PartTime Registered Nurse

Overview

The Licensed Nurse is responsible for supervising the personal care staff; coordinating all personal care services provided to residents by personal care staff; promoting the health and well-being of each resident; and reporting observed changes in resident condition or health to the Executive Director and the resident's responsible party. Bear Creek’s philosophy:

• To create an environment that respects the emotional, physical, spiritual, and intellectual needs of our residents
• To attract, retain, and develop exceptional staff
• To create communities that define exceptional customer service
• Manage our individual communities in a professional manner to meet financial expectations and resident satisfaction

• Possess an active licensed nurse certification (Registered Nurse) within the state where the home building resides
• Leadership through planning, directing, communicating, and coaching. This position requires strong written and verbal communication skills, strong personnel skills, and positive community relations skills to be successful
• Excellent writing, verbal, grammatical, and punctuation skills
• Must be self-motivated and have the ability to work independently and make decisions
• Excellent organizational skills; detail-oriented
• Pleasant, professional, and personal manner

• Duties

• Clinical Oversight:
  • The Registered Nurse (RN) performs a thorough health assessment on all new residents upon admission to the community. The RN will review admission orders and resident profiles to ensure the accuracy of information (including but not limited to diet, DNR status, allergies, diagnosis, services, etc.).
  • The RN is responsible for monitoring the health status of all current residents through assessments and care conferences scheduled quarterly or more frequently as required (30-day reviews, 90-day reviews, changes in condition). Resident assessments will be completed by the RN (consulting with ED, HSD, and RCC).
  • The RN will ensure care plans are entered into Eldermark and printed by due dates and as needed for changes in condition, and will monitor compliance with those care plans by all staff.
  • This monitoring includes actions required to improve health status and reading of all alert charting from daily reports.
  • This monitoring includes, but is not limited to: medication side effects, activities, meals, complaints, cognition and behaviors, ADLs, and special requests.
  • Using this information, the RN will coordinate and attend resident care conferences and service plan reviews, as requested by the Executive Director, HSD, or RCC, with a focus on assuring that service plans meet the resident's needs.
  • The RN will review all doctor orders (RN check) for psychotropic medications, conduct a focused assessment, and enter a nursing note per state regulations regarding psychotropic medications.
  • The RN will react immediately to suspected resident abuse, including a thorough investigation and notification of appropriate parties as needed.
  • The RN will perform skin assessments and enter weekly skin notes for residents with skin issues, ensuring the skin protocol is followed and checking for or entering skin treatments on the MAR.
• Coordination of Care:
  • The RN will communicate with PCPS, home health agencies (PT, wound care, etc.), and hospice in accordance with residents' needs.
• Monthly Monitors:
  • The RN will review monthly monitors for all residents, coordinate with PCPs, and enter chart notes accordingly (vitals, weights, pain, skin, falls, hospitalizations, coordination of care, diabetes, blood thinners, supportive devices with restraining qualities, etc.).
• Delegations:
  • The RN will ensure delegations are in place for residents needing subcutaneous injections (such as insulin-dependent residents). Delegations will be done in accordance with Oregon Regulations – Board of Nursing (chapter 851, Division 47).
  • The RN will perform other nursing tasks/notes/assessments to ensure the community is in compliance with Oregon state regulations.
• Supervisory / Administrative Duties:
  • Attend weekly management meetings, med tech meetings, and other meetings as needed.
  • Collaborate with the Health Services Director and Resident Care Coordinator to participate in facility audits (including the Medroom) as required by current operational systems and monitor staff compliance with policy and procedure.
  • May perform disciplinary actions required of supervised staff (med techs) and ensure documentation and process meet Bear Creek policies and procedures.
  • Review all incident reports, conduct investigations, and report/plan corrective action as required.
• Continuous Quality Improvement:
  • With the Health Services Director, Resident Care Coordinator, and Executive Director, assist in ensuring CQI activities in the building.
  • Identify and set priorities in resolving service-related issues and document plans to meet Bear Creek goals of quarterly meetings to improve quality.
• Compliance With Rules And Regulations:
  • Support the HSD and RCC in maintaining…