Pikes Peak Post Acute
MDS Coordinator RN
Northallerton
Posted about 6 hours ago
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Job Description
Overview
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 statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position.
Administrative Functions
- Administer patient assessments and oversee the assessment process.
- Coordinate care plans according to regulatory requirements.
- Create schedules for Medicare and Medicaid.
- Direct day-to-day functions of nursing assistants.
- Ensure compliance with policies and procedures.
- Periodically review department policies and make recommendations for revisions.
- Meet with nursing staff and support personnel for shift planning.
- Ensure the Nursing Service Procedures Manual is current.
- Participate in quality assurance programs and facility surveys.
- Interpret department policies and procedures.
- Admit, transfer, and discharge residents.
- Complete accident/incident reports.
- Write resident charge slips and maintain the Daily Census Report.
- Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc.
- Agree not to disclose user ID codes, passwords, or resident’s protected health information.
Charting and Documentation
- Complete and file required recordkeeping forms/charts upon admission, transfer, and/or discharge.
- Encourage attending physicians to review treatment plans and record their orders.
- Receive and record telephone orders from physicians.
- Transcribe physician’s orders to resident charts, cardex, medication cards, treatment/care plans, etc.
- Chart nurses’ notes in an informative and descriptive manner.
- Fill out and complete accident/incident reports.
- Chart all reports of accidents/incidents involving residents.
- Record new/changed diet orders and forward information to the Food Services Department.
- Report discrepancies to the Nurse Supervisor.
- Fill out and complete transfer forms.
- Ensure appropriate documentation concerning unauthorized discharges is entered in the resident’s medical record.
- Perform routine charting duties and sign all entries made in the resident’s medical record.
Drug Administration Functions
- Prepare and administer medications as ordered by the physician.
- Verify resident identity before administering medication/treatment.
- Ensure prescribed medication for one resident is not administered to another.
- Ensure an adequate supply of floor stock medications, supplies, and equipment.
- Order prescribed medications, supplies, and equipment as necessary.
- Ensure narcotic records are accurate.
- Notify the Nurse Supervisor of drug and narcotic discrepancies.
- Review medication cards for completeness and accuracy.
- Notify the attending physician of automatic stop orders.
- Dispose of drugs and narcotics as required.
- Review medication cards for completeness of information, accuracy in transcription, and adherence to stop order policies.
Personnel Functions
- Participate in employee performance evaluations.
- Determine staffing requirements and make recommendations concerning employee dismissals, transfers, etc.
- Inform the Nurse Supervisor of staffing needs and absentee call-ins.
- Review and evaluate the department’s workforce and make recommendations.
- Develop work assignments and provide leadership to nursing personnel.
- Make daily rounds to ensure nursing service personnel are performing their work assignments in accordance with acceptable nursing standards.
- Ensure all nursing assistants are enrolled in or have graduated from an approved nursing assistant training program.
- Ensure all nurse aide trainees are under the direct supervision of a licensed nurse.
- Meet with shift’s nursing personnel to assist in identifying and correcting problem areas.
- Ensure department personnel, residents, and visitors follow established policies and procedures.
- Create and maintain a positive working environment.
- Review complaints and grievances and report to the Nurse Supervisor as required.
- Follow facility’s established procedures.
- Ensure departmental disciplinary action is administered fairly.
- 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.
- Report known or suspected incidents of fraud to the Administrator.
- Ensure departmental computer workstations left unattended are properly logged off.
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Nursing Care Functions
- Inform nursing personnel of new admissions and ensure rooms are ready.
- Greet newly admitted residents and escort them to their rooms.
- Participate in the orientation of new residents/family members.
- Make rounds with physicians as necessary.
- Requisition and arrange for diagnostic and therapeutic services.
- Consult with the resident’s physician in providing the resident’s care.
- Review the resident’s chart for specific treatments, medication orders, diets, etc.
- Implement and maintain established nursing objectives and standards.
- Make periodic checks to ensure that prescribed treatments are being properly administered.
- Ensure direct nursing care is provided by qualified personnel.
