Nursing Supervisor RN Job Opening

Purpose:

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 of Nursing Staff and the CNAs in accordance with current federal, state, and local standards, guidelines, and regulations that govern the facility.

Essential Functions:

• Direct the day-to-day functions of the Resident Care Techs in accordance with current rules, regulations, and guidelines that govern the long-term care facility.
• Meet with your assigned nursing staff, as well as support personnel, in planning the shifts' services, programs, and activities.
• Ensure that all nursing service personnel comply with the procedures set forth in the Nursing Service Procedures Manual.
• Interpret the department's policies and procedures to personnel, residents, visitors, and government agencies as required.
• Ensure that established departmental policies and procedures, including dress codes, are followed by your assigned nursing personnel.
• 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.
• Make written and oral reports/recommendations concerning the activities of your shift as required.
• Assist in planning the nursing services portion of the resident's discharge plan as necessary.
• Complete and file required recordkeeping 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, etc., in accordance with established policies.
• Receive telephone orders from physicians and record on the Physicians' Order Form.
• 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/incident reports. Submit to Director as required.
• 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 DON.
• 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.
• Inform nursing 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. Escort them to their rooms as necessary.
• 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 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.
• 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 be provided by a licensed nurse, a certified nursing assistant, and/or a nurse aide trainee qualified to perform the procedure.
• Cooperate with and coordinate social and activity programs with nursing service schedules.
• 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.
• Inspect the nursing service treatment areas daily to ensure that they are maintained in a clean and safe manner.
• 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.
• Use restraints when necessary and in accordance with established policies and procedures.
• Obtain sputum, urine and other specimens for lab tests as ordered.
• Take and record TPRs, blood pressures, etc., as necessary.
• Monitor seriously ill residents as necessary.
• Check foods 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 DON and Dietary Supervisor.
• 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 problem areas to the DON.
• Assist with admit, transfer and discharge residents as necessary.
• 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.
• Provide data to the Quality Assurance & Assessment Committee as requested.
• Prepare and administer medications as ordered by the physician.
• Order prescribed medications, supplies, and equipment as necessary, and in accordance with established policies.
• Ensure that narcotic records are accurate for your shift.
• Notify the DON 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.
• Participate in determining your shift's staffing requirements, and making recommendations to the DON concerning employee dismissals, transfers, etc.
• Inform the DON of staffing needs when assigned personnel fail to report to work.
• Provide leadership to nursing personnel assigned to your unit/shift.
• Make daily rounds of your unit/shift to ensure that nursing service personnel are performing their work assignments in accordance with acceptable nursing standards.
• Ensure that all nurse aide trainees are under the direct supervision of a licensed nurse.
• Meet with your shift's nursing personnel, on a regularly scheduled basis, to assist in identifying and correcting problem areas, and/or 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 care plans daily to ensure that appropriate care is being rendered.
• Inform the DON 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.
• Ensure that your assigned CNAs are aware of the resident care plans.
• Maintain the confidentiality of all resident care information.
• Monitor nursing care to ensure that all residents are treated with kindness, dignity, and respect.
• Receive/give the nursing report upon reporting in and ending shift duty hours.
• Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals in accordance with the facility's policies and procedures.
• Participate in planning, conducting, and scheduling in-service training classes.
• Assist in training staff in identifying tasks that involve potential exposure to blood/body fluids.
• Ensure that an adequate supply of personal protective equipment is on hand and is readily available to personnel who perform procedures that involve exposure to blood or body fluids.
• Ensure that your work areas and resident care areas are maintained in a clean and sanitary manner.
• Ensure that assigned staff follows established handwashing techniques in the administering of nursing care procedures.
• Participate in the infection control program for monitoring communicable and/or infectious diseases among the residents and personnel.
• Ensure that your assigned staff follows established infection control procedures when isolation precautions become necessary.
• Ensure that nursing personnel follow established procedures in the use and disposal of personal protective equipment.
• Ensure that all personnel wear and/or use safety equipment and supplies (e.g., back brace, mechanical lifts, etc.) when lifting or moving residents.
• Ensure that your assigned personnel participate in and conduct all fire safety and disaster preparedness drills in a safe and professional manner.
• Ensure that appropriate MSDSs are on file for hazardous chemicals
• Report missing/illegible labels and MSDSs to the safety officer or other designated person.
• 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.

• Report / investigate all allegations of resident abuse and/or misappropriation of resident property.
• Performs other related assignments as required.

Work Schedule

• As assigned, including some week-ends, evenings and Holidays.

Working Conditions

• Works in well-lighted/ventilated areas.
• Most of the work is performed indoors
• Is subject to frequent interruptions.
• The noise level in the work environment is usually moderate.
• Is involved with residents, personnel, visitors, government agencies, etc., under all conditions and circumstances.
• Is subject to hostile and emotionally upset residents, family members, etc.
• Communicates with the medical staff, nursing staff, and other department supervisors.
• Works beyond normal duty hours, on weekends, and in other positions temporarily, when necessary.
• May be exposed to bodily fluids, infectious waste, diseases, conditions, etc., including the AIDS and hepatitis B viruses.

Physical Requirements

• While performing the duties of this job, the employee is occasionally required to stand; walk; use hands to finger, handle, or feel; implements or office equipment; reach with hands and arms; stoop, kneel, crouch, or crawl and talk or hear.
• Must be able to speak and write the English language in an understandable manner.
• Collect information through observation, listening, touching, and smelling.
• Must have auditory ability sufficient to monitor and assess
• Job requires regular sitting, standing, walking, stooping, bending, kneeling, crouching, reaching, pushing, pulling, twisting, writing, and carrying charts, food, trays, etc.
• Must be able to move intermittently throughout the work day.
• Specific vision abilities required by this job include close, distance and color vision and the ability to adjust focus.
• Employee may be required to move chairs, beds, and medical equipment, move patients in bed (with or without assistance).
• Must be able to cope with the mental and emotional stress of the position.
• Must function independently, have flexibility, personal integrity, and the ability to work effectively with the residents, personnel, and support agencies.
• Must be in good general health and demonstrate emotional stability.
• Must be able to relate to and work with ill, disabled, elderly, emotionally upset, and at times hostile people within the facility.
• May be required to lift, push, pull, and move equipment, supplies, etc., in excess of fifty (50) pounds.

Safety, Sanitation and Infection Controls

• Assure the assigned work areas are maintained in a clean, safe and sanitary manner.
• Assure that established infection control and universal precautions practices are observed.
• Report all hazardous conditions or equipment to your supervisor.
• Follow established safety policies and procedures.
• Dispose of refuse daily in accordance with established sanitation procedures.
• Keep work/assignment areas free of hazardous objects, unnecessary equipment, supplies, etc.
• Report any accident/incident to your supervisor no matter how minor.

Qualifications:

• Must possess a current, unencumbered, active license to practice as an RN or LPN in this state.
• 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 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 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.