RN FT

SUMMARY: A Registered Nurse is a member of the healthcare team who has successfully completed a State Board of Nursing approved education program and successfully obtained a license to practice professional nursing in the Commonwealth of Pennsylvania. The Registered Nurse practices professional nursing by providing nursing diagnosis and nursing treatment of human responses to actual or potential health problems through such services as case findings, health teaching, health counseling, provision of care supportive to or restorative of life and well-being, and executing medical regimens as prescribed by a licensed physician or dentist.

The Registered Nurse is responsible for supervising and directing the work efforts of licensed and unlicensed personnel on an assigned unit, the delivery of quality nursing care and treatments, the maintenance of medical records and the coordination of individualized services to residents. The Registered Nurse also provides direct nursing care to residents as authorized by their license status.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties maybe assigned.

• Supervises the delivery of nursing care given to residents by licensed and unlicensed nursing staff.
• Functions as a role model for the nursing staff on the unit.
• Provides staff education as needed to ensure quality nursing care.
• Prepares and coordinates staff assignments.
• Reviews resident care needs with assigned staff.
• Provides counseling to staff as needed.
• Delivers care to residents by:

• Collecting complete and ongoing data to determine nursing care needs.
• Analyzing health status of individuals and families and comparing the data with norms when possible in determining nursing care needs.
• Identifying goals and plans for nursing care.
• Carrying out nursing care actions which promote, maintain, and restore the well-being of individuals.
• Involving individuals and families in their health promotion, maintenance, and restoration.
• Evaluating the effectiveness of the quality of nursing care provided.
• Administering and evaluating the effect of medications.
• Administering and evaluating the effect of treatments.
• Delivering direct resident care following the Residents Individualized Care Plan. This includes, but is not limited to: assisting with meals, bathing, personal hygiene, oral hygiene, incontinence care, toileting, positioning, transferring, splint application, etc.
• Assessing residents as indicated by their status in accordance with facility procedures and standards of nursing practice.
• Documenting care delivered and assessments according to facility procedures.
• Making rounds on a regular basis to observe and monitor care being rendered.
• Assisting with physician rounds as needed.
• Ordering supplies, medications, and equipment as per facility policies and procedures.
• Communicates with the Registered Nurse in charge, the residents health care team members, and the Residents Representative to seek guidance when:

• The residents care exceeds the Registered Nurse scope of practice.
• The residents care needs surpass the RNs knowledge, skill, or ability.
• There is a significant change in condition (i.e. improves or deteriorates).
• The resident is not responding to therapy.
• The resident becomes unstable or needs immediate assistance.

• Accepts written and verbal orders for medications and therapeutic treatment from an authorized practitioner in accordance with facility policy.
• Questions any order that is perceived as unsafe or contraindicated for the resident or which is not clear and shall raise the issue with the ordering practitioner or the professional nurse in charge if the ordering practitioner is not available.
• Transcribes orders to the residents medical record per facility policy.
• Provides venipuncture: intravenous fluids when:

• The procedure has been ordered in writing for the resident by an authorized licensed practitioner.
• The Registered Nurse has had instruction and supervised practiced in administering parenteral fluids or medications into the vein.
• The intravenous fluid or medication to be administered is the fluid or medication specified in the written order.
• An accurate record is made concerning the following:

• The time of the injection
• The medication or fluid injected
• The amount of medication or fluid injected
• Reactions to the fluid

• Supervises Licensed Practical Nurses in the provision of venipuncture/intravenous fluid administration.
• Seeks instruction and supervision when implementing new or unfamiliar nursing practices or procedures.
• Assists in orientation of new staff.
• Attends meetings as assigned.
• Participate in Quality Assurance/Performance Improvement activities as assigned.
• Adhere to facility policies & procedures for nursing practice.
• Understand and adhere to 49 Pa. Code 21.18 Standards of nursing conduct.
• Understand and comply with 49 Pa. Code 21.11 - 21.16 Responsibilities of the Registered Nurse.
• Understand and comply with State and Federal regulations for care of residents in nursing facilities.

