RN Team Leader Job Opening

Qualifications:

Must be at least 18 years of age.

Must be a graduate of an accredited school of nursing and licensed as a RN in the state the facility is located.

Must possess the skills to perform techniques and practices of a licensed nurse.

Must have knowledge of and interest in the care of the geriatric resident.

Delegation of Authority:

As Nursing Team Leader you are delegated with the administrative authority, responsibility, and accountability for carrying out your assigned duties.

Job Duties:

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 duties does not exclude them form the position of the work is similar, related, or is an essential function of the position.

• Direct the day-to-day functions of the team in which you are assigned to carry out the resident’s plan of care.
• Direct the day-to-day functions of the team in which you are assigned, in accordance with current rules, regulations, and guidelines that govern the long-term care facility.
• Periodically review the nursing department’s policy and procedure manuals, job descriptions, etc.
• Meet with your assigned team and support personnel at the beginning of your shift to plan care, services, programs and activities.
• Take an assignment on the team to assist in medication administration. Work as a team member to provide care are. When necessary, assist your co-workers (other RNs, LPNs, CNAs on your team) in delivering services. Examples include: ADL care -feeding, turning and re-positioning, toileting, bathing.
• Make written and oral reports/recommendations concerning the activities of your shift. Give report to the on-coming Clinical Coordinator at the end of your shift.
• Cooperate with other resident services when coordinating nursing services to ensure that the resident’s total regimen of care is maintained.
• Participate in the development, maintenance, and implementation of the facility’s quality assurance program for the nursing service department.
• Participate in facility surveys (inspections) made by authorized government agencies as may be requested.
• Assist in participating in the nursing services portion of the resident’s discharge plan as necessary.
• Admit, transfer and discharge residents as required.
• Complete accident/incident reports as necessary.
• Maintain the daily census report and submit to the Business Office as required.

• Perform administrative duties such as completing medical forms, reports, evaluation, studies, charting etc.
• Agree not to disclose resident’s protected health information and promptly report suspected or known violations of such disclosure to the Director of Nursing or Administrator.
• Report any known or suspected unauthorized attempt to access facility’s information system.

Charting and Documentation:

• Complete and file required record keeping forms/charts upon the resident’s admission, transfer and/or discharge.
• Encourage attending physicians to review treatment plans, record and sign their orders, progress notes, in accordance with established procedures.
• Receive telephone orders from the physician and record on the Physician’s Order Form.
• Transcribe physician’s orders to resident charts, cardex, medication administration records, treatment records, activities of daily living records.
• Communicate changes in resident’s orders to appropriate support personnel in the facility as well as support services provided by outside vendors. Examples of outside vendors: Pharmacy, laboratory, x-ray, etc.
• 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.
• Fill out and complete accident/accident reports. Submit to the DON or ADON.
• Chart all incidents into the resident’s medical record related to accidents/incidents involving residents. Follow established procedure.
• Record new/changed diet orders. Forward diet changes to the Food Service Department.
• Perform routine charting duties as required in accordance with established charting and documentation policies and procedures.
• Sign and date all entries made in the resident’s medical record.

Drug and Administration Functions:

• Prepare and administer medications ordered by the physician.
• Verify the identity of the resident before administering the medication/treatment.
• Ensure that an adequate supply of floor stock medications, supplies and equipment is on hand to meet the nursing needs of the residents. Report needs to the DON/ADON/Clinical Coordinator.
• Order prescribed medications, supplies and equipment as necessary in accordance with established policies.
• Ensure that narcotic records are accurate for your shift.

• Notify the DON/ADON/Clinical Coordinator of all drug and narcotic discrepancies noted on your shift.
• Review medication administration records for completeness of information, accurate 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.
• Disposed of drugs and narcotics as required, and in accordance with established procedures.

Personnel Functions:

• Provide leadership for your team.
• Participate in making recommendations to the DON and the ADON concerning employee evaluations, dismissals, transfers, etc.
• Inform the DON/ADON of staffing needs when assigned personnel fail to report to work.
• Report absentee call-ins to the DON/ADON.
• Develop work assignments and/or assist in completing and performing such assignments.
• Make rounds on your assigned residents with your team members to ensure that your team is performing their work assignments in accordance with the resident’s plan of care.
• Meet with your team, on a regular basis, to assist in identifying and correcting problem areas to improve services.
• Develop and maintain a good working rapport with inter-departmental 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.
• Review complaints and grievances made or filed by your assigned team. Intervene and attempt to resolve the complaint/grievance immediately. Make appropriate reports to the DON/ADON and Social Services as required.
• Create and maintain an atmosphere of warmth, personal interest and positive emphasis, as well as a calm environment throughout the unit and shift.
• Ensure that disciplinary action is administered fairly and without regard to race, color, creed, national origin, age, sex, religion, handicap or martial status.
• Report occupational exposures ot blood, body fluids, infections materials, hazardous chemicals in accordance with the facility’s policies and procedures.
• Report known or suspected incidents of fraud to the administrator.

