RN - NIGHT SHIFT SUPERVISOR

SUMMARY

The primary purpose of Shift Supervisor is to monitor and assure quality of the prescribed medical treatment and personal care services of the residents.  Assign and monitor the nursing personnel to ensure the care is administered in a timely manner and in accordance with all Federal and State Regulations.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following.  Other duties may be assigned.

1. Plans and directs the daily functioning of the facility as related to both the clinical needs of the resident and the work routines of the staff.
2. Delegates effectively to staff and provides appropriate direction, support and follow up.
3. Assigns staff duties and responsibilities appropriately.
4. Maintains an effective friendly working relationship with health professionals, physicians, consultants and all others involved with the care of the residents.
5. Serves as a resource for nursing decisions and demonstrates problem solving ability and facilitates staff's ability to make critical decisions by notifying on-call RN.
6. Follow up on all incident reports (with typed investigations as needed) and ensure that all appropriate interventions are completed.  Log all of the incident reports on the appropriate tracking form.  Give all completed incident reports to the ADON.  Assistance with end of the month billing and pharmacy billing as assigned.
7. Complete associate evaluations as delegated by DON/ADON.
8. Follow up with resident complaints and abuse allegations appropriately.
9. Supervision of licensed and non-licensed staff on assigned unit with appropriate discipline as needed in agreement of the DON and ADON.
10. Assure all symbols are appropriate for each resident including but not limited to assistance symbols, falling stars, thickened liquids, wandering, etc.
11. Complete assigned audits in a timely manner.
12. Assure that all pharmacy reviews are followed up appropriately as assigned. 
13. All duties expected of a staff nurse, due to the possibility of being utilized on the units as a staff nurse but only after other avenues have been exhausted, such as per diem staffing and agency staffing.
14. Attends the Interdisciplinary Care plan meeting as needed.
15. Reviews the 24 hour report daily and ensures that all clinical issues are followed up in a timely and appropriate manner: falls and accidents, infections, pressure sores and other significant changes in conditions.
16. Reports and investigates all allegations of resident abuse and / or misappropriation of resident property.  Notifies the DON/ADON immediately in the event of suspected resident abuse.
17. Reviews Change –in –Condition assessments daily to ensure proper documentation of resident change of condition, notification of PCP, and notification of POA/families.  Report any deficiencies to appropriate Unit manager for correction and for QA/QI purposes.
18. Completion of new admission paperwork and assessments as time and availability allow.
19. Attendance to Managers Meeting.
20. Data Entry, Maintenance and Education of AAOD System as directed by MDS Coordinator and Information Systems Director.
21. Assuring all work is completed on the 11-7 shift.
22. Complete admission audits for new admissions and readmissions within 72 hours of admission.  Assure all discrepancies are followed up appropriately as assigned.  
23. Monitor time management of all staff working 11-7. 
24. Assists with admissions as needed to assure being completed appropriately and thoroughly. 
25. Be a liaison for families and residents.
26. Any other duties as assigned. 
27. Participates in the on-call rotation.

SUPERVISORY RESPONSIBILITIES

1. Establishes and maintains adequate and appropriate staffing levels for the unit.
2. Supervises assignments of staff nurses, medicine aides, nursing assistants and ward clerks.
3. Assists with reviews and evaluation of staff performance as directed by Staff Development Coordinator.
4. Ensures the established policies and procedures including dress codes are followed by all nursing personnel.
5. Assesses and evaluates staff on an ongoing basis and administers disciplinary action when indicated.  Does so in a fair and consistent manner through progressive counseling, keeping the DON/ADON informed and seeking assistance as necessary.

CLINICAL

1. Works collaboratively with the QA Coordinator in assessing the resident and obtains accurate data for the QA.  Assist QA Coordinator in completing audits, logs and various QA programs as delegated.  Plans, implements and evaluates a comprehensive plan of care for each resident on admission and on an on going basis.
2. Attends the Interdisciplinary Care plan meeting as needed.
3. Ensures that all personnel involved with providing care to the resident are aware of the resident's care plan and that nursing personnel refer to the care plan prior to administering daily care to the resident.
4. Reviews the 24 hour report daily and ensures that all clinical issues are followed up in a timely and appropriate manner: falls and accidents, infections, pressure sores and other significant changes in condition.
5. Ensures that all nursing care is delivered in accordance to standard nursing practice and facility policy.

