The purpose of this position is to serve as a member of a multi-disciplinary care team to facilitate quality care, guided by guests’ individualized care plans, Facility policies and procedures, and State and Federal guidelines.
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Understand and support the core values, mission, philosophy, and guiding principles of Immanuel Living.
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Provide consistent quality and valued service, while complying with Corporate and Department policies and procedures and State and Federal regulations.
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Respect the privacy, confidentiality, and possessions of those Immanuel Living serves, its staff, and Immanuel Living.
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Contribute to an atmosphere of positivity, teamwork, and mutual support, while leading by example.
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Look for the good in others and assume positive intentions. Be caring, compassionate, and hospitable, while acting with integrity and honesty.
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Ensure that a safe living and working environment exists.
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Attend work regularly and follow established work schedule. Manage use of work time wisely.
- Graduate of an accredited school of nursing.
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One (1) year experience as a nurse.
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Be familiar with or be willing to learn about State and Federal guidelines pertaining to long-term care.
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Maintain a current comprehensive knowledge of nursing theory and practice.
Professional Licenses or Certifications Required by Law
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Current licensure as an LPN or RN in the State of Montana
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Current CPR certification; up-to-date knowledge of First Aid
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Completion of 24 continuing education credits in 2-year period of licensure, as required by the State of Montana
Essential Physical and Mental Requirements
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The incumbent must be at least 18 years of age, as position operates potentially hazardous equipment and handles and dispenses prescribed medication.
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The incumbent must be able to perform multiple tasks simultaneously and work under time and/or deadline pressures.
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Required vision abilities include close up and distance, peripheral vision, depth perception, and ability to adjust focus.
Rare < 5% of shift Occasional 6-33% of shift Frequent 34-66% of shift Continuous >67% of shift
Physical Demand
Examples of Job Duty
Frequency
Squatting or kneeling down to low surfaces, prolonged kneeling, or sitting on floor
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Retrieving medications from low drawers in med cart
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Performing treatments on and dressing residents’ lower extremities
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Performing digital rectal exams
Occasionally
(average 28 times per 8 hour shift)
Lifting 0-10 lbs.
Lifting medications, food trays, fluid jugs, resident charts
Frequently
Lifting 11-20 lbs.
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Lifting residents’ extremities
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Lifting supplies
Rarely
(average 10 times per shift)
Lifting 21-40 lbs.
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Performing resident transfers
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Lifting bariatric residents’ limbs
Rarely (Average 1 per shift)
Lifting > 40 lbs.
Supporting resident during transfer when they lose ability to stand
Rarely
Reaching above shoulder
Reaching for supplies from resident closet
Rarely
Reaching chest to shoulder height
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Administering medications
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Passing trays
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Performing treatments
Frequently
Reaching waist to shoulder
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Administering medications
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Performing treatments
Occasionally
Reaching below waist level
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Retrieving medication from lower shelves
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Picking up items off floor
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Working with residents’ lower extremities
Occasionally
Carrying 0-12 lbs.
Carrying charts, fluids, trays, boxes of supplies
Occasionally
Pushing/Pulling 0-20 lbs.
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Pushing med carts and residents in wheelchairs
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Crushing medications
Occasionally
Pushing 20-40 lbs.
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Pushing bariatric residents in wheelchair
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Positioning residents in bed
Rarely
Pushing up to 120 lbs.
Rarely
Gripping up to 40 lbs.
Frequently
Walking
Walking to resident rooms
Frequently
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Follow physicians’ orders, treatments, and guest care plan approaches.
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Carry out duties assigned by Charge Nurse.
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Accurately assess guests’ conditions, document the same in guests’ medical record (eg. treatment, vital signs, I & O, behaviors), and communicate changes and other pertinent information to physicians, guest family members or designee(s), and members of the team when necessary.
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Administer medications and treatments.
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Complete medical and behavioral observations as required.
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Work and coordinate with all team members to meet resident’s needs. Assist nursing and other staff assisting guests, as needed.
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Perform Universal Worker tasks, such as laundry, housekeeping, meal duties, maintenance tasks, and
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resident recreation if needed.
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Work independently, while prioritizing duties and responsibilities, taking on additional assignments, maintaining accuracy and timeliness with documentation, and demonstrating the ability to problem solve.
