Provides nursing care to meet the needs of anassigned group of residents within the framework of the total plan of care. Functions under the direction of a registered nurse.
Essential Duties & Responsibilities
Monitors CNAs to ensure quality resident care.
Maintain positive attitude and sets a professional example.
Communicates report to the nursing assistants at the start of shift.
Answer call bells as needed to ensure Resident needs are met.
Assists in Resident's comfort and anxiety relief.
Coordinates/communicates job performance of CNAs for performance evaluations and ability to provide care daily.
Documents counseling and reports to Nursing Supervisor.
Functions in conjunction with the DON following up on problem areas; assumes Charge Nurse responsibilities as assigned if staffing shortage.
Administration of medications and treatments. Secures prescribed medications as ordered. Monitors for unsigned blocks on the MAR's and TAR's. Completes charting and documentation. Transcribes Physician orders as needed. Takes verbal orders from Physicians within LPN scope of practice. Checks orders for accuracy and stop dates. Communicates new orders to families. Return medication to Pharmacy document via med-mate as needed when orders are discontinued.
Participates in Nursing Service Quality Assurance programs. Completes call bell audits monthly on assigned unit. Places germ/card under residents to ensure residents have been repositioned and incontinent care provided at least monthly. Monitors dining room. Responsible for resident consumption at meal time.
Assist in Resident and family health teaching and rehabilitation. Interprets philosophy and objectives of the facility and the nursing service to residents, families and other employees when necessary.
Provides nursing care according to the physician orders and conformance with established standards and policies of the facility. Contributes to the nursing process and adds to the resident plan of care. Documents according to the current care to reflect resident improvement or decline. Documents incident/accident reports in the computer and determines intervention.
Completes admission and transfer process. Does complete evaluation and body audit within 2 hours of admission. Completes risk evaluation for new admission.
Identifies and evaluates the resident's response to health problems and treatment. Informs the RN Supervisor/DON of all significant signs and symptoms, physical or mental changes of all residents in his/her care. Completes 24-hour nursing report documenting times of admissions and discharges along with resident changes.
May work or assist in Personal Care Department.
Non-Essential Duties & Responsibilities
Attends or reviews information at monthly staff meetings.
Other duties as assigned by Supervisor.
Qualifications
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, including Abuse Policies and Procedures.
Recognizes and reports safety hazards and knows emergency procedures.
Effective communication and organizational skills.
Physical & Visual Requirements
Frequent lifting up to 40 lbs, standing, walking, bending, squatting, kneeling, reaching, grasping, fine manipulation, pushing, and pulling.
Occasional sitting, twisting, and lifting over 50 lbs.
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.
Must be able to hear alarms on equipment, client calls, and instructions from physician/departmental staff.
May be exposed to infection, odors, and behavioral management situations.