General Purpose: Provide nursing care to residents as prescribed by the physician and in accordance with standards of nursing practice and regulations and as directed by the Director of Nursing. Essential Job Functions: This facility expects their employees to promote an atmosphere of teamwork with other employees and hospitality and comfort for its residents. Therefore, the following list of duties is not all-inclusive: Nursing Care Assess and document resident progress in the medical record. Perform all preventive skin care, dressing changes, and wound care. Monitor turning and positioning of residents. Monitor the treatment of decubitus ulcers with appropriate documentation and communication to physician and family. Make rounds with physician, as needed, to discuss the care of residents who are currently receiving decubitus or catheter care. Assess weekly nutrition/hydration of residents with State I to Stage IV decubitus ulcers and evaluate and initiate additional nutritional intake as required. Assist in resident care planning when resident is currently being monitored by treatment nurse. Notify physician of new skin problems, changes of condition and when skin conditions heal. Obtain changes in physician’s orders as indicated by resident’s progress or lack of progress Communicate pertinent information about resident condition and progress to charge nurses, supervisors and Director of Nursing, as indicated. Maintain clean, orderly treatment cart and restock treatment supplies. Follow Infection Control policies and procedures Drug/Treatment Administration and Documentation Administer medications and treatments accurately as ordered by the physician and according to all facility policies and procedures Follow facility policies and procedures for assessment, treatment and documentation of skin problems. Document pressure sore status weekly or more often as condition changes. Safety Comply with, support and enforce all company policies related to safety and infection control procedures including the proper use of mechanical lifts and gait belts. Assist in monitoring the inventory of medications, medical supplies and equipment to be sure an adequate supply of skin care products are on hand to meet the needs of residents. Residents’ Rights and Positive Relationships Understand, comply with and promote all rules and regulations regarding residents’ rights; promote positive relationships with residents, visitors, and regulators, to include presenting a professional appearance. Maintain confidentiality of all resident care information. Report any complaints or grievances made by residents regarding nursing or medical care to the Director of Nursing. Other Job Functions Participate in educational programs for residents and their family members relative to skin care when a resident is being discharged to home. Attend and participate in educational activities, in-service training and staff meetings; assist in orientation and training other staff. Participate in Quality Improvement activities as assigned. Other duties as assigned by the Administrator or Director of Nursing. Minimum Qualifications: RN or LPN in good standing with current State license. Excellent technical, assessment, and documentation skills. Outstanding communication and interpersonal skills. Basic computer knowledge and aptitude to learn company software. Genuine caring for and interest in elderly and the disabled. Perform the Essential job functions listed below, with or without reasonable accommodation.
General Purpose: Provide direct nursing care to the residents and supervise the day-to-day nursing activities performed by nursing assistants. Such supervision must be in accordance with current Federal, State, and Local standards, guidelines, and regulations that govern our facility, and as may be required by the Director of Nursing to maintain the highest degree of quality care at all times. Essential Job Functions: This facility expects their employees to promote an atmosphere of teamwork with other employees and hospitality and comfort for its residents. Therefore, the following list of duties is not all-inclusive: Administrative Functions Direct the day-to-day functions of the nursing assistants in accordance with rules, regulations, and guidelines that govern the long-term care industry. Confirm that all nursing personnel assigned to you comply with the written policies and procedures established by this facility. Meet with your assigned nursing staff, as well as support personnel, in planning the shift’s services, programs and activities. Verify that all nursing personnel comply with the procedures set forth the in the Nursing Policies and Procedures Manual. Make written and oral reports/recommendations concerning the activities of your shift, as required. Cooperate with other resident services when coordinating nursing services be certain that the resident’s total regimen of care is maintained. Verify that all nursing service personnel are in compliance with their respective job descriptions. Participate in the development, maintenance, and implementation of the facility’s quality assurance program for the nursing department. Participate in surveys (inspections) made by authorized government agencies. Periodically review the resident’s written