Hill View is recognized as one of the top nursing homes in Ohio. Top Nursing Homes in Ohio ( www.medicare.gov ) U.S. News & World Reports Best Nursing Homes in Ohio Voted #2 Best Employer in the Area (PTD) Voted #1 Retirement Center in the Area(PTD) Voted #1 Home Health Agency in the Area (PTD) SUMMARY Primarily responsible for the delivering nursing care and services to residents in the Assisted Living or Skilled Nursing Unit. Responsible for monitoring care delivery, to assure that established standards of care are followed, and to ensure that the highest degree of quality care is maintained at all times. ESSENTIAL DUTIES AND RESPONSIBILITIES: Delivers nursing care in accordance with established policies and procedures. Receives report from the previous shift and gives report to the on-coming shift. Report is given in the form of verbal, taped and/or written report. Reviews new physician orders in the New Order Notebook at the beginning of each shift. Checks e-mail for nursing messages at least once each shift. Sends e-mail communication to appropriate staff about resident and employee issues as they arise. Reads department communication book and posted communication board daily. Administers medications and treatments as prescribed by the physician. Monitors resident response to medication/treatments. Maintains medication cart and medication room in a clean and orderly fashion. Stores medication properly. Monitors expiration dates. Conducts narcotic count with off-going/on-coming nurses and sign narcotic control sheet at the beginning and end of each shift. Monitors I.V. infusions at least once hourly for the following: type of fluid, infusion rate, position, and site appearance. Problems with I.V. site are addressed immediately by an RN. LPNs will report problem to an RN immediately. IV medications are delivered by RNs. When no RN is on duty, LPN will verify that RN is available for next medication dose. Performs a head to toe assessment/evaluation of Medicare skilled residents each shift, including vital signs. Documents this assessments. Documents episodic events, such as resident falls, response to antibiotic therapy, changes in condition, etc. in the resident’s nurse’s notes/Point Click Care system. Makes rounds with physicians and communicates with physicians about changes in resident’s conditions in the absence of the Charge Nurse/Supervisor. Assures that physician orders/progress notes are documented on the appropriate form and signed. Takes telephone orders from physicians and records on the Physicians’ Order Form. Notifies family members when significant events or changes in resident’s conditions. Makes and modifies assignments for Nurse Technicians to best meet resident needs. Supervises care delivery by Nurse Technicians, including observation of care, providing direction, and having regular on-going communication, to ensure that direct care is being given according to each resident’s Plan of Care and established standards. Assists Nurse Technicians with direct care, including answering call lights, feeding, and general care when resident needs are high. Makes regular rounds in assigned neighborhood to observe and evaluate each resident’s physical and emotional status, and to ensure that resident needs are being addressed. Assists with feeding in resident dining during meal times. Develops and maintains a good working rapport with inter-department personnel, as well as other departments within the facility to ensure that nursing services are well coordinated to meet the needs of the residents. Assists with resident admissions, transfers, and discharges as needed. Performs documentation and files required record keeping forms/charts upon the resident’s admission, transfer, and/or discharge. Documents 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 using Point Click Care system. Provides direct resident care as necessary to meet resident needs. Transcribes physician’s orders to resident charts, medication administration records, treatment/care plans, etc. Requisitions and arranges for diagnostic and therapeutic services, as ordered by the physician, and in accordance with established procedures. Documents all reports of accident/incidents involving residents. Follows established procedures including completion, investigation, and reporting of the accident/incident reports. Follows established infection control policies/procedures. Uses universal precautions when carrying out job duties. Follows safety policies/procedures for preventing, identifying, correcting and reporting hazards and incidents. Is knowledgeable about disaster policies/procedures. Participates in disaster preparedness drills. Takes an active role when a declared disaster occurs. Is knowledgeable about Wander-gard resident security system. Participates in implementation of the system, in accordance to established policies/procedures. Promptly responds to security alarms. Provides feedback to charge nurse, Assistant Directors of Nursing, and Director of Nursing about individual staff member’s performance. Encourages and supports the growth of interdisciplinary teams to improving the quality of life for residents. Participates in the implementation of the facility’s Continuous Quality Improvement activities. OTHER JOB DUTIES: Complies with all company policies/procedures related to resident privacy/ confidentiality and information system security, to insure compliance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA). Observes facility policies and procedures, including Resident Rights policies. Performs job duties in an efficient, productive, and professional manner. Actively supports the implementation of Hill View’s mission and statement of purpose. Accepts job assignments with positive spoken word and body language. SUPERVISORY RESPONSIBILITIES : Supervises daily operations and performance of Nurse Technicians on the assigned shift. QUALIFICATIONS: Current licensure as a Practical or Registered Nurse in the State of Ohio required. EDUCATION AND/OR EXPERIENCE: Must be a graduate of an approved LPN or Associate Degree Nursing program. LANGUAGE SKILLS: Must be able to read and interpret policies and procedures. Must have the ability to respond to inquiries made by staff, managers, physicians, residents, families and regulatory agencies. MATHEMATICAL SKILLS: Must have ability to add, subtract, multiply, and divide all units of measure using whole numbers, common fractions and decimals. REASONING ABILITY: Must have ability to apply common sense understanding to carry out detailed, but uninvolved written or oral instructions. Must have ability to solve practical problems and concrete variables in situations where only limited standardization exists. PHYSICAL REQUIREMENTS: Frequently required to stand, walk, sit, use fingers, handle or feel, reach with hands and arms, climb or balance. Must be able to speak clearly and hear with minimal or no assistance in order to perform physical evaluations. The employee must frequently lift and/or move up to 50 pounds and occasionally lift/move more than 100 pounds. Specific vision abilities required in this job include close vision, distance vision, peripheral vision, depth perception, differentiation in color, and ability to focus. WORK ENVIRONMENT: The indoor environment is standard with fluorescent lighting and central heating/cooling. While performing this job, the employee may be subjected to hostile or emotionally upset residents/visitors. The employee may frequently be required to use protective equipment to prevent exposure to blood and body fluids. The employee may encounter frequent interruptions.
