meet the skill development andknowledge acquisition needs of your assigned staff.
• Implement and maintain an effective"unit/shift/floor" orientation for new associates.
• Assist in standardizing the methods in which workwill be accomplished.
• Respond to need for staffing shortages by arrangingreplacement staff, as directed.
• Conduct performance evaluations for your assignedstaff according to facility policy i.e., following orientation and annually.
• Review and evaluate your department's work force andmake recommendations to the ADON/DON.
• Develop work assignments for nursing staff on yourshift.
• Provide leadership to nursing personnel assigned toyour shift.
• Make daily rounds of your unit to ensure thatnursing service personnel are performing their work assignments in accordancewith acceptable nursing standards.