Share Email Opening Title Floor Nurse - RN  Location Bill Nichols Veterans Home   Position Floor Nurse - RN   Description Purpose   To provide direct nursing care to the residents, and to supervise the day-to-day nursing activities of the CNAs in accordance with current federal, state, and local standards, guidelines, and regulations that govern the facility.   Essential Functions   Direct the day-to-day functions of the CNAs in accordance with current rules, regulations, and guidelines that govern the long-term care facility. Ensure that all nursing personnel comply with the written policies and procedures established by this facility. Periodically review the department's policies, procedure manuals, job descriptions, etc. Make recommendations for revisions. Cooperate with other resident services when coordinating nursing services to ensure that the resident's total regimen of care is maintained. Participate in facility surveys (inspections) made by authorized government agencies as may be requested. Attend departmental and staff meetings as directed or called. Attend and participate in in-service educational classes and on-the-job training programs, etc., as scheduled or directed. Periodically review the resident's written discharge plan. Participate in the updating of the resident's written discharge plan as required. Interpret the department's policies and procedures to personnel, residents, visitors, and government agencies as required. Admit, transfer, and discharge residents as required. Complete accident/incident reports as necessary. Write resident charge slips and forward to the Business Office. Maintain the Daily Census Report and submit to the Business Office as required. Complete and file required record-keeping forms/charts upon the 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. 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 the care. Record new/changed diet orders. Forward information to the Dietary Department. Prepare and administer medications as ordered by the physician. Order prescribed medications, supplies, and equipment as necessary, and in accordance with established policies. Ensure that narcotic records are accurate for your shift. Notify the Unit Manager 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. Dispose of drugs and narcotics as required, and in accordance with procedures. Inform the Unit Manager of staffing needs when assigned personnel fail to report to work. Develop work assignments and/or assist in completing and performing such assignments. Provide leadership to nursing personnel assigned to your unit/shift. Make daily rounds of your unit/shift to ensure that nursing service personnel are performing their work assignments in accordance with acceptable nursing standards. Report problem areas to the Unit Manager. Develop and maintain a good working rapport with inter-departmental personnel, as well as other departments within the facility to ensure that nursing services and activities can be adequately maintained to meet the needs of the residents. Inform nursing personnel of new admissions, their expected time of arrival, room assignment, etc.; ensure that rooms are ready for new admissions. Greet newly admitted residents upon admission. Escort them to their rooms as necessary. Participate in the orientation of new residents/family members to the facility. Make rounds with physicians as necessary. Review the resident's chart for specific treatments, medication orders, diets, etc.. Carry out restorative and rehabilitative programs, to include self-help and care. Inspect the nursing service treatment areas daily to ensure that they are maintained in a clean and safe manner. 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. Obtain sputum, urine and other specimens for lab tests as ordered. Take and record TPRs, blood pressures, etc., as necessary. Monitor seriously ill residents as necessary. Assist in arranging transportation for discharged residents as necessary. Ensure that discharged residents are escorted to the pick-up area. Inform family members of the death of the resident. Call funeral homes when requested by the family. Ensure that established post-mortem procedures are followed. Participate in developing, planning, conducting, and scheduling in-service training classes that provide instructions on "how to do the job," and ensure a well-educated nursing service department. Monitor your assigned personnel to ensure that they are following established safety regulations in the use of equipment and supplies. Participate in the development, implementation, and maintenance of the infection control program for monitoring communicable and/or infectious diseases. Ensure that your assigned personnel follow established infection control procedures when isolation precautions become necessary. Ensure that the nursing notes reflect that the care plan is being followed when administering nursing care or treatment. Review resident care plans for appropriate resident goals, problems, approaches, and revisions based on nursing needs. Ensure that assigned CNAs are aware of the resident care plans. Ensure that all nursing service personnel are knowledgeable of the residents' responsibilities and rights including the right to refuse treatment. Maintain a written record of the resident's complaints and/or grievances that indicates the action taken to resolve the complaint and the current status of the complaint. Performs other related assignments as required.   Work Schedule   As assigned, including some week-ends, evenings and Holidays.   Working Conditions   Works in well-lighted/ventilated areas. Most of the work is performed indoors Is subject to frequent interruptions. The noise level in the work environment is usually moderate. Is involved with residents, personnel, visitors, government agencies, etc., under all conditions and circumstances. Is subject to hostile and emotionally upset residents, family members, etc. Communicates with the medical staff, nursing staff, and other department supervisors. Works beyond normal duty hours, on weekends, and in other positions temporarily, when necessary. May be exposed to bodily fluids, infectious waste, diseases, conditions, etc., including the AIDS and hepatitis B viruses.   Physical Requirements   While performing the duties of this job, the employee is occasionally required to stand; walk; use hands to finger, handle, or feel; implements or office equipment; reach with hands and arms; stoop, kneel, crouch, or crawl and talk or hear. Must be able to speak and write the English language in an understandable manner. Collect information through observation, listening, touching, and smelling. Must have auditory ability sufficient to monitor and assess Job requires regular sitting, standing, walking, stooping, bending, kneeling, crouching, reaching, pushing, pulling, twisting, writing, and carrying charts, food, trays, etc. Must be able to move intermittently throughout the work day. Specific vision abilities required by this job include close, distance and color vision and the ability to adjust focus. Employee may be required to move chairs, beds, and medical equipment, move patients in bed (with or without assistance). Must be able to cope with the mental and emotional stress of the position. Must function independently, have flexibility, personal integrity, and the ability to work effectively with the residents, personnel, and support agencies. Must be in good general health and demonstrate emotional stability. Must be able to relate to and work with ill, disabled, elderly, emotionally upset, and at times hostile people within the facility. May be required to lift, push, pull, and move equipment, supplies, etc., in excess of fifty (50) pounds. Must be able to assist in the evacuation of residents.   Safety, Sanitation and Infection Controls   Assure the assigned work areas are maintained in a clean, safe and sanitary manner. Assure that established infection control and universal precautions practices are observed. Report all hazardous conditions or equipment to your supervisor. Follow established safety policies and procedures. Dispose of refuse daily in accordance with established sanitation procedures. Keep work/assignment areas free of hazardous objects, unnecessary equipment, supplies, etc. Report any accident/incident to your supervisor no matter how minor.   Position Requirements Qualifications Must have, at a minimum, a Nursing Degree from an accredited college or university, or be a graduate of an approved RN program. Must possess a current, unencumbered, active license to practice as an RN in this state. Must be able to read, write, speak, and understand the English language. Must possess the ability to make independent decisions. Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public. Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to long-term care. Must possess leadership and supervisory ability and the willingness to work harmoniously with and supervise other personnel. Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices. Must be able to relate information concerning a resident's condition.   Shift -not applicable-   Full-Time \ Part-Time \ PRN Full-Time  Full-Time/Part-Time -unspecified-   EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law.   This position is currently not accepting applications. 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