JOB SUMMARY: 

The primary purpose of the Activity Assistant position is to assist in planning, organizing, developing and implementing the resident activity programs of the facility.

JOB DUTIES & RESPONSIBILITIES:

Administrative Functions

·         Assist in planning, organizing and implementing group and individual activities based on residents’ individual needs as identified in residents’ health care plans.

·         Assist in community planning related to the interests of the facility and the services and needs of the resident and family as directed by the Activity Director.

·         Assist in maintaining a balance of recreational activities based on the particular demographics of the residents.

·         Assist in coordination of activity schedules with other departments as necessary.

·         Communicate residents’ programs to residents, residents’ families, volunteers, and facility staff.

·         Decorates monthly bulletin boards indicating future activities, holiday themes, and/or picture review of past activities.

·         Assists in transportation of residents within the facility from one area of activity to another.

·         Participate in group activities to ensure maximum involvement by interested residents.

·         Help read incoming mail, and address and post outgoing mail upon the resident’s request.

·         Arrange transportation for field trips as requested.

Miscellaneous Activity Functions

·         Assist in making appointments for the residents as requested.

·         Assist in scheduling movies, planning parties, and providing games/activities for residents.

·         Encourage residents to participate in hobbies, crafts and other activities. Provide materials as necessary.

·         Supervise activities as necessary in the absence of the Director and/or Assistant Director.

·         Provide reading materials in various formats i.e., Braille, tapes, large print, etc. as necessary.

·         Assist in providing library services for residents through cooperation with local library.

·         Make routine visits to residents and perform assistance with crafts, projects, etc. as necessary.

·         Assist in arranging for special events i.e., bazaars, picnics, birthdays, anniversaries as necessary.

·         Assist bed bound residents by visiting them, writing letters, running errands, reading, etc.

·         Perform clerical duties as assigned by Activity Director or Assistant Director.

·         Perform daily, weekly and Monthly duties as described on attached Addendum.

Care Plan, Assessment and Documentation Functions

·         Assist the Activity Director in developing comprehensive assessments and progress notes of the activity needs of each resident.

·         Recognize abnormal signs and symptoms that may signify a physical change in resident’s condition that could require nursing intervention. Report changes to charge nurse and Activity Director.

·         Develop and maintain a good rapport with all services involved with the care plan to ensure that a team effort is achieved in developing a comprehensive plan of care.

Committee Functions

·         Serve on, participate in, and/or attend various committees of the facility as requested by the Activity Director.

·         Provide written and/or oral reports of the programs and activities as required by the committee.

·         Assist the Activity Director in evaluating and implementing recommendations from established committees as they may relate to activity services.

·         Assist in planning, organizing and implementing group and individual activities based on residents’ individual needs as identified in residents’ health care plans.

Staff Development Functions

·         Assist the Activity Director in orienting new associates, activity personnel and/or volunteers to the activity department.

Equipment and Supply Functions

·         Review and inventory activity supplies and equipment and recommend to the Activity Director the equipment and supply needs of the department.

·         Assist in conducting periodic checks of equipment to assure that all equipment is in good working order.

·         Check supply rooms to be sure that activity supplies are on hand to conduct scheduled activities.

·         Ensure that appropriate cleaning supplies are on hand to perform necessary activity and departmental cleaning functions.

Safety and Sanitation Functions

·         Assist in the development of safety standards for the activity department.

·         Monitor volunteers to assure they are following established safety and infection control regulations, policies and procedures.

·         Ensure that department work areas are maintained in a clean, sanitary, and safe manner.

·         Follow all facility infection control, communicable disease, isolation and hazardous conditions policies and procedures.

·         Be sure that protective clothing/devices are on hand for handling infectious waste and/or blood/body fluids.

Resident Rights Responsibilities

·         Maintain the confidentiality of all resident care information.

·         Knock before entering a resident’s room.

·         Ensure that all activity personnel are knowledgeable of the resident’s right and responsibilities, including the right of refusal.

·         Review complaints made by the resident and make a written/oral report to the Activity Director indicating what action/s were taken to resolve the complaint and the current status of the complaint.

·         Participate in resident/group council meetings as requested and provide support services to such council.

Working Conditions

·         Works in office areas as well as throughout the facility.

·         Moves intermittently during work hours.

·         Is subject to frequent interruptions.

·         Is involved with residents, personnel, visitors, government agencies/personnel, under all conditions and circumstances.

·         Is subject to hostile and emotionally upset residents, family members, personnel and visitors.

·         Communicates with the medical staff, nursing personnel and other department supervisors.

·         Works beyond normal working hours and in other positions temporarily, when necessary. Works on weekends and holidays when necessary.

·         Is subject to callback during emergency conditions.

·         Attends and participates in continuing educational programs.

·         Is subject to injury from falls, burns from equipment, odors, etc., throughout the workday, as well as to reactions from dust, plastics, synthetics, disinfectants, tobacco smoke, and other potential contaminants.

·         Is subject to exposure to infectious waste, diseases, conditions, etc. including TB, AIDS and Hepatitis B viruses.

·         May be subject to the handling of and exposure to hazardous chemicals.

·         Maintains a liaison with the resident, their families, support departments, etc. to adequately plan for the residents’ needs.

JOB REQUIREMENTS: 

Education

·         Must possess, as a minimum, a High School Diploma or GED.

Experience              

·         Must have a minimum of six (6) months of experience in a social or recreational program within the last five years preferably within a health care setting.

Specific Requirements

·         Must be able to read, write, speak and understand the English language.

·         Must display professionalism both in appearance and attitude.

·         Must possess the ability to solve problems and make independent decisions when circumstances warrant such action.

·         Must genuinely care for and understand the elderly and disabled.

·         Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agency personnel and the general public.

·         Must possess the ability and the willingness to work harmoniously with other personnel.

·         Must be able to plan, organize, develop, implement and interpret the programs, goals, objectives, policies and procedures that are necessary for providing activity services.

·         Must have patience, tact, a positive disposition and enthusiasm, as well as the willingness to handle difficult people.

·         Must be willing to seek out new methods and principles and be willing to incorporate them into existing activities 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.

Physical and Sensory Requirements (with or without the aid of mechanical devices)

·         Must be able to move continuously throughout the workday.

·         Must be able to cope with the mental and emotional stress of the position.

·         Must be able to see and hear or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully met.

·         Must function independently and have flexibility, personal integrity, and the ability to work effectively with residents, families, personnel, and support agencies.

·         Must meet the general health requirements set forth by the policies of this facility, which may include a medical and physical examination.

·         Must be able to relate to and work with the ill, disabled, elderly, emotionally upset, and at times, hostile people within the facility.

·         Must be able to push, pull, move, and/or lift a minimum of 10 pounds to a minimum height of 5 feet and be able to push, pull, move, and/or carry such weight a minimum distance of 5 feet.

·         May be necessary to assist in the evacuation of residents during emergency situations.

·         Sitting:  1-2 hour per 8-hour shift.  Alternates frequently to standing and walking.

·         Standing:  4-5 hours per 8-hour shift.  Alternates frequently to walking and occasionally to sitting.

·         Walking:  2-3 hours per 8 hour shift.  Alternates frequently to standing and occasionally to sitting.

·         Lifting:              1-10 lbs.                       Continuously

11-20 lbs.                     Occasionally

21-35 lbs.                     Rarely

36-50 lbs.                     Rarely

51-75 lbs.                     Rarely

> 75 lbs.                       Rarely

·         Carrying:         1-10 lbs.                       Continuously

11-20 lbs.                     Rarely

21-35 lbs.                     Rarely

·         Driving:                                                Rarely

·         Pushing:                                               Continuously

·         Bending:                                              Occasionally

·         Squatting:                                            Rarely

·         Kneeling:                                             Rarely

·         Crawling:                                             Rarely

·         Climbing:                                             Rarely

·         Reaching:                                            Occasionally

·         Grasping:                                             Occasionally

·         Fine Manipulation:                              Continuously

(Frequency:  Never=0%; Rarely=1-10%; Occasionally=11=33%; Frequently = 34-66%; Continuously = 67%+)

Equal Employment Opportunity/Affirmative Action Employer and do not discriminate on the basis of race, color, age, sex, religion, veteran’s status, national origin, disability, marital status, or any other characteristic

JOB SUMMARY: 

The primary purpose of the Licensed Practical Nurse position is to provide direct nursing care to residents as a member of an interdisciplinary team of care providers and to plan, supervise and evaluate the day-to-day nursing activities performed by nursing assistants. 

JOB DUTIES & RESPONSIBILITIES:

Administrative Functions

·         Plan, assign, supervise and evaluate all responsibilities to be performed by members of the nursing staff under your supervision, so that care and services are provided on the basis of staff qualifications, resident acuity, required duties and physical layout of the facility.

·         Provide leadership, mentoring and guidance to associates for whom you are responsible.

·         As requested by the Director of Nursing or designee, assist in reviewing department policies, procedures and job descriptions and making recommendations for revisions.

·         Implement and monitor compliance with all established policies and procedures.

·         Meet regularly with your assigned nursing staff and support personnel to plan and communicate appropriate care-related services and activities for your residents, communicate residents’ concerns and needs and discuss other vital information related to resident care and facility practices. Develop staff assignments as indicated.

·         Cooperate with other resident services to ensure that residents’ individual care plans are being followed.

·         Participate in the facility’s quality improvement to discuss resident, personnel and facility related business.

·         Meet with other nursing service and facility personnel on a regularly scheduled basis, to assist in identifying and correcting problem areas and/or improve services.

·         Review complaints made by your assigned personnel and communicate such information to the Director of Nursing or designee, as appropriate.

·         Participate in facility surveys made by authorized regulatory agencies.

·         Participate in the admission, transfer and discharge of residents as required.

Nursing Care Functions

·         Implement and maintain established facility objectives, consistent with federal and state licensure regulations and nursing standards of practice.

·         Follow the facility’s policies and procedures governing the provision of direct care to residents, including the administration of medications, treatments and other care in accordance with physicians’ orders and the residents’ care plans.

·         Perform continual observation and evaluation of each resident’s physical, mental, cognitive and emotional status and Director of Nursing or designee, to the attending physician and to the resident’s responsible party, according to facility policy and protocol.

·         Communicate timely with physicians and/or nurse practitioners related to resident care needs and concerns. Be responsible to properly implement and communicate to other caregivers all physician &/or nurse practitioner orders.

·         Respond immediately to resident events, accidents, incidents and/or allegations of resident abuse, neglect and/or misappropriation of property.  Perform an assessment of the involved resident(s) and provide emergency intervention as required.  Notify the Director of Nursing or designee, the Administrator (as appropriate), the resident’s attending physician and the resident’s responsible party when the resident is involved in an accident/incident. Initiate an immediate investigation of the accident/incident/unusual circumstance, when indicated, and in accordance with facility policy & procedures.

·         Attend in-service education programs in order to stay current in your profession and practice and meet facility educational requirements.

·         Conduct weekly skin checks and document/report findings to unit manager.

Documentation

·         Document all clinical information in an informative and descriptive manner that reflects the care provided to the resident as well as the resident’s response to the care.

