As a member of the interdisciplinary team, the RN Supervisor assumes responsibility and accountability for nursing services delivered to residents. The RN Supervisor provides direct care, administers treatments and medications, organizes, and distributes daily assignments to direct care staff consistent with staff competency and each individual resident's comprehensive resident assessment and plan of care. Supervises direct care staff and makes decisions about resident care needs during shifts concerning scope of clinical competence, consistent with facility policies and procedures. Ensures that “Flow of Care” is followed.
Essential Job Functions:
- Develops and distributes resident care assignments to direct care staff. Assignments match resident needs with skills of direct care staff, and maintain consistency to the extent practicable. Adjusts assignments according to availability of qualified staff. Changes assignments if necessary during shift to meet resident needs.
- Provides orientation to unit and unit routines to new staff members or staff from tempo Makes daily compliance rounds on units at least at beginning and at end of shift to observe, examine or interview residents, to verify information from ongoing shift, to monitor regulatory compliance, to determine staff assignments, and provides /receives report .
- Describes care plan goals and approaches to direct care staff so that care plan is consistently implemented on all shifts by all caregivers. Seeks input from nurse aides about residents’ condition, functional abilities, preferences and alternative approaches to care. Monitors delivery of care and services throughout shift to ensure needs are met, tasks are completed, and that work of direct care staff is of acceptable quality and quantity. Administers medications, treatments and provides direct care to residents on unit according to physician orders and in compliance with facility policies and procedures.
- Performs physical assessment (or gathers appropriate data) of new admissions and current residents as indicated by change in condition or as required by regulation. Completes assigned sections of resident assessment instruments used in nursing home.
- With participation of interdisciplinary team members and resident, to the extent practicable, develops, implements, evaluates, and revises plans of care with measurable objectives and timetables to assist each resident to attain or maintain highest practicable physical, mental, and psychosocial well-being. Coordinates care and delivery of services with all disciplines. Consults with and refers relevant resident care issues to attention of interdisciplinary care team members.
- Modifies approaches in plans of care to accommodate resident needs and preferences, to manage risk factors for functional decline and to improve functional abilities.
- Respects rights of residents regarding freedom of choice, consent for care and services, refusals of treatment and implementation of advance directives if any. Promptly consults with Director of Nursing (DON), Unit Managers, and Social Worker if unsure of proper course of action that respects resident's rights, complies with facility policies and procedures and that is consistent with state and federal laws and regulations.
- Trains and develops staff by conducting skills observations of Certified Nursing Assistants (CNAs) identifying learning needs and taking advantage of opportunities to teach on the unit. Reports information to DON/Unit Managers as part of staff performance evaluations.
- Completes required documentation of care and services delivered during shift including subjective findings, objective symptoms, interventions, and resident responses to interventions. Completes required documentation of special circumstances including accident/incident reports in compliance with state and federal laws and regulations.
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