- Cooperate with and coordinate social and activity programs.
- Notify the resident’s attending physician when the resident is involved in an accident or incident.
- Carry out restorative and rehabilitative programs.
- Inspect the nursing service treatment areas daily.
- 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.
- 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.
- Ensure 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.
Staff Development
- Participate in developing, planning, conducting, and scheduling in-service training classes.
- Implement and maintain an effective orientation program.
- Assist in standardizing the methods in which work will be accomplished.
- Assist in training department personnel in identifying tasks that involve potential exposure to blood/body fluids.
- Assist the Director in planning clinical supervision for nurse aide trainees.
- Attend and participate in outside training programs.
- Attend and participate in annual facility in-service training programs.
- Attend and participate in advance directive in-service training programs.
- Attend and participate in continuing education programs.
Safety and Sanitation
- Monitor assigned personnel to ensure they are following established safety regulations.
- Ensure established departmental policies and procedures, including dress codes, are followed.
- Assist the Director and/or Infection Control Coordinator in identifying, evaluating, and classifying routine and job-related functions to ensure that tasks in which there is potential exposure to blood/body fluids are properly identified and recorded.
- Ensure all personnel performing tasks that involve potential exposure to blood/body fluids participate in appropriate in-service training programs prior to performing such tasks.
- Ensure an adequate supply of personal protective equipment is on hand and readily available.
- Ensure assigned work areas are maintained in a clean and sanitary manner.
- Ensure assigned unit’s resident care rooms, treatment areas, etc., are maintained in a clean, safe, and sanitary manner.
- Ensure assigned personnel follow established handwashing and hand hygiene technique.
- Ensure assigned personnel participate in and conduct all fire safety and disaster preparedness drills.
- Participate in the development, implementation, and maintenance of the infection control program.
- Ensure assigned personnel follow established procedures in the use and disposal of personal protective equipment.
- Participate in the development, implementation, and maintenance of the procedures for reporting hazardous conditions or equipment.
- Ensure all personnel wear and/or use safety equipment and supplies when lifting or moving residents.
- Report missing/illegible labels and MSDSs to the safety officer or other designated person.
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Equipment and Supply Functions
- Recommend to the Nurse Supervisor the equipment and supply needs of the unit/shift.
- Ensure an adequate stock level of medications, medical supplies, equipment, etc., is maintained.
- Participate in the development and implementation of the procedures for the safe operation of all nursing service equipment.
- Ensure only trained and authorized personnel operate the unit/shift’s equipment.
- Ensure all personnel operate nursing service equipment in a safe manner.
- Monitor nursing procedures to ensure that nursing service supplies are used in an efficient manner to avoid waste.
- Ensure appropriate MSDSs are on file for hazardous chemicals used in the nursing service department.
Care Plan and Assessment Functions
- Review care plans daily to ensure that appropriate care is being rendered.
- Inform the Nurse Supervisor of any changes that need to be made on the care plan.
- Ensure nurses’ notes reflect that the care plan is being followed.
- Review resident care plans for appropriate resident goals, problems, approaches, and revisions based on nursing needs.
- Ensure certified nursing assistants are aware of the resident care plans.
- Assist the Resident Assessment/Care Plan Coordinator in planning, scheduling, and revising the MDS, including the implementation of RAPs and Triggers.
Budget and Planning Functions
- Report suspected or known incidence of fraud relative to false billings, cost reports, kickbacks, etc.
Miscellaneous
- Provide data to the Quality Assurance & Assessment Committee as requested.
Supervisory Requirements
As LPN/LVN, you are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties.
Qualification
Education and/or Experience
- Must possess, as a minimum, a Nursing Degree from an accredited college or university, or be a graduate of an approved LPN/LVN program.
- Must possess a current, unencumbered, active license to practice as an LPN/LVN in this state.
Language Skills
- Must be able to read, write, speak, and understand the English language.
- Ability to read technical procedures.
- Ability to read and comprehend policy and procedure manuals.
- Ability to effectively present information and respond
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