Hill View is recognized as one of the top nursing homes in Ohio. *Top Nursing Homes in Ohio ( www.medicare.gov ) *U.S. News & World Reports Best Nursing Homes in Ohio *Voted #2 Best Employer in the Area (PTD) *Voted #1 Retirement Center in the Area(PTD) *Voted #1 Home Health Agency in the Area (PTD) SUMMARY: Primarily responsible for caring for residents in the Health Care Unit under the direction of nursing staff. ESSENTIAL DUTIES AND RESPONSIBLITIES: Provides assistance to residents with personal care, including bathing/showers, dressing, undressing, shaving, oral hygiene, skin/hair/nail care, and AM and PM care. Assists residents with ambulation, toileting, and other activities of daily living. Answers call lights as needed to determine resident’s needs. Follows each resident’s Plan of Care. Conducts rounds to assigned residents as needed, but not less than once every 2 hours to address toileting and fluid administration needs. Assures that fresh cold water and a clean glass are always available within reach of the residents. Reminds or assists residents to take fluids during rounds or as ordered. Immediately reports any unusual observations such as bruises, skin tears or reddened areas, falls, changes from usual behavior, or physical abilities to a nurse. Takes and records temperature, pulse and respiration rates, blood pressure, food and fluid intake and output as directed. Immediately reports abnormal findings to a nurse. Serves and collects food trays. Feeds or assists residents who require help eating. Assists residents in completing menus. Assists with restorative nursing procedures such as body alignment, bed positioning, range of motion exercises, transferring residents, etc. Follows bowel and bladder training program established for each resident. Uses Point Click Care system for documentation of behavior and other information as needed. Assists or gives bathes/showers. Obtains resident weights as assigned. Organizes, transports, and assists residents to/with activities and therapy programs. Assists with resident admissions including: - greets resident and family member. - orients resident to room number and location, call light system, and layout of room and facility. - obtains vital signs, height, weight and documents these. - unpacks resident clothing and personal items. Assures that clothing and personal possessions are labeled and documented on personal property inventory sheet. - assures that resident has needed personal care items. Understands the general use and cleaning procedures of equipment such as oxygen concentrators. Assures that signs are posted on the door of any room where oxygen is being used. Notify nurse if humidifier needs re-filled. Store oxygen cannula properly when not in use. Follows established infection control policies/procedures. Uses universal precautions when carrying out job duties. Makes resident beds. Changes bed linens at bath time and as needed. Assists residents in 24-hour reality orientation. Runs errands, directs visitors and answers telephones as needed. Follows safety policies/procedures for preventing, identifying, correcting and reporting hazards and incidents. Reads department communication book and posted communication board daily. Is knowledgeable about disaster policies/procedures. Participates in disaster preparedness drills. Takes an active role when a declared disaster occurs. Is knowledgeable about Wander-guard resident security system. Participates in implementation of the system, in accordance to established policies/procedures. Promptly responds to security alarms. Completes Behavior ADL monitoring sheet each shift. OTHER JOB DUTIES: Complies with all company policies/procedures related to resident privacy/ confidentiality and information system security, to insure compliance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA). Observes facility policies and procedures, including Resident Rights policies. Performs job duties in an efficient, productive, and professional manner. Actively supports the implementation of Hill View’s mission and statement of purpose. Participates in training, workshops, etc. to keep abreast of current issues/trends related to his/her job duties. Attends at least 12 hours of in-services per year. Accepts job assignments with positive spoken word and body language. Performs other duties as assigned. SUPERVISORY RESPONSIBILITIES: This job has no supervisory responsibilities. QUALIFICATIONS: Demonstrates good interpersonal and communication skills. The employee must be able to organize work activities with minimal supervision. Must be able to set priorities and plan workload independently. EDUCATION AND/OR EXPERIENCE: Must have completed at least two years of high school. High school diploma or GED certificate preferred. Must have successfully completed state-approved Nursing Assistant training program. Must pass state registry test within four months of employment. Must complete 12 hours of in-service education annually. Long Term Care experience. LANGUAGE SKILLS: Must have the ability to read and comprehend simple instructions, short correspondence, and memos. Must have the ability to write simple correspondence. Must be able to effectively present information in one-on-one and small group situations to residents, families, and employees of the organization. MATHEMATICAL SKILLS: Must have ability to add, subtract, multiply, and divide all units of measure using whole numbers, common fractions and decimals. REASONING ABILITY: Must have ability to apply common sense understanding to carry out detailed, but uninvolved written or oral instructions. Must have ability to solve practical problems and concrete variables in situations where only limited standardization exists. PHYSICAL REQUIREMENTS: Frequently required to stand, walk, use hands to finger, handle or feel, reach with hands and arms, and speak and listen to residents. Occasionally required to climb or balance. The employee must frequently lift or move up to 50 pounds, and may occasionally lift or move up to 100 pounds. Specific vision abilities required by this job include close vision, peripheral vision, and depth perception. WORK ENVIRONMENT: The indoor environment is standard with fluorescent lighting and central heating/cooling. While performing this job, the employee may be occasionally exposed to outside weather conditions. The employee may be subject to hostile or emotionally upset residents/visitors. The employee may encounter frequent interruptions.
