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This position provides care to assigned residents in a caring, safe and efficient manner and is responsible to perform the following according to location standards, procedures and individualized resident care plans:
Essential Duties & Responsibilities
Completes comprehensive nursing assessment of all residents on admission and on an ongoing basis according to state and federal regulations using the nursing process (assessment, diagnosis, intervention and evaluation). Demonstrates competence in clinical skills as identified on Competency Verification and Training Checklist. Assures assigned residents receive ordered medication, treatments and other procedures within defined time frames, utilizing appropriate infection control procedures. Demonstrates familiarity with the therapeutic effects and side effects of all medications administered. Obtains equipment / supplies to provide care as needed. Assures procedures are followed for pressure ulcers, dehydration, malnutrition, incontinence, pain and medication administration. Accurately completes glucometer testing and control monitoring according to procedure. Implements specific approaches to deal with behavior, enhances residents’ mood state according to resident care plan. Assures resident care for assigned residents is completed through reviewing documentation and updating as necessary. Uses the EMR accurately. Documents actions and notations for all resident condition changes according to policy and procedure. Records daily skilled nursing notes. Documents all actions taken related to admission, discharge, transfers or death. Documents incidents or accidents in resident record and all necessary forms (incident reports, etc.) Completes behavior documentation according to policy and procedure. Completes seven-day observation tool. Assists/participates in quality improvement process, including audits and corrective procedures as assigned. May complete the assigned portions of the MDS for Nursing and sign the MDS forms to signify completion of the process. Assures physician’s orders are processed and physicians notified in a timely manner. Makes rounds with physicians as assigned. Attends or obtains resident report prior to beginning shift. Receives and shares information; observes and reports residents’ conditions. Responds promptly to resident call lights. Directs and assists with resident, family/significant other education. Notifies family on condition changes etc. Reports /assures timely follow up of signs / symptoms of resident infections.
This position will be held accountable for complying with all related laws, regulations, company policies and procedures pertaining to his or her position and for fulfilling his or her obligations under the organization’s corporate compliance program.
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
Graduate of an accredited school of nursing. Prior work experience in like or related position preferred. Maintains required certification / qualifications and associated standards. Licensure for state of practice is required.
Knowledge: Knowledge of basic nursing skills; knowledge and familiarity with the therapeutic effects and side effects of all medications administered.
Physical/Mental Requirements: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee will operate/activate/use/prepare/inspect/place/detect/position objects, tools, or controls. The employee will frequently communicate/express oneself/exchange/observe/assess/detect information relative to this position. The employee is required to maintain a stationary position/move/position self in response to job tasks. Must be able to effectively communicate in English, both orally and in writing.
Supervisory Responsibilities: Directly supervises assigned employee(s). Carries out supervisory responsibilities in accordance with the organization's policies, procedures and applicable laws. Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems; fostering an environment for employee engagement.
Accommodations: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Work Environment: The noise level in the work environment is usually moderate. Frequency of travel may vary based on business need.
Weight Lifting Requirement: 35 lbs.
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