Supervises
Licensed Practical Nurses and Certified Nurse Assistants
Position Summary
Directs nursing service activities in the building. Assigns duties to nursing personnel based on residents' needs, available staff and unit needs. Supervises and evaluates work performance in terms of resident care, staff relations and efficiency of service.
Essential Duties & Responsibilities
- Monitors Licensed Nurses and all Nurse Assistants under your charge to ensure quality resident care. Maintain positive attitude and sets a professional example. This includes making several rounds per shift to ensure proper care is being provided, talking with staff on resident improvement or decline. This also includes fully staffing, redirecting and coverages for all 4 units, monitoring staff administration of medications and charting of medications, oral, enteral, intramuscular, or intravenous on respective shift and ensuring resident care plans are followed. Monitors that ALL available Nursing employees answer call bells and conducts call-bell audits. Counsels and disciplines staff appropriately and re-trains and mentors to correct any inappropriate behaviors or procedures. Promptly follows up with all new hires (and paperwork) and accurately assesses performance evaluations.
- Functions in conjunction with the DON following up on problem areas; assumes Charge Nurse responsibilities as assigned if staffing shortage.
- Reviews residents condition changes with Charge Nurses and assists with Resident Assessments when necessary. Ensures physicians, families and administration are notified whenever necessary. Considers the interest of SAR in family complaints or emergency situations. Informs DON of all incidents requiring transfer to the hospital.
- Makes rounds with physicians and ensures orders are obtained as needed and in conformance with established standards.
- Performs venipuncture and IV therapy as ordered by physician. Transcribes Physician orders when necessary and ensures that two staff members have noted them for accuracy.
- Obtains report and gives verbal report to the oncoming RN Supervisor. Passes on information needed for follow-up and signs the 24-hour report form as Supervisor.
- Ensures the communication from the care plan meeting is updated on care plans for assistant Nurse Assistants.
- Secures prescribed medications; performs direct services to residents such as administering medications and treatments, if deemed necessary. Dispose of medications per facility policy.
- Review medication records for completeness of information, accuracy in transcribing of Physician orders and adherence to stop orders.
- Recognizes and reports resident problems which will require referral to other community agencies. Communicates effectively with Social Service.
- Follows up on recommendation by the Dietician. Ensures weekly/monthly weights are done and accurate. If a 2 lb. weight loss or more resident must be re-weighed.
- Attends in-services and any other related duties and responsibilities that may become necessary as directed by DON.
- Monitors dining room and completes dining room QA at least monthly. Ensures the staff is knowledgeable of diets and restorative feeding programs.
- When Admission Nurse is not present- Ensures Admission and Transfer process is followed and documented. Corrects medical record audit. Obtains Physician orders for all new admissions/readmissions. Coordinates a smooth admission process with staff and residents. Assures Assessments are completed; body audits are done within 2 hours of admission and signed by two licensed nurses. All shift supervisors must review admission charts to ensure all assessments are completed correctly and signed.
- Upon discharge, plans and initiates resident and family health teaching and rehabilitation.
- Ensures Incident Reports are documented in the computer and follow-up has been done, i.e., family notification, physician notification; and proper intervention is initiated. The DON or designee must be notified of all incidents requiring a transfer to the hospital immediately after the incident has occurred. Ensures interventions are in place to prevent reoccurrence. Participatesin Quality Assurance meetings. Provides tracking information for incident reports including interventions, psych medication changes, follow-up from previous meeting, fall/risk, care trac list and safety devices. Incident Reports
- Restraints
Psych medication changes
Follow-up from previous meeting.
Fall risk/care trac list.
Updates 802 form for when Department of Health completes survey.
May help or work in the Personal Care department.
Non-Essential Duties & Responsibilities
- Direct care that can be done by other personnel when available such as bathing, feeding, ambulating, toileting.
- Other duties as assigned by Supervisor
Qualifications
- Gerontology experience preferred.
- Graduate of an approved school of nursing and registered in the Commonwealth of Pennsylvania.
- Continuing education as required to retain license and stay abreast of changes in the profession.
Knowledge, Skills, & Abilities
- Knowledge and interest in geriatric and restorative nursing care.
- Knowledge of governmental laws for Nursing Practice.
- Effective communication and organizational skills
Physical & Visual Requirements
- Sits, stands, and walks most of the day.
- Required to use hands to handle or feel; reach with hands and arms; climb or balance; stoop, kneel, crouch, crawl and taste or smell. Frequent moving and lifting of residents.
- Frequent moderate-to-heavy lifting of 50 lb or less.
- Keen sense of vision (with or without correction) necessary for close inspection and attention to minute details and small objects.
- Ability to detect and react quickly to light motions and/or the ability to distinguish colors accurately.
- Works beyond normal working hours, weekends, and holidays when an emergency occurs.
- May be exposed to infection, odors, and behavioral management situations.
