Registered Nurse jobs at Terrace Holding Company - 5 jobs
Registered Nurse/ Floor Nurse
Terrace of Kissimmee 4.3
Registered nurse job at Terrace Holding Company
The primary purpose of your job position is to provide direct nursing care to the residents, and to supervise the day-to-day nursing activities performed by nursing assistants. Such supervision must be in accordance with the Florida Nurse Practice Act current federal, state & local standards, guidelines, and regulations that govern our facility, and as may be directed by the Director of Nursing or Nurse Supervisor/Unit Manager to ensure that the highest degree of quality care is maintained at all times.
Delegation of Authority
As a RegisteredNurse/ Floor Nurse, you are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties.
Job Functions
Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position.
Duties and Responsibilities
Administrative Functions
Direct the day-to-day functions of the nursing assistants in accordance with current rules, regulation, and guidelines that govern the long-term care facility.
Ensure that all nursing personnel assigned to you comply with the written policies and procedures established by this facility.
Ensure that all nursing service personnel comply with the procedures set forth in the Nursing Service Procedures Manual.
Participate and cooperate in facility surveys (inspections) by local, state and federal governmental agencies.
Admit, transfer, and discharge residents in accordance with facility protocols, as required.
Make written and oral reports/recommendations concerning the activities of your shift as required.
Cooperate with other resident services/departments when coordinating nursing services to ensure that the resident's total regimen of care is maintained.
Participate in facility surveys (inspections) made by authorized government agencies as may be required
Periodically review the resident's written discharge plan. Participate in updating the resident's written discharge plan as required.
Assist in planning the nursing service portion of the resident's discharge plan as necessary.
Complete accident/incident reports as necessary. Submit to the Director of Nursing or designee.
Charting and Documentation
Complete and file required recordkeeping forms/charts upon the resident's admission, transfer, and/or discharge.
Receive telephone orders from physicians and record in the EMR system.
Transcribe physician's orders to resident charts, card-ex, medication cards, treatment care plans in electronic format or paper as required.
Chart nurses' notes in an informative and descriptive manner that reflects the care provided to the resident, as well as the resident's response to the care.
Chart all reports of accidents/incidents involving residents.
Follow established procedures.
Record new/changed diet orders. Forward information to the Dietary Department.
Report all discrepancies noted concerning physician's orders, diet change, charting error, etc., to the Nurse Supervisor/Unit Manager.
Fill out and complete transfer forms in accordance with established procedures.
Ensure that appropriate documentation concerning unauthorized discharges is entered in the resident's medical record in accordance with established procedures
Perform routine charting duties as required and in accordance with established charting and documentation policies and procedures.
Drug Administration Functions
Prepare and administer medications as ordered by the physician in accordance with federal, state and local laws and regulations and facility policy.
Verify the identity of the resident before administering the medication/treatment. Ensure that prescribed medication for one resident is not administered to another.
Ensure that an adequate supply of floor stock medications, supplies, and equipment is on hand to meet the nursing needs of the residents. Report need to the Nurse Supervisor/Unit Manager.
Order prescribed medications, supplies, and equipment as necessary, and in accordance with established policies.
Ensure that narcotics are handled in accordance with federal, state and local laws and facility policies. Ensure that narcotic's records are accurate for you shift.
Notify the Nurse Supervisor/Unit Manager of all drug and narcotic discrepancies noted on your shift.
Review medication cards for completeness of information, accuracy in the transcription of the physician's order, and adherence to stop order policies.
Notify the attending physician of automatic stop orders prior to the last dosage being administered.
Dispose of drugs and narcotics as required, and in accordance with established procedures.
Personnel Functions
Participate in employee performance evaluations, determining your shift's staffing requirements, and making recommendations to the Nurse Supervisor/Unit Manager concerning employee dismissals, transfers, etc.
Inform the Nurse Supervisor of staffing needs when assigned personnel fail to report to work.
Report absentee call-ins to the Nurse Supervisor/Unit Manager.
Develop work assignments, and/or assist in completing and performing such assignments.
Monitor Nursing Assistants to ensure that care and services are being provided to residents in accordance with the resident's plan of care.
Report problem areas to the Nurse Supervisor/Unit Manager.
Develop and maintain a good working rapport with inter-department personnel, as well as other departments within the facility to ensure that nursing services and activities can be adequately maintained to meet the needs of the residents.
Create and maintain an atmosphere of warmth, personal interest and positive emphasis as well as a calm environment throughout the unit and shift.
Review complaints and grievances made or filed by your assigned personnel. Make appropriate reports to the Nurse Supervisor/Unit Manager as required or as may be necessary. Follow facility's established procedures.
Receive/give the nursing report upon reporting in and ending shift duty hours.
Report occupational exposures to blood, body fluid, infectious materials, and hazardous chemicals in accordance with the facility's policies and procedures governing accident and incidents.
Nursing Care Functions
Inform nursing service 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 and escort them lo their rooms as necessary.
Conduct and document a thorough assessment of each patient's medical status upon admission and throughout the patient's course of treatment.
Participate in the orientation of new residents/family members to the facility.
Make rounds with physicians as necessary.
Requisition and arrange for diagnostic and therapeutic services, as ordered by the physician, and in accordance with our established procedures.
Consult with the resident's physicians in providing the resident's care, treatment, rehabilitation, etc., as necessary.
Review the resident's chart for specific treatments, medication orders, diets, etc., as necessary.
Implement and maintain established nursing objectives and standards.
Make periodic checks to ensure that prescribed treatments are being properly administered by certified nursing assistants and to evaluate the resident's physical and emotional status.
Ensure that direct nursing care is provided in accordance with the resident's plan of care and wishes.
Notify the resident's attending physician when the resident is involved in an accident or incident.
Notify the resident's attending physician and next-of-kin when there is a change in the resident's condition.
Carry out restorative and rehabilitative programs, to include self-help and care.
Administer professional services such as: catheterization, tube feedings, suction, applying and changing dressings/bandages, packs, colostomy, and drainage bags, taking blood, range of motion exercises, and care for the dead/dying, etc., as required.
Use restraints only when prescribed and in accordance with established policies and procedures.
Obtain sputum, urine and other specimens for Jab tests as ordered.
Take and record TPRs, blood pressures, etc., as necessary.
Monitor seriously ill residents as necessary.
Check food brought into the facility by the resident's family/visitors to ensure that it is within the resident's dietary allowances.
Report problem areas to the Nurse Supervisor/Unit Manager and Dietary Supervisor.
Promptly respond to call bells.
Promptly and courteously respond to requests for assistance from residents, staff, resident family members and visitors
Ensure that residents who are unable to call for help are checked frequently.
Meet with residents, and/or family members, as necessary.
Report problems to the Nurse Supervisor/Unit Manager.
Admit, transfer and discharge residents as necessary.
Assist in arranging transportation of discharged residents as necessary.
Ensure that discharged residents are escorted to the pick-up area.
Inform family members of the death of the resident.
Call funeral homes when requested by the family.
Ensure that established post-mortem procedures are followed.
Act in compliance with established regulatory and professional standards and guidelines.
Staff Development
Attend and participate in all facility in-service trainings/programs, as required.
Attend and participate in annual OSHA and CDC in-service training programs for hazard communication, TB management, and blood borne pathogens standards.
Attend and participate in advance directive in-service training program for the staff and community.
Attend and participate in continuing education programs designed to keep you abreast of
changes in your profession, as well as to maintain your license on a current status.
Safety and Sanitation
Monitor your assigned personnel to ensure that they are following established safety regulations in the use of equipment and supplies.
Ensure that established departmental policies and procedures are followed by self and assigned personnel.
Ensure that your assigned work areas (i.e., nurses' stations, medicine preparations rooms, etc.) are maintained in a clean and sanitary manner.
Ensure that your unit's resident rooms, treatment areas, etc., are maintained in a clean, safe, and sanitary manner.
Ensure that you and your assigned personnel follow established safety polices and procedures.
Ensure that you and your assigned personnel follow established hand-washing procedures.
Ensure that you and your assigned personnel participate in and conduct all fire safety and disaster preparedness drills in a safe and professional manner.
Ensure that you and your assigned personnel follow established infection control procedures when isolation precautions become necessary.
Ensure that you and your assigned personnel follow established infection control procedures.
