RN Job at SIERRABASIN in in Carson City

Overview

RN (Healthcare)

Position description includes essential functions but not limited to listed duties. Responsibilities span administrative leadership, nursing care, committee participation, staff development, safety, equipment, care planning, budgeting, and supervisory responsibilities in a long-term care facility.

Responsibilities

• Administrative Functions — Assist the Director of Nursing Services in directing day-to-day nursing activities in accordance with current rules, regulations, and guidelines; develop, maintain, and update written policies and procedures for the nursing service department; ensure reference materials (PDRs, regulations, standards) are current; recommend materials to meet residents’ needs; maintain a current Nursing Service Procedures Manual; ensure compliance with procedures; provide written and oral reports to the Director; periodically review policies, procedure manuals, job descriptions, and make revisions as needed; coordinate nursing services with other resident services to ensure continuity of care; ensure personnel are in compliance with job descriptions; participate in the facility\'s quality assurance program; participate in facility surveys as requested; review and update discharge plans; plan nursing services for discharge; meet with staff to plan services and activities; admit, transfer, and discharge residents; complete accident/incident reports; interpret policies to personnel, residents, visitors, and government agencies; perform administrative duties (forms, reports, evaluations, studies, charting); protect resident information and report violations; report unauthorized access attempts.
• Committee Functions — Attend committee meetings (e.g., Infection Control, Policy Advisory, Pharmaceutical, Quality Assurance) as required; prepare reports of nursing programs and activities; provide information to the Quality Assurance and Assessment Committee; participate in Care Plan Committee agenda development and discharge plan reviews; implement committee recommendations as instructed.
• Personnel Functions — Ensure adequate staffing of licensed nurses and certified nursing assistants; develop and assign work; delegate administrative authority to Charge Nurse; ensure all aides are properly trained; perform daily rounds to verify standards; monitor absenteeism; report problem areas; enforce policies and dress codes; review personnel complaints and grievances; foster interdepartmental collaboration to meet resident needs; maintain a warm, calm environment; meet with shifts to identify problem areas and improve services; evaluate staff and participate in performance evaluations; determine staffing and potential dismissals/transfers; administer disciplinary actions fairly; report occupational exposures, fraud, and security concerns; ensure workstation security and password protection according to policy.
• Nursing Care Functions — Inform nursing staff of admissions, room assignments, and readiness of rooms; greet and escort new admissions; rounds with physicians as needed; encourage timely physician notes and orders; plan resident care with residents, families, and physicians; notify changes in condition to physician and next of kin; perform daily resident rounds and ensure licensed staff provide direct care; review and ensure accuracy of nurses\' notes; start IVs and collect specimens as ordered; perform vital signs and routine measurements; admit/transfer/discharge residents as needed; monitor residents and corrective actions; authorize restraints per policy; ensure medication administration and storage procedures; inspect treatment areas; ensure call checks for residents; coordinate transportation for discharge; inform families of deaths; contact funeral homes as requested; report problems to the Director; assist with discharge planning and improvement of services.
• Staff Development — Develop and schedule in-service training; assist in annual facility training programs (OSHA, TB, HIPAA, Abuse Prevention, Safety, Infection Control); plan clinical supervision for nurse aide trainees; participate in continuing education to maintain licensure.
• Safety and Sanitation — Develop safety standards; ensure exposure control training; provide PPE; enforce hand hygiene; conduct fire/disaster drills; maintain infection control program for communicable diseases and isolation precautions; develop procedures for reporting hazards; ensure safe operation and training for equipment; ensure MSDS documentation; promote safe lifting and equipment use; report missing/illegible labels.
• Equipment and Supply Functions — Advise on equipment and supply needs; maintain adequate stock of medications and supplies; assist in preventive maintenance; develop safe operation procedures for equipment; ensure trained personnel operate equipment; monitor supply usage to prevent waste; ensure hazardous chemical documentation is on file.
• Care Plan and Assessment Functions — Participate in preliminary/comprehensive resident assessments; develop and review care plans with resident involvement; ensure staff are aware of care plans; refer to care plans before care delivery; review progress notes against care plans; assist in planning and revising the MDS and RAPs; ensure treatments align with care plans and resident wishes.
• Budget and Planning Functions — Monitor economic conditions and advise on nursing service adjustments; recommend equipment needs; report suspected fraud.
• Supervisory Requirements — Contribute to supervision/management of nursing staff; carry administrative authority for assigned duties as an RN.

Qualifications

• Education and Experience — Nursing degree from an accredited college/university; training in rehabilitative/restorative nursing; 2+ years experience, preferably in a long-term care facility.
• Language Skills — Able to read, write, speak, and understand English; ability to read technical procedures and manuals; able to present information to managers and employees.
• Mathematical/Reasoning — Ability to apply fractions, percentages, ratios; independent decision-making; problem-solving; tactful communication; leadership and supervisory ability; ability to plan, organize, implement, and interpret programs for quality care; knowledge of age-appropriate resident care; teamwork; knowledge of nursing practices, regulations, and guidelines; patience, tact, and enthusiasm; willingness to adopt new practices; ability to convey resident condition information; must not pose a direct health/safety threat; ability to relate to residents and staff; be able to work with ill or upset individuals.
• Licenses/Certifications — Current, active RN license; current CPR certification; PCC knowledge preferred; maintain continuing education/licensing; good standing with State Board of Nursing.
• Physical Demands — Ability to move intermittently, speak and write English clearly, handle mental and emotional stress, see/hear or use aids as needed, work independently with integrity and flexibility; meet health requirements; relate to residents and staff; lift at least 25 pounds to 5 feet and move 50 feet; may assist in evacuations.
• Work Environment — Office and nursing areas; frequent interruptions; exposure to residents, staff, and outside parties; possible hostile/upset individuals; may require extended hours, weekends, and holidays; may involve emergency back calls; exposure to hazards and contaminants; participate in continuing education; potential exposure to infectious waste and chemicals.

Additional Information

Note: Nothing in this job specification restricts management\'s right to assign or reassign duties and responsibilities to this job at any time. Critical features may change due to reasonable accommodation or other reasons. These statements describe the general nature of the work but are not a complete list of duties and skills.