• Report known or suspected abuse to the DON/ADON or the Administrator regardless of whether they are on the facility premises. Take immediate action to protect the resident(s) involved in the suspected abuse.

Nursing Care Functions:

• Inform facility personnel of an expected new admission, their expected time of arrival, room assignment, etc.
• Ensure that rooms are ready for admission and/or readmission.
• Greet newly admitted residents and their family members upon admission. Escort them to their rooms as necessary and orient the resident to their room.
• Participate in the orientation of new residents/family members to the facility.
• Make rounds with your team, the Clinical Coordinator and the physician when necessary.
• Requisition and arrange for diagnostic and therapeutic services, as ordered by the physician, and in accordance with the facility’s procedures.
• Consult with the resident’s physician, and/or nurse practitioner, in providing the resident’s care, treatment, rehabilitation, etc. as necessary.
• Review the resident’s chart for specific treatments, medication orders, diet, etc. as necessary.
• Implement and maintain established nursing objectives and standards.
• Make periodic checks to ensure the prescribed treatments are being properly administered by your team and to evaluate the resident’s mental, physical and psycho-social status.
• Ensure that direct nursing care can is provided by your team.
• Cooperate with and coordinate social and activity programs with nursing schedules.
• Notify the resident’s attending physician and sponsor when the resident is involved in an accident, incident or when there is a change in the residents condition.
• Carry out restorative and rehabilitative programs, to include self help and care.
• Inspect the nursing service treatment areas daily to ensure they are maintained in a clean and safe manner.
• Obtain sputum, urine and other specimens for lab tests as ordered.
• Take and record temperature, pulse, respiration and blood pressure, etc. as necessary.
• Monitor seriously ill residents, residents with any change in condition and notify the Clinical Coordinator, Nurse Practitioner and/or Physician as the condition warrants.
• Check foods brought to 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 and Dietary Supervisor.

• Use restraints only when medically necessary and in accordance with established policies and procedures.
• Ensure that personnel providing direct care to residents are providing such care in accordance with the resident’s care plan and wishes.
• Ensure that residents who are unable to call for help are checked frequently.
• Meet with residents, and/or family members as necessary. Report problems areas to the Clinical Coordinator, ADON or DON.
• Assist in arranging transportation for discharged residents when necessary or communicate with Social Services to arrange for discharge planning.
• Inform family members of the death of the resident.
• Call funeral homes when requested by the family. Ensure that established postmortem procedures are followed.

Staff Development:

• Assist the DON/Staff Development Coordinator in planning clinical supervision for nurse aide trainees.
• Attend and participate in facility in-service programs as scheduled.
• Attend and participate in advance directive in-service training programs 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 in a current status.
• Assist in conducting and scheduling in-service training classes that provide instruction for your team based on the needs of your team and it’s members.

Safety and Sanitation:

• Ensure that established departmental policies and procedures, including dress codes are followed by your team.
• Monitor your assigned personnel to ensure that they are following established safety regulations for the use of equipment and supplies.
• Assist ADON in identifying, evaluating, and classifying routine and non-related functions to ensure that tasks in which there are potential exposures to blood/body fluids are properly identified and recorded. Ensure that your assigned personnel follow established procedures in the use and disposal of personal protective equipment.
• Ensure that your team wears and uses safety equipment and supplies (e.g. mechanical lifts) when lifting or moving residents. Ensure your team complies with the lift assessment of the resident, uses the proper lift, the correct slings and the appropriate number of personnel are present during transfers.

Care Plan and Assessment Functions:

• Review care plans to ensure that they are being implemented.
• Inform the MDS/Care Plan Coordinator of any changes that need to be made in the plan of care.
• Ensure that your nurses notes reflect that the care plan is being followed when administering nursing care or treatments.
• Attend care plan meetings when required.
• Review the care plans for appropriate goals, problems, approaches and revisions based on nursing needs. Any discrepancies should be reported to the MDS/Care Plan Coordinator.
• Assist the MDS/Care Plan Coordinator in gathering information for the accuracy of the MDS and Care Plan.

Job Type: Full-time

Experience:

• Relevant: 1 year (Preferred)

Education:

• Associate (Required)

Location:

• Red Bay, AL 35582 (Required)

License:

• RN (Required)

Work Location:

• One location

Benefits:

• Health insurance
• Dental insurance
• Vision insurance

Schedule:

• Night shift
• 12 hour shift
• Weekends required
• Holidays required