discharge plan. Participate in the updating of the resident’s written discharge plan, as required. Assist in planning the nursing portion of the resident’s discharge plan, as necessary. Admit, transfer, and discharge residents, as required. Complete accident/incident reports, as necessary. Charting and Documentation Complete and file required forms/charts upon resident’s admission, transfer, and/or discharge. Encourage attending physicians to review treatment plans, record and sign their orders, progress notes, etc., in accordance with established policies. Receive telephone orders from physicians and record on the Physicians’ Order Form. Transcribe physician’s orders to resident charts, cardex, medication cards, and treatment/care plans, 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 care. 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. Fill out and complete transfer forms in accordance with established procedures. Enter appropriate documentation concerning unauthorized discharges 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. Sign and date all entries made in the resident’s medical record. Write nurses’ notes to reflect that the care plan is being followed when administering nursing care or treatment. Medication Administrative Functions Prepare and administer medication as ordered by the physician. Verify the identity of the resident before administering the medication/treatment. Verify that prescribed medication for one resident is not administered to another. Verify that adequate supply of floor stock medications, supplies, and equipment is on hand to meet the nursing needs of the residents. Report needs to the Nurse Supervisor. Order prescribed medications, supplies, and equipment as necessary, and in accordance with established procedures. Verify that narcotic records are accurate for your shift. Notify the Nurse Supervisor 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. Immediately notify the Nurse Supervisor and attending physician of any medication administration errors. Nursing Care Functions Deliver and maintain optimum resident care and comfort by demonstrating knowledge and skills of current nursing practices. Promptly respond to call lights and other resident needs. Make rounds with physicians, as necessary. Consult with the resident’s physician 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. Make periodic checks to confirm that prescribed treatments are being properly administered by CNAs and to evaluate the resident’s physical and emotional status. Notify the resident’s attending physician when the resident is involved in an accident or incident. Notify the resident’s attending physician and responsible party when there is a change in the resident’s condition. Administer professional services such as: catheterization, tube feedings, suction, applying and changing dressings/bandages, packs, colostomy, and drainage bags, taking blood, giving massages and range of motion exercises, care for the dead/dying, etc., as required. Monitor seriously ill residents, as necessary. Review care plans daily to confirm that appropriate care is being rendered. Confirm that CNAs are aware of the resident care plans. Verify that the CNAs refer to the resident’s care plan prior to administering daily care to the resident. Other Duties Attend in-service education programs in order to meet facility educational requirements. Be familiar with Standard Precautions, Exposure Control Plan, Fire Drill and Evacuation Procedures and know how to use the information. Maintain confidentiality of resident and facility records/information. Protect residents from neglect, mistreatment, and abuse. Protect the personal property of the residents of the facility. Others as directed by the supervisor or administrator. Minimum Qualifications: Licensed Practical Nurse with current state license. Excellent technical, assessment and documentation skills. Good Leadership qualities. Organized and detailed in work performance. Good communication skills with excellent self-discipline and patience. Genuine caring for and interest in elderly and disabled people in a nursing facility. Comply with the Residents Rights and Facility Policies and Procedures. Perform work tasks within the physical demand requirements as outlined below. Perform Essential Duties as outlined above.
General Purpose: Provide direct nursing care to the residents and supervise the day-to-day nursing activities performed by nursing assistants. Such supervision must be in accordance with current Federal, State, and Local standards, guidelines, and regulations that govern our facility, and as may be required by the Director of Nursing to maintain the highest degree of quality care at all times. Essential Job Functions: This facility expects their employees to promote an atmosphere of teamwork with other employees and hospitality and comfort for its residents. Therefore, the following list of duties is not all-inclusive: Administrative Functions Direct the day-to-day functions of the nursing assistants in accordance with rules, regulations, and guidelines that govern the long-term care industry. Confirm that all nursing personnel assigned to you comply with the written policies and procedures established by this facility. Meet with your assigned nursing