Registered Nurse-PT

Essential Job Functions

• Participates in the pre-admission evaluation study and plan; the evaluation study, program design and placement of the resident at the time of admission to the residence; the periodic reevaluation of the type, extent and quality of services and programming; and the development of discharge plans and referral to appropriate community resources
• Based on a comprehensive review of the client’s overall condition, prepares, continually reviews and evaluates plans of nursing intervention to ensure that such interventions are consistent with the client’s comprehensive treatment plan. Ensures, plans of nursing intervention include consideration of the client’s cultural and ethnic background, customs, needs, beliefs, and primary language.
• Develop treatment plans, in conjunction with the Interdisciplinary Team, consisting of an evaluation of the nursing needed and selection of nursing procedures and practices which will best serve the residents' health care needs.
• Develops, nursing assessment to reflect holistic needs of each client with consideration of his/her psychological, physiological, social, ethnic, cultural, educational and spiritual strengths and needs.
• Oversees the direct implementation of nursing care to ensure that it is carried out in accordance with the plan of nursing intervention, and overall treatment/service plan, and to ascertain if the needs of the client require modification of the plan.
• Coordinates nursing care activities with other professional disciplines to ensure that the nursing plan is consistent with and integrated with the total treatment/service plan
• Participates at team meetings and provides nursing input on the development and implementation of treatment/service plans.
• Conduct in-service training with regard to personal hygiene, medication administration, family life and sex education. Supervise medication administration practicums and sign off on medication administration monthly.
• Control communicable diseases and infections through: identification and assessment, reporting to medical authorities, and implementation of appropriate protective and preventive measures.
• Record on the residents' medical records nursing observations and action taken, such as nursing care given, medications and treatments given, reactions to treatments, tests, the intake and output of fluids and solids and the resident's vital signs. Record nursing needs of residents.
• Modify the nursing plan, in terms of the residents' daily needs, at least annually for adults in accordance with developmental and medical changes.
• Be available for on-call duty and to work varied shifts as the need arises.
• Work with all consulting and/or contracted medical service providers to ensure appropriateness of service & to insure that recommended treatments are appropriate and are carried out, integrated and documented into the treatment plan.
• Ensure that the inventory standards for medicines, solutions, supplies and equipment are maintained to meet nursing care needs.
• Account for the issuance of controlled drugs and narcotics and inventories of these drugs.
• Ensures resident protection from health hazards such as transmission of infectious organisms, isolation of infected residents and use of properly sterilized equipment when its use is necessary.
• Provide appropriate information to the resident and family about such areas as sustaining and preventive health care, personal hygiene, methods of family or self-treatments, self-medication and possible side effects of medications.
• Serve as liaison, resident's interpreter with outside health services providers and escort residents to services as needed.
• Train designated staff, by way of demonstrations and written and oral instructions, in the performance of select nursing techniques and the use of nursing equipment, and client specific condition trainings.
• Provides health education/teaching for clients and their families.
• Participates in risk management and quality assurance concerning health related issues.
• Provides emergency care and crisis intervention
• Accesses medications and observes and records effects and side effects.
• Participates in professional activities to…