Ensure that you and your assigned personnel wear and/or use safety equipment and supplies (e.g., gait belts mechanical lifts, etc.) when moving or lifting a resident.
Report missing/illegible labels and MSDSs to the safety officer or other designated person.
Equipment and Supply Functions
Recommend to the Nurse Supervisor/Unit Manager the equipment and supply needs of your unit/shift.
Ensure that an adequate stock level of medications, medical supplies, equipment, etc. is maintained on your shift at all times to adequately meet the need of the resident.
Ensure that only trained and authorized personnel operate your unit/shift's equipment. Ensure that all personnel operate nursing service equipment in a safe manner.
Care Plan and Assessment Functions
Review care plans daily to ensure that appropriate care is being rendered.
Inform the Nurse Supervisor/Unit Manager of any changes that need to be made on the care plan.
Ensure that your nurses' notes reflect that the care plan is being followed when
administering nursing care or treatment.
Review resident care plans for appropriate resident goals, problems, approaches, and revisions based on nursing needs.
Ensure that your assigned Licensed Practical Nurses (LPN) and certified nursing assistants (CNAs) are aware of the resident care plans and carry out the resident's care plan.
Assist the Resident Assessment/Care Plan Coordinator in planning, scheduling, and revising the MDS, including the implementation of RAPs and Triggers, as directed.
Resident Rights
Maintain the confidentiality of all resident care information.
Monitor nursing care to ensure that all residents are treated fairly, and with kindness, dignity, and respect.
Ensure that all nursing care is provided in privacy and that nursing service personnel knock before entering the resident's room.
Ensure that all nursing service personnel are knowledgeable of resident rights and responsibilities, including the right to refuse treatment.
Review complaints or grievances made by the resident and make a written/oral report to the Nurse Supervisor/Unit Manager indicating what action(s) were taken to resolve the complaint or grievance. Follow facility's established procedures.
Maintain a written record of the resident's complaints and/or grievances that indicates the action to resolve the complaint and the current status of the complaint.
Report all allegations of resident abuse and/or misappropriation of resident property.
Honor the resident's refusal of treatment request. Ensure that such requests are in accordance with the facility's policies governing advance directives.
Miscellaneous
Adhere to facility and departmental policies and procedures.
Other duties as assigned.
Working Conditions
Works throughout the nursing service area (i.e., drug rooms, nurses' stations, resident rooms, etc.), as well as other parts of the facility.
Moves intermittently during work hours.
ls subject to frequent interruptions
Is involved with residents, personnel, visitors, government agencies/personnel, etc., under all conditions and circumstances.
Is subject to hostile and emotionally upset residents, family members, personnel, and visitors.
Communicates with the medical staff, nursing personnel, and other department supervisors.
Works beyond normal working hours, weekends and holidays when necessary.
Is subject to call-back during emergency conditions (e.g. severe weather, evacuation, post-disaster, etc.).
Attends and participates in continuing educational programs.
Is subject to injury from falls, bums from equipment, odors, assaults from hostile residents, etc. throughout the work day, as well as reactions from dust, disinfectants, tobacco smoke, and other air contaminants.
Is subject to exposure to infectious waste, diseases, conditions, etc., including TB and the
AIDS and Hepatitis B viruses.
May be subject to the handling of and exposure to hazardous chemicals.
Education Requirements
Graduate of an accredited school of nursing.
Experience
None. On-the-job training provided. One (1) year of experience as a nurse in a health care facility preferred.
Specific Requirements
Must possess and maintain an “Eligible” ACHA Background Screening status
Valid and current license as a RegisteredNurse in the State of Florida.
Excellent communication and interpersonal skills.
Must be able to read, write, speak, and understand the English language.
Must possess the ability to make independent decisions when circumstances warrant such action.
Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public.
Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to long-term care.
Must possess leadership ability and the willingness to work harmoniously with and supervise other personnel.
Must possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures, etc. that are necessary for providing quality care.
Must have patience, tact, a cheerful disposition and enthusiasm, as well as the willingness to handle difficult residents.
Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices
Must be able to relate information concerning a resident's condition.
Must not pose a direct threat to the health or safety of other individuals in the workplace.
Physical and Sensory Requirements
(With or Without the Aid of Mechanical Devices)
Must be able to move intermittently throughout the work day.
Must be able to speak, read and write the English language in an understandable manner.
Must be able to cope with the mental and emotional stress of the position.
Must possess sight/hearing senses or use prosthetics that will enable these senses to function adequately so that the requirements of the position can be fully met.
Must function independently, have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies.
Must meet the general health requirements set forth by the policies of this facility which include a medical and physical examination.
Must be able to' relate to and work with ill, disabled, elderly, emotionally upset, and at times hostile people within the facility.
Must be able to twist and turn all extremities and at the waist
Must be able to push, pull, move, and/or lift a minimum of 35 pounds to a minimum height of 5 feet and be able to push, pull, move, and/or carry such weight a minimum distance of 450 feet.
Hours and days may be varied at times as necessary to maintain good nursing care.
May be necessary to assist in the evacuation of residents during emergency situations.
$47k-81k yearly est. 7d ago
Looking for a job?
Let Zippia find it for you.
RN/ LPN Floor Nurse - 12 HOUR SHIFTS - ALL SHIFTS
Terrace of Jacksonville 4.3
Registered nurse job at Terrace Holding Company
The primary purpose of your job position is to provide direct nursing care to the residents, and to supervise the day-to-day nursing activities performed by nursing assistants. Such supervision must be in accordance with the Florida Nurse Practice Act current federal, state & local standards, guidelines, and regulations that govern our facility, and as may be directed by the Director of Nursing or Nurse Supervisor/Unit Manager to ensure that the highest degree of quality care is maintained at all times.
Delegation of Authority
As a Floor Nurse, you are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties.
Job Functions
Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position.
Duties and Responsibilities
Administrative Functions
Direct the day-to-day functions of the nursing assistants in accordance with current rules, regulation, and guidelines that govern the long-term care facility.
Ensure that all nursing personnel assigned to you comply with the written policies and procedures established by this facility.
Ensure that all nursing service personnel comply with the procedures set forth in the Nursing Service Procedures Manual.
Participate and cooperate in facility surveys (inspections) by local, state and federal governmental agencies.
Admit, transfer, and discharge residents in accordance with facility protocols, as required.
Make written and oral reports/recommendations concerning the activities of your shift as required.
Cooperate with other resident services/departments when coordinating nursing services to ensure that the resident's total regimen of care is maintained.
Participate in facility surveys (inspections) made by authorized government agencies as may be required
Periodically review the resident's written discharge plan. Participate in updating the resident's written discharge plan as required.
Assist in planning the nursing service portion of the resident's discharge plan as necessary.
Complete accident/incident reports as necessary. Submit to the Director of Nursing or designee.
Charting and Documentation
Complete and file required recordkeeping forms/charts upon the resident's admission, transfer, and/or discharge.
Receive telephone orders from physicians and record in the EMR system.
Transcribe physician's orders to resident's EMR, card-ex, medication cards, treatment care plans in electronic format or paper as required.
Chart nurses' notes in an informative and descriptive manner that reflects the care provided to the resident, as well as the resident's response to the care.
Chart all reports of accidents/incidents involving residents. Follow established procedures.
Record new/changed diet orders. Forward information to the Dietary Department.
Report all discrepancies noted concerning physician's orders, diet change, charting error, etc., to the Nurse Supervisor/Unit Manager.
Fill out and complete transfer forms in accordance with established procedures.
Ensure that appropriate documentation concerning unauthorized discharges is entered in the resident's medical record in accordance with established procedures
Perform routine charting duties as required and in accordance with established charting and documentation policies and procedures.
Drug Administration Functions
Prepare and administer medications as ordered by the physician in accordance with federal, state and local laws and regulations and facility policy.
Verify the identity of the resident before administering the medication/treatment. Ensure that prescribed medication for one resident is not administered to another.
Ensure that an adequate supply of floor stock medications, supplies, and equipment is on hand to meet the nursing needs of the residents. Report need to the Nurse Supervisor/Unit Manager.
Order prescribed medications, supplies, and equipment as necessary, and in accordance with established policies.
Ensure that narcotics are handled in accordance with federal, state and local laws and facility policies. Ensure that narcotic's records are accurate for you shift.
