Registered Nurse-Skilled Nursing Facility

Nursing Position at Edward J. Healey Rehabilitation and Nursing Center

This position provides skilled professional nursing care and treatment for patients at the Edward J. Healey Rehabilitation and Nursing Center including long term care residents, rehabilitation residents, complex care residents and terminally ill persons. This position is part of the managed care team and works collaboratively with ancillary personnel in the provision of proper medical services and treatment. This position assists persons in achieving highest physical, mental, and psychosocial level of functioning.

Employees in this position perform duties in accordance with established regulations, policies, nursing standards, and medical instructions.

Essential functions include assessing residents and identifying and documenting residents problems, symptoms, or behavioral changes; implementing and providing care in accordance with the assessed resident care needs and medical condition; completing assessments and documentation of new admissions/transfers and discharges including the interim plan of care; obtaining and transcribing physician orders for new admissions or any required orders from changes in conditions;

ensuring that orders are transcribed and carried out as ordered and all related procedures are followed for each order including labs, radiography, outside appointments; ordering medications from pharmacy and in-house supply to ensure that residents receive medications at the correct time; reviewing clinical reports (such as lab and radiography) and reporting variances to the physician or APRN and documenting same;

assigning various aspects of resident care to selective personnel, as commensurate with the authority of an RN and the scope of practice of the personnel; supervising and evaluating all direct resident care provided and initiating appropriate action as needed; reporting any employee performance which is not in accordance with facility standards to the Nurse Manager; providing supervision of residents during meal time and assisting with feeding as needed;

encouraging residents to participate in activities and ensuring residents are taken to selected activities; administering medications and therapeutic treatments (dressings, respiratory treatments, tracheotomy care, G.U. care) to residents according to established resident care plans and documenting accurately and in accordance with facility policy and standards of practice; providing assistance to residents in need of personal care (e.g., bathing, dressing, transporting, feeding);

ensuring call lights are answered in a timely manner and answering call lights as needed; performing considerable administrative support work in documenting, reviewing, and maintaining records, files, charts, forms, and reports; completing and charting vital signs, (TPR, blood pressure, pain), food and liquid intake, and related data; providing complex nursing care of patients/residents in accordance with physician orders; ensuring safety of patients during administering of all medical and therapeutic procedures;

notifying attending physician/APRN of changes in resident conditions; notifying family/HC surrogate of changes in condition in accordance with OBRA regulations; completing reports for any resident with an unusual occurrence and conducting the assessment and notifications necessary. Monitoring any resident with an incident for 72 hours post incident; accompanying physician and/or APRN on routine rounds; conducting walking rounds at the start and end of each shift visually checking each resident and providing a written end-of-shift report;

maintaining security of controlled drugs. Counting the controlled drugs at the start of the shift to ensure an accurate count at the start of the shift. Recording all medications administered at the time of administration on the count sheets. Reconciling the count with the oncoming nurse at the end of the shift. Turning keys to the oncoming shift after the count is completed and signed as accurate;

acting as a perception when assigned and assisting with the clinical orientation of new nursing staff; assisting with C.N.A.s, L.P.N.s performance evaluations as assigned; ensuring the proper functioning of emergency equipment including checks of the emergency cart and documenting the outcome; participating in care planning and conferences for resident care; maintaining all equipment in accordance with facility and infection control policies and manufacturer instructions.

Documenting as required; conducting emergency care as needed.

Emergency duty may be required of the incumbent that includes working in Red Cross shelters or to perform other emergency duties including, but not limited to, responses to threats or disasters, man-made or natural.

Additional duties may include acting in a Charge Nurse Capacity during which, the additional duties would be required: supervising RNs, LPNs, and CNAs and the provision of care to residents in accordance with…