Job Description

The primary purpose of your job position is to perform selected acts for the promotion of health and in the care of persons who are ill, injured or experiencing alterations in the normal health process in accordance with the facility mission philosophy and as directed by the Director of Operations. The Registered Nurse is responsible for determining the nursing problems for an assigned group of patients/resident, making plans to sole them, initiating the plan or assigning others to implement it, and evaluating the extent to which the plan was effective in the problem resolution. As the Registered Nurse, you are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties.

Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position.

Major Responsibilities

• Completes the nursing assessments/MDS at the time of admission and updates the MDS quarterly, annually and when there has been a significant resident change.
• Identifies active resident problems requiring nursing intervention at the time of admission and ongoing. Develops a comprehensive plan of care for identified nursing problems. Develops appropriate outcome criteria for each identified nursing problem. Evaluates the effectiveness of the nursing interventions. Evaluates the attainment of outcome criteria ongoing and at discharge.
• Implements or delegates aspects of care in a timely manner, including the execution of physician's orders.
• Revise the plan of care as indicated by changes in resident's status.
• Supervises personnel with respect to accountability for performance including hiring, training, discipline, counseling performance evaluations, grievance process, staffing levels, and other related personnel functions in order to improve service levels.
• Encourages attending physicians in the treatment plan reviews, records and signs orders and progress notes in accordance with established facility guidelines.
• Charts 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.
• Charts all accidents and incidents involving residents. Performs other routine charting duties as required and in accordance with established charting and documentation guidelines.
• Ensures that an adequate supply of floor stock medications, supplies and equipment is on hand to meet the nursing needs of the residents.
• Documents all nursing care delivered to the resident. Delegates certain certain documentation to other personnel consistent with their job description.
• Updates the resident's medical records at the time of transfer and discharge. Initiates and updates the Resident Profiles and plans of care according to guidelines.
• Plans and directs nursing activities consistent with define guidelines and standards of care. The focus of care is resident wellness and adaptation.
• Participates in discharge planning, including communicating nursing activities to those responsible for the resident's care after discharge.
• Performs and monitors the appropriate transfer of residents including the use of transfer equipment.
• Communicates care issues to other nursing staff and the Director of Nursing.
• Assures that the nursing component of the resident record is complete.
• Performs other duties as assigned.

Knowledge Skills and Abilities

• Knowledge of professional nursing theory and practices.
• Knowledge of basic human physical and psychosocial needs.
• Knowledge of human resources management including hiring practices, disciplinary measures, termination, etc.
• Ability to apply nursing techniques to specific patient situations.
• Ability to assign and coordinate the work of health professionals in order to provide comprehensive care for a group of patients.
• Ability to prepare and maintain records, charts and reports.
• Ability to follow detailed written and oral directions.
• Ability to read, write, speak, and understand the English language.
• Ability to make independent decisions when circumstances warrant such action.
• Ability to relate information concerning a resident's condition.
• Ability not to pose a direct threat to the health or safety of other individuals in the work place.
• Skill in the use of the sight/hearing senses or use of prosthetics that will enable these senses to function adequately so that the requirements of the position can be full met.
• Ability to meet the general health requirements set forth by the guidelines of the facility, which include a medical and physical examination.
• Ability to push, pull, move and/or lift a minimum of 25 pounds to a minimum height of three feet and be able to push, pull, move, and/or carry such weight a minimum distance of three feet.

Exposure Level

It is highly likely that while performing the essential functions of this position you will be exposed to blood or body fluids.

Minimum Qualifications

Graduate from an accredited school of professional nursing.

Licensed as a Registered Nurse in accordance with the requirements of the state governing the facility.

One year of experience as a nurse.