Notify the Nurse Supervisor/Unit Manager of all drug and narcotic discrepancies noted on your shift.
Review medication cards for completeness of information, accuracy in the transcription of the physician's order, and adherence to stop order policies.
Notify the attending physician of automatic stop orders prior to the last dosage being administered.
Dispose of drugs and narcotics as required, and in accordance with established procedures.
Personnel Functions
Participate in employee performance evaluations, determining your shift's staffing requirements, and making recommendations to the Nurse Supervisor/Unit Manager concerning employee dismissals, transfers, etc.
Inform the Nurse Supervisor of staffing needs when assigned personnel fail to report to work.
Report absentee call-ins to the Nurse Supervisor/Unit Manager.
Develop work assignments, and/or assist in completing and performing such assignments.
Monitor Nursing Assistants to ensure that care and services are being provided to residents in accordance with the resident's plan of care.
Report problem areas to the Nurse Supervisor/Unit Manager.
Develop and maintain a good working rapport with inter-department personnel, as well as other departments within the facility to ensure that nursing services and activities can be adequately maintained to meet the needs of the residents.
Create and maintain an atmosphere of warmth, personal interest and positive emphasis as well as a calm environment throughout the unit and shift.
Review complaints and grievances made or filed by your assigned personnel. Make appropriate reports to the Nurse Supervisor/Unit Manager as required or as may be necessary. Follow facility's established procedures.
Receive/give the nursing report upon reporting in and ending shift duty hours.
Report occupational exposures to blood, body fluid, infectious materials, and hazardous chemicals in accordance with the facility's policies and procedures governing accident and incidents.
Nursing Care Functions
Inform nursing service 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 and escort them lo their rooms as necessary.
For LPNs, observe and document the status of each patient upon admission and throughout the patient's course of treatment. Report concerns to the RegisteredNurse for assessment.
For RNs, assess and document the status of each patient upon admission and throughout the patient's course of treatment
Participate in the orientation of new residents/family members to the facility.
Make rounds with physicians as necessary.
Requisition and arrange for diagnostic and therapeutic services, as ordered by the physician, and in accordance with our established procedures.
Consult with the resident's physicians in providing the resident's care, treatment, rehabilitation, etc., as necessary.
Review the resident's chart for specific treatments, medication orders, diets, etc., as necessary.
Implement and maintain established nursing objectives and standards.
Make periodic checks to ensure that prescribed treatments are being properly administered by certified nursing assistants and to evaluate the resident's physical and emotional status.
Ensure that direct nursing care is provided in accordance with the resident's plan of care and wishes.
Notify the resident's attending physician when the resident is involved in an accident or incident.
Notify the resident's attending physician and next-of-kin when there is a change in the resident's condition.
Carry out restorative and rehabilitative programs, to include self-help and care.
Administer professional services such as: catheterization, tube feedings, suction, applying and changing dressings/bandages, packs, colostomy, and drainage bags, taking blood, range of motion exercises, and care for the dead/dying, etc., as required.
Use restraints only when prescribed and in accordance with established policies and procedures.
Obtain sputum, urine and other specimens for Jab tests as ordered.
Take and record TPRs, blood pressures, etc., as necessary.
Monitor seriously ill residents as necessary.
Check food brought into the facility by the resident's family/visitors to ensure that it is within the resident's dietary allowances.
Report problem areas to the Nurse Supervisor/Unit Manager and Dietary Supervisor.
Promptly respond to call bells.
Promptly and courteously respond to requests for assistance from residents, staff, resident family members and visitors
Ensure that residents who are unable to call for help are checked frequently.
Meet with residents, and/or family members, as necessary.
Report problems to the Nurse Supervisor/Unit Manager.
Admit, transfer and discharge residents as necessary.
Assist in arranging transportation of discharged residents as necessary.
Ensure that discharged residents are escorted to the pick-up area.
Inform family members of the death of the resident.
Call funeral homes when requested by the family.
Ensure that established post-mortem procedures are followed.
Act in compliance with established regulatory and professional standards and guidelines.
Staff Development
Attend and participate in all facility in-service trainings/programs, as required.
Attend and participate in annual OSHA and CDC in-service training programs for hazard communication, TB management, and blood borne pathogens standards.
Attend and participate in advance directive in-service training program for the staff and community.
Attend and participate in continuing education programs designed to keep you abreast of
changes in your profession, as well as to maintain your license on a current status.
Safety and Sanitation
Monitor your assigned personnel to ensure that they are following established safety regulations in the use of equipment and supplies.
Ensure that established departmental policies and procedures are followed by self and assigned personnel.
Ensure that your assigned work areas (i.e., nurses' stations, medicine preparations rooms, etc.) are maintained in a safe, clean and sanitary manner.
Ensure that your unit's resident rooms, treatment areas, etc., are maintained in a clean, safe, and sanitary manner
Ensure that you and your assigned personnel follow established safety polices and procedures.
Ensure that you and your assigned personnel follow established hand-washing procedures.
Ensure that you and your assigned personnel participate in and conduct all fire safety and disaster preparedness drills in a safe and professional manner.
Ensure that you and your assigned personnel follow established infection control procedures when isolation precautions become necessary.
Ensure that you and your assigned personnel follow established infection control procedures.
Ensure that you and your assigned personnel wear and/or use safety equipment and supplies (e.g., gait belts mechanical lifts, etc.) when moving or lifting a resident.
Report missing/illegible labels and MSDSs to the safety officer or other designated person.
Equipment and Supply Functions
Recommend to the Nurse Supervisor/Unit Manager the equipment and supply needs of your unit/shift.
Ensure that an adequate stock level of medications, medical supplies, equipment, etc. is maintained on your shift at all times to adequately meet the need of the resident.
Ensure that only trained and authorized personnel operate your unit/shift's equipment. Ensure that all personnel operate nursing service equipment in a safe manner.
Care Plan and Assessment Functions
Review care plans daily to ensure that appropriate care is being rendered.
Inform the Nurse Supervisor/Unit Manager of any changes that need to be made on the care plan.
Ensure that your nurses' notes reflect that the care plan is being followed when
administering nursing care or treatment.
Review resident care plans for appropriate resident goals, problems, approaches, and revisions based on nursing needs.
Ensure that your assigned Licensed Practical Nurses (LPN) and certified nursing assistants (CNAs) are aware of the resident care plans and carry out the resident's care plan.
Assist the Resident Assessment/Care Plan Coordinator in planning, scheduling, and
revising the MDS, including the implementation of RAPs and Triggers, as directed.
Resident Rights
Maintain the confidentiality of all resident care information.
Monitor nursing care to ensure that all residents are treated fairly, and with kindness, dignity, and respect.
Ensure that all nursing care is provided in privacy and that nursing service personnel knock before entering the resident's room.
Ensure that all nursing service personnel are knowledgeable of resident rights and responsibilities, including the right to refuse treatment.
Review complaints or grievances made by the resident and make a written/oral report to the Nurse Supervisor/Unit Manager indicating what action(s) were taken to resolve the complaint or grievance. Follow facility's established procedures.
Maintain a written record of the resident's complaints and/or grievances that indicates the
action to resolve the complaint and the current status of the complaint.
Report all allegations of resident abuse and/or misappropriation of resident property.
Honor the resident's refusal of treatment request. Ensure that such requests are in accordance with the facility's policies governing advance directives.
Miscellaneous
Adhere to facility and departmental policies and procedures.
Other duties as assigned.
Working Conditions
Works throughout the nursing service area (i.e., drug rooms, nurses' stations, resident rooms, etc.), as well as other parts of the facility.
Moves intermittently during work hours.
ls subject to frequent interruptions
Is involved with residents, personnel, visitors, government agencies/personnel, etc., under all conditions and circumstances.
Is subject to hostile and emotionally upset residents, family members, personnel, and visitors.
Communicates with the medical staff, nursing personnel, and other department supervisors.
Works beyond normal working hours, weekends and holidays when necessary.
Is subject to call-back during emergency conditions (e.g. severe weather, evacuation, post-disaster, etc.).
Attends and participates in continuing educational programs.
Is subject to injury from falls, bums from equipment, odors, assaults from hostile residents, etc. throughout the work day, as well as reactions from dust, disinfectants, tobacco smoke, and other air contaminants.
Is subject to exposure to infectious waste, diseases, conditions, etc., including TB and the
AIDS and Hepatitis B viruses.
