Registered Nurse Supervisor SNF, Full Time PM Shift

Pay Range: $52.00 to $55.00/hour, depending on experience JOB SUMMARY Responsible for planning, organizing, implementing, directing, and evaluating direct nursing care provided to residents. Responsible for preparation, delivery and documentation of medications and treatments to assigned residents. Document change of condition, unusual occurrences, weekly summaries, initial assessments, MDS assessments etc. in a thorough and legible manner. Assures notification to physician and responsible party with any change of condition with appropriate documentation.

Responsible for knowing and following current federal, state and local standards and assuring compliance with standards functions.

JOB RESPONSIBILITIESA.

Supervisory Responsibilities:

Provide supervision to nursing personnel on assigned shift on assigned unit, ensure that all duties are appropriately delegated and tasks are completed by the end of the shift. If unable to complete all scheduled duties and responsibilities, relay information to next shift verbally and in writing on the 24 hour report log.

Provide assistance to staff to assure that care is provided in a timely manner i.e. assist with ADLs, distribution of meals, maintenance of the dining program and other activities as needed.

Observe staff performance during routine patient care and give guidance regarding resident’s care plan, infection control techniques, dignity and privacy issues, and abuse prevention.

Fill up and review daily assignments to assure fair and even distribution of workload and that appropriate trained staffs are assigned to care for individual residents. Adjust staffing during shift as required to meet resident care needs.

Assist Director of Staff Development (DSD) with annual review of competencies for assigned C.N.A.sParticipate in nursing orientation as assigned.

Participate in performance evaluations of assigned staff.

Review equipment and supplies on assigned unit and replenish as needed.

Assure that all residents are treated with respect and dignity and confidentiality is maintained.

Assure security of environment to prevent exit of wandering residents. Implement the facility procedure for elopement if any resident leaves the facility without permission.

Check and record temperature of medication room, medication and food refrigerator. Make adjustments if necessary and/or notify maintenance if out of compliance (night shift only).Greet visitors, families, rights advocates and representatives of other agencies to the facility. If visitor is unknown, requests identification prior to allowing visitor to see resident. Provide information to family members concerning resident’s care as necessary or requested per HIPAA compliance.

B. Clinical Responsibilities:
1. Assessment / Reassessment:

Complete an admission assessment for new residents on day of admission.

Complete a daily reassessment for Medicare residents and a weekly reassessment for all residents.

Complete required clinical assessments as required i.e. Braden’s, Falls, Bowel and Bladder, etc.

Complete a reassessment whenever indicated by change in resident’s condition.

Make rounds to assigned residents during shift and observe for any change of condition or any concerns. Problem solves and implements new treatment plans as needed.

Make round with physicians and assists with any procedures, examinations etc.

Reviews vital signs, weights etc. for any variance and necessity of reporting to physician and responsible party.
2. Care Planning:

Initiate admission care plan and update care plans with change of condition, new problem identified and problem resolution etc.

Update care plan with any change of condition, skin tear, and bruise, fall etc. and at least quarterly.
3. Interdisciplinary Team (IDT):

Participate in IDT meetings and contributes information regarding resident’s current status.
4. Resident Assessment Instrument (RAI) Process:

Participate in the RAI process as assigned.
5. Documentation:

Document in nursing notes on admission, daily when on Medicare, weekly summary and with any change of condition.

Assure compliance with documentation requirements for: pain management, restraints, vital signs, parameters for medications…