·         Comply with state, federal, facility and other regulatory guidelines in terms of the frequency and type of documentation required.

Care Plan and Assessment Functions

·         Develop and/or revise the residents’ care plans on admission and as otherwise indicated. 

·         Collect and continually contribute resident assessment data to assist in determining resident problems, goals and interventions, based on each resident’s individual needs.

Human Resource Functions

·         Recommend to the Nurse Educator the skill development and knowledge acquisition needs of your assigned staff.  Participate in conducting in-service training classes that meet those needs, as requested.

·         Participate through serving as a “preceptor” in the orientation for new associates.

·         Assist in responding to staffing shortages by arranging for replacement staff or revising care assignments, as directed.

·         Participate in performance evaluations for your assigned staff through the provision of information to the Director of Nursing or designee.

Safety and Sanitation Functions

·         Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals in accordance with the facility’s policies and procedures.

·         Monitor your assigned personnel to ensure that they are following established safety and sanitation regulations, policies and procedures.

·         Assist the Infection Control Coordinator in identifying, evaluating and classifying routine and job-related functions to ensure that tasks in which there are potential exposure to blood/body fluids are properly identified and recorded.

·         Ensure that all personnel participate in appropriate in-service training programs prior to performing any tasks that involve exposure to blood/body fluids.

·         Ensure that your assigned work areas are maintained in a clean and sanitary manner.

Resident Rights’ Responsibilities

·         Maintain the confidentiality of all resident care information.

·         Monitor nursing care to ensure that all residents are treated fairly, and with dignity, kindness and respect.

·         Ensure that all nursing care is provided in privacy and that nursing service personnel knock before entering the resident’s room.

·         Ensure that all nursing service personnel are knowledgeable of and honor the residents’ responsibilities and rights including the right to refuse treatment.

·         Review complaints and grievances made by the resident &/or family and make a written/oral report to the Director of Nursing or designee indicating what action(s) were taken to initially address the complaint or grievance

·         Report and begin the initial investigation of all allegations of resident abuse, neglect and/or misappropriation of resident property.

Working Conditions

·         Works throughout the nursing service area (drug rooms, nurses’ station, resident rooms, etc.)as well as other areas of the facility.

·         Moves intermittently during work hours.

·         Is subject to frequent interruptions.

·         Is involved with residents, personnel, visitors, government agencies/personnel, under all conditions and circumstances.

·         Is subject to hostile and emotionally upset residents, family members, personnel and visitors.

·         Communicates with the medical staff, nursing personnel and other department supervisors.

·         Works beyond normal working hours and in other positions temporarily, when necessary.

·         Is subject to callback during emergency conditions.

·         Attends and participates in continuing educational programs.

·         Is subject to exposure to infectious waste, diseases, conditions, etc. including TB and the AIDS and Hepatitis B viruses.

·         Is subject to injury from falls, burns from equipment, odors, etc., throughout the workday, as well as to reactions from dust, plastics, synthetics, disinfectants, tobacco smoke, and other potential contaminants.

·         May be subject to the handling of and exposure to hazardous chemicals.

·         Maintains a liaison with the resident, their families, support departments, etc. to adequately plan for the residents’ needs.

JOB REQUIREMENTS: 

Education

·         Must be a graduate from an accredited school for Licensed Practical Nurses with a current, unencumbered, active license to practice as an LPN.

Experience

         Must have prior supervisory experience with supervising CNA’s and other personnel.

Specific Requirements

·         Must possess a current, unencumbered, active license to practice as an LPN in this state.

·         Must be able to read, write, speak and understand the English language.

·         Must display professionalism both in appearance and attitude.

·         Must possess the ability to solve problems and make independent decisions when circumstances warrant such action.

·         Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agency 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 the ability and the willingness to work harmoniously with and to coach and supervise other personnel.

·         Must be able to plan, organize, develop, implement and interpret the programs, goals, objectives, policies and procedures that are necessary for providing quality care.

·         Must have patience, tact, a cheerful disposition and enthusiasm, as well as the willingness to handle difficult 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.

·         Must not pose a direct threat to the health or safety of other individuals in the workplace.

Physical and Sensory Requirements

·         Must be able to move intermittently throughout the workday.

·         Must be able to speak and write the English language in an understandable manner.

·         Must be able to cope with the mental and emotional stress of the position.

·         Must be able to see and hear or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully met.

·         Must function independently and have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies.

·         Must meet the general health requirement set forth by the policies of this facility, which include a medical and physical examination.

·         Must be able to relate to and work with the ill, disabled, elderly, emotionally upset, and at time hostile people within the facility.

·         Must meet the general health requirements set forth by the policies of this facility, which include a medical and physical examination.

·         Must be able to push, pull, move, and/or lift a minimum of five (5) pounds to a minimum height of three (3) feet and be able to push, pull, move, and/or carry such weight a minimum distance of five (5) feet.

·         Must be able to assist in the evacuation of residents during emergency situations.

·         Sitting:              1 hour per 8-hour shift.  Alternates frequently to standing or walking.

·         Standing:         1-2 hours per 8-hour shift.  Alternates frequently to walking and occasionally to sitting.

·         Walking:           5-6 hours per 8 hour shift.  Alternates frequently to standing and occasionally to sitting.

·         Lifting:              1-10 lbs.           Continuously

11-20 lbs.         Continuously

21-75 lbs.         Frequently

> 75 lbs.           Frequently

·         Carrying:         1-10 lbs.           Continuously

11-20 lbs.         Frequently

21-35 lbs.         Occasionally

·         Driving:                                    Rarely

·         Pushing:                                   Frequently

·         Bending:                                  Continuously

·         Squatting:                                Frequently

·         Kneeling:                                 Occasionally

·         Crawling:                                 Rarely

·         Climbing:                                 Rarely

·         Reaching:                                Continuously

·         Grasping:                                 Frequently

·         Fine Manipulation:                  Frequently

(Frequency:  Never=0%; Rarely=1-10%; Occasionally=11=33%; Frequently = 34-66%; Continuously = 67%+)

Equal Employment Opportunity/Affirmative Action Employer and do not discriminate on the basis of race, color, age, sex, religion, veteran’s status, national origin, disability, marital status, or any other characteristic protected by law.

JOB SUMMARY: 

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 performed by licensed practical nurses and nursing assistants. 

JOB DUTIES & RESPONSIBILITIES: 

Administrative Functions

·         Organize and assign all jobs to be done on tour of duty so that workload is evenly distributed among nursing personnel on the basis of staff qualifications, size and physical layout of the facility.

·         Periodically review department policies, procedures and job descriptions and make recommendations for revisions.

·         Implement established policies and procedures.

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

·         Meet with your assigned nursing staff and support personnel to plan appropriate services, programs and activities for your shift.

·         Cooperate with other resident services when coordinating nursing services to ensure that the resident’s individual care plans are being followed.

·         Participate in the development, maintenance, and implementation of the facility’s quality assurance program.

·         Request conferences with the Director of Nursing as needed to discuss resident, personnel and facility related business.

·         Participate in facility surveys made by authorized regulatory agencies as requested.

·         Periodically review the resident’s written discharge plan and participate in updating that plan as required.

·         Admit, transfer and discharge residents as required.

·         Place and receive, personally, all calls to and from physicians.

Charting and Documentation

·         Assist in updating the resident care plans as instructed by the MDS/Care Plan Coordinator and/or Director of Nursing.

·         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.

·         Document status of each resident on the chart at least weekly, more often if significant change occurs or as directed. Follow up with monthly and quarterly summaries as instructed.

·         Make rounds with physician, as directed, and record visits in resident’s chart.

·         Transcribe, accurately and promptly, all physician’s orders.

·         Direct documentation and make weekly detailed evaluation of all resident documentation so that chart reflects progress and condition of resident at all times.

·         Approve and sign charts when observations are made.

·         Insure that all medications and treatments are charted and signed following administration of the medication/treatment, by the administering person.

·         Report all discrepancies noted concerning physician’s orders, diet change, charting error, etc. to the ADON or DON.

·         Complete accurate accident/incident reports as necessary.

·         Fill out and complete transfer forms in accordance with established procedures.

Drug Administration Functions

·         Prepare and administer medications as ordered by physician.

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

·         Ensure that prescribed medication for one resident is not administered to another.

·         Ensure that an adequate supply of floor stock medications, supplies, and equipment are on hand to meet the nursing needs of the residents. 

·         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 ADON or DON of all drug and narcotic discrepancies noted on your shift.

·         Prepare, administer and record all parenteral, intramuscular, sub-cutaneous injections.

·         Administer I.V. fluid therapy in accordance with policy and procedure.

·         Administer or supervise all treatments prescribed by physician.

·         Dispose of drugs and narcotics as required and in accordance with established procedures.

Nursing Care Functions

·         Implement and maintain established nursing objectives and standards.

·         Make rounds at least every two (2) hours to ensure that certified nursing assistants are properly administering prescribed care assignments.

·         Make general observation and evaluation of the resident’s physical and emotional status. Make note of any significant changes and communicate those changes to the ADON/DON according to facility policy and protocol.

·         Ensure that direct nursing care is 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 physician and/or next of kin when the resident is involved in an accident/incident or if there is a significant change in the resident’s condition.

·         Cooperate with restorative and rehabilitative programs as requested.

·         Inspect the treatment areas to ensure they are maintained in a clean and safe manner.

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

·         Administer restraints for residents in accordance with physician’s orders, established policies and procedures.

·         Obtain sputum, urine and other specimens for lab tests as ordered.

·         Take and record TPR’s, 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 it is within the resident’s dietary allowances.  Report problems to the ADON/DON.

·         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 problems/complaints promptly to the ADON/DON.

·         Admit, transfer and discharge residents as necessary.

·         Ensure that discharged residents are escorted to the pick-up area.

·         Inform family members of the death of the resident.

·         Ensure that established postmortem procedures are followed.

·         Conduct week skin checks as assigned.

Human Resource Functions

·         Assist the SDC in developing, planning, conducting and scheduling in-service training classes that meet the skill development and knowledge acquisition needs of your assigned staff.

·         Implement and maintain an effective “unit/shift/floor” orientation for new associates.

·         Assist in standardizing the methods in which work will be accomplished.

·         Respond to need for staffing shortages by arranging replacement staff, as directed.

·         Conduct performance evaluations for your assigned staff according to facility policy i.e., following orientation and annually.

·         Review and evaluate your department’s work force and make recommendations to the ADON/DON.

·         Develop work assignments for nursing staff on your shift.

·         Provide leadership to nursing personnel assigned to your shift.

·         Make daily rounds of your unit to ensure that nursing service personnel are performing their work assignments in accordance with acceptable nursing standards.

·         Meet with your shift’s nursing personnel, on a regularly scheduled basis, to assist in identifying and correcting problem areas and/or improve services.

·         Develop and maintain a good working rapport with inter-departmental personnel to ensure that nursing services can be adequately maintained to meet the needs of the residents.

·         Create and maintain an atmosphere of warmth, personal interest and positive emphasis, as well as a calm, quiet environment throughout the unit and shift.

·         Review complaints made by your assigned personnel.