May be subject to the handling of and exposure to hazardous chemicals.
Education Requirements
Graduate of an accredited school of nursing.
Experience
None. On-the-job training provided. One (1) year of experience as a nurse in a health care facility preferred.
Specific Requirements
Must possess and maintain an “Eligible” ACHA Background Screening status
Valid and current license as a RN or LPN in the State of Florida.
Excellent communication and interpersonal skills.
Must be able to read, write, speak, and understand the English language.
Must possess the ability to make independent decisions when circumstances warrant such action.
Must possess the ability to deal tactfully with personnel, residents, family members,
visitors, government agencies/personnel, and the general public.
Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to long-term care.
Must possess leadership ability and the willingness to work harmoniously with and supervise other personnel.
Must possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures, etc. that are necessary for providing quality care.
Must have patience, tact, a cheerful disposition and enthusiasm, as well as the willingness to handle difficult residents.
Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices
Must be able to relate information concerning a resident's condition.
Must not pose a direct threat to the health or safety of other individuals in the workplace.
Physical and Sensory Requirements
(With or Without the Aid of Mechanical Devices)
Must be able to move intermittently throughout the work day.
Must be able to speak, read and write the English language in an understandable manner.
Must be able to cope with the mental and emotional stress of the position.
Must possess sight/hearing senses or use prosthetics that will enable these senses to function adequately so that the requirements of the position can be fully met.
Must function independently, have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies.
Must meet the general health requirements set forth by the policies of this facility which include a medical and physical examination.
Must be able to' relate to and work with ill, disabled, elderly, emotionally upset, and at times hostile people within the facility.
Must be able to twist and turn all extremities and at the waist
Must be able to push, pull, move, and/or lift a minimum of 35 pounds to a minimum height of 5 feet and be able to push, pull, move, and/or carry such weight a minimum distance of 450 feet.
Hours and days may be varied at times as necessary to maintain good nursing care.
May be necessary to assist in the evacuation of residents during emergency situations.
$41k-57k yearly est. 9d ago
Registered Nurse/ Floor Nurse
Terrace of St. Cloud 4.3
Registered nurse job at Terrace Holding Company
The primary purpose of your job position is to provide direct nursing care to the residents, and to supervise the day-to-day nursing activities performed by nursing assistants. Such supervision must be in accordance with the Florida Nurse Practice Act current federal, state & local standards, guidelines, and regulations that govern our facility, and as may be directed by the Director of Nursing or Nurse Supervisor/Unit Manager to ensure that the highest degree of quality care is maintained at all times.
Delegation of Authority
As a RegisteredNurse/ Floor Nurse, you are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties.
Job Functions
Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position.
Duties and Responsibilities
Administrative Functions
Direct the day-to-day functions of the nursing assistants in accordance with current rules, regulation, and guidelines that govern the long-term care facility.
Ensure that all nursing personnel assigned to you comply with the written policies and procedures established by this facility.
Ensure that all nursing service personnel comply with the procedures set forth in the Nursing Service Procedures Manual.
Participate and cooperate in facility surveys (inspections) by local, state and federal governmental agencies.
Admit, transfer, and discharge residents in accordance with facility protocols, as required.
Make written and oral reports/recommendations concerning the activities of your shift as required.
Cooperate with other resident services/departments when coordinating nursing services to ensure that the resident's total regimen of care is maintained.
Participate in facility surveys (inspections) made by authorized government agencies as may be required
Periodically review the resident's written discharge plan. Participate in updating the resident's written discharge plan as required.
Assist in planning the nursing service portion of the resident's discharge plan as necessary.
Complete accident/incident reports as necessary. Submit to the Director of Nursing or designee.
Charting and Documentation
Complete and file required recordkeeping forms/charts upon the resident's admission, transfer, and/or discharge.
Receive telephone orders from physicians and record in the EMR system.
Transcribe physician's orders to resident charts, card-ex, medication cards, treatment care plans in electronic format or paper as required.
Chart nurses' notes in an informative and descriptive manner that reflects the care provided to the resident, as well as the resident's response to the care.
Chart all reports of accidents/incidents involving residents.
Follow established procedures.
Record new/changed diet orders. Forward information to the Dietary Department.
Report all discrepancies noted concerning physician's orders, diet change, charting error, etc., to the Nurse Supervisor/Unit Manager.
Fill out and complete transfer forms in accordance with established procedures.
Ensure that appropriate documentation concerning unauthorized discharges is entered in the resident's medical record in accordance with established procedures
Perform routine charting duties as required and in accordance with established charting and documentation policies and procedures.
Drug Administration Functions
Prepare and administer medications as ordered by the physician in accordance with federal, state and local laws and regulations and facility policy.
Verify the identity of the resident before administering the medication/treatment. Ensure that prescribed medication for one resident is not administered to another.
Ensure that an adequate supply of floor stock medications, supplies, and equipment is on hand to meet the nursing needs of the residents. Report need to the Nurse Supervisor/Unit Manager.
Order prescribed medications, supplies, and equipment as necessary, and in accordance with established policies.
Ensure that narcotics are handled in accordance with federal, state and local laws and facility policies. Ensure that narcotic's records are accurate for you shift.
Notify the Nurse Supervisor/Unit Manager of all drug and narcotic discrepancies noted on your shift.
Review medication cards for completeness of information, accuracy in the transcription of the physician's order, and adherence to stop order policies.
Notify the attending physician of automatic stop orders prior to the last dosage being administered.
Dispose of drugs and narcotics as required, and in accordance with established procedures.
Personnel Functions
Participate in employee performance evaluations, determining your shift's staffing requirements, and making recommendations to the Nurse Supervisor/Unit Manager concerning employee dismissals, transfers, etc.
Inform the Nurse Supervisor of staffing needs when assigned personnel fail to report to work.
Report absentee call-ins to the Nurse Supervisor/Unit Manager.
Develop work assignments, and/or assist in completing and performing such assignments.
Monitor Nursing Assistants to ensure that care and services are being provided to residents in accordance with the resident's plan of care.
Report problem areas to the Nurse Supervisor/Unit Manager.
Develop and maintain a good working rapport with inter-department personnel, as well as other departments within the facility to ensure that nursing services and activities can be adequately maintained to meet the needs of the residents.
Create and maintain an atmosphere of warmth, personal interest and positive emphasis as well as a calm environment throughout the unit and shift.
Review complaints and grievances made or filed by your assigned personnel. Make appropriate reports to the Nurse Supervisor/Unit Manager as required or as may be necessary. Follow facility's established procedures.
Receive/give the nursing report upon reporting in and ending shift duty hours.
Report occupational exposures to blood, body fluid, infectious materials, and hazardous chemicals in accordance with the facility's policies and procedures governing accident and incidents.
Nursing Care Functions
Inform nursing service 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 and escort them lo their rooms as necessary.
Conduct and document a thorough assessment of each patient's medical status upon admission and throughout the patient's course of treatment.
Participate in the orientation of new residents/family members to the facility.
Make rounds with physicians as necessary.
Requisition and arrange for diagnostic and therapeutic services, as ordered by the physician, and in accordance with our established procedures.
Consult with the resident's physicians in providing the resident's care, treatment, rehabilitation, etc., as necessary.
Review the resident's chart for specific treatments, medication orders, diets, etc., as necessary.
Implement and maintain established nursing objectives and standards.
Make periodic checks to ensure that prescribed treatments are being properly administered by certified nursing assistants and to evaluate the resident's physical and emotional status.
Ensure that direct nursing care is provided in accordance with the resident's plan of care and wishes.
Notify the resident's attending physician when the resident is involved in an accident or incident.
Notify the resident's attending physician and next-of-kin when there is a change in the resident's condition.
Carry out restorative and rehabilitative programs, to include self-help and care.
Administer professional services such as: catheterization, tube feedings, suction, applying and changing dressings/bandages, packs, colostomy, and drainage bags, taking blood, range of motion exercises, and care for the dead/dying, etc., as required.
Use restraints only when prescribed and in accordance with established policies and procedures.
Obtain sputum, urine and other specimens for Jab tests as ordered.
Take and record TPRs, blood pressures, etc., as necessary.
Monitor seriously ill residents as necessary.
Check food brought into the facility by the resident's family/visitors to ensure that it is within the resident's dietary allowances.
