RN-Nursing Home

Full Time/Day Shift

• Ensure that the nursing service personnel comply with the procedures set forth in the Nursing Service Procedures Manual.

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

• Participate in surveys (inspections) made by authorized government agencies as may be requested.

• Admit, transfer, and discharge residents as required per policies and procedures.

• Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., as necessary.

• Complete and file required recordkeeping forms/charts upon the resident admission, transfer, and/or discharge.

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

• Transcribe physicians orders to resident charts, cardex, medication cards, treatment/care plans, as required.

• Chart nurses notes in an informative and descriptive manner that reflects the care provided to the resident, as well as the resident response to care.

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

• Report all discrepancies noted concerning physician orders, diet change, charting error, etc., to the Nurse Manager and/or the Director of Nursing.

• Develop work assignments and/or assist in completing and performing such assignments. Provide leadership to nursing personnel assigned to your unit/shift.

• Make daily rounds of your unit/shift to ensure that nursing service personnel are performing their work assignments in accordance with acceptable nursing standards. Report problem areas to the Director of Nursing.

• Inform appropriate personnel of new admissions, their expected time of arrival, room assignment, etc.

• Requisition and arrange for diagnostic and therapeutic services, as ordered by the physician, and in accordance with our established procedures

• Review the resident chart for specific treatments, medication orders, diets, etc., as necessary

• Make periodic checks to ensure that prescribed treatments are being properly administered by certified nursing assistants and to evaluate the resident physical and emotional status.

• Administer professional services such as; catheterization, tube feedings, suction, applying and changing dressings/bandages, packs, colostomy, and drainage bags, glucometers, and range of motion exercises, end of life patient care

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

• Take and record TPRs, blood pressures, etc., as necessary.

• Administer medications per facility protocols.

• Ensure that personnel providing direct care to residents are providing such care in accordance with the resident care plan and wishes.

• Inform the Director of Nursing of any changes that need to be made on the care plan.

• Ensure that your nurses notes reflect that the care plan is being followed when administering nursing care or treatment.

• Registered Nurse