Registered Nurse; RN - Brain Injury Unit

Position: Registered Nurse (RN) - Brain Injury Unit
Currently hiring for1st, 2nd and 3rd shift. Sign on bonus offered -- please see Human Resources for details

General

Purpose:

Provide direct nursing care to the residents whom have sustained a traumatic brain injury, and supervise the day-to-day nursing activities performed by nursing assistants. Such supervision must be in accordance with current Federal, State, and Local standards, guidelines, and regulations that govern our facility, and as may be required by the Director of Nursing to maintain the highest degree of quality care at all times.

Essential Job Functions:

This facility expects their employees to promote an atmosphere of teamwork with other employees and hospitality and comfort for its residents. Therefore, the following list of duties is not all-inclusive:

Administrative Functions

* Direct the day-to-day functions of the nursing assistants in accordance with rules, regulations, and guidelines that govern the long-term care industry as well policies specific to traumatic brain injury rehabilitation.

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

* Meet with your assigned nursing staff, as well as support personnel, in planning the shift's services, programs and activities.

* Verify that all nursing personnel comply with the procedures set forth the in the Nursing Policies and Procedures Manual.

* Make written and oral reports/recommendations concerning the activities of your shift, as required.

* Cooperate with other disciplines to coordinate nursing services and appointments to be certain that the resident's total regimen of care is maintained.

* Review the residents' care plans, care cards, therapy orders and discharge plans on a daily basis to ensure proper care is being rendered.

* Verify that all nursing service personnel are in compliance with their respective job descriptions.

* Participate in the development, maintenance, and implementation of the facility's quality assurance program for the nursing department.

* Participate in surveys (inspections) made by authorized government agencies.

* Periodically review the resident's written discharge plan. Participate in the updating of the resident's written discharge plan, as required.

* Assist the nurse manager, as needed, in the admission and discharge plan in admission and discharge planning process of residents.

* Admit, transfer, and discharge residents, as required.

* Complete accident/incident reports, as necessary.

Charting and Documentation

* Complete and file required forms/charts upon resident's admission, transfer, and/or discharge.

* Encourage attending physicians to review treatment plans, record and sign their orders, progress notes, etc., in accordance with established policies.

* Receive telephone orders from physicians and record on the Physicians' Order Form.

* Transcribe physician's orders to resident charts, Kardex, medication cards, and treatment/care plans, as required.

* Write nurses' notes in an informative and descriptive manner that reflects the care provided to the resident, in accordance with the care plan, as well as the resident's response to care.

* Record new/changed diet orders. Forward information to the Dietary Department.

* Report all discrepancies noted concerning physician's orders, diet change, charting error, etc., to the Nurse Supervisor.

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

* Enter appropriate documentation concerning unauthorized discharges in the resident's medical record in accordance with established procedures.

* Perform routine charting duties as required and in accordance with established charting and documentation policies and procedures.

* Sign and date all entries made in the resident's medical record and medical treatment.

Medication Administrative Functions

* Prepare and administer medication as ordered by the physician.

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

* Verify that prescribed medication for one resident is not administered to another.

* Verify that adequate supply of floor stock medications, supplies, and equipment is on hand to meet the nursing needs of the residents. Report needs to the Nurse Supervisor.

* Order prescribed medications, supplies, and equipment as necessary, and in accordance with established procedures.

* Verify that narcotic records are accurate for your shift.

* Notify the Nurse Supervisor of all drug and narcotic discrepancies noted on your shift.

* Review medication cards for completeness of information, accuracy in the transcription of the physician's order and adherence to stop order policies.

* Notify the attending physician of automatic stop orders prior to the last dosage being administered.

* Immediately notify the Nurse Supervisor and attending physician of any medication administration errors.

Nursing Care Functions

* Deliver and maintain optimum resident care and comfort by demonstrating knowledge and skills of current…