Report problem areas to the Nurse Supervisor/Unit Manager and Dietary Supervisor.
Promptly respond to call bells.
Promptly and courteously respond to requests for assistance from residents, staff, resident family members and visitors
Ensure that residents who are unable to call for help are checked frequently.
Meet with residents, and/or family members, as necessary.
Report problems to the Nurse Supervisor/Unit Manager.
Admit, transfer and discharge residents as necessary.
Assist in arranging transportation of discharged residents as necessary.
Ensure that discharged residents are escorted to the pick-up area.
Inform family members of the death of the resident.
Call funeral homes when requested by the family.
Ensure that established post-mortem procedures are followed.
Act in compliance with established regulatory and professional standards and guidelines.
Staff Development
Attend and participate in all facility in-service trainings/programs, as required.
Attend and participate in annual OSHA and CDC in-service training programs for hazard communication, TB management, and blood borne pathogens standards.
Attend and participate in advance directive in-service training program for the staff and community.
Attend and participate in continuing education programs designed to keep you abreast of
changes in your profession, as well as to maintain your license on a current status.
Safety and Sanitation
Monitor your assigned personnel to ensure that they are following established safety regulations in the use of equipment and supplies.
Ensure that established departmental policies and procedures are followed by self and assigned personnel.
Ensure that your assigned work areas (i.e., nurses' stations, medicine preparations rooms, etc.) are maintained in a clean and sanitary manner.
Ensure that your unit's resident rooms, treatment areas, etc., are maintained in a clean, safe, and sanitary manner.
Ensure that you and your assigned personnel follow established safety polices and procedures.
Ensure that you and your assigned personnel follow established hand-washing procedures.
Ensure that you and your assigned personnel participate in and conduct all fire safety and disaster preparedness drills in a safe and professional manner.
Ensure that you and your assigned personnel follow established infection control procedures when isolation precautions become necessary.
Ensure that you and your assigned personnel follow established infection control procedures.
Ensure that you and your assigned personnel wear and/or use safety equipment and supplies (e.g., gait belts mechanical lifts, etc.) when moving or lifting a resident.
Report missing/illegible labels and MSDSs to the safety officer or other designated person.
Equipment and Supply Functions
Recommend to the Nurse Supervisor/Unit Manager the equipment and supply needs of your unit/shift.
Ensure that an adequate stock level of medications, medical supplies, equipment, etc. is maintained on your shift at all times to adequately meet the need of the resident.
Ensure that only trained and authorized personnel operate your unit/shift's equipment. Ensure that all personnel operate nursing service equipment in a safe manner.
Care Plan and Assessment Functions
Review care plans daily to ensure that appropriate care is being rendered.
Inform the Nurse Supervisor/Unit Manager of any changes that need to be made on the care plan.
Ensure that your nurses' notes reflect that the care plan is being followed when
administering nursing care or treatment.
Review resident care plans for appropriate resident goals, problems, approaches, and revisions based on nursing needs.
Ensure that your assigned Licensed Practical Nurses (LPN) and certified nursing assistants (CNAs) are aware of the resident care plans and carry out the resident's care plan.
Assist the Resident Assessment/Care Plan Coordinator in planning, scheduling, and revising the MDS, including the implementation of RAPs and Triggers, as directed.
Resident Rights
Maintain the confidentiality of all resident care information.
Monitor nursing care to ensure that all residents are treated fairly, and with kindness, dignity, and respect.
Ensure that all nursing care is provided in privacy and that nursing service personnel knock before entering the resident's room.
Ensure that all nursing service personnel are knowledgeable of resident rights and responsibilities, including the right to refuse treatment.
Review complaints or grievances made by the resident and make a written/oral report to the Nurse Supervisor/Unit Manager indicating what action(s) were taken to resolve the complaint or grievance. Follow facility's established procedures.
Maintain a written record of the resident's complaints and/or grievances that indicates the action to resolve the complaint and the current status of the complaint.
Report all allegations of resident abuse and/or misappropriation of resident property.
Honor the resident's refusal of treatment request. Ensure that such requests are in accordance with the facility's policies governing advance directives.
Miscellaneous
Adhere to facility and departmental policies and procedures.
Other duties as assigned.
Working Conditions
Works throughout the nursing service area (i.e., drug rooms, nurses' stations, resident rooms, etc.), as well as other parts of the facility.
Moves intermittently during work hours.
ls subject to frequent interruptions
Is involved with residents, personnel, visitors, government agencies/personnel, etc., under all conditions and circumstances.
Is subject to hostile and emotionally upset residents, family members, personnel, and visitors.
Communicates with the medical staff, nursing personnel, and other department supervisors.
Works beyond normal working hours, weekends and holidays when necessary.
Is subject to call-back during emergency conditions (e.g. severe weather, evacuation, post-disaster, etc.).
Attends and participates in continuing educational programs.
Is subject to injury from falls, bums from equipment, odors, assaults from hostile residents, etc. throughout the work day, as well as reactions from dust, disinfectants, tobacco smoke, and other air contaminants.
Is subject to exposure to infectious waste, diseases, conditions, etc., including TB and the
AIDS and Hepatitis B viruses.
May be subject to the handling of and exposure to hazardous chemicals.
Education Requirements
Graduate of an accredited school of nursing.
Experience
None. On-the-job training provided. One (1) year of experience as a nurse in a health care facility preferred.
Specific Requirements
Must possess and maintain an “Eligible” ACHA Background Screening status
********************************
Valid and current license as a RegisteredNurse in the State of Florida.
Excellent communication and interpersonal skills.
Must be able to read, write, speak, and understand the English language.
Must possess the ability to make independent decisions when circumstances warrant such action.
Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public.
Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to long-term care.
Must possess leadership ability and the willingness to work harmoniously with and supervise other personnel.
Must possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures, etc. that are necessary for providing quality care.
Must have patience, tact, a cheerful disposition and enthusiasm, as well as the willingness to handle difficult residents.
Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices
Must be able to relate information concerning a resident's condition.
Must not pose a direct threat to the health or safety of other individuals in the workplace.
Physical and Sensory Requirements
(With or Without the Aid of Mechanical Devices)
Must be able to move intermittently throughout the work day.
Must be able to speak, read and write the English language in an understandable manner.
Must be able to cope with the mental and emotional stress of the position.
Must possess sight/hearing senses or use prosthetics that will enable these senses to function adequately so that the requirements of the position can be fully met.
Must function independently, have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies.
Must meet the general health requirements set forth by the policies of this facility which include a medical and physical examination.
Must be able to' relate to and work with ill, disabled, elderly, emotionally upset, and at times hostile people within the facility.
Must be able to twist and turn all extremities and at the waist
Must be able to push, pull, move, and/or lift a minimum of 35 pounds to a minimum height of 5 feet and be able to push, pull, move, and/or carry such weight a minimum distance of 450 feet.
Hours and days may be varied at times as necessary to maintain good nursing care.
May be necessary to assist in the evacuation of residents during emergency situations.
$48k-81k yearly est. 7d ago
MDS Nurse RN/LPN
Terrace of Kissimmee 4.3
Registered nurse job at Terrace Holding Company
The MDS Nurse is responsible for completion of Minimum Data Sets (MDS) and associated processes in the development of the individualized plan of care and the appropriate financial reimbursement for each patient.
Delegation of Authority
As a MDS Nurse, you are delegated the authority, responsibility, and accountability necessary for carrying out your assigned duties.
Job Functions
Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position
Duties and Responsibilities
Administrative Functions
Ensures the completion of the Minimum Data Sets (MDS) and Plan of Care in an accurate and timely manner, in accordance with Nursing Department policies and procedures, State and Federal requirements, and following the established interdisciplinary process.
Adheres to the schedule for completion of the MDS.
Ensures the timely completion of the MDS process in accordance with OBRA and PPS regulations.
Completes designated nursing sections of MDS, reviews the MDS for completion, and transmits MDS to the state.
Completes the CAA summary, CAA notes, Medicare Assessment tracking form, discharge, and re-entry tracking forms, as applicable;
Gathers pertinent information regarding patients/residents from personal observations, discussions with nursing staff, patient/resident family members, other members of the interdisciplinary team, etc., and ensures all information is included in the MDS;
Coordinates managed care updates and seeks highest reimbursement, as directed;
Provides assistance to the UR team during MDS reviews, as directed;
Facilitates weekly Medicare meetings, PPS, participates in committees/action plans to further develop the care planning process, and attends all other meetings as directed to assess the need for patient/resident significant changes.