·         Ensure that disciplinary action is administered fairly and in accordance with established facility disciplinary procedures.

·         Receive/give the nursing reports during shift change.

·         Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals in accordance with the facility’s policies and procedures.

·         Attend monthly in-service education programs in order to stay current in your profession and meet facility educational requirements.

Safety and Sanitation Functions

·         Monitor your assigned personnel to ensure that they are following established safety regulations.

·         Assist the Infection Control Coordinator in identifying, evaluating and classifying routine and job-related functions to ensure that tasks in which there are potential exposure to blood/body fluids are properly identified and recorded.

·         Ensure that all personnel participate in appropriate in-service training programs prior to performing any tasks that involve exposure to blood/body fluids.

·         Ensure that your assigned work areas are maintained in a clean and sanitary manner.

·         Ensure that your assigned personnel follow established Universal Precautions and infection control procedures.

·         Ensure that your assigned personnel participate in and conduct all fire safety and disaster preparedness drills in a safe and professional manner.

·         Ensure that an MSDS Manual is properly labeled and readily available at the nurses’ station and that all your assigned personnel are oriented to the location and use of the manual.

·         Ensure that all personnel operate nursing service equipment in a safe manner.

Care Plan and Assessment Functions

·         Review care plans daily to ensure appropriate care is being given.

·         Ensure that your nurses’ notes reflect that the care plan is being followed as written.

·         Review resident care plans for appropriate resident goals, problems, approaches, and revisions based on nursing needs.

·         Ensure that your assigned CNAs are aware of the resident care plans and refer to the plan prior to administering daily care to the residents.

·         Assist the Resident Assessment/Care Plan Coordinator in planning, scheduling, and revising the MDS, including the implementation of RAPs and Triggers.

Miscellaneous

·         Provide data to the Quality Assurance and Assessment Committee as requested.

Resident Rights Responsibilities

·         Maintain the confidentiality of all resident care information.

·         Monitor nursing care to ensure that all residents are treated fairly, and with dignity, kindness and respect.

·         Ensure that all nursing care is provided in privacy and that nursing service personnel knock before entering the resident’s room.

·         Ensure that all nursing service personnel are knowledgeable of and honor the residents’ responsibilities and rights including the right to refuse treatment.

·         Review complaints and grievances made by the resident and make a written/oral report to the Charge Nurse indicating what action(s) were taken to resolve the complaint or grievance. Follow the facility’s established procedures.

·         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.

·         Report and investigate all allegations of resident abuse and/or misappropriation of resident property.

Working Conditions

·         Works in office areas as well as throughout the nursing service area (drug rooms, nurses’ station, resident rooms, etc.)

·         Moves intermittently during work hours.

·         Is subject to frequent interruptions.

·         Is involved with residents, personnel, visitors, government agencies/personnel, under all conditions and circumstances.

·         Is subject to hostile and emotionally upset residents, family members, personnel and visitors.

·         Communicates with the medical staff, nursing personnel and other department supervisors.

·         Works beyond normal working hours and in other positions temporarily, when necessary.

·         Is subject to callback during emergency conditions.

·         Attends and participates in continuing educational programs.

·         Is subject to exposure to infectious waste, diseases, conditions, etc. including TB and the AIDS and Hepatitis B viruses.

·         Is subject to injury from falls, burns from equipment, odors, etc., throughout the workday, as well as to reactions from dust, plastics, synthetics, disinfectants, tobacco smoke, and other potential contaminants.

·         May be subject to the handling of and exposure to hazardous chemicals.

·         Maintains a liaison with the resident, their families, support departments, etc. to adequately plan for the residents’ needs.

JOB REQUIREMENTS: 

Education

·         Must possess a Nursing Degree from an accredited college or university, or be a graduate of an approved school of professional nursing.

Experience              

·         A minimum of one year nursing experience required.

·         Supervisory experience with Nursing Assistants.

·         Long Term Care and MDS/RAI experience strongly desired.

Specific Requirements

·         Must possess a current, unencumbered, active license to practice as an RN in this state.

·         At least six (6) months as a staff nurse in a long-term care facility.

·         Must be able to read, write, speak and understand the English language.

·         Must display professionalism both in appearance and attitude.

·         Must possess the ability to solve problems and make independent decisions when circumstances warrant such action.

·         Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agency 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 the ability and the willingness to work harmoniously with and to coach and supervise other personnel.

·         Must be able to plan, organize, develop, implement and interpret the programs, goals, objectives, policies and procedures that are necessary for providing quality care.

·         Must have patience, tact, a cheerful disposition and enthusiasm, as well as the willingness to handle difficult 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.

·         Must not pose a direct threat to the health or safety of other individuals in the workplace.

Physical and Sensory Requirements

·         Must be able to move intermittently throughout the workday.

·         Must be able to speak and write the English language in an understandable manner.

·         Must be able to cope with the mental and emotional stress of the position.

·         Must be able to see and hear or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully met.

·         Must function independently and have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies.

·         Must meet the general health requirement set forth by the policies of this facility, which include a medical and physical examination.

·         Must be able to relate to and work with the ill, disabled, elderly, emotionally upset, and at time hostile people within the facility.

·         Must meet the general health requirements set forth by the policies of this facility, which include a medical and physical examination.

·         Must be able to push, pull, move, and/or lift a minimum of five (5) pounds to a minimum height of three (3) feet and be able to push, pull, move, and/or carry such weight a minimum distance of five (5) feet.

·         Must be able to assist in the evacuation of residents during emergency situations.

·         Sitting:              1 hour per 8-hour shift.  Alternates frequently to standing or walking.

·         Standing:         1-2 hours per 8-hour shift.  Alternates frequently to walking and occasionally to sitting.

·         Walking:           5-6 hours per 8 hour shift.  Alternates frequently to standing and occasionally to sitting.

·         Lifting:              1-10 lbs.           Continuously

11-20 lbs.         Continuously

21-75 lbs.         Frequently

> 75 lbs.           Frequently

·         Carrying:         1-10 lbs.           Continuously

11-20 lbs.         Frequently

21-35 lbs.         Occasionally

·         Driving:                                    Rarely

·         Pushing:                                   Frequently

·         Bending:                                  Continuously

·         Squatting:                                Frequently

·         Kneeling:                                 Occasionally

·         Crawling:                                 Rarely

·         Climbing:                                 Rarely

·         Reaching:                                Continuously

·         Grasping:                                 Frequently

·         Fine Manipulation:                  Frequently

(Frequency:  Never=0%; Rarely=1-10%; Occasionally=11=33%; Frequently = 34-66%; Continuously = 67%+)

Equal Employment Opportunity/Affirmative Action Employer and do not discriminate on the basis of race, color, age, sex, religion, veteran’s status, national origin, disability, marital status, or any other characteristic protected by law.

JOB SUMMARY: 

The primary purpose of the Licensed Practical Nurse position is to provide direct nursing care to residents as a member of an interdisciplinary team of care providers and to plan, supervise and evaluate the day-to-day nursing activities performed by nursing assistants. 

JOB DUTIES & RESPONSIBILITIES:

Administrative Functions

·         Plan, assign, supervise and evaluate all responsibilities to be performed by members of the nursing staff under your supervision, so that care and services are provided on the basis of staff qualifications, resident acuity, required duties and physical layout of the facility.

·         Provide leadership, mentoring and guidance to associates for whom you are responsible.

·         As requested by the Director of Nursing or designee, assist in reviewing department policies, procedures and job descriptions and making recommendations for revisions.

·         Implement and monitor compliance with all established policies and procedures.

·         Meet regularly with your assigned nursing staff and support personnel to plan and communicate appropriate care-related services and activities for your residents, communicate residents’ concerns and needs and discuss other vital information related to resident care and facility practices. Develop staff assignments as indicated.

·         Cooperate with other resident services to ensure that residents’ individual care plans are being followed.

·         Participate in the facility’s quality improvement to discuss resident, personnel and facility related business.

·         Meet with other nursing service and facility personnel on a regularly scheduled basis, to assist in identifying and correcting problem areas and/or improve services.

·         Review complaints made by your assigned personnel and communicate such information to the Director of Nursing or designee, as appropriate.

·         Participate in facility surveys made by authorized regulatory agencies.

·         Participate in the admission, transfer and discharge of residents as required.

Nursing Care Functions

·         Implement and maintain established facility objectives, consistent with federal and state licensure regulations and nursing standards of practice.

·         Follow the facility’s policies and procedures governing the provision of direct care to residents, including the administration of medications, treatments and other care in accordance with physicians’ orders and the residents’ care plans.

·         Perform continual observation and evaluation of each resident’s physical, mental, cognitive and emotional status and Director of Nursing or designee, to the attending physician and to the resident’s responsible party, according to facility policy and protocol.

·         Communicate timely with physicians and/or nurse practitioners related to resident care needs and concerns. Be responsible to properly implement and communicate to other caregivers all physician &/or nurse practitioner orders.

·         Respond immediately to resident events, accidents, incidents and/or allegations of resident abuse, neglect and/or misappropriation of property.  Perform an assessment of the involved resident(s) and provide emergency intervention as required.  Notify the Director of Nursing or designee, the Administrator (as appropriate), the resident’s attending physician and the resident’s responsible party when the resident is involved in an accident/incident. Initiate an immediate investigation of the accident/incident/unusual circumstance, when indicated, and in accordance with facility policy & procedures.

·         Attend in-service education programs in order to stay current in your profession and practice and meet facility educational requirements.

·         Conduct weekly skin checks and document/report findings to unit manager.

Documentation

·         Document all clinical information in an informative and descriptive manner that reflects the care provided to the resident as well as the resident’s response to the care.

·         Comply with state, federal, facility and other regulatory guidelines in terms of the frequency and type of documentation required.

Care Plan and Assessment Functions

·         Develop and/or revise the residents’ care plans on admission and as otherwise indicated. 

·         Collect and continually contribute resident assessment data to assist in determining resident problems, goals and interventions, based on each resident’s individual needs.

Human Resource Functions

·         Recommend to the Nurse Educator the skill development and knowledge acquisition needs of your assigned staff.  Participate in conducting in-service training classes that meet those needs, as requested.

·         Participate through serving as a “preceptor” in the orientation for new associates.

·         Assist in responding to staffing shortages by arranging for replacement staff or revising care assignments, as directed.

·         Participate in performance evaluations for your assigned staff through the provision of information to the Director of Nursing or designee.

Safety and Sanitation Functions

·         Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals in accordance with the facility’s policies and procedures.

·         Monitor your assigned personnel to ensure that they are following established safety and sanitation regulations, policies and procedures.

·         Assist the Infection Control Coordinator in identifying, evaluating and classifying routine and job-related functions to ensure that tasks in which there are potential exposure to blood/body fluids are properly identified and recorded.

·         Ensure that all personnel participate in appropriate in-service training programs prior to performing any tasks that involve exposure to blood/body fluids.

·         Ensure that your assigned work areas are maintained in a clean and sanitary manner.

Resident Rights’ Responsibilities

·         Maintain the confidentiality of all resident care information.

·         Monitor nursing care to ensure that all residents are treated fairly, and with dignity, kindness and respect.

