To plan and deliver nursing care to patients/residents requiring long-term or rehabilitative care.
CHARACTERISTIC DUTIES AND RESPONSIBILITIES
1. Works using the guidelines established from the Nurse Practice Act, COMPANY Standards, Policies and Procedures and nursing judgment.
2 Assesses, plans and evaluates nursing care delivered to patients/residents requiring long-term or rehabilitation care.
3. Delivers nursing care' to patients/residents requiring long-term or rehabilitative care.
4. Implements the patient/resident plan of care and evaluates the patient/resident
5. Directs and supervises care given by other nursing personnel.
6. Provides input in the formulation and evaluation of standards of care.
7. Maintains knowledge of necessary documentation requirements.
8. Maintains knowledge of equipment set-up, maintenance and use, i.e. monitors, infusion devices, drain devices, etc. .
9. Maintains confidentiality and patient/resident rights, regarding all patient/resident/ personnel information.
10. Provides patient/resident/family/caregiver education as directed.
11. Conducts self in a professional manner in compliance with unit and facility policies.
12. Works rotating shifts, holidays and weekends as scheduled.
13. Initiates emergency support measures (i.e., CPR, protects patients/residents from injury).
1. Participates 'in the identification of staff educational needs.
2. Serves as a preceptor, as delegated, for new staff.
3. Maintains patient/resident care supplies, equipment and environment.
4. Participates in the development of unit objectives.
5. Participates in the quality assessment and improvement process and activities.
The Registered Nurse is at high risk for exposure to blood and body fluids or other potentially infectious materials.
Receives administrative supervision from the Director of Nursing or Nursing Supervisor. At times, may receive functional supervision from other Registered Nurses working on the unit.
Exercises functional supervision in specific situations over. unit personnel.
1. Graduation from a basic educational program in professional nursing.
2. Current license to practice profession in state.
3. A minimum of one (1) year nursing experience in a long-term care or acute care preferred.
MINIMUM PERFORMANCE STANDARDS
Performance in the following areas is acceptable when:
1. Admission and routine resident observations/transfer notes are complete and accurately reflect the residents status.
2. Documentation of observations is complete and reflects knowledge of unit documentation policies and procedures.
3. Nursing history is present in the medical record for all residents.
4. Assessment identifies changes in the resident's physical or
psychological condition (i.e., changes in lab data, vital signs, mental status).
PLANNING OF CARE
1. Nursing care plans are initiated/reviewed/individualized on assigned residents monthly and PRN.
a. Pertinent nursing problems are identified.
b. Goals are stated. '
c. Appropriate nursing orders are formulated.
2. Nursing Kardex is initiated, revised and/or completed.
a. Tests and procedures are marked off when, completed.
EVALUATION OF CARE
1. The effectiveness of nursing interventions, medications, etc., are evaluated and documented in the progress notes.
1. The patient's/resident's full name and room number are present on all chart forms.
2. Allergies are noted on chart cover.
3. Only approved abbreviations are utilized.
4. TPR graphic is completed properly and timely.
5. I&0 summaries are recorded and added correctly.
6. Blood pressure graphic is completed accurately and timely.
7. Progress notes are timed, dated and signed with full signature and title.
8. Unit flow sheets are completed properly (i.e., wound care records, treatment records, IV therapy record, etc.)
MEDICATION ADMINISTRATIONS/PARENTERAL THERAPY RECORD
1. Dates that medications are started or discontinued are documented.
2. Medications are charted correctly with name, dose, route, site, time and initials of
3. Pulse and BP are obtained and recorded when appropriate.
4. Medications not given are circled, reason noted and physician notified if applicable.
5. Appropriate notes are written for medications not given and actions taken.
6. Name and title of nurse administering medication are documented.
7. Patient's/resident's medication record is labeled with full name, room number, date and allergies.
8. The procedure for administration and counting of narcotics is followed.
9. All parenteral fluids including additives are charted with time and date started, time
infusion completed, site of infusion and signature of nurse.
10. All parenteral fluids are administered according to the ordered infusion rate.
11. Parenteral intake is accurately recorded on the unit flow sheet or 1 &0 record.
12. IV sites are monitored and catheters changed according to unit policy.
13. IV bags and tubings are changed according to unit policy.
14. Appropriate actions are taken related to identified IV infusion problems (infiltration, phlebitis, poor infusion, etc.) policy.