Serves as an educator regarding MDS information, ADL coding, skilled documentation, and all discipline documentation needed for MDS.
Serves as an active and visible member on each unit, and as a resource, observer, and listener to obtain an accurate picture of each patient/resident's care status.
Participates in regularly scheduled reviews of the discharge plans and makes such plans available to the Care Plan Committee as required or as may be necessary.
Assists in ensuring compliance with State and Federal standards and regulations.
Interacts regularly with Director of Nursing, Nursing Department staff, etc., to develop and monitor indicators to assess the effectiveness of the care planning process.
Effectively collaborates with all staff members, clinical care, and interdisciplinary team members to work towards the provision of maximum quality care for patients/residents.
Follows all established departmental policies and procedures at all times;
Performs other duties as assigned or as necessary.
Remains flexible and adaptable in work schedules and work assignments as defined by departmental and organizational needs.
Committee Functions
Attend various committees of the facility (i.e., Infection Control, Policy Advisory, Pharmaceutical, Budget, Quality Assurance & Assessment, etc.) as required.
Serve on the Quality Assurance and Assessment (QA) and Quality Assurance and Performance Improvement (QAPI) Committees as directed.
Serves on the Compliance and Ethics Committee
Provide information to the QA and QAPI Committees as requested
Assist in preparing written and/or oral reports of MDS programs and activities to submit to such committee(s) as directed.
Participate in developing the agenda for the Care Plan Committee meetings as necessary.
Participate in regularly scheduled reviews of the discharge plans and makes such plans available to the Care Plan Committee as required or as may be necessary.
Implements recommendations from established committees as instructed by the Director of Nursing.
Attends all other meetings as necessary or as directed.
Resident Rights
Maintain the confidentiality of all resident care information.
Monitor nursing care to ensure that all residents are treated fairly, and with kindness, dignity, and respect.
Promote resident rights and responsibilities, including the right to refuse treatment.
Report complaints or grievances made by the resident to the Director of Nursing and/or grievance coordinator in accordance with the facility's established procedures.
Report all allegations of resident abuse, neglect, mistreatment and/or misappropriation of resident property and follow facility policies on Abuse Prohibition.
Working Conditions
Works in office area(s) as well as throughout the nursing service area (i.e., dining rooms, nurses' stations, resident rooms, etc.).
Moves intermittently during work hours;
Is subject to frequent interruptions.
ls involved with residents, personnel, visitors, government agencies/personnel, etc., under all conditions and circumstances.
ls subject to hostile and emotionally upset residents, family members, personnel, and visitors.
Communicates with the medical staff, nursing personnel, and other department supervisors.
Works beyond normal working hours, weekends and holidays when necessary.
Is subject to call-back during emergency conditions (e.g. severe weather, evacuation, post-disaster, etc.).
Is involved in community, civic health matters, and projects as appropriate.
Attends and participates in continuing educational programs.
Is subject to injury from falls, burns from equipment, odors, assaults from hostile residents, etc. throughout the work day, as well as reactions from dust, disinfectants, tobacco smoke, and other air contaminants.
Is subject to exposure to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses.
May be subject to the handling of and exposure to hazardous chemicals.
Maintains, and acts as a liaison with the residents, their families, support departments, etc., to adequately plan for the residents' needs.
Education Requirements
Must possess, as a minimum, a Nursing Degree from an accredited college or university, or be a graduate of an accredited Nursing program as a RegisteredNurse (RN).
Experience
At least one (1) year of experience in MDS coding
Minimum of two (2) to four (4) years of experience working in a Long Term Care Center
Specific Requirements
Must posses and maintain a current, unencumbered, active license to practice as a RegisteredNurse or Licensed Practical Nurse in this state.
Must possess and maintain a current “Eligible' AHCA Background Screening Status
********************************
RAC-CT 3.0 preferred
Knowledge of rehabilitation and restorative care required
Effective communication, interpersonal, and organization skills required
Computer proficiency required
Experience with computerized MDS system and current MDS/RAI guidelines required
Knowledge of the Matrix system is preferred.
Must speak and understand English
Must possess the ability to make independent decisions when circumstances warrant such action.
Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public.
Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to long-term care.
Must possess ability and the willingness to work harmoniously with other personnel.
Must possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures, etc. that are necessary for providing quality care.
Must have patience, tact, a cheerful disposition and enthusiasm, as well as the willingness to handle difficult residents.
Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices.
Must be able to relate information concerning a resident's condition.
Must not pose a direct threat to the health or safety of other individuals in the workplace.
Physical and Sensory Requirements
(With or Without the Aid of Mechanical Devices)
Must be able to move intermittently throughout the work day.
Must be able to speak and write the English language in an understandable manner. Must be able to cope with the mental and emotional stress of the position.
Must possess sight/hearing senses or use prosthetics that will enable these senses to function adequately so that the requirements of the position can be fully met.
Must function independently, have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies.
Must meet the general health requirements set forth by the policies of this facility which include a medical and physical examination.
Must be able to relate to and work with ill, disabled, elderly, emotionally upset, and at times hostile people within the facility.
Must be able to push, pull, move, and/or lift a minimum of 35 lbs. to a minimum height of 5 feet and be able to push, pull, move, and/or carry such weight a minimum distance of 450 feet.
May be necessary to assist in the evacuation of residents during emergency situations.
$41k-57k yearly est. 3d ago
Risk Manager RN/ LPN
Terrace of Kissimmee 4.3
Registered nurse job at Terrace Holding Company
The primary purpose of your job is to coordinate and supervise the nursing care of all residents to ensure that the therapeutic regimen is implemented & documented according to federal, state & local regulations; to coordinate the orientation and in-service education of the facility employees; and to identify, investigate, evaluate and implement plans of correction and preventative measures to reduce risk and improve the quality of care and life of the residents.
Delegation of Authority
As the Assistant Director of Nursing/Staff Development/ Risk Manager, you are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties. In the absence of the Director of Nursing Service, you are charged with carrying out the resident care policies established by this facility.
Job Functions
Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position.
Duties and Responsibilities
Administrative Functions
Assist the Director of Nursing implementing, developing, organizing, implementing, evaluating, and directing the day-to-day functions of the nursing service department, in accordance with current laws, rules, regulation, and guidelines that govern the long-term care facility.
Participate in developing, maintaining, and updating written policies and procedures that govern the day-to-day functions of the nursing department.
Ensure that reference material (i.e., PDR's, Federal and State Regulations, etc.) maintained at the nurses' station is current.
Recommend to the Director written material that will assist the nursing department in meeting the day-to-day needs of residents.
Ensure that the Nursing Service Procedures Manual is current at all times and reflects the day-to-day nursing care procedures used by the facility.
Develop and periodically update nursing objectives and statements of philosophy.
Assist in developing and implementing a nursing service organization structure.
Make written and oral reports/recommendations to the Director as necessary/required, concerning the operation of the nursing department.
Periodically review the department's policies, procedure manuals, s, etc. Make recommendations for revisions of policies, procedures, etc. to the Director of Nursing.
Ensure that the Policy and Procedure manuals are reviewed by the QA Committee annually and that the acknowledgement of acceptance is maintained in the Manuals. Ensure that the signature page is printed out December 15
th
and ensure that it is singed by the Medical Director, Administrator, DON, and Risk Manager Replace these sheets in all Policy and Procedure binders throughout the facility. Maintain a folder with all previous acknowledgements.
Ensure that all policy and procedure manuals throughout the facility are updated each time a new policy and procedure is developed and implemented. Review manuals at least quarterly for completeness. Ensure binders are maintained in the DON's, Administrator's and your office as well as on each unit.
Assist in developing methods for coordinating nursing services with other resident services to ensure the continuity of the resident's total regimen of care.
Ensure that all nursing personnel are following their respective s. Participate in developing, maintaining, and periodically updating the written job descriptions for each level of nursing personnel in accordance with the Americans with Disabilities Act, OSHA, and other pertinent laws and regulations.
Participate in the development, maintenance, and implementation of the facility's quality assurance program for the nursing department.