staff, as well as support personnel, in planning the shift’s services, programs and activities. Verify that all nursing personnel comply with the procedures set forth the in the Nursing Policies and Procedures Manual. Make written and oral reports/recommendations concerning the activities of your shift, as required. Cooperate with other resident services when coordinating nursing services be certain that the resident’s total regimen of care is maintained. Verify that all nursing service personnel are in compliance with their respective job descriptions. Participate in the development, maintenance, and implementation of the facility’s quality assurance program for the nursing department. Participate in surveys (inspections) made by authorized government agencies. Periodically review the resident’s written discharge plan. Participate in the updating of the resident’s written discharge plan, as required. Assist in planning the nursing portion of the resident’s discharge plan, as necessary. Admit, transfer, and discharge residents, as required. Complete accident/incident reports, as necessary. Charting and Documentation Complete and file required forms/charts upon resident’s admission, transfer, and/or discharge. Encourage attending physicians to review treatment plans, record and sign their orders, progress notes, etc., in accordance with established policies. Receive telephone orders from physicians and record on the Physicians’ Order Form. Transcribe physician’s orders to resident charts, cardex, medication cards, and treatment/care plans, 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 care. 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. Fill out and complete transfer forms in accordance with established procedures. Enter appropriate documentation concerning unauthorized discharges 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. Sign and date all entries made in the resident’s medical record. Write nurses’ notes to reflect that the care plan is being followed when administering nursing care or treatment. Medication Administrative Functions Prepare and administer medication as ordered by the physician. Responsible for IV medication/fluid administration. Verify the identity of the resident before administering the medication/treatment. Verify that prescribed medication for one resident is not administered to another. Verify that adequate supply of floor stock medications, supplies, and equipment is on hand to meet the nursing needs of the residents. Report needs to the Nurse Supervisor. Order prescribed medications, supplies, and equipment as necessary, and in accordance with established procedures. Verify that narcotic records are accurate for your shift. Notify the Nurse Supervisor 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. Immediately notify the Nurse Supervisor and attending physician of any medication administration errors. Nursing Care Functions Perform physical assessment through observation, inspection, palpitation, percussion and auscultation. Deliver and maintain optimum resident care and comfort by demonstrating knowledge and skills of current nursing practices. Promptly respond to call lights and other resident needs. Make rounds with physicians, as necessary. Consult with the resident’s physician 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. Make periodic checks to confirm that prescribed treatments are being properly administered by CNAs and to evaluate the resident’s physical and emotional status. Notify the resident’s attending physician when the resident is involved in an accident or incident. Notify the resident’s attending physician and responsible party when there is a change in the resident’s condition. Administer professional services such as: catheterization, tube feedings, suction, applying and changing dressings/bandages, packs, colostomy, and drainage bags, taking blood, giving massages and range of motion exercises, care for the dead/dying, etc., as required. Monitor seriously ill residents, as necessary. Review care plans daily to confirm that appropriate care is being rendered. Confirm that CNAs are aware of the resident care plans. Verify that the CNAs refer to the resident’s care plan prior to administering daily care to the resident. Other Duties Attend in-service education programs in order to meet facility educational requirements. Be familiar with Standard Precautions, Exposure Control Plan, Fire Drill and Evacuation Procedures and know how to use the information. Maintain confidentiality of resident and facility records/information. Protect residents from neglect, mistreatment, and abuse. Protect the personal property of the residents of the facility. Others as directed by the supervisor or administrator. Minimum Qualifications: Registered Nurse with current state license. Excellent technical, assessment and documentation skills. Good Leadership qualities. Organized and detailed in work performance. Good communication skills with excellent self-discipline and patience. Genuine caring for and interest in elderly and disabled people in a nursing facility. Comply with the Residents Rights and Facility Policies and Procedures. Perform work tasks within the physical demand requirements as outlined below. Perform Essential Duties as outlined above.
