DEPARTMENT: NURSING SERVICES

1ST LINE SUPERVISOR: DIRECTOR OF NURSING OR DESIGNEE

WORK AREA: ENTIRE FACILITY OR AREA AS ASSIGNED

PURPOSE: The purpose of this position is to follow facility policies and procedures to implement treatment protocol; review and recommend resident treatment needs and take appropriate action and to participate in supervision of care provided to residents.

WORKING HOURS: 80 hours per pay period plus or minus needs and assigned by the Director of Nursing or designee.

THIS PERSON REPORTS TO: Director of Nursing or designee

ESSENTIAL FUNCTIONS:

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

NON-ESSENTIAL FUNCTIONS:

Other duties as assigned.

WORKING CONDITIONS: Works in well-lit, well-ventilated nursing units and rooms. May stand, stoop, bend and walk intermittently during the workday. May have to deal with emotional disturbances of residents, residents family and staff. May be subject to falls, burns from equipment, scratches, and kicks from confused residents. May be exposed to infectious diseases, and odors, personality peculiarities of the aged. Required to follow the No Lift Policy and must be on constant alert to reduce risk of resident injuries.

HIPAA MINIMUM NECESSARY: Responsible to adhere to HIPAA MINIMUM NECESSARY guidelines and safeguard protected health information.

DUTIES AND RESPONSIBILITIES:

1. Clock in and out promptly as assigned.

2. Communicate daily with CNAs, charge nurses, and supervisors related to resident skin condition, change in treatment orders, preventive skin care needs, etc. as indicated.

3. Follow physicians orders to carry out all treatments as ordered for entire facility (ointments, dressing changes, etc.).

4. Documents each treatment as it is completed.

5. Assures that treatment orders are written and entered in EMR per physicians orders.

6. Initiates/assures initiation of appropriate skin sheet for all skin areas in a timely manner (as soon as noted and initial treatment is begun):

• Pressure ulcers (for all pressure ulcers) pink sheet
• Skin Monitor Sheet (for all skin areas other than a pressure ulcer) white sheet
• Note: each area to be entered on a separate skin sheet as appropriate.

7. Obtains and processes physicians orders as needed.

8. Enters new skin areas (of any type) on the acute board FYI status.

9. Follows White Oak Management, Inc. wound care protocol.

10. Documents progress/lack of progress of all skin areas at least every 7 days on skin sheet.

11. Re-evaluate effectiveness of treatments every 14-30 days. If no change in status of affected area, review with DON prior to contacting physician for change in treatment orders.

12. Responsible for performing daily body checks of residents with actual pressure areas and weekly checks for residents with no actual pressure areas, as indicated per skin risk score.

13. Complete/ prepare weekly Pressure Ulcer Report and turn in to DON and scan to primary nurse consultant each week.

14. Maintain the treatment carts, supplies, and all solutions, ointments, etc. Assure that all containers are properly labeled, dated when opened, and removed after treatment is discontinued.

15. Assists unit nurse with body audit of residents on admission or readmission to the facility when on duty (completion of form N074).

16. Reviews form N074 on next scheduled working day, if not on duty when resident admitted.

17. Completes Skin Risk Data Collection Tool (UDA) on admission and weekly times four (4) after admission, readmission and each ninety (90) days, with the care plan schedule, thereafter.

18. Collaborates with RAC nurse for coding of MDS skin section.

19. Participates as a team member to develop resident care plans as assigned, and assists in implementing the plan on the units.

20. Assists in providing direct resident care (i.e., personal care, bath, elimination needs, OOB regime, etc.), if needed.

21. May be required to perform tube feedings, ROM exercises, and administer medications if needed.

22. Report any changes in residents condition to physician and Director of Nursing as necessary.

23. Assists with passing of meal trays and resident eating as assigned.

24. Attends in-service programs when scheduled.

25. Attends staff meetings as assigned.

26. Attends and participates in daily stand-up / QI meetings.

27. Establishes a good rapport with residents, families and co-workers.

28. Encourages both licensed and non-licensed staff in constantly improving quality of nursing care.

29. Assists in admissions and discharges of residents, if needed.

30. Enters nurses notes in EMR as necessary.

31. Is required to participate in licensed employee on-call rotation.

32. Demonstrate competency using current clinical software system.

33. Adheres to No Lift Policy.

QUALIFICATIONS: Graduate of a state approved school of Nursing. Current and active RN license in the state of residence. Must be in good physical and mental health and must be kind, considerate, understanding and enjoy working with elderly people. Must possess skills necessary for acting as charge nurse or Supervisor on a given unit, when assigned. Must be able to work well with all levels of personnel.

REQUIRED PHYSICAL ACTIVITIES:

STOOPING: Required 20% to 29% of the time

REACHING: Required 50% to 59% of the time

KNEELING: Required 1% to 9% of the time

STANDING: Required 80% to 89% of the time

WALKING: Required 80% to 89% of the time

WALKING SURFACES: The following walking surface(s) were noted: slippery floors and wheelchair ramp

PUSHING: Required 10% to 19% of the time

LIFTING: Required 20% to 29% of the time

FEELING: Required 1% to 9% of the time

COMMUNICATING: Required 90% to 99% of the time

HEARING: Required 90% to 99% of the time

MID-RANGE VISION: Required 50% to 59% of the time

COLOR VISION: Required 1% to 9% of the time

REQUIRED WORK ENVIRONMENTS:

Job involves mostly standing. The worker is subject to hazards 1% to 9% of the time. Hazards include closeness of moving mechanical parts, electrical currents, heights, extreme temperatures, and hazardous and/or infectious materials.

Special equipment is worn by the worker 20% to 29% of the time as protection from elements on the job (i.e., disposable gloves, mask with or without eye shield).

MACHINES, TOOLS, AND EQUIPMENT USED:

LIFTS

BLOOD PRESSURE, THERMOMETER INSTRUMENTS

MEDICATION/ TREATMENT CARTS

TELEPHONE

TUBE FEEDING EQUIPMENT

SYRINGES

WEIGHT SCALES

SUCTION MACHINES

OXYGEN TANKS/ CONCENTRATORS

FAX MACHINE

MEDICAL SUPPLIES (i.e., Foley catheters)

COMPUTER / ELECTRONIC MEDICAL RECORDS

COPIER