COORDINATION OF CARE
1. Tests are scheduled and preps are completed as indicated.
2. Co-workers are informed of changes in patient/resident condition or of any other changes occurring on the unit.
3. Information is relayed to other members of the health care team (i.e., physicians,
respiratory therapy, physical therapy, social services, etc.).
4. Unit activities are coordinated (i.e., changing patients/residents rooms for admissions,
coordinating transfer/discharge forms, etc.).
1. Equitable care assignments are made prior to shift that are appropriate to
2. Staffing needs are communicated to the nursing supervisor.
3. Assistance, direction and education are provided to unit personnel and families. Problems are identified, data are gathered, solutions are suggested and communication regarding the problem is appropriate.
4. Transcription of all orders is checked.
5. All work areas are neat and clean.
1. Change of shift report is complete, accurate and concise.
2. Incident Reports are completed accurately and in a timely manner.
3. Staff meetings are attended, if on duty, or minutes read and initialed if not on duty.
1. Decisions are made that reflect knowledge and good judgment and demonstrate an
awareness of patient/resident/family/physician needs.
2. Awareness of own limitations is evident and assistance is sought when necessary.
3. Dress code is adhered to.
4. Committee meetings (if assigned) are attended. Reports related to the committee are given during staff meetings.
5. Responsibility is taken for own professional growth. All mandatory and other
in-services are attended annually.
6. Organizational ability and time management is demonstrated.
7. Confidentiality of patient/resident is respected at all times (i.e., when answering telephone and/or speaking to co-workers).
8. Professional behavior is demonstrated.
1. A positive working relationship with patients/residents, visitors and facility staff is
2. Authority is acknowledged and response to the direction of supervisors is appropriate.
3. Time is spent with residents rather than other personnel.
4. Co-workers are readily assisted as needed.
1. Supplies are used appropriately.
2. Charge stickers (or charge system) are utilized appropriately.
3. Minimal supplies are stored in the resident's room.
4. Discharge medications are returned to the pharmacy or destroyed 'in a timely manner.
5. Floor-stock medications are charged and re-stocked.
1. Works inside the facility throughout the Nursing Service area, including the medication rooms, nurses stations and the patient/resident rooms.
2. Sits, stands, bends, lifts, reaches, walks, and moves intermittently during the working hours.
3. Is subject to frequent 'interruptions.
4. Is subject to a quiet to moderate noise level due to phones, mechanical alarms and occasional construction work.
5. Is involved with patients/residents, personnel, visitors, government agencies/personnel, etc., under all conditions and circum stances.
6, Is subject to hostile and emotionally upset patients/residents, family members,
personnel, and visitors.
7. Communicates with the medical staff, nursing personnel, and other department supervisors.
8. Works beyond normal working hours, and in other positions temporarily, when
9. Is subject to hazards in the work area including, bums from equipment, odors, exposure to sharp instruments, falls, chemical cleansers etc., throughout the working hours.
10. Is subject to exposure to infectious waste, diseases or conditions.
11. Maintains a liaison with the patients/residents, their families, support departments, etc. to adequately plan for the patient's/resident's needs.
12. May be required to wear a face mask, gown, or gloves.
1. Must possess a current, unencumbered license to practice as a RN in this state.
2. Must be able to read, write, speak and understand the English language.
3. Must possess the ability to make independent decisions when necessary.
4. Must be able to relate information concerning a patient/resident condition.
PHYSICAL AND SENSORY REQUIREMENTS
(With or Without the Aid of Mechanical Devices)
1. Must be able to move intermittently throughout the work day.
2. Must be able to speak the English language in an understandable manner.
3. Must be able to cope with the mental and emotional stress of the position.
4. Must be able to see and hear or use prosthetics that will enable the senses to function adequately to ensure that the requirements of this position can be fully met
(i.e., accurately read measurements on patient/resident related equipment such as thermometers, monitors, gauges)
5. Must be able to function independently, have personal integrity, flexibility, and the
ability to work effectively with patients/residents, personnel and support agencies.
6. Must be in good general health and demonstrate emotional stability.
7. Must be able to relate and work with the disabled, ill, elderly, emotionally upset, and at times hostile people within the facility.
8. Must be able to lift, push, pull, and move a minimum of 50 pounds.
9. Must be able to assist with the evacuation of patients/residents.
To Apply: Qualified candidates can view jobs near them at www.palmgarden.com/careers , or send your resume and cover letter to with the job title listed in the SUBJECT line - mention CFEC.org job posting when applying.
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