General Purpose: Provide direct nursing care to the residents and supervise the day-to-day nursing activities performed by nursing assistants. Such supervision must be in accordance with current Federal, State, and Local standards, guidelines, and regulations that govern our facility, and as may be required by the Director of Nursing to maintain the highest degree of quality care at all times. Essential Job Functions: This facility expects their employees to promote an atmosphere of teamwork with other employees and hospitality and comfort for its residents. Therefore, the following list of duties is not all-inclusive: Administrative Functions Direct the day-to-day functions of the nursing assistants in accordance with rules, regulations, and guidelines that govern the long-term care industry. Confirm that all nursing personnel assigned to you comply with the written policies and procedures established by this facility. Meet with your assigned nursing staff, as well as support personnel, in planning the shift’s services, programs and activities. Verify that all nursing personnel comply with the procedures set forth the in the Nursing Policies and Procedures Manual. Make written and oral reports/recommendations concerning the activities of your shift, as required. Cooperate with other resident services when coordinating nursing services be certain that the resident’s total regimen of care is maintained. Verify that all nursing service personnel are in compliance with their respective job descriptions. Participate in the development, maintenance, and implementation of the facility’s quality assurance program for the nursing department. Participate in surveys (inspections) made by authorized government agencies. Periodically review the resident’s written discharge plan. Participate in the updating of the resident’s written discharge plan, as required. Assist in planning the nursing portion of the resident’s discharge plan, as necessary. Admit, transfer, and discharge residents, as required. Complete accident/incident reports, as necessary. Charting and Documentation Complete and file required forms/charts upon resident’s admission, transfer, and/or discharge. Encourage attending physicians to review treatment plans, record and sign their orders, progress notes, etc., in accordance with established policies. Receive telephone orders from physicians and record on the Physicians’ Order Form. Transcribe physician’s orders to resident charts, cardex, medication cards, and treatment/care plans, 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 care. 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. Fill out and complete transfer forms in accordance with established procedures. Enter appropriate documentation concerning unauthorized discharges 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. Sign and date all entries made in the resident’s medical record. Write nurses’ notes to reflect that the care plan is being followed when administering nursing care or treatment. Medication Administrative Functions Prepare and administer medication as ordered by the physician. Responsible for IV medication/fluid administration. Verify the identity of the resident before administering the medication/treatment. Verify that prescribed medication for one resident is not administered to another. Verify that adequate supply of floor stock medications, supplies, and equipment is on hand to meet the nursing needs of the residents. Report needs to the Nurse Supervisor. Order prescribed medications, supplies, and equipment as necessary, and in accordance with established procedures. Verify that narcotic records are accurate for your shift. Notify the Nurse Supervisor 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. Immediately notify the Nurse Supervisor and attending physician of any medication administration errors. Nursing Care Functions Perform physical assessment through observation, inspection, palpitation, percussion and auscultation. Deliver and maintain optimum resident care and comfort by demonstrating knowledge and skills of current nursing practices. Promptly respond to call lights and other resident needs. Make rounds with physicians, as necessary. Consult with the resident’s physician 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. Make periodic checks to confirm that prescribed treatments are being properly administered by CNAs and to evaluate the resident’s physical and emotional status. Notify the resident’s attending physician when the resident is involved in an accident or incident. Notify the resident’s attending physician and responsible party when there is a change in the resident’s condition. Administer professional services such as: catheterization, tube feedings, suction, applying and changing dressings/bandages, packs, colostomy, and drainage bags, taking blood, giving massages and range of motion exercises, care for the dead/dying, etc., as required. Monitor seriously ill residents, as necessary. Review care plans daily to confirm that appropriate care is being rendered. Confirm that CNAs are aware of the resident care plans. Verify that the CNAs refer to the resident’s care plan prior to administering daily care to the resident. Other Duties Attend in-service education programs in order to meet facility educational requirements. Be familiar with Standard Precautions, Exposure Control Plan, Fire Drill and Evacuation Procedures and know how to use the information. Maintain confidentiality of resident and facility records/information. Protect residents from neglect, mistreatment, and abuse. Protect the personal property of the residents of the facility. Others as directed by the supervisor or administrator. Minimum Qualifications: Registered Nurse with current state license. Excellent technical, assessment and documentation skills. Good Leadership qualities. Organized and detailed in work performance. Good communication skills with excellent self-discipline and patience. Genuine caring for and interest in elderly and disabled people in a nursing facility. Comply with the Residents Rights and Facility Policies and Procedures. Perform work tasks within the physical demand requirements as outlined below. Perform Essential Duties as outlined above.
