Registered Nurse RN
As a member of the interdisciplinary team, the RN Supervisor assumes responsibility and accountability for nursing services delivered to residents. The RN Supervisor provides direct care, administers treatments and medications, organizes, and distributes daily assignments to direct care staff consistent with staff competency and each individual resident's comprehensive resident assessment and plan of care. Supervises direct care staff and makes decisions about resident care needs during shifts concerning scope of clinical competence, consistent with facility policies and procedures. Ensures that Flow of Care is followed.
Makes daily compliance rounds on units at least at beginning and at end of shift to observe, examine or interview residents, to verify information from ongoing shift, to monitor regulatory compliance, to determine staff assignments, and provides /receives report.
Develops and distributes resident care assignments to direct care staff. Assignments match resident needs with skills of direct care staff, and maintain consistency to the extent practicable. Adjusts assignments according to availability of qualified staff. Changes assignments if necessary during shift to meet resident needs.
Provides orientation to unit and unit routines to new staff members or staff from temporary agencies.
Describes care plan goals and approaches to direct care staff so that care plan is consistently implemented on all shifts by all caregivers. Seeks input from nurse aides about residents condition, functional abilities, preferences and alternative approaches to care. Monitors delivery of care and services throughout shift to ensure needs are met, tasks are completed, and that work of direct care staff is of acceptable quality and quantity. Administers medications, treatments and provides direct care to residents on unit according to physician orders and in compliance with facility policies and procedures.
Performs physical assessment (or gathers appropriate data) of new admissions and current residents as indicated by change in condition or as required by regulation. Completes assigned sections of resident assessment instruments used in nursing home.
With participation of interdisciplinary team members and resident, to the extent practicable, develops, implements, evaluates, and revises plans of care with measurable objectives and timetables to assist each resident to attain or maintain highest practicable physical, mental, and psychosocial well-being. Coordinates care and delivery of services with all disciplines. Consults with and refers relevant resident care issues to attention of interdisciplinary care team members.
Modifies approaches in plans of care to accommodate resident needs and preferences, to manage risk factors for functional decline and to improve functional abilities.
Respects rights of residents regarding freedom of choice, consent for care and services, refusals of treatment and implementation of advance directives if any. Promptly consults with Director of Nursing (DON), Unit Managers, and Social Worker if unsure of proper course of action that respects resident's rights, complies with facility policies and procedures and that is consistent with state and federal laws and regulations.
Trains and develops staff by conducting skills observations of Certified Nursing Assistants (CNAs) identifying learning needs and taking advantage of opportunities to teach on the unit. Reports information to DON/Unit Managers as part of staff performance evaluations.
Completes required documentation of care and services delivered during shift including subjective findings, objective symptoms, interventions, and resident responses to interventions. Completes required documentation of special circumstances including accident/incident reports in compliance with state and federal laws and regulations.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Completes written 24-hour facility report. Gives and listens to verbal shift report making special note of significant changes in condition, admissions, transfers, discharges, initiation or use of physical or chemical restraints, unnecessary use of any drug, incidents, medication errors, loss of resident property or evidence of resident or family dissatisfaction.
Informs the resident in advance about care and treatment and any changes to the plan of care.
Immediately informs the resident, consults with the resident's physician and notifies the designated family member and/or the residents legal representative when there is an accident involving an injury which has potential for requiring physician intervention, i.e., a significant change in the resident's physical, mental or psycho-social status; a need to alter treatment significantly or a decision to transfer or discharge the resident from the home. Promptly notifies the resident, designated family member and/or resident's legal representative when there is a change in room or roommate.
Reports relevant information to the DON, Assistant Director of Nursing 9ADON), and Unit Manager including, interdisciplinary team functioning and communication, regulatory compliance issues, resident risk factors, sadden changes in resident behavior, expressed dissatisfaction by resident or family, refusals of treatment, unexplained injuries, staff behavior (positive and negative), staffing needs, equipment and supply needs, opportunities to revise policies, procedures, improve quality.
Monitors staff for compliance with OSHA mandates on workplace safety including hazard communication and blood borne pathogens. In cases of workplace exposure, provides immediate first aid and refers employee to appropriate staff member for post-exposure follow-up.
Reports all injuries of self or others to supervisor immediately.
Provides coaching and supervisor to staff members under appropriate circumstances. Applies facility policies about progressive discipline correctly. Removes staff member from unit if necessary to avoid endangerment to health or safety of residents or other staff members. Reports all job actions taken to DON, ADON, and Unit Manager promptly.
Attends in-service education programs as assigned. Applies information to job tasks.
Assists ADON with preparation for long-term care survey. Attends survey training, interacts with state surveyors as instructed by supervisor.
Collects and records data which will be incorporated into resident assessments.
Observes, documents, and monitors all resident psychiatric and/or physical changes and responses to treatment. Refers to / consults with other disciplines when appropriate.
Initiates and updates the resident care plans for residents as changes occur, independent of scheduled reviews.
Assesses resident care situations and initiates appropriate nursing intervention and notifies the ADON and Unit Manager as appropriate.
Evaluates the outcome of nursing care and modifies the care plans accordingly.
Participates in Quality Assurance reviews / audits.
Interacts directly with residents, families, and agency representatives on an ongoing basis.
Provides and directs care with an awareness of all Resident Rights especially as they relate to informed consent, the right to refuse, notification of changes in condition and treatment, the right to free choice, the right to privacy and confidentiality, and the right to be free from restraints (physical or chemical).
Participates in resident/family education.
Administers emergency care.
Assumes responsibility for the whereabouts of all residents.
Consults with other members of the multi-disciplinary health care team.
Communicates directions in a clear and concise manner.
Participates in the development and review of departmental policies and procedures.
Is responsible for notifying the proper authorities to help maintain the security and maintenance of building and grounds during the shift.
Is responsible for insuring an adequate supply of medical and non-medical items for resident care during the shift as well as monitoring their utilization.
Maintains accurate records of narcotics, barbiturates
Coordinates the implementation of physician orders.
Administers medications and performs treatments.Company Description
At Mid-Atlantic Healthcare , we provide you with the tools and support you need to grow your career in healthcare. We are committed to hiring the best team to serve our patients, while providing an environment that offers challenging, stimulating and financially rewarding opportunities. Competitive salary & benefits, EOE