REGISTERED NURSE (RN)
Under the direction of the Director of Nursing, RN renders nursing care within an assigned unit. Maintains a physical, social and psychological environment, which will be conducive to the best interest and welfare of the residents of Carmel Manor.
DUTIES AND RESPONSIBILITIES:
- Performs nursing techniques for the comfort and well-being of the residents under established policies following care plans.
- Administers prescribed medications and observes resident reactions to medications and treatments.
- Provides treatments using therapeutic equipment and assists physicians during examinations of residents.
- Observes, records and reports to supervisor or physician, the resident’s condition and reaction to drugs or treatments and all significant incidents.
- Maintains resident’s medical records on nursing observations and actions taken and records nursing needs of residents on nursing care plan to assure continuity of care.
- Instructs residents and/or members of their families in techniques and methods of care while resident may be out of the facility.
- Orients new residents and families to the unit following admission policy and procedure.
- Provides clinical supervision of nursing assistants providing direct resident care.
- Counsels nurse aide and recommends disciplinary action, when necessary, to the Director of Nursing.
- Prepares nurse aides assignments and explains all pertinent resident care.
- Notifies physician, when necessary, of changes in residents’ condition, weight, medication errors, availability of medications, abnormal laboratory/ x-ray results and any other unusual observations.
- Participates in resident care conferences as scheduled.
- Conducts resident rounds daily, reporting problems to nursing supervisor and initiating corrective action.
- Identifies resident problems and emergency situations, and initiates immediate “life-saving" measures.
- Follows staffing guidelines and makes assignments according to qualifications of staff and characteristics of resident population.
- Performs and documents comprehensive assessment of residents.
- Knowledgeably and competently performs basic nursing skills.
- Follows facility discharge/transfer procedures and coordinates discharge/transfer with other departments, physicians and ancillary service providers. Completes documentation related to resident’s discharge/transfer.
- Supervises response to resident calls for assistance.
- Counts narcotics, checks emergency kit and exchanges keys with oncoming nurses.
- Provides report to oncoming nurse, including sufficient information for follow-up action if necessary.
- Identifies hazards and initiates corrective action immediately.
- Interprets existing policies and procedures to nurse aides, restorative nurse aides, residents, families and physicians.
- Documents resident care provided and resident response or lack of response to care provided.
- Follows facility admission procedure and communicates resident admission to other departments, physicians and ancillary service providers.
- Assesses resident needs and initiates development of individualized plans of resident care.
- Reviews and revises resident care plans as necessary and as required by regulations.
- Listens to resident, family, physician or staff concerns and initiates corrective action and/or reports concerns to Nursing Supervisor.
- Orders medication as necessary, according to procedure.
- Observes, evaluates and documents all changes in resident’s conditions.
- Documents progress notes as assigned.
- Documents daily notes on unstable residents, Medicare residents and recently admitted residents.
- Observes infection control procedures.
- Participates in the employee evaluation process of nursing assistants.
- Supervises and evaluates all direct resident care and initiates corrective action as necessary.
- Directs staff and participates in department cleaning and schedules care of equipment and supplies.
- Knows procedure for fire safety and prevention, and participates in fire drills.
- Insures established inventory standards for medicines, solutions, supplies and equipment including narcotic records.
- Continues professional growth through inservice meetings, current literature and workshops. Maintains required continuing education units according to state regulations.
- Attends department meetings.
- Advises nursing supervisor or Director of Nursing of topics for discussion at staff meetings.
- Supports and participates in facility Quality Assurance program.
EDUCATION AND EXPERIENCE:
Graduation from an accredited school of nursing and current licensure by Kentucky State Board of Nursing. Six months to one-year experience in medical-surgical nursing preferred. Communication skills necessary to understand residents’ charts, physician orders, nursing care plan and medication orders. Ability to effectively communicate with residents and staff, physicians and families. (English language required).
Work is heavy. Standing and walking most of the time on duty. Lifting and transferring residents, carts, wheelchairs and equipment. Reaching, handling and fingering equipment and supplies. Stooping and bending while administering care. Audio acuity to make fine discriminations in sound. Visual acuity for reading of equipment.
Electronic Medical Record
Arm Hand Steadiness
Conducting Physical Examinations