Position Reports To : Nurse Manager / Charge Nurse / RN Supervisor
Position Description : Provide direct nursing care to residents and supervise the day-to-day activities of the Certified Nursing Assistants.
Duties and Responsibilities :
- Receive and give inter-shift report, both verbally and in writing by completing the 24-hour report
- Assist in assigning duties to nurses aides based on resident, unit needs and staff’s abilities
- Make rounds at the beginning and end of the shift on the entire unit to observe residents and identify any immediate needs
- Take and record vital signs (temperature, pulse, respiration and blood pressure); report abnormalities to physician and Nurse manager or designee
- Assist in the development, updating, evaluating and modifying of the comprehensive care plan for the residents on a timely basis according to schedule or change in condition
- Complete medication administration according to medical provider’s orders and within the guidelines established by the Pharmacy Committee and the standards of nursing practice
- Perform treatments as ordered by the medical provider within acceptable guidelines and standards of nursing practice and according to the nursing policies and procedures
- Obtain specimens for lab tests as ordered
- Inform nursing personnel of new admissions, their expected time of arrival, room assignment, etc.
- Ensure that rooms are ready for new admissions
- Greet newly admitted residents upon admission, escort them to their rooms as necessary
- Participate in the orientation of new residents / family members to the facility
- Make rounds with medical provider
- Inform nursing personnel in verbal report of changes in condition of resident
- Monitor seriously ill residents and ensure prompt communication with the physician and family when a change of condition occurs
- Assist in making skin care rounds weekly and complete the documentation on the flow sheets and CCP
- Create and maintain an atmosphere of warmth, personal interest and positive emphasis, as well as a calm environment throughout the unit
- May attend interim and regularly scheduled care plan meetings
- Carry out resident teaching as part of the plan of care
- Begin pre-discharge education program for the resident / family according to discharge plan
- Carry out restorative and rehabilitative nursing program to promote independent functioning of residents
- Makes determination of death as assigned
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