Registered Nurse

Description Provides compassionate and holistic nursing care for the residents in accordance with their individual plan of care and following established policies and procedures and accepted Standards of Practice. In collaboration with the Director of Nursing / Nurse Manager and/or the physician and utilizing the nursing process develops and delivers the clinical care of each resident. Supervises and supports care delivered by the nursing staff to assure quality of care is maintained. Demonstrates the mission of Three Pillars and upholds our customer service standards at all times.

A. Resident Care · Safely administer medications and treatments as ordered by the physician and in accordance with accepted standards of practice and Three Pillars policies and procedures · Maintain timely, accurate written and electronic charts/documents/records as required by law, regulations and Three Pillars policies and procedures · Utilize the nursing process to assess resident condition and effectiveness of plan of care. Make changes to plan of care as indicated. Support and assist LPNs in assessment and plan of care development. · Communicate resident change of condition to appropriate persons. (Nurse manager, physician, family, clergy, hospice team, interdisciplinary team, etc.) · Assist in the admission/readmission process including comprehensive assessment and development and implementation of the initial plan of care. · Provide direct resident focused care as needed. Assist other staff members as needed. · Obtain, transcribe and implement physician’s orders according to accepted standards of practice and Three Pillars policies and procedures. · Interpret the plan of care to the resident, resident families and members of the nursing team. · Develop effective working relationships with medical staff, contract physicians and other services, always maintaining a professional stance and projecting a positive image of Three Pillars. · Support and participate in all resident care programs (ie Bowel and Bladder, Skin Integrity, Comfort, etc.) including following individual POCs, documentation, communication of observations, and offering of feed back/suggestions. Assure all staff are fulfilling their responsibilities in these program areas · Promote and protect the rights of each resident. Report any suspected violations immediately. · Support “real time” AOD CNA documentation.

B. Supervise Staff · Delegate duties to and supervise nursing staff according to accepted standards of practice, level of training and experience. · Assure quality of care is maintained through out facility through observation of care delivery by all nursing dept. staff. · Provide coaching and re-education of staff as needed to improve/maintain quality of care. · Assist in the evaluation process of all nursing dept. staff through written and/or verbal communication of observations to the Nurse Manager. · Assist in the initiation, follow through and documentation of disciplinary actions for all nursing dept. staff. · Actively manage conflicts between individuals and shifts as well as between nursing and other departments in a respectful manner, following the appropriate channels and working towards solutions. · Identify and reward positive behavior and teamwork. · Assist in maintaining the daily schedule, calling in replacement help for absent employees and adjusting assignments as needed. Act in whatever capacity needed in order to fulfill facility need.

C. Safety · Follow all safety, security, infection control (including Standard Precautions) and hazardous materials policies and procedures. Perform all tasks to assure resident and personal safety and the protection of Three Pillars property. · Be familiar with the operation/function of all equipment in department. Demonstrate and reinforce proper use in accordance with established policies and procedures. Monitor proper use of equipment to assure resident safety. · Assure that all resident transfer directives are followed as found on the individualized POC. Provide follow up for all concerns identified · Respond to facility alarms and call lights promptly. · Coordinate and assure completion of safety of residents at the beginning and end of each shift. Provide follow up on all safety concerns communicated. · Monitor environment to assure it is safe, clean, orderly, and comfortable for the residents at all times. Report environmental safety hazards immediately. · Respond in emergency situations to assure resident/staff/guest safety and security. This can include acting as “Person in Charge” as described in Three Pillars emergency policy and procedures. · Promptly assess, investigate, document and follow through on all resident incidents and injuries and notify appropriate parties. Provide immediate intervention(s) and/or staff education to prevent similar occurrences.

D. Other Responsibilities · Complete all training as required by position including monthly meetings, inservice programming, etc. Demonstrate carry over knowledge to the daily work environment · Assist with the orientation of new staff members, maintaining a positive attitude and projecting a positive image of the department and the organization. · Achieve and maintain level of excellence through commitment to personal growth and ongoing professional development. · Achieve satisfactory performance in all performance evaluation areas. · Continually seek opportunities for Quality Improvement. Participate in Quality Assurance activities including audits. · Maintain an acceptable attendance record as outlined in the employee handbook. · Maintains knowledge of and works within the standards/scope of practice and standards of conduct for an RN as described in the Wisconsin Nurse Practice Act (N6) and the Rules of Conduct (N7). · Act in a professional manner that is consistent with the rules of society, good customer service practices, and in accordance with the Three Pillars Standards of Conduct. · Other duties as assigned by the supervisor.

Requirements

Minimum education, certification and/or licensure:

o Registered Nurse in Wisconsin. o Must have valid CPR certification.

Physical requirements:

o Walk or stand constantly, and able to squat, kneel, twist, sit and bend frequently. o Able to frequently push/pull objects weighing 30 pounds and frequently lift objects up to 10 pounds and occasionally lift and move objects weighing up to 75 pounds. o Able to consistently attend work as scheduled and in accordance with the no-fault absence guidelines. o Visual acuity up to 100 feet. o Hearing ability within the high decibel range and the normal range of a voice. o Legible penmanship

Mental requirements:

o Knowledge of OBRA, state and federal regulations as applied to long term care helpful. o Able to read, write, and verbally communicate in English to the proficiency level necessary to ensure quality of resident care and life. o Handle hostile or emotionally upset residents, staff, etc. o Able to focus on fine detail with constant interruption. o Able to maintain a positive attitude in a busy and sometimes stressful environment.

Experience:

o Experience in long term care helpful

Computer knowledge:

o Basic computer knowledge helpful. o Ability to learn and use computer applications as they apply to job duties