Participate in facility surveys (inspections) made by authorized government agencies. Maintain and update QIS Survey Staff Interview Log and distribute to unit managers weekly when the facility is in their survey window
(9 to 15 months since last Recertification Survey)
Participate in developing, implementing, and periodically updating the resident's written discharge plan.
Assist the resident in planning the nursing portion of the resident's discharge plan.
Enter and/or Verify New Employees have been entered into the EMR system. Ensure that “title” is completed on employees (i.e. RN, LPN, CNA) and assign and/or verify Units are assigned to CNAs
Remove employees that are no longer employed out of the EMR system.
Reset passwords for Employees/Service Providers/Medical Staff who lock themselves out of the EMR system
Provide in-service to all new nurses on how to use the EMR System and assign e-learning courses.
Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc. as necessary.
Maintain weekly inventory checks of the EDK. Investigate discrepancies and document findings. Run weekly activity reports and completed other associated tasks as directed.
Investigate and report, if necessary, all adverse/or potential adverse incidents. Maintain documentation of the investigation and findings. Track and trend incidents to identify potential problems and develop a plan of correction. Maintain a log of each incident.
Maintain files for all investigations and/or surveys completed by authorized governmental agencies (APS, AHCA, OSHA, etc.)
Complete special chart audits to identify potential areas of improvement and for any problems in the provision of care or documentation, as directed.
Investigate, log and track all accidents which occur in the facility from residents, staff, visitors or other service providers. Maintain documentation of the investigation
Committee Functions
Serve on, participate in, and attend various committees of the facility (i.e., Infection Control, Safety Quality Assurance & Assessment, etc.) as directed
Serve on the Quality Assurance and Assessment Committee and the Quality Assurance and Performance Improvement committee as directed.
Serve on the Compliance and Ethics Committee
Assist the Director in preparing written and/or oral reports of the nursing programs and activities to submit to such committee(s).
Participate in the development, maintenance, implementation, and updating of the written policies and procedures for the administration, storage, and control of medications and supplies.
Schedule, attend, and participate in developing the agenda for the Care Plan Committee meetings as necessary.
Participate in regularly scheduled reviews of the discharge plans and make such plans available to the Care Plan team as required or as may be necessary.
Evaluate and implement recommendations from established committees as they may pertain to nursing services.
Personnel Functions
Assist the Director in determining the staffing needs of the nursing department. Recommend to the Director the number and level of nursing perso1mel to be employed. Assist the Director in the recruitment and selection of nursing service personnel.
Maintain and update the Nurse Manager On-Call schedule
Ensure that a sufficient number of licensed practical and/or registerednurses are available for each shift to ensure that quality care is maintained and staffing regulations are met.
Ensure that a sufficient number of certified nursing assistants are available for each shift to ensure that routine nursing care is provided to meet the daily nursing care needs of each resident and staffing regulations are met.
Ensure that all nursing assistants are enrolled in or have graduated from an approved nursing assistant training program.
Ensure that all nurse aide trainees are under the direct supervision of a licensed nurse, if applicable.
Delegate to the Charge Nurses and Nurse Supervisors the administrative authority, responsibility, and accountability necessary to perform their assigned duties.
Assist the Director in preparing and conducting performance and competency evaluations, as directed.
Participate in the development and implementation of performance evaluations for the nursing department.
Make daily rounds of the nursing department to ensure that all nursing personnel are performing their work assignments in accordance with acceptable nursing standards and report findings to Director.
Monitor absenteeism to ensure that an adequate number of nursing care personnel are on duty at all times and report problem areas to the Director.
Monitor the professional nurses' licensing status to ensure that they remain current and inform nurses at least 30 days in advance of their license expiration date.
Review complaints and grievances made or filed by department personnel. Make appropriate reports to the Director as required or as may be necessary.
Ensure that departmental disciplinary action is administered fairly and without regard to race, color, creed, national origin, age, sex, religion, handicap, or marital status.
Interpret the department's policies and procedures to personnel, residents, visitors, and government agencies as necessary.
Ensure that all nursing personnel participate in the facility's TB testing program.
Report occupational exposures to blood, body fluid, infectious materials, and hazardous chemicals in accordance with the facility's policies and procedures governing accident and incidents.
Conduct new employee, random, directed and Work Place Incident Drug Screen Testing. Order supplies from the Lab; call in specimen collections for pickup. Review all test results (if any positive finding - advise HR immediately).Maintain files with Drug Screen Results.
Implement the Employee Flu Vaccine Administration program; Obtain and Maintain signature forms to receive or decline the vaccine; Post administration date(s) for which the Employee vaccine will be available and the cost of the vaccine.
Complete new and annual employee PPD administration; Ensure availability of solution; Order solution as necessary; Maintain files with PPD documentation and any other health issues of the employee.
Nursing Care Functions
Participate in the interviewing and selection of residents for admission to the facility, including the PASRR screenings.
Provide the Director with the information relative to the nursing needs of the resident and to the nursing department's ability to meet those needs.
Inform nursing service 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 and escort them to their rooms as necessary.
Make rounds with physicians as necessary.
Inform the Director when physician visits are not made in a timely manner. Encourage attending physicians to record and sign progress notes, physicians' orders, etc., on a timely basis and in accordance with current regulations.
Ensure that direct nursing care be provided by a licensed nurse, a certified nursing assistant, and/or a nurse aide trainee qualified to perform the procedure.
Review nurses' notes to ensure that they are informative and descriptive of nursing care being provided, that they reflect the resident's response to the care, and that such care is provided in accordance with the resident's wishes.
Schedule daily rounds to observe residents and to determine if nursing needs are being met.
Monitor medication passes and treatment schedules to ensure that medications are being administered as ordered and that treatments are provided as scheduled.
Report medication errors to the Director.
Provide direct nursing care as necessary.
Report problem areas to the Director and assist in developing and implementing corrective action.
Authorize the use of restraints when necessary and in accordance with our established policies and procedures.
Ensure that residents who are unable to call for help are checked frequently.
Assist the Pharmacy Consultant by printing active Inventory Reports with Expiration Dates for the EDK Machine for signature during monthly visit; providing a copy of the months falls for review; providing a list of Nurses for which DON or ADON want a Medication pass review completed; and as necessary..
Staff Development
Participate in developing, planning, conducting, and scheduling in-service training classes that provide instructions on "how to do the job," and ensure a well-educated nursing department.
Develop, implement, and maintain an effective orientation program that orients the new employee to the facility, its policies and procedures, and to his/her job position and duties.
Provide leadership training that includes the administrative and supervisory principles essential for Nurse Supervisors/Charge Nurses.
Encourage Nurse Supervisors/Charge Nurses to attend and participate in outside training programs and schedule times as appropriate.
Assist the Director in developing and revising the nursing assistant training curriculum used by the facility.
Assist the Director in planning and conducting universal precautions in-service training. Develop annual OSHA and CDC in-service training programs for hazard communication, TB management, and blood borne pathogens standards.
Develop advance directive in-service training program for the staff and community.
Assist support services in developing, implementing, and conducting in-service training programs that relate to the nursing department.
Develop in-service training programs for the nursing staff and ensure that these programs meet the continuing education requirements which allow licensed personnel (e.g., RNs, LPNs, CNAs, etc.) to keep their license on an active status.
Attend and participate in continuing education programs designed to keep you abreast of changes in your profession, as well as to maintain your license on a current status.
Design, plan, and provide education programs on all shifts and for all departments. Participate in staff evaluation process by providing attendance records and observation of employees performance.
Maintain current education records of classes and content of in-services conducted, attendance and performance of facility employees.
Develop an annual training calendar which meets the state, federal and local laws, regulations and requirements. Ensure that the training calendar is approved by the QA committee yearly
Schedule and post a monthly calendar of education programs for employees.
Ensure that the most current Federal and State regulations are included in the new hire orientation and annual in-service/ training packets.
Create lesson plans containing objectives, course content, method of instruction, and method of evaluation.
Know, apply and teach the principles of body mechanics, body alignment, pressure ulcer prevention and nutrition awareness.
Participate in, and possibly conduct, fire and disaster drills to ensure all staff posses knowledge of fire and disaster procedures, including evacuation.
Observe medication passes and treatment procedures.
Assume duties of Charge Nurse on an as needed basis.
