ID : 51927192 Shift : Day shift 7 : 00 am to 7 : 30 pm Description : MUST HAVE ACTIVE AK LICENSE to be considered?? MUST HAVE FLU VACCINE PositionSummary Coordinates a variety of nursing care procedures for residents of variousages which requires professional knowledge and consideration of specific residentconditions and treatment.
Participates in patient and family teaching andprovides leadership by working cooperatively with ancillary nursing and other membersof the healthcare team to maintain standards for professional nursing practicein the long term care setting.
Guidelines include physician s orders, standards of care, nursing policiesand procedures, manuals, hospital and long-term care policies.
Position Complexities Clinicaldecisions are made initially independently during the scheduled shift;maintains complete accountability for all actions taken.
Consults with the appropriatemanager / supervisor in difficult situations requiring additional input. Able toreact in a calm manner and make sound nursing judgments in an emergencyenvironment.
- Accountable for properdelegation and supervision of CNA / Tech, LPN, and / or Ward Clerk on unit duringshift. Accountabilities Promotes the SEARHC Seven Standards of Excellence;
- Implements safe,therapeutic, and efficient care for patients and residents with needs due tomultisystem disease and / or complications of treatment using appropriateinfection control measures;
- sets priorities for care of patients and residents basedon acuity and / or patients preference; anticipates potential problems;
- adaptsto change on the area by setting priorities for emergencies, changes in statusand unusual occurrences; initiates, manages, and documents the nursingprocedures consistent with scientific principle and departmental policy;
- demonstrates knowledge of equipment use; accurately administers age-specificmedications and therapeutics; carriesout the medical and nursing care plan and coordinates resident care activitieswith 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, goaloriented, based on scientific principles and the nursing process;
- seeks outresources when beyond the scope of skill, knowledge or experience; explainstest, procedures, and disease process to resident / significant others;
- followsthrough on nursing care plans by teaching and demonstrating skills essentialfor understanding and coping with illness and promoting optimal health;
- communicates and interacts with resident / significant others in a positive andsupportive way; provides counseling using emotional, intellectual andpsychological supports and utilizes other healthcare professionals in dealingwith psychosocial problems if needed;
- takes steps to decrease stress and / orincrease effectiveness of coping mechanisms of resident / significant others;evaluates resident s progress or lack of progress towards goals, directing newgoal setting and implementing revised care plans as directed by reassessment;
- documents the resident s response to care; closes out resident care plan bydischarge or has in place an after care plan to meet the resident s needs;
- Assures confidentiality of resident information. Accomplishes nursing assessment through interviewing, observationand nursing process;
- obtains, interprets and applies age-related patientinformation in terms of cognitive, physical, emotional and normalgrowth / development needs of the resident;
- completes thorough Nursing AdmissionDatabases / initial resident assessment; documents assessment findings that areconsistent with other providers and include review of body systems, laboratoryresults, diagnostic findings, chart reviews, and interdisciplinary input;
- identifies problems & nursing diagnosis by recognizing the impact of healthproblems on residents and families; distinguishes between normal and abnormalassessments in order to identify resident capabilities and limitationsincluding psychosocial risks;
utilizes resources to assess residents withconditions that are new, unfamiliar, or not commonly seen. Shall perform duties as assigned and insure quality resident caredespite the situation encountered, be it routine or emergent.
- Imparts educational knowledge to develop skills to enhancedecision making and promote understanding by interacting with residents,family, staff, and community;
- engages in ongoing evaluation of theeffectiveness of teaching in terms of resident understanding and behavioraloutcomes;
- organizes and participates in care conferences as applicable;identifies staff, resident, and family needs and develops a plan for educationand / or makes appropriate referrals;
- develops / implements educational programsand learning aides in the department (ie. Inservices, special projects,learning aides, resident care standards);
- documents education accurately andcompletely; provides discharge information; participate in in-services andeducational programs in the department, hospital and / or community as assigned;
completes all mandatory training and competency checks; utilizes opportunitiesfor incidental teaching with staff members.
- Communicates with staff, residents, significant others and othermembers of the healthcare team in a way that is supportive, constructive, andpositive;
- gives feedback to other staff and healthcare team members in regardto behavior that does not support achievement; assists in the orientation ofnew staff, travelers, and students by sharing knowledge, experience and verbalencouragement;
- guides others in choosing nursing intervention, developingskills 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 toproductive tasks and floating to other units as needed;
provides inputregarding the need for change in policies, procedures, and resident carestandards; able to perform as Contact RN leading assigned RNs, LPNs, and CNAsand accomplishes all assigned resident care and area support activities duringthe shift.
- Develops and contributes to a plan of nursing action based onexisting and potential resident problems and obtainable resident responseswhich are mutually acceptable to the healthcare team;
- transcribes and notesphysician orders accurately; utilizes past experience to provide a range ofoptions for nursing care;
- initiates care plans using resident care standards;addresses identified nursing diagnosis and coordinates the plan with thehealthcare team by using methods that include interventions, goals, andtimeframes;
- utilizes resources to formulate a written plan of care; documentsreassessments which include laboratory results, diagnostic findings,interdisciplinary notes and documented resident observations;
- writes progressnotes in EHR; gives shift report according to area guidelines. Attends and participates in at least 50% of departmental staffmeetings;
- applies information presented in staff meetings; participates in unitgoal setting; complies with area and departmental scheduling guidelines;
- initiates discussion with nurse managerregarding area or department issues; completes annual competencies, evaluationmaterial, maintains certifications and licensure;
- complies with dress code;refers unresolved problems with patients / visitors / co-workers to Nurse Manageror Administrative Manager for resolution;
addresses employee concernsconsistent with Human Resources Policy Familiar and competent in mandatory state reporting guidelines andthe time requirements.
Other duties as assigned. When DON not physically present, will bewilling to take the role of charge nurse for the long term care unit.
Position Billing string Medefis Guaranteed Hours : 36 Contract Weeks : 91