·         Ensure that all nursing care is provided in privacy and that nursing service personnel knock before entering the resident’s room.

·         Ensure that all nursing service personnel are knowledgeable of and honor the residents’ responsibilities and rights including the right to refuse treatment.

·         Review complaints and grievances made by the resident &/or family and make a written/oral report to the Director of Nursing or designee indicating what action(s) were taken to initially address the complaint or grievance

·         Report and begin the initial investigation of all allegations of resident abuse, neglect and/or misappropriation of resident property.

Working Conditions

·         Works throughout the nursing service area (drug rooms, nurses’ station, resident rooms, etc.)as well as other areas of the facility.

·         Moves intermittently during work hours.

·         Is subject to frequent interruptions.

·         Is involved with residents, personnel, visitors, government agencies/personnel, under all conditions and circumstances.

·         Is subject to hostile and emotionally upset residents, family members, personnel and visitors.

·         Communicates with the medical staff, nursing personnel and other department supervisors.

·         Works beyond normal working hours and in other positions temporarily, when necessary.

·         Is subject to callback during emergency conditions.

·         Attends and participates in continuing educational programs.

·         Is subject to exposure to infectious waste, diseases, conditions, etc. including TB and the AIDS and Hepatitis B viruses.

·         Is subject to injury from falls, burns from equipment, odors, etc., throughout the workday, as well as to reactions from dust, plastics, synthetics, disinfectants, tobacco smoke, and other potential contaminants.

·         May be subject to the handling of and exposure to hazardous chemicals.

·         Maintains a liaison with the resident, their families, support departments, etc. to adequately plan for the residents’ needs.

JOB REQUIREMENTS: 

Education

·         Must be a graduate from an accredited school for Licensed Practical Nurses with a current, unencumbered, active license to practice as an LPN.

Experience

         Must have prior supervisory experience with supervising CNA’s and other personnel.

Specific Requirements

·         Must possess a current, unencumbered, active license to practice as an LPN in this state.

·         Must be able to read, write, speak and understand the English language.

·         Must display professionalism both in appearance and attitude.

·         Must possess the ability to solve problems and make independent decisions when circumstances warrant such action.

·         Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agency 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 the ability and the willingness to work harmoniously with and to coach and supervise other personnel.

·         Must be able to plan, organize, develop, implement and interpret the programs, goals, objectives, policies and procedures that are necessary for providing quality care.

·         Must have patience, tact, a cheerful disposition and enthusiasm, as well as the willingness to handle difficult 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.

·         Must not pose a direct threat to the health or safety of other individuals in the workplace.

Physical and Sensory Requirements

·         Must be able to move intermittently throughout the workday.

·         Must be able to speak and write the English language in an understandable manner.

·         Must be able to cope with the mental and emotional stress of the position.

·         Must be able to see and hear or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully met.

·         Must function independently and have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies.

·         Must meet the general health requirement set forth by the policies of this facility, which include a medical and physical examination.

·         Must be able to relate to and work with the ill, disabled, elderly, emotionally upset, and at time hostile people within the facility.

·         Must meet the general health requirements set forth by the policies of this facility, which include a medical and physical examination.

·         Must be able to push, pull, move, and/or lift a minimum of five (5) pounds to a minimum height of three (3) feet and be able to push, pull, move, and/or carry such weight a minimum distance of five (5) feet.

·         Must be able to assist in the evacuation of residents during emergency situations.

·         Sitting:              1 hour per 8-hour shift.  Alternates frequently to standing or walking.

·         Standing:         1-2 hours per 8-hour shift.  Alternates frequently to walking and occasionally to sitting.

·         Walking:           5-6 hours per 8 hour shift.  Alternates frequently to standing and occasionally to sitting.

·         Lifting:              1-10 lbs.           Continuously

11-20 lbs.         Continuously

21-75 lbs.         Frequently

> 75 lbs.           Frequently

·         Carrying:         1-10 lbs.           Continuously

11-20 lbs.         Frequently

21-35 lbs.         Occasionally

·         Driving:                                    Rarely

·         Pushing:                                   Frequently

·         Bending:                                  Continuously

·         Squatting:                                Frequently

·         Kneeling:                                 Occasionally

·         Crawling:                                 Rarely

·         Climbing:                                 Rarely

·         Reaching:                                Continuously

·         Grasping:                                 Frequently

·         Fine Manipulation:                  Frequently

(Frequency:  Never=0%; Rarely=1-10%; Occasionally=11=33%; Frequently = 34-66%; Continuously = 67%+)

Equal Employment Opportunity/Affirmative Action Employer and do not discriminate on the basis of race, color, age, sex, religion, veteran’s status, national origin, disability, marital status, or any other characteristic protected by law.

JOB SUMMARY:  

The primary purpose of the Transporter position is to provide each assigned resident with excellent daily nursing care and services to assure resident safety in accordance with the resident’s assessment and plan of care, and as may be directed by your supervisor. Under direct supervision, performs duties necessary to provide safe, courteous and efficient transport of patients, equipment, supplies and specimens to and from patient care areas and departments within the facility or campus assigned.

JOB DUTIES & RESPONSIBILITIES:   Administrative Functions

•       Identify residents before administering treatments, serving meals, etc. as necessary.

•       Record all entries on flow sheets, notes, charts, etc. in an informative and descriptive manner.

•       Use only authorized abbreviations established by this facility when recording information.

•       Report all changes in the resident’s condition to the RN Team Leader as soon as possible.

•       Report and provide statement for all events, accidents and incidents you observe on the shift as they occur.

Admission, Transfer, and Discharge Functions

•        Transports patients by assisting patients in and out of taxis, ambulances, and cars; lifting patients on and off beds; moving them to and from special service and treatment areas; using wheelchairs or moveable beds. 

•        Transports equipment and supplies; delivering them to assigned treatment areas and patient care areas.

•        Transports laboratory specimens by picking-up specimens and delivering them to specified laboratory.  

•        Safely transport patients to and from each location by following all safety protocols/processes.

•        Retrieves and stores transport equipment.

•        Uses wheelchairs and other approved rolling stock to carry out the essential duties of the position. 

•        Demonstrates competency in transporting all specific age groups including the use of patient lift equipment. 

•        Ensures the safe, timely and accurate transport of patients to their destination using the proper requested equipment. 

•        Communicates effectively with nursing personnel, clinicians, technicians or reception and dispatch. 

•        Ensures the comfort of the patient by being attentive. Offers blankets, checks modesty and only engages in appropriate conversation involving patients. 

•        Alerts nursing staff immediately to any signs of patient distress or equipment malfunction.  

•        Maintains equipment and reports equipment needing repairs. 

•        Complies with regulatory agency standards, including federal, state local governmental regulations. 

•        Adheres to facility confidentiality and patient's rights policy as outlined in the facilities HIPPA policies and procedures.

•        Performs other duties as assigned.

Completes all necessary delivery forms and paperwork including, but not limited to invoices, work orders, manifests and logs, patient care instructions, route sheets, etc.

 Delivers equipment and oxygen as required in accordance with industry standards and applicable federal, state and local governmental regulations. 

•        Delivers, sets up and maintains equipment at the delivery address using company vehicle.

•        Educates the patient and/or caregiver on the safe use and maintenance of the delivered items. 

•        Maintains assigned company vehicle in a clean and safe working condition. 

•        Observes additional needs that the patient may have and reports to management during morning meeting 

•        Reports equipment hazards and/or product incidents as required 

•        Ensure that the resident’s room is ready for receiving the resident (i.e., bed made, name tags up, admission kit available, etc.)

•        Greet residents and escort them to their room.

•        Introduce resident to his/her roommate, if any, and other residents and personnel as appropriate.

•        Make resident comfortable (i.e., put to bed, get water, etc.) •        Inventory and mark the resident’s personal possessions as instructed.

•        Store resident’s clothing.

•        Assist residents with packing their personal belongings when they are being transferred or discharged.

•        Transport residents to new rooms or to the receiving area.

•        Assist with loading/unloading residents from vehicles as necessary.

Personnel Functions

•       Perform all assigned tasks in accordance with our established policies and procedures, and as instructed by your supervisor.

•       Follow work assignments, and/or work schedules in completing and performing your assigned tasks.

•       Cooperate with inter-departmental personnel, as well as other facility personnel to ensure that nursing services can be adequately maintained to meet the needs of the residents.

•       Create and maintain an atmosphere of warmth, personal interest and positive emphasis, as well as a calm environment throughout the unit and the shift.

•       Meet with your shift’s nursing personnel, on a regularly scheduled basis, to assist in identifying and correcting problem areas, and/or the improvement of services and participate in Team Conference.

•       Report all complaints and grievances made by the resident.

•       Notify the facility when you will be late or absent from work.

Personal Nursing Care Functions

•               Participate in and receive the nursing report upon reporting for duty.

•               Follow established policies concerning exposure to blood/body fluids.

•               Assist residents with hygiene needs to include:

•               Daily dental and mouth care (i.e. brushing teeth/dentures, oral hygiene, special mouth care, etc.)

•               Bathing (i.e. bed bath, tub or shower bath, etc.) as directed

•               Dressing/undressing as necessary

•               Hair care needs (i.e. combing, brushing, shampooing, etc.)

•               Nail care (i.e. clipping, trimming and cleaning the finger/toe nails)

•               Shaving male residents

•               Controlling hair growth on female residents (i.e. facial hair, under arms, on legs, etc.) as instructed •     Keeping residents dry (i.e. change gown, clothing, linen, etc. when they become wet or soiled)

•               Change bed linens. Keep linens tight to avoid wrinkles from forming under the resident. •       Make beds (occupied and unoccupied.) •   Put extra linens on bed as requested.

•               Position bedfast residents in correct and comfortable position, utilizing positioning devices as indicated.

•               Assist resident with bowel and bladder functions (i.e., take to bathroom, offer bedpan/urinal, portable commode, etc.)

•               Maintain intake and output records as instructed.

•               Keep incontinent residents clean and dry.

•               Check and report bowel movements and character of stools as instructed.

Assist residents in preparing for medical tests and appointments (i.e., lab work, x-ray, therapy, dental, physician dialysis, etc.)

Assist residents in preparing for activity and social programs (i.e. church, parties, visitors, physician, dialysis).

•               Assist in transporting residents to/from appointments, activity and social programs, etc. as necessary.

•               Assist with lifting, turning, moving, positioning, and transporting residents into and out of beds, chairs, bathtubs, wheelchairs, lifts, etc.

•               Assist residents to walk with or without self-help devices as instructed.

•               Provide eye and ear care (i.e., warm/cold compresses, removing wax and hair, cleaning eyeglasses/hearing aids, dentures, etc.) as instructed.

•               Assist in preparing the resident for a physical examination.

•               Measure and record temperatures, pulse, and respirations, as instructed.

•               Answer resident calls promptly.

•               Check each resident routinely to ensure that his/her personal care needs are being met in accordance with his/her wishes.

•               Assist with the care of the dying resident as directed.

•               Provide post-mortem care as instructed.