Ensure all employees are entered into Health Care Academy (HCA) System (eLearning). Assign all new employee, annual, and monthly (ongoing) trainings in HCA as required. Ensure 100% compliance with completion of assigned trainings. Follow facility disciplinary policies as necessary.
Maintain employee training files. Print all certifications of completion of trainings from HCA in the employee's training file which is to be maintained in the ADON office.
Assign and/or provide training on the Code of Conduct - Corporate Compliance Plan -upon hire and quarterly thereafter to all employees. Ensure 100% completion. Ensure that employees compete and sign the required pages in the Compliance Program manual along with a completed and signed Attestation and Declaration form. Copies of these forms are to be sent to the compliance officer (consultant). Maintain the originals in a binder for the Corporate Compliance Program.
Safety and Sanitation/Infection Control Functions
Assist the Safety Officer in developing safety standards for the nursing department assist the Director in identifying, evaluating, and classifying routine and job related functions to ensure that tasks in which there are potential exposure to blood/body fluids are properly identified and recorded.
Ensure that all personnel performing tasks that involve potential exposure to blood/body fluids participate in appropriate in-service training programs prior to performing such tasks.
Ensure that an adequate supply of personal protective equipment is on hand and readily available to personnel who perform procedures that involve exposure to blood or body fluids.
Monitor nursing service personnel to ensure that they are following established safety regulations in the use of equipment and supplies.
Ensure that nursing service work areas (i.e., nurses' stations, medicine preparations rooms, etc.) are maintained in a clean and sanitary manner.
Ensure that all resident rooms, treatment areas, etc., are maintained in a clean, safe, and sanitary manner.
Ensure that all nursing service personnel follow established departmental policies and procedures, including appropriate dress codes.
Ensure that nursing service personnel participate in and conduct all fire safety and disaster preparedness drills in a safe and professional manner.
Assist the Infection Control Committee in the development, implementation, and revising of written aseptic and isolation techniques.
Participate in the development, implementation, and maintenance of the infection control program for monitoring communicable and/or infectious diseases among the residents and personnel.
Ensure that nursing service personnel follow established infection control procedures when isolation precautions become necessary.
Participate in the development, implementation and maintenance of the procedures for reporting hazardous conditions or equipment.
Ensure that all personnel wear and/or; use safety equipment and supplies (e.g., gait belts, mechanical lifts, etc.) when moving or lifting a resident.
Report missing/illegible labels and MSDSs to the safety officer or other designated person.
Record, track, and trend infection control reports. Prepare monthly and quarterly reports
Equipment and Supply Functions
Recommend to the Director the equipment and supply needs of the department.
Ensure that an adequate stock level of medications, medical supplies, equipment, etc. is maintained on premises at all times to adequately meet the need of the resident.
Assist the Maintenance Director in developing a preventive maintenance program for maintaining the nursing department's equipment and supplies in a safe and operable manner.
Participate in the development and implementation of the procedures for the safe operation of all nursing service equipment.
Ensure that only trained and authorized personnel operate the department's equipment. Ensure that all personnel operate nursing service equipment in a safe manner.
Monitor nursing procedures to ensure that nursing service supplies are used in an efficient manner to avoid waste.
Ensure that appropriate MSDSs are on file for hazardous chemicals used in the nursing department.
Care Plan Functions
Encourage the resident and his/her family to participate in the development and review of the resident's plan of care.
Ensure that all personnel involved in providing care to the resident are aware of the resident's care plan.
Ensure that nursing personnel refer to the resident's care plan prior to administering daily care to the resident.
Review nurses' notes to determine if the care plan is being followed.
Review and revise care plans and assessments as necessary, but at least quarterly. Develop and maintain a good rapport with all services involved with the care plan to ensure that a team effort is achieved in developing the resident's comprehensive care plan.
Be sure that staff members are providing care that reflects the wishes of the resident.
Budget and Planning Functions
Participate in the preparation of and planning of the nursing department's budget and submit to the Director for his/her review, recommendation, and/or approval.
Keep abreast of economic conditions/situation, and recommend to the Director adjustments in nursing services that ensure the continued ability to provide quality care. Recommend to the Director the equipment needs of the nursing department.
Resident Rights
Maintain the confidentiality of all resident information.
Monitor nursing care to ensure that all residents are treated fairly, and with kindness, dignity, and respect.
Ensure that all nursing care is provided in privacy and that nursing service personnel knock before entering the resident's room.
Ensure that all nursing service personnel are knowledgeable of the residents' responsibilities and rights including the right to refuse treatment.
Review complaints and grievances made by the resident and make a written/oral reports to the Director indicating what action(s) were taken to resolve the complaint or grievance. Follow facility's established procedures.
Maintain a written record of the resident's complaints and/or grievance that indicates the action taken to resolve the complaint and the current status of the complaint. Follow the facility's established procedures
Ensure that appropriate notices are received by the resident before his/her room or roommate is changed.
Report and investigate all allegations of resident abuse and/or misappropriation of resident property. Follow facility's established procedures.
Ensure that nursing staff personnel honor the resident's refusal of treatment request. Ensure that refusal of treatment requests are in accordance with the facility's policies governing advance directives.
Review the facility's advance directive policies and procedures with resident and/or family members as necessary.
Working Conditions
Works in office areas as well as throughout the facility.
Moves intermittently during work hours.
Is subject to frequent interruptions.
Works beyond normal working hours, weekends and holidays and on other shift/positions as necessary.
This position is subject to being on call 24 hours per day, 7 days per week.
Is subject to call-back during emergency conditions (e.g. severe weather, evacuation, post-disaster, etc.).
Attends and participates in continual educational programs.
Is subject to injury from falls, bums from equipment, odors, assaults from hostile residents, etc. throughout the work day, as well as reactions from dust, disinfectants, tobacco smoke, and other air contaminants.
Communicates with the medical staff, nursing personnel, and other department supervisors.
Is subject to hostile and emotionally upset residents, family members, persom1el, and visitors.
Is involved in community, civic health matters, and projects as appropriate.
Is subject to exposure to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses.
May be subject to the handling of and exposure to hazardous chemicals.
Education Requirements
Must possess, as a minimum, a Nursing Degree from an accredited nursing school, college or university.
Must possess a current State of Florida nursing license. Must possess current CPR certification.
Experience
Must have, as a minimum, one (1) year of experience as a supervisor in a hospital, long term care facility, or other related health care facility.
Must have, as a minimum, six (6) months training experience in rehabilitative and restorative nursing practices.
Specific Requirements
Must posses a current, unencumbered, active license to practice as a RegisteredNurse in this state. An unencumbered, current, active Licensed Practical Nurse License from this state may be considered in buildings with 120 or less beds.
Must possess and maintain an “Eligible” ACHA Background Screening status.
********************************
Knowledge of laws, rules, regulations, and guidelines pertaining to Long Term Care Facilities.
Knowledge of ADA and OSHA laws and regulations.
Knowledge of HIPAA and HITECH Laws and regulations.
Knowledge of the Nurse Practice Act and other laws, rules and regulations governing nursing practice.
Must be able to read, write, speak, and understand the English language.
Must possess the ability to make independent decisions when circumstances warrant such action.
Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public.
Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pe1iain to long-term care.
Must possess leadership and supervisory ability and the willingness to work harmoniously with and supervise other personnel.
Must possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures, etc. that are necessary for providing quality care.
Must have patience, tact, a cheerful disposition and enthusiasm, as well as the willingness to handle difficult residents.
Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices.
Must not pose a direct threat to the health or safety of other individuals in the workplace.
Physical and Sensory Requirements
(With or Without the Aid of Mechanical Devices)
Must be able to move intermittently throughout the work day.
Must be able to speak and write the English language in an understandable manner.
Must be able to cope with the mental and emotional stress of the position.
Must possess sight/hearing senses or use prosthetics that will enable these senses to function adequately so that the requirements of the position can be fully met.
Must function independently, have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies.
Must meet the general health requirements set forth by the policies of this facility which include a medical and physical examination.
Must be able to relate to and work with ill, disabled, elderly, emotionally upset, and at times hostile people within the facility.
Must be able to push, pull, move, and/or lift a minimum of 35 pounds to a minimum height of 5 feet and be able to push, pull, move, and/or carry such weight a minimum distance of 450 feet.
May be required to lift, or assist with lifting of, residents.
May be necessary to assist in the evacuation of residents during emergency situations.