Job Description

1. Direct the day-to-day functions of the nursing assistants in accordance with current rules, regulations, and guidelines that govern the long-term care facility.
2. Must complete all administrative functions as outlined in the job description.
3. Must be able to perform all tasks as a RN pertaining to the Drug Administration tasks of the job, as outlined in the job description.
4. Administers prescribed medications and treatments in accordance with approved nursing techniques.
5. Ensure that prescribed medication for one resident is not administered to another.
6. 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 Nurse Supervisor.
7. Ensure that rooms are ready for new admissions.
8. Greet newly admitted residents upon admission. Escort them to their rooms as necessary and participate in their orientation to the facility.
9. Make rounds with physicians as necessary.
10. Consult with the resident’s physician in providing the resident’s care, treatment, rehabilitation, etc., as necessary.
11. Participate in the development, maintenance, and implementation of the facility’s quality assurance program for the nursing service department.
12. Participate in facility surveys (inspections) made by authorized government agencies as may be requested.
13. Periodically review the resident’s written discharge plan. Participate in the updating of the resident’s written discharge plan as required. Assist in planning the nursing services portion of the resident’s discharge plan as necessary.
14. Admit, transfer, and discharge residents as required.
15. Maintain the Daily Census Report and submit to the Business Office as required.
16. Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., as necessary.
17. Ensure accurate charting and documentation including but not limited to completing and filing required recordkeeping forms/charts upon the resident’s admission, transfer, and/or discharge.
18. Encourage attending physicians to review treatment plans, record and sign their orders, progress notes, etc., in accordance with established policies.
19. Receive telephone orders from physicians and record on the Physicians’ Order Form.
20. Transcribe physician’s orders to resident charts, cardex, medication cards, treatment/care plans, as required.
21. 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.
22. Readies equipment and aids physician during treatments and examinations of patients.
23. Observes patient, records significant conditions and reactions, and notifies supervisor or physician of patient's condition and reaction to drugs, treatments, and significant incidents.
24. Takes temperature, pulse, blood pressure, and other vital signs to detect deviations from normal and determines progress of patient.
25. May serve as leader for group of personnel rendering nursing care to number of patients.
26. Must maintain the confidentiality of all resident care information including protected health information. Report known or suspected incidents of unauthorized disclosure of such information; and adhere to Resident’s rights.
27. Performs other work related and nursing care functions / duties as assigned or requested.