Special Nursing Care Functions

•       Observe and report the presence of red areas and skin breakdowns to prevent decubitus ulcers.

•       Report injuries of an unknown source, including skin tears.

•       Provide daily indwelling catheter care.

•       Provide daily perineal care.

•       Perform non-sterile (clean) vaginal irrigation/douches.

•       Assist with the application of slings, elastic bandages, binders, etc.

•       Give tepid sponge baths.

•       Provide daily range of motion exercises and record data as instructed.

•       Turn bedfast residents at least every two (2) hours.

•       Perform diabetic urine testing, as directed.

•       Observe disoriented and comatose residents. Record and report data as instructed.

•       Turn all medications found in the resident’s room over to the Medication Administration Manager.

•       Watch for and report any change in room temperature, ventilation, lighting, etc. to the RN Team Leader.

Food Service Functions

•       Prepare residents for meals (i.e., take to bathroom, wash hands, comb hair, raise bed, position tables, place clothing protectors, take to/from dining room, etc.)

•       Serve food trays. Assist with feeding as indicated (i.e., cutting foods, feeding, assist in dining room supervision, etc.)

•       Assist residents with identifying food arrangements (i.e. informing resident with sight problem of foods that are on his/her tray, where it is located, if it is hot/cold, etc.)

•       Record the residents’ food intake. Report on changes in the resident’s eating habits.

•       Keep residents’ water pitchers clean and filled with fresh water and within easy reach of the resident.

•       Serve between meal and bedtime snacks.

•       Perform after meal care (i.e. remove trays, clean resident’s hands, face, clothing, take to bathroom, brush teeth, clean dentures, etc.)

•       Check rooms for food articles (i.e. food in proper container, unauthorized food items, etc.)

•       Maintain intake/output records as assigned.

Safety and Sanitation

•       Apply restraining device to residents in chair/bed as ordered.

•       Check residents with restraining device at least every thirty (30) minutes or as ordered.

•       Release restraining device at least every two (2) hours for range of motion exercises, taking to bathroom, etc.

•       Maintain a record of residents with a restraining device, the time devices were released, and how long the restraining device was released.

Participate in appropriate in-service training programs prior to performing tasks that involve potential exposure to blood/body fluids.

Wash hands before and after performing any service for the resident.

•       Keep the nurses’ call system within easy reach of the resident.

•       Immediately notify the RN Team Leader of any resident leaving/missing from the facility.

•       Follow established safety precautions in the performance of all duties.

•       Keep residents’ personal possessions off the floor and properly stored.

•       Keep floors dry. Report spills immediately.

•       Keep excess supplies and equipment off the floor. Store in designated areas.

•       Clean, disinfect, and return all resident care equipment to its designated storage area after each use.

•       Report all hazardous conditions and equipment to the RN Team Leader immediately.

•       Report all safety violations.

•       Follow established smoking regulations. Report all violations.

•       Report any communicable or infectious disease to the DON and/or the Infection Control Coordinator.

•       Follow established isolation precautions and procedures.

•       Wash hands before entering and after leaving an isolation room/area.

•       Follow established procedures in the use and disposal of personal protective equipment.

•       Wear and/or use safety equipment and supplies (i.e. back brace, mechanical lifts, etc.) when lifting or moving residents.

•       Report missing/illegible labels and MSDSs to your supervisor.

Equipment and Supply Functions

•       Use only the equipment you have been trained to use.

•       Operate all equipment in a safe manner.

•       Report defective equipment to the RN Team Leader.

•       Inform the RN Team Leader of your equipment and supply needs.

Care Plan Functions

•       Review CNA care cards daily to determine if changes in the resident’s daily care routine have been made on the care plan.

•       Inform the RN Team Leader of any changes in the resident’s condition so that appropriate information can be entered on the resident’s care plan.

•       Ensure that your notes/documentation reflect that the care plan is being followed.

Resident Rights Responsibilities 

•       Maintain the confidentially of all resident care information.

•       Ensure that you treat all residents fairly, and with kindness, dignity, and respect.

•       Ensure that all nursing care is provided in privacy.

•       Knock before entering the resident’s room.

•       Report all complaints made by the resident and/or family member to the RN Team Leader.

•       Report all allegations of resident abuse and/or misappropriation of resident property immediately.

•       Honor the resident’s refusal of treatment request. Report such requests to the RN Team Leader.

Working Conditions

•       Works throughout the nursing service areas.

•       Moves intermittently during work hours.

•       Is subject to frequent interruptions.

•       Is involved with residents, personnel, visitors, government agency personnel, etc. under all conditions and circumstances.

•       Is subject to hostile and emotionally upset residents, family members, personnel and visitors.

•       Communicates with nursing personnel and other department personnel.

•       Works beyond normal working hours, on weekends and holidays, and in other positions, temporarily, when necessary.

•       Is subject to callback during emergency conditions.

•       Attends and participates in continuing education programs.

Is subject to injury from falls, burns from equipment, odors, etc., throughout the workday, as well as to reactions from dust, plastics, synthetics, disinfectants, tobacco smoke, and other potential contaminants.

•       Is subject to exposure to infectious waste, disease, conditions, etc. including TB and the AIDS and Hepatitis B viruses.

•       May be subject to the handling of and exposure to hazardous chemicals.

Staff Development Functions

•       Attend and participate in scheduled training and educational classes to improve nursing skills and maintain current certification as a Nursing Assistant.

•       Attend and participate in scheduled orientation programs and activities.

•       Attend and participate in annual OSHA and CDC in-service training programs for hazard communication, TB management, and blood borne pathogens standards.

•       Attend and participate in advance directive in-service training programs as scheduled.

JOB REQUIREMENTS:   

Education

•       Must possess a high school diploma or GED.

•       Must be a Certified Nursing Assistant in accordance with the laws of this state.

•       Possess some computer skills and understanding of documentation software program preferred.

Specific Requirements

•       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 agency personnel, and the general public.

•       Must possess the ability and willingness to work harmoniously with other personnel.

•       Must have patience, tact, a positive attitude 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 and safety of other individuals in the workplace.

Physical and Sensory Requirements (with or without the aid of mechanical devices)

•       Must be able to move continuously throughout the workday.

•       Must be able to cope with the mental and emotional stress of the position.

•       Must be able to see and hear or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully met.

•       Must function independently and have flexibility, personal integrity, and the ability to work effectively with residents, families, personnel, and support agencies.

•       Must meet the general health requirements set forth by the policies of this facility, which may include a medical and physical examination.

•       Must be able to relate to and work with the ill, disabled, elderly, emotionally upset, and at times, hostile people within the facility.

•       Must be able to push, pull, move, and/or lift a minimum of 10 pounds to a minimum height of 5 feet and be able to push, pull, move, and/or carry such weight a minimum distance of 5 feet.

•       May be necessary to assist in the evacuation of residents during emergency situations.

•       Sitting:  1-2 hour per 8-hour shift.  Alternates frequently to standing and walking.

•       Standing:  4-5 hours per 8-hour shift.  Alternates frequently to walking and occasionally to sitting.

•       Walking:  2-3 hours per 8 hour shift.  Alternates frequently to standing and occasionally to sitting.

(Frequency:  Never=0%; Rarely=1-10%; Occasionally=11=33%; Frequently = 34-66%; Continuously = 67%+)

Equal Employment Opportunity/Affirmative Action Employer and do not discriminate on the basis of race, color, age, sex, religion, veteran’s status, national origin, disability, marital status, or any other characteristic protected by law. 

JOB SUMMARY: 

The primary purpose of the Ward Clerk position is to assist the Charge Nurses in their day-to-day recording and charting of medical and/or administrative information.

JOB DUTIES & RESPONSIBILITIES: 

Administrative Functions

·         Record medical and administrative information in accordance with our established charting and documentation policies and procedures.

·         Maintain the Daily Census Report and submit to Charge Nurse.

·         Main an up-to-date roster of residents for your assigned unit.

·         Fill out resident charge slips and submit to the Business Office.

·         Answer telephone, page calls, deliver messages to residents, etc. as necessary.

·         Maintain a current listing of emergency phone numbers for your assigned unit.

·         Maintain and forward daily tardy and absentee reports to Business Office.

·         Record appropriate resident identification data on designated medical records, wristbands, ID cards, etc. as required.

·         Transcribe physicians’ orders to care plans, medication cards, treatment plans, etc., as required.

·         Report to the Charge Nurse discrepancies found in transcribing physicians’ orders, diet orders/changes, charting, etc.

·         Review medication cards for completeness of information, accuracy in the transcription of the physicians’ order, legibility, etc, as directed.

·         Chart nurses’ notes in an informative and descriptive manner.

·         Record vital signs as directed.

·         Forward new diet orders and/or diet changes to the Food Service Manager.

·         Keep nursing service personnel informed of residents’ appointments.

·         Assist in arranging for and making resident appointments for diagnostic and therapeutic services.

·         Notify the resident’s next-of-kin when there is a change in the resident’s condition.

·         Notify, as instructed, the resident’s, the residents next-of-kin when the resident is involved in an accident or incident.

·         Fill out and complete accident and incident reports as directed.

·         Admit, transfer, and discharge residents. Assist in arranging for transportation, packing residents’ belongings, escorting them to discharge/transfer area, loading, etc. as necessary.

·         Complete necessary medial and administrative records upon the resident’s admission, transfer, and/or discharge.

·         Notify the Charge Nurse should a resident be discharged without a physician’s order.

·         Forward completed charts of discharged residents to the Medial Records Department.

·         Pick up mail from box in a.m. and file.

·         File items in baskets daily.

·         Take telephone orders to Medical Records daily.

·         Take charts to Medical Records after death or discharge once physician signs orders.

·         Go through charts daily to check for loose papers.

·         Purge all charts on a quarterly basis

·         Keep records of telephone orders when going out and returned.

·         Day after admission put face sheets on charts.

·         Direct visitors to resident rooms, office areas, as necessary.

Committee Functions

·         Attend various committee meetings of the facility as assigned.

·         Assist in preparing written and/or oral reports of the nursing service programs and activities to submit to such committee as directed.

·         Provide data to the Quality Assurance & Assessment Committee as requested.

·         Participate in developing the agenda for the Care Plan Committee meetings as necessary.

·         Implement recommendations from established committees as instructed.

Personnel Functions

·         Assist in the orientation of newly assigned personnel as directed.

·         Interpret department policies and procedures to personnel, residents, visitors, etc. as directed.

·         Develop and maintain a good working rapport with inter-departmental personnel, as well as other department within the facility.

·         Create and maintain an atmosphere of warmth, personal interest and positive emphasis, as well as a calm environment throughout the unit and shift.

Nursing Care Functions

·         Inform nursing service personnel of new admissions, their expected time of arrival, room assignment, etc.

·         Greet newly admitted residents upon admission. Escort to room as necessary.

·         Assist in escorting residents to/from activity and social functions.

·         Report administrative problem areas to the Charge Nurse. Assist in developing and implementing corrective action.

·         Inform family members as necessary of the death of a resident as directed.

·         Call funeral homes when requested by family and directed by Charge Nurse.

Safety and Sanitation

·         Follow established safety regulations in the use of equipment and supplies.

