AK - Registered Nurse - LTC - Day Shift RATE

MUST HAVE ACTIVE AK LICENSE to be considered

MUST HAVE FLU VACCINE

Position

Summary

Coordinates a variety of nursing care procedures for residents of various

ages which requires professional knowledge and consideration of specific resident

conditions and treatment. Participates in patient and family teaching and

provides leadership by working cooperatively with ancillary nursing and other members

of the healthcare team to maintain standards for professional nursing practice

in the long term care setting.

Guidelines include physician s orders, standards of care, nursing policies

and procedures, manuals, hospital and long-term care policies.

Position Complexities

Clinical

decisions are made initially independently during the scheduled shift;

maintains complete accountability for all actions taken. Consults with the appropriate

manager / supervisor in difficult situations requiring additional input. Able to

react in a calm manner and make sound nursing judgments in an emergency

environment. Accountable for proper

delegation and supervision of CNA / Tech, LPN, and / or Ward Clerk on unit during

shift.

Accountabilities

Promotes the SEARHC Seven Standards of Excellence; Implements safe,

therapeutic, and efficient care for patients and residents with needs due to

multisystem disease and / or complications of treatment using appropriate

infection control measures; sets priorities for care of patients and residents based

on acuity and / or patients preference; anticipates potential problems; adapts

to change on the area by setting priorities for emergencies, changes in status

and unusual occurrences; initiates, manages, and documents the nursing

procedures consistent with scientific principle and departmental policy;

demonstrates knowledge of equipment use; accurately administers age-specific

medications and therapeutics; carries

out the medical and nursing care plan and coordinates resident care activities

with physicians and other healthcare team members; initiates action to reduce,

correct, or prevent immediate, ongoing, or potential risks to the resident;

facilitates healing by providing nursing care that is individualized, goal

oriented, based on scientific principles and the nursing process; seeks out

resources when beyond the scope of skill, knowledge or experience; explains

test, procedures, and disease process to resident / significant others; follows

through on nursing care plans by teaching and demonstrating skills essential

for understanding and coping with illness and promoting optimal health;

communicates and interacts with resident / significant others in a positive and

supportive way; provides counseling using emotional, intellectual and

psychological supports and utilizes other healthcare professionals in dealing

with psychosocial problems if needed; takes steps to decrease stress and / or

increase effectiveness of coping mechanisms of resident / significant others;

evaluates resident s progress or lack of progress towards goals, directing new

goal setting and implementing revised care plans as directed by reassessment;

documents the resident s response to care; closes out resident care plan by

discharge or has in place an after care plan to meet the resident s needs;

Assures confidentiality of resident information.

Accomplishes nursing assessment through interviewing, observation

and nursing process; obtains, interprets and applies age-related patient

information in terms of cognitive, physical, emotional and normal

growth / development needs of the resident; completes thorough Nursing Admission

Databases / initial resident assessment; documents assessment findings that are

consistent with other providers and include review of body systems, laboratory

results, diagnostic findings, chart reviews, and interdisciplinary input;

identifies problems & nursing diagnosis by recognizing the impact of health

problems on residents and families; distinguishes between normal and abnormal

assessments in order to identify resident capabilities and limitations

including psychosocial risks; utilizes resources to assess residents with

conditions that are new, unfamiliar, or not commonly seen.

Shall perform duties as assigned and insure quality resident care

despite the situation encountered, be it routine or emergent.

Imparts educational knowledge to develop skills to enhance

decision making and promote understanding by interacting with residents,

family, staff, and community; engages in ongoing evaluation of the

effectiveness of teaching in terms of resident understanding and behavioral

outcomes; organizes and participates in care conferences as applicable;

identifies staff, resident, and family needs and develops a plan for education

and / or makes appropriate referrals; develops / implements educational programs

and learning aides in the department (ie. Inservices, special projects,

learning aides, resident care standards); documents education accurately and

completely; provides discharge information; participate in in-services and

educational programs in the department, hospital and / or community as assigned;

completes all mandatory training and competency checks; utilizes opportunities

for incidental teaching with staff members.

Communicates with staff, residents, significant others and other

members of the healthcare team in a way that is supportive, constructive, and

positive; gives feedback to other staff and healthcare team members in regard

to behavior that does not support achievement; assists in the orientation of

new staff, travelers, and students by sharing knowledge, experience and verbal

encouragement; guides others in choosing nursing intervention, developing

skills and applying knowledge; follows and directs others to follow corporate,

hospital, and departmental policies, procedures and resident care standards;

supports the area and overall Nursing services mission by assigning staff to

productive tasks and floating to other units as needed; provides input

regarding the need for change in policies, procedures, and resident care

standards; able to perform as Contact RN leading assigned RNs, LPNs, and CNAs

and accomplishes all assigned resident care and area support activities during

the shift.

Develops and contributes to a plan of nursing action based on

existing and potential resident problems and obtainable resident responses

which are mutually acceptable to the healthcare team; transcribes and notes

physician orders accurately; utilizes past experience to provide a range of

options for nursing care; initiates care plans using resident care standards;

addresses identified nursing diagnosis and coordinates the plan with the

healthcare team by using methods that include interventions, goals, and

timeframes; utilizes resources to formulate a written plan of care; documents

reassessments which include laboratory results, diagnostic findings,

interdisciplinary notes and documented resident observations; writes progress

notes in EHR; gives shift report according to area guidelines.

Attends and participates in at least 50% of departmental staff

meetings; applies information presented in staff meetings; participates in unit

goal setting; complies with area and departmental scheduling guidelines; initiates discussion with nurse manager

regarding area or department issues; completes annual competencies, evaluation

material, maintains certifications and licensure; complies with dress code;

refers unresolved problems with patients / visitors / co-workers to Nurse Manager

or Administrative Manager for resolution; addresses employee concerns

consistent with Human Resources Policy

Familiar and competent in mandatory state reporting guidelines and

the time requirements.

Other duties as assigned. When DON not physically present, will be

willing to take the role of charge nurse for the long term care unit.