Share Email Opening Title Nursing Supervisor RN  Location Ambrosio Guillen State Texas Veterans Home   Position Nursing Supervisor RN   Description Purpose:   The primary purpose of your job position is to provide direct nursing care to the residents, and to supervise the day-to-day nursing activities of Nursing Staff and 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 Resident Care Techs in accordance with current rules, regulations, and guidelines that govern the long-term care facility. Meet with your assigned nursing staff, as well as support personnel, in planning the shifts' services, programs, and activities. Ensure that all nursing service personnel comply with the procedures set forth in the Nursing Service Procedures Manual. Interpret the department's policies and procedures to personnel, residents, visitors, and government agencies as required. Ensure that established departmental policies and procedures, including dress codes, are followed by your assigned nursing personnel. Cooperate with other resident services when coordinating nursing services to ensure that the resident's total regimen of care is maintained. Participate in the development, maintenance, and implementation of the facility's quality assurance program for the nursing service department. Participate in facility surveys (inspections) made by authorized government agencies as may be requested. Make written and oral reports/recommendations concerning the activities of your shift as required. Assist in planning the nursing services portion of the resident's discharge plan as necessary. Complete and file required recordkeeping 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. Fill out and complete accident/incident reports. Submit to Director as required. Chart all reports of accidents/incidents involving residents. Follow established procedures. 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 DON. 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. 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. Requisition and arrange for diagnostic and therapeutic services, as ordered by the physician, and in accordance with our established procedures. 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. Implement and maintain established nursing objectives and standards. Make periodic checks to ensure that prescribed treatments are being properly administered by certified nursing assistants and to evaluate the resident's physical and emotional status. Ensure that direct nursing care be provided by a licensed nurse, a certified nursing assistant, and/or a nurse aide trainee qualified to perform the procedure. Cooperate with and coordinate social and activity programs with nursing service schedules. Notify the resident's attending physician when the resident is involved in an accident or incident. Notify the resident's attending physician and next-of-kin when there is a change in the resident's condition. 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. Use restraints when necessary and in accordance with established policies and procedures. 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. Check foods brought into the facility by the resident's family/visitors to ensure that it is within the resident's dietary allowances. Report problem areas to the DON and Dietary Supervisor. Ensure that personnel providing direct care to residents are providing such care in accordance with the resident's care plan and wishes. Ensure that residents who are unable to call for help are checked frequently. Meet with residents, and/or family members, as necessary. Report problem areas to the DON. Assist with admit, transfer and discharge residents as necessary. 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. Provide data to the Quality Assurance & Assessment Committee as requested. 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 DON 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 established procedures. Participate in determining your shift's staffing requirements, and making recommendations to the DON concerning employee dismissals, transfers, etc. Inform the DON of staffing needs when assigned personnel fail to report to work. 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. Ensure that all nurse aide trainees are under the direct supervision of a licensed nurse. Meet with your shift's nursing personnel, on a regularly scheduled basis, to assist in identifying and correcting problem areas, and/or to improve services. 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. Review care plans daily to ensure that appropriate care is being rendered. Inform the DON of any changes that need to be made on the care plan. Ensure that your nurses' notes reflect that the care plan is being followed when administering nursing care or treatment. Ensure that your assigned CNAs are aware of the resident care plans. Maintain the confidentiality of all resident care information. Monitor nursing care to ensure that all residents are treated with kindness, dignity, and respect. Receive/give the nursing report upon reporting in and ending shift duty hours. Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals in accordance with the facility's policies and procedures. Participate in planning, conducting, and scheduling in-service training classes. Assist in training staff in identifying tasks that involve potential exposure to blood/body fluids. Ensure that an adequate supply of personal protective equipment is on hand and is readily available to personnel who perform procedures that involve exposure to blood or body fluids. Ensure that your work areas and resident care areas are maintained in a clean and sanitary manner. Ensure that assigned staff follows established handwashing techniques in the administering of nursing care procedures. Participate in the infection control program for monitoring communicable and/or infectious diseases among the residents and personnel. Ensure that your assigned staff follows established infection control procedures when isolation precautions become necessary. Ensure that nursing personnel follow established procedures in the use and disposal of personal protective equipment. Ensure that all personnel wear and/or use safety equipment and supplies (e.g., back brace, mechanical lifts, etc.) when lifting or moving residents. Ensure that your assigned personnel participate in and conduct all fire safety and disaster preparedness drills in a safe and professional manner. Ensure that appropriate MSDSs are on file for hazardous chemicals Report missing/illegible labels and MSDSs to the safety officer or other designated person. Attend and participate in continuing education programs designed to keep you abreast of changes in your profession, as well as to maintain your license on a current status. Report / investigate all allegations of resident abuse and/or misappropriation of resident property. 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.   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 possess a current, unencumbered, active license to practice as an RN or LPN in this state. Must be able to read, write, speak, and understand the English language. Must possess the ability to make independent decisions when circumstances warrant such action. 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 possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures, etc., that are necessary for providing quality care. Must have patience, tact, a cheerful disposition and enthusiasm, as well as the willingness to handle difficult residents. 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. Must not pose a direct threat to the health or safety of other individuals in the workplace.   Shift Various Shifts   Full-Time \ Part-Time \ PRN Full-Time  Full-Time/Part-Time Full-Time   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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