·         Participate in appropriate in-service training programs prior to performing tasks that involve potential exposure to blood/body fluids.

·         Assist in maintaining nursing service work areas in a clean and sanitary manner.

·         Participate in the implementation and maintenance of the infection control program for monitoring communicable and/or infectious diseases, including TB, among the residents and personnel.

·         Follow established infection control procedures when isolation precautions become necessary.

·         Follow established procedures in the use and disposal of personal protective equipment.

·         Report hazardous conditions or equipment to the Charge Nurse.

·         Follow established Universal Precautions techniques.

Equipment and Supply Functions

·         Inform the Charge Nurse of your equipment and supply needs

·         Follow established preventive maintenance procedures for maintaining your equipment and supplies in a safe and operable manner.

Care Plan and Assessment Functions

·         Transcribe data to the care plan as necessary.

Resident Rights

·         Maintain the confidentiality of all resident care information.

·         Treat all residents fairly, and with kindness, dignity, and respect.

·         Knock before entering the resident’s room.

·         Review complaints made by the residents and make a written/oral report to the Charge Nurse. Follow facility’s established procedures.

·         Maintain a written record of the resident’s complaints that indicates the action taken to resolve the complaint and the current status of the complaint.

·         Report all allegations of resident abuse and/or misappropriation of resident property.

Working Conditions

·         Works in office area as well as throughout the nursing service areas.

·         Moves intermittently during work hours.

·         Is subject to frequent interruptions.

·         Is involved with residents, personnel, visitors, government agency personnel, etc. under all conditions and circumstances.

·         Is subject to hostile and emotionally upset residents, family members, personnel and visitors.

·         Communicates with nursing personnel and other department personnel.

·         Works beyond normal working hours, on weekends and holidays, and in other positions, temporarily, when necessary.

·         Is subject to callback during emergency conditions.

·         Attends and participates in continuing education programs.

·         Is subject to injury from falls, burns from equipment, odors, etc., throughout the workday, as well as to reactions from dust, plastics, synthetics, disinfectants, tobacco smoke, and other potential contaminants.

·         Is subject to exposure to infectious waste, disease, condition, etc. including TB and the AIDS and Hepatitis B viruses.

·         May be subject to the handling of and exposure to hazardous chemicals.

Staff Development Functions

·         Attend in-service training programs as scheduled.

·         Attend and participate in annual OSHA and CDC in-service training programs for hazard communication, TB management, and blood borne pathogen standards.

·         Attend and participate in advance directive in-service training programs for the staff.

·         Attend and participate in continuing educational programs designed to keep you abreast of changes in your profession.

JOB REQUIREMENTS: 

Education

·         Must possess a high school diploma or GED.

Specific Requirements

·         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 agency personnel, and the general public.

·         Must possess the ability and willingness to work harmoniously with other personnel.

·         Must have patience, tact, a positive attitude 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 and safety of other individuals in the workplace.

Physical and Sensory Requirements (with or without the aid of mechanical devices)

·         Must be able to move continuously throughout the workday.

·         Must be able to cope with the mental and emotional stress of the position.

·         Must be able to see and hear or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully met.

·         Must function independently and have flexibility, personal integrity, and the ability to work effectively with residents, families, personnel, and support agencies.

·         Must meet the general health requirements set forth by the policies of this facility, which may include a medical and physical examination.

·         Must be able to relate to and work with the ill, disabled, elderly, emotionally upset, and at times, hostile people within the facility.

·         Must be able to push, pull, move, and/or lift a minimum of 10 pounds to a minimum height of 5 feet and be able to push, pull, move, and/or carry such weight a minimum distance of 5 feet.

·         May be necessary to assist in the evacuation of residents during emergency situations.

·         Sitting:  1-2 hour per 8-hour shift.  Alternates frequently to standing and walking.

·         Standing:  4-5 hours per 8-hour shift.  Alternates frequently to walking and occasionally to sitting.

·         Walking:  2-3 hours per 8 hour shift.  Alternates frequently to standing and occasionally to sitting.

·         Lifting:              1-10 lbs.                       Continuously

11-20 lbs.                     Occasionally

21-35 lbs.                     Rarely

36-50 lbs.                     Rarely

51-75 lbs.                     Rarely

> 75 lbs.                       Rarely

·         Carrying:         1-10 lbs.                       Continuously

11-20 lbs.                     Rarely

21-35 lbs.                     Rarely

·         Driving:                                                Rarely

·         Pushing:                                               Continuously

·         Bending:                                              Occasionally

·         Squatting:                                            Rarely

·         Kneeling:                                             Rarely

·         Crawling:                                             Rarely

·         Climbing:                                             Rarely

·         Reaching:                                            Occasionally

·         Grasping:                                             Occasionally

·         Fine Manipulation:                              Continuously

(Frequency:  Never=0%; Rarely=1-10%; Occasionally=11=33%; Frequently = 34-66%; Continuously = 67%+)

Equal Employment Opportunity/Affirmative Action Employer and do not discriminate on the basis of race, color, age, sex, religion, veteran’s status, national origin, disability, marital status, or any other characteristic protected by law.

The primary purpose of the Registered Respiratory Therapist position is to perform critical and non-critical respiratory care procedures and/or diagnostic procedures through physician directives.

JOB DUTIES & RESPONSIBILITIES: 

·         Possess an in-depth knowledge of cardiopulmonary patho-physiology and clinical applications of respiratory care principles essential to allow employee to assist the physician in assessing the efficacy or therapy and devising an effective therapy care plan.

·         Effective communication skills in dealing with patients of all ages, staff members and physicians.

·         Numerical ability to evaluate statistical data and make various computations.

·         Clerical ability to read reports and utilize data accurately.

·         Ability to follow various respiratory care and to recognize possible hazards and toxic effects of gases and therapy.

·         Ability to plan and organize work in an efficient manner.

JOB REQUIREMENTS: 

Education

·         Certificate of completion from an AMA approved Respiratory Therapy Program and Registered by the AARC.

Experience      

·         Two years or more.

·         Licensed by the state in which you work as a Registered Respiratory Therapist.

Specific Requirements

·         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 associates, residents, family members, visitors, government agencies/personnel and the general public.

·         Must have advanced training in long-term care administration.

·         Must be proficient in the use of personal computers and Microsoft Windows applications.

·         Must have general knowledge of computer systems, electronic medical records

·         Must be knowledgeable of reimbursement regulations and nursing practices and procedures, as well as laws, regulations, and guidelines pertaining to long-term care administration.

·         Must possess the ability to work harmoniously with and supervise others.

·         Must possess the ability to plan, organize, develop, implement, and interpret the program, goals, objectives, policies and procedures, etc., that are necessary for providing quality long-term care and maintaining a sound operation.

·         Must be thoroughly familiar with laws, regulations, and guidelines governing personnel administration.

·         Must have patience, tact, cheerful disposition and enthusiasm, as well as must be willing to handle residents, associates, and visitors, based on whatever maturity level at which they are currently functioning.

·         Must possess the ability to seek out new methods and principles and be willing to incorporate them into existing practices.

·         Must be able to maintain good personnel relations and employee morale.

·         Must be able to read and interpret financial records, reports, etc.

·         Must be able to communicate policies, procedures, regulations, reports, etc., to personnel, residents, family members, visitors, and government agencies/personnel.

·         Must not pose a direct threat to the health or safety of other individuals in the workplace.

Physical and Sensory Requirements

• Must be able to move intermittently throughout the workday.
• Must be able to speak and write the English language in an understandable manner.
• Must be able to cope with the mental and emotional stress of the position.
• Must be able to see and hear or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully met.
• Must function independently and have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies.
• Must meet the general health requirement set forth by the policies of this facility, which include a medical and physical examination.
• Must be able to relate to and work with the ill, disabled, elderly, emotionally upset, and at time hostile people within the facility.
• Must meet the general health requirements set forth by the policies of this facility, which include a medical and physical examination.
• Must be able to push, pull, move, and/or lift a minimum of five (5) pounds to a minimum height of three (3) feet and be able to push, pull, move, and/or carry such weight a minimum distance of five (5) feet.
• Must be able to assist in the evacuation of residents during emergency situations.
• Sitting:              1 hour per 8-hour shift.  Alternates frequently to standing or walking.
• Standing:         1-2 hours per 8-hour shift.  Alternates frequently to walking and occasionally to sitting.
• Walking:           5-6 hours per 8 hour shift.  Alternates frequently to standing and occasionally to sitting.
• Lifting:              1-10 lbs.           Continuously

11-20 lbs.         Continuously

21-75 lbs.         Frequently

> 75 lbs.           Frequently

• Carrying:         1-10 lbs.           Continuously

11-20 lbs.         Frequently

21-35 lbs.         Occasionally

• Driving:                                    Rarely
• Pushing:                                   Frequently
• Bending:                                  Continuously
• Squatting:                                Frequently
• Kneeling:                                 Occasionally
• Crawling:                                 Rarely
• Climbing:                                 Rarely
• Reaching:                                Continuously
• Grasping:                                 Frequently
• Fine Manipulation:                  Frequently

(Frequency:  Never=0%; Rarely=1-10%; Occasionally=11=33%; Frequently = 34-66%; Continuously = 67%+)

Equal Employment Opportunity/Affirmative Action Employer and do not discriminate on the basis of race, color, age, sex, religion, veteran’s status, national origin, disability, marital status, or any other 

The primary purpose of the Certified Nursing Assistant position is to provide each assigned resident with excellent daily nursing care and services in accordance with the resident’s assessment and plan of care, and as may be directed by your supervisor.

JOB DUTIES & RESPONSIBILITIES: 

Administrative Functions

• Identify residents before administering treatments, serving meals, etc. as necessary.
• Record all entries on flow sheets, notes, charts, etc. in an informative and descriptive manner.
• Use only authorized abbreviations established by this facility when recording information.
• Report all changes in the resident’s condition to the RN Team Leader as soon as possible.
• Report and provide statement for all events, accidents and incidents you observe on the shift as they occur.

Admission, Transfer, and Discharge Functions

• Ensure that the resident’s room is ready for receiving the resident (i.e., bed made, name tags up, admission kit available, etc.)
• Greet residents and escort them to their room.
• Introduce resident to his/her roommate, if any, and other residents and personnel as appropriate.
• Make resident comfortable (i.e., put to bed, get water, etc.)
• Inventory and mark the resident’s personal possessions as instructed.
• Store resident’s clothing.
• Assist residents with packing their personal belongings when they are being transferred or discharged.
• Transport residents to new rooms or to the receiving area.
• Assist with loading/unloading residents from vehicles as necessary.

Personnel Functions

• Perform all assigned tasks in accordance with our established policies and procedures, and as instructed by your supervisor.
• Follow work assignments, and/or work schedules in completing and performing your assigned tasks.
• Cooperate with inter-departmental personnel, as well as other facility personnel to ensure that nursing services can be adequately maintained to meet the needs of the residents.
• Create and maintain an atmosphere of warmth, personal interest and positive emphasis, as well as a calm environment throughout the unit and the shift.
• Meet with your shift’s nursing personnel, on a regularly scheduled basis, to assist in identifying and correcting problem areas, and/or the improvement of services and participate in Team Conference.
• Report all complaints and grievances made by the resident.
• Notify the facility when you will be late or absent from work.
• Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals to your supervisor.

