This is lead professional nursing work overseeing all patient care activities on a shift of an assigned nursing unit in the County inpatient nursing home facility. A position in this class ensures patient care coverage, the provision of ancillary services and the coordination of medical, nursing, social and related services. Work includes making and reviewing work assignments for lower level nursing personnel, including some responsibility for ensuring effective provision of related functions. This class is differentiated from related classes by the responsibility for all unit activities on a given shift.
A position in this class reports directly to higher-level supervisory nursing personnel/Nursing Supervisor.
This position exercises supervision over the lower level nursing personnel.
Determines daily work task assignments for nursing personnel according to physicians' orders, patients' needs, available staff and related factors; ensures coordination of unit needs with other departments' schedules such as therapy, planned social events, etc.; identifies unit staffing and/or resource needs including medicines, supplies, equipment, or laundry and secures same or refers to higher level personnel.
RN is also responsible for including but not limited to: timely documentation of assessments, admissions, discharges, transfers, returns, medication, post-fall assessments, untoward events, notifications to supervisors, physicians, families, etc. RN will follow established procedures; utilize resources when needed, i.e. staff development, policies, adjust work assignments in response to unanticipated absences, changes in resident load or nursing needs, or similar situations. Works with unit personnel to ensure effectiveness of treatments and general care provided, correct inappropriate or ineffective care, and determine overall patient status; carries out specific nursing functions restricted to performance by registered nurses. Administers and accurately records prescribed medications and treatments, observing resident's reactions to medications and treatments; reports to Supervisor any visible symptoms or adverse reactions.
Performs nursing duties and responsibilities relevant to routine bedside nursing, including but not limited to: care required to meet the physical, psychological, nutritional, religious, emotional and social needs of the residents. These duties/responsibilities include but are not limited to bathing, feeding, making beds, ambulation of patients via wheelchair, geri chair, cane, walker, or assistance of nursing personnel, complete vital signs, intake and output, enemas, hot and cold applications, skin care, wound care, tracheostomy care, IV care, catheterization, tube feedings, perform CPR, etc.
Performs nursing duties and responsibilities relevant to the health and welfare of the patient including safety measures; i.e. restraints (all types), oxygen therapy, etc.
Maintains residents' clinical record by accurately and timely charting all pertinent data, untoward events, focused and comprehensive assessments and appropriate observations. Documentation on the resident's clinical record to include but is not limited to; i.e. vital signs, clinic tests, intake and output, accurate and timely nurses notes, notifications to family and physicians, etc
Develops specific nursing care plans for patients according to individual medical records, status, and social, safety and therapeutic needs; identifies short- and long-term goals and assists patient in achieving same; coordinates implementation of nursing portion of interdisciplinary care plans; regularly reviews these plans for coordination of efforts and documentation of results; meets with medical staff and discusses patients' progress, conditions and other pertinent issues; ensures administration and implementation of written physicians' orders; works with other facility staff to coordinate provision of related services, such as therapy, social service, or recreation, for unit patients; ensures documentation of all such activities, including narrative descriptions of medical, behavioral, social or other-than-routine circumstances; writes reports and submits records on a regular basis.
Makes work assignments to individual unit staff members; review work through observation, checking back, and/or reviewing nurses' notes; demonstrates/mentors standard operations and practices to new unit personnel; answers questions and otherwise assists new unit staff in carrying out procedures and/or dealing with particular patients; discusses staffing situations with higher level personnel, recommending courses of action when appropriate. RN will role-model appropriate, professional, respectful behaviors and communicate with all other disciplines, residents and families in all interactions.
Processes forms and miscellaneous documents as necessary.
Other job duties as necessary. Performs related work as may be required.
*An employee assigned to this title shall perform a majority, but may not perform all, of the duties listed in this job description. Conversely, minor level duties performed on the job may not be listed. The duties listed above are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related or a logical assignment to the position.
EDUCATION AND EXPERIENCE – Completion of a High school or general equivalency diploma; AND
Graduation from an accredited school of nursing; AND
Two (2) years of clinical nursing experience in a health care facility, preferably in long term care, including work experience with patient care regulatory requirements for documentation; AND
Possession of a current license as a Registered Nurse issued by the Commonwealth of Pennsylvania; AND
Current Basic Life Support (BLS) Certification.
Upon hire employee must have a drug screening and COVID-19 testing. Employees may also be periodically tested for COVID-19 as required or recommended. In addition, Gracedale Nursing Home will follow The Centers for Medicare & Medicaid Services (CMS) requirements with regard to booster(s) needed for workers in health care settings.
KNOWLEDGE, SKILLS, AND ABILITIES
Thorough and comprehensive knowledge of professional nursing principles, Federal and State licensure regulations.
Ability to establish and maintain effective working relationships with medical, nursing and administrative staff, and representatives from regulatory agencies.
Ability to monitor residents' records, maintain relevant documentation, and issue required reports and notifications.
Ability to operate a computer and secure information from established data processing, spreadsheet, word processing, database and graphics programs.
Ability to read, write, speak, understand, or communicate in English sufficiently to perform the duties of this position. American Sign Language or Braille may also be considered as acceptable forms of communication.
Persons with mental or physical disabilities are eligible as long as they can perform the essential functions of the job after reasonable accommodation is made to their known limitations. If the accommodation cannot be made because it would cause the employer undue hardship, such persons may not be eligible.
TOOLS AND EQUIPMENT
Telephone, computer, implements used for writing i.e. pens and pencils, scheduling charts and blood pressure equipment, thermometers, patient record charts, syringe needles, accucheck machine, surgical instruments, stethoscope, oxygen equipment, medication carts, and machinery for inhalation therapy.
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is frequently required to stand, walk, sit, talk, and/or hear, and must possess agility and strength sufficient to lift, support, and maneuver heavy patients of limited physical capacity, as well as provide care; effectively read and write reports, work schedules, patient records, physician orders, etc. Must hear and speak sufficiently clearly to other individuals both in person and on the telephone, and to effectively hold staff meetings, discuss treatment, and answer staff questions.
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.
While performing the duties of this job, the employee works indoors with environment divided between the nurse's station and patient care areas.
The noise level in the work environment is usually quiet while in the nurse's station and occasionally moderately loud in patient care areas.
Formal application, rating of education and experience, oral interview and reference check as well as job related tests may be required.
The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.
FLSA STATUS: FLSA NON-EXEMPT (eligible for overtime)
DESIGNATION: CAREER SERVICE
PAY GRADE: SW-26
UNION STATUS: UNITED STEELWORKERS
Vision and Prescription