Registered Nurse (RN) Supervisor - 3 PM - PM

General Purpose:

Provide direct nursing care to the residents and supervise the day-to-day nursing activities performed by nursing assistants. Such supervision must be in accordance with current Federal, State, and Local standards, guidelines, and regulations that govern our facility, and as may be required by the Director of Nursing to maintain the highest degree of quality care at all times.

Essential Job Functions:

This facility expects their employees to promote an atmosphere of teamwork with other employees and hospitality and comfort for its residents. Therefore, the following list of duties is not all-inclusive:

Administrative Functions

Direct the day-to-day functions of the nursing assistants in accordance with rules, regulations, and guidelines that govern the long-term care industry

Confirm that all nursing personnel assigned to you comply with the written policies and procedures established by this facility

Meet with your assigned nursing staff, as well as support personnel, in planning the shift's services, programs and activities

Verify that all nursing personnel comply with the procedures set forth the in the Nursing Policies and Procedures Manual

Make written and oral reports/recommendations concerning the activities of your shift, as required

Cooperate with other resident services when coordinating nursing services be certain that the resident's total regimen of care is maintained

Verify that all nursing service personnel are in compliance with their respective job descriptions

Participate in the development, maintenance, and implementation of the facility's quality assurance program for the nursing department

Participate in surveys (inspections) made by authorized government agencies

Periodically review the resident's written discharge plan. Participate in the updating of the resident's written discharge plan, as required

Assist in planning the nursing portion of the resident's discharge plan, as necessary

Admit, transfer, and discharge residents, as required

Complete accident/incident reports, as necessary Charting and Documentation

Complete and file required forms/charts upon resident's admission, transfer, and/or discharge

Encourage attending physicians to review treatment plans, record and sign their orders, progress notes, etc., in accordance with established policies

Receive telephone orders from physicians and record on the Physicians' Order Form

Transcribe physician's orders to resident charts, cardex, medication cards, and treatment/care plans, as required

Chart nurses' notes in an informative and descriptive manner that reflects the care provided to the resident, as well as the resident's response to care

Record new/changed diet orders. Forward information to the Dietary Department

Report all discrepancies noted concerning physician's orders, diet change, charting error, etc., to the Nurse Supervisor

Fill out and complete transfer forms in accordance with established procedures

Enter appropriate documentation concerning unauthorized discharges in the resident's medical record in accordance with established procedures

Perform routine charting duties as required and in accordance with established charting and documentation policies and procedures

Sign and date all entries made in the resident's medical record

Write nurses' notes to reflect that the care plan is being followed when administering nursing care or treatment Medication Administrative Functions

Prepare and administer medication as ordered by the physician

Responsible for IV medication/fluid administration

Verify the identity of the resident before administering the medication/treatment

Verify that prescribed medication for one resident is not administered to another

Verify that adequate supply of floor stock medications, supplies, and equipment is on hand to meet the nursing needs of the residents. Report needs to the Nurse Supervisor

Order prescribed medications, supplies, and equipment as necessary, and in accordance with established procedures

Verify that narcotic records are accurate for your shift

Notify the Nurse Supervisor of all drug and narcotic discrepancies noted on your shift

Review medication cards for completeness of information, accuracy in the transcription of the physician's order and adherence to stop order policies

Notify the attending physician of automatic stop orders prior to the last dosage being administered

Immediately notify the Nurse Supervisor and attending physician of any medication administration errors Nursing Care Functions

Perform physical assessment through observation, inspection, palpitation, percussion and auscultation

Deliver and maintain optimum resident care and comfort by demonstrating knowledge and skills of current nursing practices

Promptly respond to call lights and other resident needs

Make rounds with physicians, as necessary

Consult with the resident's physician in providing the resident's care, treatment, rehabilitation, etc., as necessary

Review the resident's chart for specific treatments, medication orders, diets, etc., as necessary

Make periodic checks to confirm that prescribed treatments are being properly administered by CNAs and to evaluate the resident's physical and emotional status

Notify the resident's attending physician when the resident is involved in an accident or incident

Notify the resident's attending physician and responsible party when there is a change in the resident's condition

Administer professional services such as: catheterization, tube feedings, suction, applying and changing dressings/bandages, packs, colostomy, and drainage bags, taking blood, giving massages and range of motion exercises, care for the dead/dying, etc., as required

Monitor seriously ill residents, as necessary

Review care plans daily to confirm that appropriate care is being rendered

Confirm that CNAs are aware of the resident care plans. Verify that the CNAs refer to the resident's care plan prior to administering daily care to the resident Other Duties

Attend in-service education programs in order to meet facility educational requirements

Be familiar with Standard Precautions, Exposure Control Plan, Fire Drill and Evacuation Procedures and know how to use the information

Maintain confidentiality of resident and facility records/information

Protect residents from neglect, mistreatment, and abuse

Protect the personal property of the residents of the facility

Others as directed by the supervisor or administrator Minimum Qualifications:

Registered Nurse with current state license

Excellent technical, assessment and documentation skills

Good Leadership qualities

Organized and detailed in work performance

Good communication skills with excellent self-discipline and patience

Genuine caring for and interest in elderly and disabled people in a nursing facility

Comply with the Residents Rights and Facility Policies and Procedures

Perform work tasks within the physical demand requirements as outlined below

Perform Essential Duties as outlined above