Personal Nursing Care Functions

• Participate in and receive the nursing report upon reporting for duty.
• Follow established policies concerning exposure to blood/body fluids.
• Assist residents with hygiene needs to include:

·         Daily dental and mouth care (i.e. brushing teeth/dentures, oral hygiene, special mouth care, etc.)

·         Bathing (i.e. bed bath, tub or shower bath, etc.) as directed

·         Dressing/undressing as necessary

·         Hair care needs (i.e. combing, brushing, shampooing, etc.)

·         Nail care (i.e. clipping, trimming and cleaning the finger/toe nails)

·         Shaving male residents

·         Controlling hair growth on female residents (i.e. facial hair, under arms, on legs, etc.) as instructed

·         Keeping residents dry (i.e. change gown, clothing, linen, etc. when they become wet or soiled)

• Change bed linens. Keep linens tight to avoid wrinkles from forming under the resident.
• Make beds (occupied and unoccupied.)
• Put extra linens on bed as requested.
• Position bedfast residents in correct and comfortable position, utilizing positioning devices as indicated.
• Assist resident with bowel and bladder functions (i.e., take to bathroom, offer bedpan/urinal, portable commode, etc.)
• Maintain intake and output records as instructed.
• Keep incontinent residents clean and dry.
• Check and report bowel movements and character of stools as instructed.
• Assist residents in preparing for medical tests and appointments (i.e., lab work, x-ray, therapy, dental, physician dialysis, etc.)
• Assist residents in preparing for activity and social programs (i.e. church, parties, visitors, physician, dialysis).
• Assist in transporting residents to/from appointments, activity and social programs, etc. as necessary.
• Assist with lifting, turning, moving, positioning, and transporting residents into and out of beds, chairs, bathtubs, wheelchairs, lifts, etc.
• Assist residents to walk with or without self-help devices as instructed.
• Provide eye and ear care (i.e., warm/cold compresses, removing wax and hair, cleaning eyeglasses/hearing aids, dentures, etc.) as instructed.
• Assist in preparing the resident for a physical examination.
• Measure and record temperatures, pulse, and respirations, as instructed.
• Answer resident calls promptly.
• Check each resident routinely to ensure that his/her personal care needs are being met in accordance with his/her wishes.
• Assist with the care of the dying resident as directed.
• Provide post-mortem care as instructed.

Special Nursing Care Functions

• Observe and report the presence of red areas and skin breakdowns to prevent decubitus ulcers.
• Report injuries of an unknown source, including skin tears.
• Provide daily indwelling catheter care.
• Provide daily perineal care.
• Perform non-sterile (clean) vaginal irrigation/douches.
• Assist with the application of slings, elastic bandages, binders, etc.
• Give tepid sponge baths.
• Provide daily range of motion exercises and record data as instructed.
• Turn bedfast residents at least every two (2) hours.
• Perform diabetic urine testing, as directed.
• Observe disoriented and comatose residents. Record and report data as instructed.
• Turn all medications found in the resident’s room over to the Medication Administration Manager.
• Watch for and report any change in room temperature, ventilation, lighting, etc. to the RN Team Leader.

Food Service Functions

• Prepare residents for meals (i.e., take to bathroom, wash hands, comb hair, raise bed, position tables, place clothing protectors, take to/from dining room, etc.)
• Serve food trays. Assist with feeding as indicated (i.e., cutting foods, feeding, assist in dining room supervision, etc.)
• Assist residents with identifying food arrangements (i.e. informing resident with sight problem of foods that are on his/her tray, where it is located, if it is hot/cold, etc.)
• Record the resident’s food intake. Report changes in the resident’s eating habits.
• Keep residents’ water pitchers clean and filled with fresh water and within easy reach of the resident.
• Serve between meal and bedtime snacks.
• Perform after meal care (i.e. remove trays, clean resident’s hands, face, clothing, take to bathroom, brush teeth, clean dentures, etc.)
• Check rooms for food articles (i.e. food in proper container, unauthorized food items, etc.)
• Maintain intake/output records as assigned.

Safety and Sanitation

·         Apply restraining device to residents in chair/bed as ordered.

·         Check residents with restraining device at least every thirty (30) minutes or as ordered.

·         Release restraining device at least every two (2) hours for range of motion exercises, taking to bathroom, etc.

·         Maintain a record of residents with a restraining device, the time devices were released, and how long the restraining device was released.

·         Participate in appropriate in-service training programs prior to performing tasks that involve potential exposure to blood/body fluids.

·         Wash hands before and after performing any service for the resident.

·         Keep the nurses’ call system within easy reach of the resident.

·         Immediately notify the RN Team Leader of any resident leaving/missing from the facility.

·         Follow established safety precautions in the performance of all duties.

·         Keep residents’ personal possessions off the floor and properly stored.

·         Keep floors dry. Report spills immediately.

·         Keep excess supplies and equipment off the floor. Store in designated areas.

·         Clean, disinfect, and return all resident care equipment to its designated storage area after each use.

·         Report all hazardous conditions and equipment to the RN Team Leader immediately.

·         Report all safety violations.

·         Follow established smoking regulations. Report all violations.

·         Report any communicable or infectious disease to the DON and/or the Infection Control Coordinator.

·         Follow established isolation precautions and procedures.

·         Wash hands before entering and after leaving an isolation room/area.

·         Follow established procedures in the use and disposal of personal protective equipment.

·         Wear and/or use safety equipment and supplies (i.e. back brace, mechanical lifts, etc.) when lifting or moving residents.

·         Report missing/illegible labels and MSDSs to your supervisor.

Equipment and Supply Functions

·         Use only the equipment you have been trained to use.

·         Operate all equipment in a safe manner.

·         Report defective equipment to the RN Team Leader.

·         Inform the RN Team Leader of your equipment and supply needs.

Care Plan Functions

·         Review CNA care cards daily to determine if changes in the resident’s daily care routine have been made on the care plan.

·         Inform the RN Team Leader of any changes in the resident’s condition so that appropriate information can be entered on the resident’s care plan.

·         Ensure that your notes/documentation reflect that the care plan is being followed.

Resident Rights Responsibilities

·         Maintain the confidentially of all resident care information.

·         Ensure that you treat all residents fairly, and with kindness, dignity, and respect.

·         Ensure that all nursing care is provided in privacy.

·         Knock before entering the resident’s room.

·         Report all complaints made by the resident and/or family member to the RN Team Leader.

·         Report all allegations of resident abuse and/or misappropriation of resident property immediately.

·         Honor the resident’s refusal of treatment request. Report such requests to the RN Team Leader.

Working Conditions

·         Works throughout the nursing service areas.

·         Moves intermittently during work hours.

·         Is subject to frequent interruptions.

·         Is involved with residents, personnel, visitors, government agency personnel, etc. under all conditions and circumstances.

·         Is subject to hostile and emotionally upset residents, family members, personnel and visitors.

·         Communicates with nursing personnel and other department personnel.

·         Works beyond normal working hours, on weekends and holidays, and in other positions, temporarily, when necessary.

·         Is subject to callback during emergency conditions.

·         Attends and participates in continuing education programs.

·         Is subject to injury from falls, burns from equipment, odors, etc., throughout the workday, as well as to reactions from dust, plastics, synthetics, disinfectants, tobacco smoke, and other potential contaminants.

·         Is subject to exposure to infectious waste, disease, conditions, etc. including TB and the AIDS and Hepatitis B viruses.

·         May be subject to the handling of and exposure to hazardous chemicals.

Staff Development Functions

• Attend and participate in scheduled training and educational classes to improve nursing skills and maintain current certification as a Nursing Assistant.
• Attend and participate in scheduled orientation programs and activities.
• Attend and participate in annual OSHA and CDC in-service training programs for hazard communication, TB management, and blood borne pathogens standards.
• Attend and participate in advance directive in-service training programs as scheduled.

JOB REQUIREMENTS: 

Education

• Must possess a high school diploma or GED.
• Must be a Certified Nursing Assistant in accordance with the laws of this state.
• Possess some computer skills and understanding of documentation software program preferred.

Specific Requirements

• 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 agency personnel, and the general public.
• Must possess the ability and willingness to work harmoniously with other personnel.
• Must have patience, tact, a positive attitude 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 and safety of other individuals in the workplace.

Physical and Sensory Requirements (with or without the aid of mechanical devices)

• Must be able to move continuously throughout the workday.
• Must be able to cope with the mental and emotional stress of the position.
• Must be able to see and hear or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully met.
• Must function independently and have flexibility, personal integrity, and the ability to work effectively with residents, families, personnel, and support agencies.
• Must meet the general health requirements set forth by the policies of this facility, which may include a medical and physical examination.
• Must be able to relate to and work with the ill, disabled, elderly, emotionally upset, and at times, hostile people within the facility.
• Must be able to push, pull, move, and/or lift a minimum of 10 pounds to a minimum height of 5 feet and be able to push, pull, move, and/or carry such weight a minimum distance of 5 feet.
• May be necessary to assist in the evacuation of residents during emergency situations.
• Sitting:  1-2 hour per 8-hour shift.  Alternates frequently to standing and walking.
• Standing:  4-5 hours per 8-hour shift.  Alternates frequently to walking and occasionally to sitting.
• Walking:  2-3 hours per 8 hour shift.  Alternates frequently to standing and occasionally to sitting.
• Lifting:             1-10 lbs.                      Continuously

11-20 lbs.                    Occasionally

21-35 lbs.                    Rarely

36-50 lbs.                    Rarely

51-75 lbs.                    Rarely

> 75 lbs.                      Rarely

• Carrying:        1-10 lbs.                      Continuously

11-20 lbs.                    Rarely

21-35 lbs.                    Rarely

• Driving:                                                           Rarely
• Pushing:                                             Continuously
• Bending:                                            Occasionally
• Squatting:                                          Rarely
• Kneeling:                                           Rarely
• Crawling:                                           Rarely
• Climbing:                                           Rarely
• Reaching:                                          Occasionally
• Grasping:                                           Occasionally
• Fine Manipulation:                           Continuously

(Frequency:  Never=0%; Rarely=1-10%; Occasionally=11=33%; Frequently = 34-66%; Continuously = 67%+)

Equal Employment Opportunity/Affirmative Action Employer and do not discriminate on the basis of race, color, age, sex, religion, veteran’s status, national origin, disability, marital status, or any other characteristic protected by law.

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 performed by licensed practical nurses and nursing assistants. 

JOB DUTIES & RESPONSIBILITIES: 

Administrative Functions

·         Organize and assign all jobs to be done on tour of duty so that workload is evenly distributed among nursing personnel on the basis of staff qualifications, size and physical layout of the facility.

·         Periodically review department policies, procedures and job descriptions and make recommendations for revisions.

·         Implement established policies and procedures.

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

·         Meet with your assigned nursing staff and support personnel to plan appropriate services, programs and activities for your shift.

