Registered Nurse; RN Job West Covina area,California USA,Nursing

Position: Registered Nurse (RN)

West Haven Healthcare -

SUMMARY

Under the general supervision of the Director of Nursing, the Registered Nurse performs a variety of resident care functions and closely observes residents for changes in medical status. This position also uses independent judgment and discretion in maintaining the delivery of quality resident care by assuring that the nursing and medical care plan is followed, and makes supervisory decisions. In the absence of the Director of Nursing, this position assumes full responsibility for the resident care.

ESSENTIAL

RESPONSIBILITIES AND JOB FUNCTIONS

Nursing Care: Administers nursing care as indicated by the nursing care plan and in compliance with all Regulatory Agencies.

Administration of Resident Care: Demonstrates ability to provide appropriate and quality nursing care to residents, including but not limited to:

Reviews all resident histories to determine course of illness and all co‑morbidities for integration into the care plan.

Demonstrates the ability to assign meaning to resident symptoms and initiates appropriate action.

Ensures that problems/concerns regarding activities in the facility/department are communicated appropriately.

Effectively assesses, plans, implements, and evaluates nursing care for residents.

Educates residents, families and significant others regarding treatment, tests, special procedures, medications and safety.

Consistently monitors resident condition and initiates appropriate nursing intervention.

Initiates and conducts emergency measures (including CPR) required to stabilize patient’s condition.

Prioritizes residents’ needs, expediting treatment for acutely ill residents to include CPR.

Consistently documents resident care and reports pertinent clinical observations and reactions to the appropriate individual.

Actively participates in development and assessment of resident care issues as they relate to Performance Improvement activities for the department.

Resident Plan of Care: Initiates the plan of care within 24 hrs. of admission and consistently updates care plan with changes in resident needs/condition.

Resident Admission Assessments: Performs and accurately documents the resident admission assessment, completing within 24 hours of admission.

Resident Re‑assessments: Consistently and accurately performs reassessments during each shift and when the resident condition changes.

Other Resident Assessments: Completes other assessment tools as defined in policy when appropriate (e.g., pain assessment, pressure ulcer protocol, fall assessments).

Resident Medications: Demonstrates ability to provide appropriate nursing medication management including, but not limited to:

Administers medications as ordered by physician using age‑specific monitors.

Ensures medications are ordered, received and transcribed on a routine basis and in a timely manner.

Appropriately transcribes, administers and documents medications according to policy and procedures and age‑specific considerations.

Monitors and removes any discontinued or expired medications from medication carts.

Maintains a current, accurate listing of all resident medications.

Demonstrates knowledge and ability to intercede in repetitive prescriptions or contradictory medications.

Reorders emergency medications from the emergency box (e‑kit) as needed.

Completes appropriate forms and returns unused medication to the pharmacy in a timely manner.

IV Therapy: Appropriately and safely administers IV therapy and documents according to policy and procedure.

Team Conferences: Participates in interdisciplinary team conferences and relays treatment plan decisions to the other members of the nursing team.

Reporting/Triaging Abnormal Test Results: Reports all abnormal test results to physician in a timely manner; triages activities based on borderline and/or abnormal and/or unusual findings.

Age Specific Special Needs: Demonstrates ability to understand and react effectively to unique/special needs of adults, and/or elderly residents.

Triaging Resident Complaints: Initiates approved regimes of care as established by policy. Reports all findings to physicians. Assures proper follow‑up resolution of resident clinical complaints.

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