Registered Nurse RN

Job Description

PURPOSE OF YOUR JOB POSITION:
The primary purpose of your job position is to participate in the nursing plan and in implementing the nursing plan of care on the assigned shift and unit in accordance with current applicable federal, state, and local standards, guidelines, and regulations, within the individual’s scope of practice (SOP), as applicable, and as may be delegated by the Director of Nursing Services or Administrator, to assure that the highest degree of quality resident care can be maintained.

• Participates in planning and implementing of your unit’s activities on the shift and unit as assigned by the DON and/or RN Supervisor
• Assure that department personnel, residents, visitors, etc. follow established policies and procedures, to include safety rules and regulations, by interceding when a violation occurs
• Provides accurate and consistent information to personnel, residents, visitors, family members, etc. as necessary
• Ensure that resident’s rights to fair and equitable treatment, self determination, individuality, privacy, property, and civil rights, including the right to a complaint, are followed by all department personnel as given in the facility’s established policy
• Maintain CONFIDENTIALITY of pertinent resident care information to assure resident rights are protected
• Assure that a stock level of medications, medical supplies, equipment, etc. are maintained at adequate levels. Requisition equipment and supply needs as required
• Notify the resident’s attending/alternate physician, RN supervisor, as well as the resident’s legal guardian representative, when the resident becomes critically ill, injured, etc. as outlined within our established policies
• Work with the facility’s consultants as necessary and implement recommended changes as directed by the DON
• In cases of death, may call the funeral home as requested by the family, or as otherwise outlined in our established policies. Assure that the body is properly prepared/cleaned for pick up. May announce death as allowed within this state’s rules.
• Make oral reports/recommendations for interventions for nursing POC to the supervising RN/DON concerning the delivery of resident care on the nursing unit/hall assigned
• Assure that the unit area is maintained in a clean and safe manner for resident comfort and convenience by assuring that necessary equipment and supplies are maintained to perform such duties/services
• Notify physician and RN supervisor of resident accidents/incidents. Fill out and complete accident/incident report forms on all such occurrences and chart such information in the resident’s medical record as outlined in our established policies and procedures
• Take vitals and chart as required
• Gives/receives nursing report upon reporting in and ending shift duty hours
• To monitor residents throughout the assigned shift to assure that prescribed treatment is being properly administered as assigned to other LPNs or delegated to nursing assistants. Record findings in the resident’s chart
• Communicate changes in resident condition as needed according to agency policy
• Prepare/administer medications as ordered by the physician and according to agency policy
• Chart nurses’ notes in an informative and descriptive manner that reflects pertinent information and the care provided as well as the resident’s response to the care
• Complete required record keeping forms/charts upon the resident’s admission, discharge, transfer, etc. File in the resident’s chart and/or forward to appropriate department
• Receive verbal orders from attending/alternate physician and chart on the physician’s order sheet and inform RN supervisor of changes per this facility’s established policies
• Assist in orientation of newly assigned unlicensed personnel to facility-specific nursing procedures assigned by the RN as follows: a) Demonstrating a specific task or technique according to the facility’s established procedures b) Observing an unlicensed personnel return demonstration of a specific task or technique in comparison to the facility’s established step-by-step procedure; and c) Providing data regarding the unlicensed personnel…