·         Cooperate with other resident services when coordinating nursing services to ensure that the resident’s individual care plans are being followed.

·         Participate in the development, maintenance, and implementation of the facility’s quality assurance program.

·         Request conferences with the Director of Nursing as needed to discuss resident, personnel and facility related business.

·         Participate in facility surveys made by authorized regulatory agencies as requested.

·         Periodically review the resident’s written discharge plan and participate in updating that plan as required.

·         Admit, transfer and discharge residents as required.

·         Place and receive, personally, all calls to and from physicians.

Charting and Documentation

·         Assist in updating the resident care plans as instructed by the MDS/Care Plan Coordinator and/or Director of Nursing.

·         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.

·         Document status of each resident on the chart at least weekly, more often if significant change occurs or as directed. Follow up with monthly and quarterly summaries as instructed.

·         Make rounds with physician, as directed, and record visits in resident’s chart.

·         Transcribe, accurately and promptly, all physician’s orders.

·         Direct documentation and make weekly detailed evaluation of all resident documentation so that chart reflects progress and condition of resident at all times.

·         Approve and sign charts when observations are made.

·         Insure that all medications and treatments are charted and signed following administration of the medication/treatment, by the administering person.

·         Report all discrepancies noted concerning physician’s orders, diet change, charting error, etc. to the ADON or DON.

·         Complete accurate accident/incident reports as necessary.

·         Fill out and complete transfer forms in accordance with established procedures.

Drug Administration Functions

·         Prepare and administer medications as ordered by physician.

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

·         Ensure that prescribed medication for one resident is not administered to another.

·         Ensure that an adequate supply of floor stock medications, supplies, and equipment are on hand to meet the nursing needs of the residents. 

·         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 ADON or DON of all drug and narcotic discrepancies noted on your shift.

·         Prepare, administer and record all parenteral, intramuscular, sub-cutaneous injections.

·         Administer I.V. fluid therapy in accordance with policy and procedure.

·         Administer or supervise all treatments prescribed by physician.

·         Dispose of drugs and narcotics as required and in accordance with established procedures.

Nursing Care Functions

·         Implement and maintain established nursing objectives and standards.

·         Make rounds at least every two (2) hours to ensure that certified nursing assistants are properly administering prescribed care assignments.

·         Make general observation and evaluation of the resident’s physical and emotional status. Make note of any significant changes and communicate those changes to the ADON/DON according to facility policy and protocol.

·         Ensure that direct nursing care is 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 physician and/or next of kin when the resident is involved in an accident/incident or if there is a significant change in the resident’s condition.

·         Cooperate with restorative and rehabilitative programs as requested.

·         Inspect the treatment areas to ensure they are maintained in a clean and safe manner.

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

·         Administer restraints for residents in accordance with physician’s orders, established policies and procedures.

·         Obtain sputum, urine and other specimens for lab tests as ordered.

·         Take and record TPR’s, 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 it is within the resident’s dietary allowances.  Report problems to the ADON/DON.

·         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 problems/complaints promptly to the ADON/DON.

·         Admit, transfer and discharge residents as necessary.

·         Ensure that discharged residents are escorted to the pick-up area.

·         Inform family members of the death of the resident.

·         Ensure that established postmortem procedures are followed.

·         Conduct week skin checks as assigned.

Human Resource Functions

·         Assist the SDC in developing, planning, conducting and scheduling in-service training classes that meet the skill development and knowledge acquisition needs of your assigned staff.

·         Implement and maintain an effective “unit/shift/floor” orientation for new associates.

·         Assist in standardizing the methods in which work will be accomplished.

·         Respond to need for staffing shortages by arranging replacement staff, as directed.

·         Conduct performance evaluations for your assigned staff according to facility policy i.e., following orientation and annually.

·         Review and evaluate your department’s work force and make recommendations to the ADON/DON.

·         Develop work assignments for nursing staff on your shift.

·         Provide leadership to nursing personnel assigned to your shift.

·         Make daily rounds of your unit to ensure that nursing service personnel are performing their work assignments in accordance with acceptable nursing standards.

·         Meet with your shift’s nursing personnel, on a regularly scheduled basis, to assist in identifying and correcting problem areas and/or improve services.

·         Develop and maintain a good working rapport with inter-departmental personnel to ensure that nursing services can be adequately maintained to meet the needs of the residents.

·         Create and maintain an atmosphere of warmth, personal interest and positive emphasis, as well as a calm, quiet environment throughout the unit and shift.

·         Review complaints made by your assigned personnel.

·         Ensure that disciplinary action is administered fairly and in accordance with established facility disciplinary procedures.

·         Receive/give the nursing reports during shift change.

·         Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals in accordance with the facility’s policies and procedures.

·         Attend monthly in-service education programs in order to stay current in your profession and meet facility educational requirements.

Safety and Sanitation Functions

·         Monitor your assigned personnel to ensure that they are following established safety regulations.

·         Assist the Infection Control Coordinator in identifying, evaluating and classifying routine and job-related functions to ensure that tasks in which there are potential exposure to blood/body fluids are properly identified and recorded.

·         Ensure that all personnel participate in appropriate in-service training programs prior to performing any tasks that involve exposure to blood/body fluids.

·         Ensure that your assigned work areas are maintained in a clean and sanitary manner.

·         Ensure that your assigned personnel follow established Universal Precautions and infection control procedures.

·         Ensure that your assigned personnel participate in and conduct all fire safety and disaster preparedness drills in a safe and professional manner.

·         Ensure that an MSDS Manual is properly labeled and readily available at the nurses’ station and that all your assigned personnel are oriented to the location and use of the manual.

·         Ensure that all personnel operate nursing service equipment in a safe manner.

Care Plan and Assessment Functions

·         Review care plans daily to ensure appropriate care is being given.

·         Ensure that your nurses’ notes reflect that the care plan is being followed as written.

·         Review resident care plans for appropriate resident goals, problems, approaches, and revisions based on nursing needs.

·         Ensure that your assigned CNAs are aware of the resident care plans and refer to the plan prior to administering daily care to the residents.

·         Assist the Resident Assessment/Care Plan Coordinator in planning, scheduling, and revising the MDS, including the implementation of RAPs and Triggers.

Miscellaneous

·         Provide data to the Quality Assurance and Assessment Committee as requested.

Resident Rights Responsibilities

·         Maintain the confidentiality of all resident care information.

·         Monitor nursing care to ensure that all residents are treated fairly, and with dignity, kindness and respect.

·         Ensure that all nursing care is provided in privacy and that nursing service personnel knock before entering the resident’s room.

·         Ensure that all nursing service personnel are knowledgeable of and honor the residents’ responsibilities and rights including the right to refuse treatment.

·         Review complaints and grievances made by the resident and make a written/oral report to the Charge Nurse indicating what action(s) were taken to resolve the complaint or grievance. Follow the facility’s established procedures.

·         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.

·         Report and investigate all allegations of resident abuse and/or misappropriation of resident property.

Working Conditions

·         Works in office areas as well as throughout the nursing service area (drug rooms, nurses’ station, resident rooms, etc.)

·         Moves intermittently during work hours.

·         Is subject to frequent interruptions.

·         Is involved with residents, personnel, visitors, government agencies/personnel, under all conditions and circumstances.

·         Is subject to hostile and emotionally upset residents, family members, personnel and visitors.

·         Communicates with the medical staff, nursing personnel and other department supervisors.

·         Works beyond normal working hours and in other positions temporarily, when necessary.

·         Is subject to callback during emergency conditions.

·         Attends and participates in continuing educational programs.

·         Is subject to exposure to infectious waste, diseases, conditions, etc. including TB and the AIDS and Hepatitis B viruses.

·         Is subject to injury from falls, burns from equipment, odors, etc., throughout the workday, as well as to reactions from dust, plastics, synthetics, disinfectants, tobacco smoke, and other potential contaminants.

·         May be subject to the handling of and exposure to hazardous chemicals.

·         Maintains a liaison with the resident, their families, support departments, etc. to adequately plan for the residents’ needs.

JOB REQUIREMENTS: 

Education

·         Must possess a Nursing Degree from an accredited college or university, or be a graduate of an approved school of professional nursing.

Experience              

·         A minimum of one year nursing experience required.

·         Supervisory experience with Nursing Assistants.

·         Long Term Care and MDS/RAI experience strongly desired.

Specific Requirements

·         Must possess a current, unencumbered, active license to practice as an RN in this state.

·         At least six (6) months as a staff nurse in a long-term care facility.

·         Must be able to read, write, speak and understand the English language.

·         Must display professionalism both in appearance and attitude.

·         Must possess the ability to solve problems and make independent decisions when circumstances warrant such action.

·         Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agency 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 the ability and the willingness to work harmoniously with and to coach and supervise other personnel.

·         Must be able to plan, organize, develop, implement and interpret the programs, goals, objectives, policies and procedures that are necessary for providing quality care.

·         Must have patience, tact, a cheerful disposition and enthusiasm, as well as the willingness to handle difficult 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.

·         Must not pose a direct threat to the health or safety of other individuals in the workplace.

Physical and Sensory Requirements

·         Must be able to move intermittently throughout the workday.

·         Must be able to speak and write the English language in an understandable manner.

·         Must be able to cope with the mental and emotional stress of the position.

·         Must be able to see and hear or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully met.

·         Must function independently and have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies.

·         Must meet the general health requirement set forth by the policies of this facility, which include a medical and physical examination.

·         Must be able to relate to and work with the ill, disabled, elderly, emotionally upset, and at time hostile people within the facility.

·         Must meet the general health requirements set forth by the policies of this facility, which include a medical and physical examination.

·         Must be able to push, pull, move, and/or lift a minimum of five (5) pounds to a minimum height of three (3) feet and be able to push, pull, move, and/or carry such weight a minimum distance of five (5) feet.

·         Must be able to assist in the evacuation of residents during emergency situations.

·         Sitting:              1 hour per 8-hour shift.  Alternates frequently to standing or walking.

·         Standing:         1-2 hours per 8-hour shift.  Alternates frequently to walking and occasionally to sitting.

·         Walking:           5-6 hours per 8 hour shift.  Alternates frequently to standing and occasionally to sitting.

·         Lifting:              1-10 lbs.           Continuously

11-20 lbs.         Continuously

21-75 lbs.         Frequently

> 75 lbs.           Frequently

·         Carrying:         1-10 lbs.           Continuously

11-20 lbs.         Frequently

21-35 lbs.         Occasionally

·         Driving:                                    Rarely

·         Pushing:                                   Frequently

·         Bending:                                  Continuously

·         Squatting:                                Frequently

·         Kneeling:                                 Occasionally

·         Crawling:                                 Rarely

·         Climbing:                                 Rarely

·         Reaching:                                Continuously

·         Grasping:                                 Frequently

·         Fine Manipulation:                  Frequently

(Frequency:  Never=0%; Rarely=1-10%; Occasionally=11=33%; Frequently = 34-66%; Continuously = 67%+)

Equal Employment Opportunity/Affirmative Action Employer and do not discriminate on the basis of race, color, age, sex, religion, veteran’s status, national origin, disability, marital status, or any other characteristic protected by law.