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Respond effectively to sensitive inquiries or complaints from others.
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Perform other duties as assigned.
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Serve as a role model for the Immanuel Spirit.
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Supervise and administer nursing care as assigned by the Charge Nurse.
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Ensure that Nursing team members are completing duties.
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Supervise employee job performance by encouraging, educating, praising, and holding staff accountable.
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This position may make independent decisions when circumstances warrant such action.
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Decisions, final recommendations, and/or errors made by the incumbent may affect residents and other staff in the unit/department that this position is assigned to but may, on occasion, affect all staff of Immanuel Living.
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Job duties typically involve frequently changing conditions and problems, requiring considerable judgment in applying factual background and fundamental principles to the development of approaches and techniques for the solution of problems.
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This position cannot authorize exceptions to corporate policy or procedure.
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Complete required documentation, including resident evaluations, Medicare documentation, care plan entries, daily progress notes, and weekly summaries before the end of shift.
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Update resident care plans and transfer information onto safety sheets on ambulation equipment, beds, and other staff worksheets, CNA assignment sheets.
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Accurately document medications administered, care plan approaches tried before PRN medication administration, and need for PRN medication, as well as follow up with efficacy.
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Order and charge out medications and supplies, as needed.
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Take physicians’ orders and transcribe them onto appropriate forms according to standard practice (eg. med / treatment sheets, lab slips).
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Effectively work and communicate with a wide range of individuals from all socio-economic groups, including geriatric residents and those with special needs.
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Communicate on a regular basis with guests/ residents and/or their designees regarding medical care issues and interventions.
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Communicate verbally and in writing to other staff members regarding resident care issues.
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Communicate with the charge nurse on a routine basis.
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Ensure that information is communicated to team members so that they have all the information necessary to provide excellent customer service.
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Communicate with physicians and other health care professionals as required .and follow up with pharmacist recommendations.
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Participate in Nursing and staff meetings, as required, and training and/or meetings that help facilitate the departmental communication process.
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This position may interact with:
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Guests/residents, family members, and/or designees
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General public
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Immanuel administrators, directors, managers, supervisors, staff
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Medical service providers, including physicians and pharmacists
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Other service providers or representatives
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Federal, State, Local government representatives
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Members of the media
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Attend workshops and training sessions related to nursing practice, geriatrics, long-term care, etc., as assigned.
Skills and Abilities
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Read, write, and understand medical terminology
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Read and comprehend instructions and present information to others
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Read, interpret, and write routine reports and correspondence
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Read, interpret, and implement documents, such as governmental regulations, rules, and procedure manuals
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Basic counting skills
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Add, subtract, multiply, and divide simple numbers
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Understand different methods of measurement percentages
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Apply common sense and understanding to carry out instructions furnished in written, oral, or diagram form
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Deal with problems involving several concrete variables in standardized situations.
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Solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.
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Interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
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Define problems, collect data, establish facts, and draw valid conclusions.
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Basic to intermediate computer skills
Equipment and Materials
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Operate multi-line telephone to place, receive, transfer calls, and to retrieve voice mail messages
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Operate fax machine to send or receive documents
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Operate copier to copy and collate documents
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Operate personal computer with Windows operating system to utilize programs to input, format, edit, save, print, and transmit data.
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Utilize spreadsheets (Excel) and word processing programs (Word) to input, format, edit, save, print, and transmit data.
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Utilize Internet and e-mail to access, retrieve, save, print, or transmit documents or data files.
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Utilize proprietary, custom, or online programs or databases to input, format, edit, save, print, and transmit data (AOD and payroll systems).
Environmental Conditions-
This position works in a temperature-controlled facility and may travel to and from buildings in all weather conditions.
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This position may be exposed to:
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Biological fluids, including but not limited to vomit, urine, feces
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Blood-borne pathogens
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Occupational disease
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Risk of cuts, burns, shock, or other minor injuries not requiring hospitalization
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Unpleasant substances, odors, noises
Disclaimer: This job description is not intended to be all-inclusive. An employee will also perform other reasonably related job responsibilities as assigned by management. Immanuel Living reserves the right to revise or change job duties as the need arises. Also, management reserves the right to change job descriptions, job duties or working schedules based on their duty to find reasonable accommodations, where possible, for individuals with disabilities. This job description does not constitute a written contract of employment.