RESIDENT'S RIGHTS

1. Maintains confidentiality of all resident care information.
2. Ensures that all residents are treated fairly and with kindness, dignity, and respect.
3. Ensures that all members of the assessment team and the interdisciplinary care planning/medical/nursing team are knowledgeable of the resident's and rights including the right to refuse treatment.
4. Ensures that nursing-staff honor the resident's refusal of treatment request.  Ensures that such requests are in accordance with the facility's policies governing advance directives.
5. Reports and investigates all allegations of resident abuse and/or misappropriation of resident property.  Notifies the QACC immediately in the event of suspected resident abuse.
6. Reviews any complaints or grievances made by residents with appropriate follow-up and forwards to QACC.

SAFETY

1. Has a working knowledge of the operation of equipment on the unit and ensures that staff issuing equipment correctly.
2. Reports equipment malfunctions to appropriate staff and completes work orders when indicated.
3. Identifies and removes safety hazards/devices and reports to appropriate personnel.
4. Assures a safe, clean, and clutter free environment.
5. Utilizes standard precautions by wearing protective equipment (goggles, masks, gowns, gloves) when indicated, and uses correct hand washing technique.
6. Ensures staff adherence to infection control policies and procedures.
7. Participates in Fire and Safety drills and ensures staff knowledge and adherence to facility fire and safety policies.

PERSONAL AND PROFESSIONAL GROWTH AND DEVELOPMENT

1. Attends and participates in facility meetings and committees as assigned.
2. Serves as a positive role model to others
3. Attends all mandatory and other scheduled in-services.
4. Seeks opportunities for continuing education and keeps abreast of change in the field of long term care.
5. Adheres to rules as outlined in the employee handbook.

EDUCATION and/or EXPERIENCE

High school diploma or general education degree (GED) and graduation from an approved nursing program.  Previous management and/or QA experience preferred. Must be knowledgeable of nursing and medical practices and procedures as well as laws, regulations, guidelines that pertain to long term care. Attends and participates in continuing education programs.

COMPUTER SKILLS

Enter, adjust and retrieve data using a microcomputer or personal computer and keyboard.

LANGUAGE SKILLS

Must be able to read, write, speak and understand the English language. Must possess the ability to deal tactfully with personnel, resident’s family members, visitors, government agencies/personnel, and the general public.

REASONING ABILITY

Ability to define problems collects data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables. Must possess the ability to make independent decisions when circumstances warrant such action.

CERTIFICATES, LICENSES, REGISTRATIONS

Must possess or be eligible for a current, unencumbered, active license to practice as a registered nurse or licensed practical nurse in Maryland.

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to use hands to finger, handle, or feel.  The employee frequently is required to stand, walk, and reach with hands and arms.  The employee is occasionally required to sit and stoop, kneel, or crouch.  The employee must occasionally lift and/or move up to 50 pounds independently or move up to 100 pounds to a minimum height of 4 feet and be able to push, pull, move and/or carry such a weight a minimum distance of 100 feet with assistance from another or mechanical lift.  

WORK ENVIRONMENT

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.

1. Works in office areas as well as throughout the nursing unit.

2. Is subject to frequent interruptions.

3. Is subject to hostile and emotionally upset residents, family members, personnel and visitors.

4. Works beyond normal working hours and on weekends and holidays when necessary.

5. Is subject to call-back during emergency conditions (e.g. severe weather, evacuation, post disaster, etc.)

6. Is subject to the handling of and exposure to hazardous chemicals.

7. Is subject to exposure to infectious waste diseases, conditions, etc. including TB, and the HIV and Hepatitis B viruses.

AT WILL EMPLOYEE STATUS  My employment with Fahrney-Keedy Home is "at-will".  I understand that either I or Fahrney-Keedy Home may terminate the employment relationship, for any reason or for no reason, at any time with or without notice, regardless of the length of my employment or the granting of benefits of any kind, including but not limited to benefits which provide for vesting based on length of service.

CONFIDENTIALITY  The employee recognizes that the Employer has and will have information regarding financial, personal and medical affairs and other vital information (collectively, "Information") which are valuable, special and unique assets of the Employer. The Employee agrees that the Employee will not at any time or in any manner solicit, collect or divulge any Information to any third party without the prior written consent of the Employer. This Information is Company property which may not be disclosed outside of the facility unless properly released for publication. The Employee will protect the Information and treat it as strictly confidential. Employees should not discuss Fahrney-Keedy Home affairs with others unless the information has been subject to full public disclosure or unless the subject matter is within the employee's assignment and then only within the particular transaction. A violation by the Employee of this paragraph shall be a material violation and will justify legal and/or termination of employment.