General Purpose: Perform direct resident care duties under the supervision of licensed nursing personnel. Assist with promoting a compassionate physical and psychosocial environment for the residents. Essential Job Functions This facility expects their employees to promote an atmosphere of teamwork with other employees and hospitality and comfort for its residents. Therefore, the following list of duties is not all-inclusive: Provide personal care (i.e., grooming, bathing, dressing, oral care, etc.) of residents daily and as needed. Change bed linen and maintain appropriate grooming supplies in resident room on a regular basis. Ambulate and transfer residents, utilizing appropriate assistive devices and body mechanics. Record resident vital signs, weights and measurements, intake and output, food consumption, and other information as assigned. Routinely turn and position residents as necessary. Observe residents carefully and report changes in condition to Charge Nurse. Recognize a resident’s ability to make choices and support these within the constraints of the caregiving environment. Participate in collecting data needed for the accurate completion of the MDS and the plan of care. Provide input to the nurses for development of the plan of care. Provide adequate hydration to residents at regular intervals each day according to specific resident needs. Prepare residents for each meal and transport to dining room (unless resident on bed rest) making sure that food tray is accessible, self-help devices are available (if needed), and assistance is provided to those residents who cannot feed themselves. Keep an accurate record of food intake and output, as directed. Assist nursing staff with the basics of aseptic and sterile techniques to avoid infection of residents and self-contamination of equipment and supplies. Be alert for proper ventilation, temperature, light and noise control. Take TPR, blood pressure, weighing of residents, etc. as directed. Promptly answer call lights and other resident needs. Utilize proper body mechanics when lifting or transporting residents. Assist in the orientation and training of other staff, as requested. Attend in-service education programs in order to meet facility educational requirements. Be familiar with Standard Precautions, Exposure Control Plan, Fire Drill and Evacuation Procedures and know how to use the information. Maintain confidentiality of resident and facility records/information. Protect residents from neglect, mistreatment, and abuse. Protect the personal property of the residents of the facility. Must adhere to attendance standards per Attendance Policy. Maintain established housekeeping standards within assigned duty areas. Others as directed by the supervisor or administrator. Minimum Qualifications CERTIFIED: Current Nursing Assistant Certification from state. Maintain CPR Certification High School Graduate or GED OR NON-CERTIFIED: Does NOT apply to all facilities Currently attending a CNA class working toward certification. (May not work non-certified for more than four (4) months.) Organized and detailed in work performance. Good communication skills with excellent self-discipline and patience. Genuine caring for and interest in elderly and disabled people in a nursing facility. Comply with the Resident’ Rights and Facility Policies and Procedures. Perform work tasks within the physical demand requirements as outlined below. Perform Essential Duties as outlined above. Working Conditions Subject to frustrations in meeting work demands due to frequent interruptions. Fast paced, required to make decisions quickly Involved with residents, personnel, visitors, government agencies/personnel, etc., under all conditions and circumstances. May work beyond normal duty hours, on weekends, and in other positions temporarily, when necessary. Subject to call-back during emergency conditions (e.g., severe weather, evacuation, post-disaster, etc.). 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 Physical and Sensory Requirements Assist in the evacuation of residents during emergency situations Function independently, and have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies. Meet general health requirements set forth by the policies of this facility, which may include a medical and physical examination. Sitting 10-25%; Alertnates frequently to walking. Walking 60-85%; Alternates frequently to standing and occasionally to sitting. Standing 10-30%; Alternating frequently to walking and occasionally to sitting. Lifting: WeightFrequencyObjects 1-10 lbsConstantlyResident personal items, linens, medical supplies, etc.11-20 lbsConstantlyResident personal items, linens, medical supplies, etc.21-35 lbsFrequentlyAssistance to residents in ambulation, equipment.36-50 lbsOccationallyTransfer of resident, ambulation of residents, and equipment.51-75 lbsNoneTransferring of residents75+ lbsNoneEmergency situations Carrying: WeightFrequencyObjects 1-10 lbsConstantlyResident personal items, linens, medical supplies, etc.11-20 lbsFrequentlyResident personal items, linens, medical supplies, etc.21-35 lbsOccasionallyResident personal items, linens, medical supplies, etc. Bending: Constant Squatting: Constant Kneeling: Constant Climbing: Occationally Reaching: Constant Grasping: Constant Fine Manipulation: Continuously Driving: Rarely Pushing: Frequently Pulling: Frequently Exposure Determination Information: This job does not normally involve contact with blood and/or body fluids but while performing the tasks associated with this job, it may be necessary for you to perform a task that involves exposure to blood or body fluids. EMPLOYMENT AT WILL: It is the express policy and intent of this facility that the employment relationship is one created and governed by the continuing will of both parties. I understand and agree that my employment is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated at any time without prior notice and without cause by either party, unless provided otherwise by a written agreement signed by the President of this company. NONDISCRIMINATORY STATEMENT: This facility does not discriminate on the basis of race, color, religion, sex, national origin, citizenship status, pregnancy, age, disability, veteran status, or any other status protected under federal, state, or local law. JOB DESCRIPTION REVIEW: I understand this job description and its requirements; and that I am expected to complete all duties as assigned. I understand the job functions may be altered from time to time. Management reserves the right to modify this job description at any time.