LEADERSHIP RESPONSIBILITIES:

Must be able to understand and exhibit the qualities outlined in the Mission and Vision of Elan Skilled Nursing & Rehab as outlined in the Employee Handbook. Must be committed to offering residents of Elan Skilled Nursing & Rehab a high level of service and uncompromising dedication to quality care. Must follow facility policy and regulatory guidance for Resident Rights. Must be committed to the organizations Corporate Compliance Standards of Conduct Policy.

SUPERVISORY RESPONSIBILITIES:

Directly supervises licensed and unlicensed nursing staff on his/her assigned nursing unit. Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.

QUALIFICATION REQUIREMENTS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

EDUCATION and/or EXPERIENCE:

Registered Nurse

Must maintain current Basic Cardiopulmonary Life Support (BCLS)

Must have completed a Commonwealth of Pennsylvania State Board of Nursing approved IV therapy program or have documentation of completion of supervised venipuncture and intravenous fluid administration.

LANGUAGE SKILLS:

Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence such documentation in medical records. Ability to speak effectively before groups of residents and families or employees of the organization.

MATHEMATICAL SKILLS:

Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.

REASONING ABILITY:

Ability to define problems, collect 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.

CERTIFICATES, LICENSES, REGISTRATIONS:

Must possess a valid Pennsylvania nursing license.

OTHER SKILLS and ABILITIES:

Strong organizational and interpersonal skills.

Conforms to established work hours and maintains an acceptable work attendance record.

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: talk; hear; stand; walk; sit; reach with hands and arms; use hands to finger, handle or feel objects, tools or controls. The employee must occasionally stoop, kneel, crouch, and crawl.

Specific vision abilities required by this job include close vision, color vision, and the ability to adjust focus.

The employee must frequently lift and/or move up to 50 pounds and occasionally lift and/or move up to 100 pounds.

CODE OF CONDUCT: Each employee shall adhere to each standard and procedure, seek clarification of any standard or procedure, if necessary, and report suspected violations to senior management, ethical advocate, and/or the Companys Compliance Officer.

VALUE STATEMENT: Based upon the Judaic tradition of respect for the elderly and historical commitment of service to the larger community, Elan Skilled Nursing & Rehab and affiliated organizations fulfills our Mission and realizes our Vision for and on behalf of our residents and clients and their families, our staff, our Board, and our Volunteers with attention to the following practices:

RESPECT- We recognize, honor and acknowledge the inherent value of each person for their wisdom, religious, ethnic and cultural background and history.

COMPASSION - We treat everyone with caring, sensitivity, understanding and supportive responsiveness.

ADVOCACY - We give voice to our residents/clients needs and facilitate positive actions on their behalf.

INTENTION - We are responsible individually and as a collective organization to approach our work and our respective tasks with mindful consideration regarding what we are doing and why we are doing it in order to achieve a desired positive outcome.

QUALITY - We are committed to providing excellence in our care and services and through measurement and refinement to realize high standards of care.

EDUCATION & TRAINING - We invest in the skill development of our staff, cooperate with local universities and schools to provide practical experience and education for future health care professionals and offer guidance to support our residents/clients and their caregivers.

SAFE ENVIRONMENT - We are committed to providing a safe environment for residents, staff, and volunteers.

INNOVATION - We seek to advance our knowledge and are committed to better understand, evaluate, and implement programming, services and operating practices to advance effective and efficient delivery of quality services to benefit our residents/clients and our community.

ACCOUNTABILITY - We are responsible both as individuals and as an organization to be strategic, ethical, team-oriented and quality based to promote the delivery of the highest level of care and fiscal soundness.

CITIZENSHIP - We recognize our connection and contribution to the greater community.

Valid PA RN License