GENERAL PURPOSE: The Registered Nurse in Long Term Care coordinates patient care services as directed. Measures, evaluates, administers and documents patient care. Contributes to patient care plans and informs the Chief Nursing Officer or House Supervisor, when appropriate. Provides direction and assigns duties to CNA’s and LPN’s in accordance with their skills and abilities. Actively responds to patient, physician and family requests. Advocates and ensures Patient Rights are upheld.
ESSENTIAL DUTIES AND RESPONSIBILITIES: Coordinates medication and treatment management, direct patient care, such as bathing, dressing, and feeding patients, and assisting in examinations and treatments. Ability to lift, walk, carry and stand. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements are represented of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
SKILLS AND ABILITIES REQUIRED:
1. Works with the physician and other medical staff to assess the condition of the patient, devise an individual healthcare plan, and see that it is implemented.
2. Keeps records, documenting an assessment of the patient’s condition, amount and times of medication, vital signs and treatments, as well as any unusual change in condition.
3. Ability to organize and prioritize work to maintain harmonious daily workflow.
4. Helps patients understand the aging process and how it affects their health and lifestyles.
5. Assists patients in finding ways of maximizing function and maintaining comfort, as possible.
6. Monitors the care delivered by the Certified Nursing Assistant, as they assist patients with such basic needs as dressing, eating and bathing, and encourages patient to do things for themselves to retain feelings of independence and self-esteem.
7. Is in compliance with the State of Nevada’s Nurse Practice Act, hospital policies and rules/regulations.
8. Check, pour, administer and chart medications at appropriate times, monitor effects and side effects.
9. Administer all routes of medications per Nevada State Board of Nursing criteria for own assigned patients, and as required, the LPN. Monitors results of treatments and progress toward expected outcomes.
10. Administer and record treatment as ordered.
11. Admit, transfer and discharge patients as required. Oversees the LPN admission process.
12. Plan assignments for staff based on skill levels.
13. Make frequent patient rounds and perform assessments, reporting significant changes to the Chief Nursing Officer or physician.
14. Documents periodic assessment and changes inpatient outcomes in a timely manner.
15. Assures that Patient Rights are upheld.
16. Assures that Lab, x-rays, etc. are completed and notifies attending physician of abnormal results.
17. Participate in and satisfactorily complete the Orientation Program and Annual Review Days.
18. Attend inservices and meetings as required.
19. Pursuit of thirty (30) contact hours of continuous education as required by the State of Nevada for re-licensure.
20. Report deviations in quality of care to Supervisors as outlined by current nursing standards.
21. Actively participate in ongoing Quality Improvement activities.
22. Maintains working knowledge of hospital-wide Order Entry.
EDUCATION AND EXPERIENCE REQUIRED:
1. Graduation from an accredited School of Nursing.
2. Current licensure by the Nevada State Board of Nursing as a Registered Nurse.
3. Neat, well-groomed, professional appearance.
4. Capable both physically and mentally for close work with elderly patients, their families, nursing and medical staff.
5. Understands the need for confidentiality of information gained while performing the job.
Performs other reasonable related duties as assigned by immediate supervisor and other management as required.