Registered Nurse (RN)
Position Title: Registered Nurse (RN)
Department: Nursing Services
Reports To: Director of Nursing / Nurse Supervisor
FLSA Status: Non-Exempt
Schedule: As Assigned
Position Summary
The Registered Nurse (RN) provides skilled nursing care to residents in accordance with the medical direction of the attending physician, state nurse practice regulations, and facility policies. The RN is responsible for supervising staff, conducting assessments, and ensuring delivery of quality, person-centered care.
Essential Duties & Responsibilities
Administrative Responsibilities
- Provide supervision and guidance to Licensed Nurses and Certified Nursing Assistants (CNAs) as directed by the Director of Nursing.
- Consult and coordinate with the interdisciplinary team (IDT) and healthcare professionals to assess, plan, implement, and evaluate individualized resident care plans.
- Ensure completion of initial baseline assessments, comprehensive assessments, and care plans within required timeframes.
- Complete assigned sections of the Minimum Data Set (MDS) as requested.
- Support physician rounds by preparing charts, identifying concerns, and documenting physician visits and orders.
- Initiate and request referrals or consultations as appropriate.
- Report any suspicion of a crime committed against a resident per state and federal requirements.
- Complete all required documentation including forms, reports, evaluations, charting, and studies.
Committee Responsibilities
- Participate in QAPI, infection control, safety, and risk management committees.
- Attend other facility committees as assigned by Administration.
Resident Care Responsibilities
- Provide nursing care in accordance with professional standards, scope of practice, and facility policy.
- Perform clinical assessments and monitor for acute changes in condition (e.g., confusion, pain, fever, shortness of breath, mobility changes, GI changes).
- Monitor residents with chronic conditions and identify reportable changes.
- Participate in admissions, provide resident orientation, and support safe transitions of care during discharge.
- Ensure newly admitted residents have physician orders for immediate care.
- Participate in quarterly, annual, change-of-condition, and comprehensive assessments using appropriate MDS forms.
- Assist with the development of individualized, resident-centered care plans.
- Provide culturally competent and trauma-informed nursing care.
- Monitor nutrition, hydration, and weight; report significant changes.
- Document all care and services in nurse’s notes, flow sheets, and the electronic medical record (EMR).
- Collaborate with hospice providers to deliver compassionate end-of-life care.
- Promote fall prevention practices and ensure resident safety.
- Provide first aid according to facility protocols.
- Adhere to infection prevention and control standards.
- Administer medications safely and accurately; report adverse reactions and medication errors.
- Transcribe and process verbal, telephone, or telemedicine orders as permitted.
- Assess pain and provide appropriate interventions.
- Assist residents with activities of daily living (ADLs) when needed.
- Reposition bed-bound or chair-bound residents per care schedule.
- Perform wound care and administer preventative skin treatments.
- Collect and prepare lab specimens as ordered.
- Provide supervision and direction to CNAs in their daily care duties.
Personnel Responsibilities
- Work cooperatively with staff to meet departmental goals and maintain positive relationships.
- Assist in the orientation, mentoring, and training of new nursing personnel.
Staff Development
- Attend required in-service training and continuing education programs.
- Participate in developing and presenting nursing in-service programs as needed.
Safety & Sanitation Responsibilities
- Maintain a safe environment free of hazards.
- Ensure residents receive appropriate supervision and assistive devices to prevent accidents.
- Follow all facility safety regulations, infection control standards, and PPE requirements.
Equipment & Supply Responsibilities
- Properly utilize all PPE including masks, gloves, gowns, and lifting equipment.
Working Conditions
- Works throughout the nursing unit, including nurses’ stations, medication rooms, and resident rooms.
- Subject to frequent interruptions and varying levels of stress.
- Interacts with residents, staff, visitors, and regulatory personnel.
- May encounter hostile or emotionally upset individuals.
- May work beyond scheduled hours, weekends, holidays, and be on-call 24/7 as needed.
- Subject to exposure to infectious diseases, odors, chemicals, air contaminants, and hazardous substances.
- May be exposed to extreme temperatures (e.g., refrigerator, kitchen areas).
- Participates in continuing education and community health programs when assigned.
Education & Experience Requirements
- Nursing degree from an accredited college or university, or graduation from an approved RN/LPN nursing program.
- Minimum of 2 years experience as an RN or LPN in long-term care or a related setting.
Licensure & Certification Requirements
- Must hold a current, active, unencumbered RN license (or LPN license if applicable) in the state.
Required Skills & Abilities
- Must be able to read, write, and communicate clearly in English.
- Strong knowledge of nursing standards, long-term care regulations, and clinical practices.
- Leadership and supervisory skills with the ability to direct and mentor staff.
- Ability to make independent decisions and handle emergencies calmly and effectively.
- Strong interpersonal skills with professionalism, patience, and tact.
- Ability to plan, organize, and implement nursing programs and resident care processes.
- Must maintain resident confidentiality and uphold resident rights.
- Must not pose a direct threat to the health or safety of others.
Physical & Sensory Requirements
- Ability to move intermittently throughout the workday.
- Ability to handle emotional and physical stress related to resident care.
- Adequate sight and hearing (with or without assistive devices).
- Ability to lift, push, pull, and move a minimum of 25 pounds to a height of 5 feet and transport such weight at least 50 feet.
- Must meet all facility health requirements, including physical and medical evaluations.
- Ability to assist in resident evacuation during emergencies
