Salary : $74,505.60 Annually
Location : Monroe, WI
Job Type : Full-Time
Job Number : 2021-00245
Department : Pleasant View Nursing Home
Opening Date : 07 / 30 / 2024
Description / Summary
The purpose of this position is to provide leadership and direction to nursing staff as they provide care and service, and to provide direction and coordination of the assessment and care planning process to ensure that each resident achieves or maintains the highest level of functioning.
Essential Duties and Responsibilities
Essential Duties and Responsibilities :
The following duties are normal for this position. These are not to be construed as exclusive or all-inclusive. Other duties may be required and assigned.
- Provide leadership to the nursing team in a professional and positive manner. Work closely with the nurses, nursing assistants, medication assistants and unit clerks to establish a positive working environment.
- Demonstrate conduct that is reflective of team collaboration and support. Communicate concerns and / or problems with the DON in a timely manner proposing possible solutions or remedies to the concerns and / or problems. Be supportive of the final solution.
- Manage the day-to-day functions of the nursing activities in accordance with current regulations, best practice nursing standards and Pleasant View guidelines.
- Assist in developing methods for coordinating nursing services with other resident services to ensure the continuity of the residents' care.
- Perform duties such as completion of the Minimum Data Set (MDS), coordination of the assessment and care planning process, and coordination of physician rounds.
- Provide requested reports for the facility's quality assurance program and submit them to the DON in a timely manner.
- Participate in surveys (inspections) made by authorized government agencies. Make written and oral reports \ recommendations to the DON as necessary \ required, concerning the operation of the Nursing Department.
- Coordinate the admission, transfer, and discharge process with the resident and family in conjunction with the Clinical Assessment Nurse and the Social Worker.
- Complete accident / incident and skin injury reports as necessary reviewing them for completeness. Complete the investigation of the root cause. Monitor the follow-up review of the care plan for effective and appropriate interventions.
- Attend various committee meetings of the facility as required.
- Participate in developing the agenda for Care Plan committee meetings as necessary.
- Participate in regularly scheduled Medicare meetings reporting on the goals and progress toward the IDT goals. Monitor the Medicare documentation for completeness in supporting the care and services that are being provided under skilled care nursing.
- Communicate with Medical Providers reviewing the plan of care with updates as to improvements, changes in condition and decline in condition.
- Report and investigate all allegations of resident abuse, neglect, misappropriation of property, resident to resident altercation or injuries of unknown origin. As assigned will submit the online report to BQA. As assigned will complete the final report for submission to BQA.
- Share weekend on-call rotation with other nursing management staff.
- Complete other duties as assigned by the DON.
Personnel Functions
Assist the DON in the development of nursing department goals and plans. Actively support the goals and steps to achieve the goals in a collaborative manner.Make daily rounds observing that nursing service personnel are performing their work assignments in accordance with acceptable nursing standards. Present findings in a timely manner to the employee providing necessary education and discipline as necessary. Report these findings and the action taken to the DON.Assist as needed with the coordination of the nursing schedule in the event that the scheduler is not available, such as replacement of a call-in.Review complaints and grievances made or filed by department personnel. Make appropriate reports to the DON as required or as may be necessary.Present disciplinary action in a private setting and administer the action in a professional manner. Establish a good understanding with the employee in regards to expectations.Develop and maintain a good working rapport with personnel within the nursing department and other departments within the facility.Create and maintain an atmosphere of warmth, personal interest and positive emphasis, as well as a calm environment throughout the unit and shift.Meet with the team on a regularly scheduled basis to promote effective communication, timely problem solving, and the improvement of services.Attend all mandatory meetings and in-services and complete the make-up session in a timely manner. Encourage night shift attendance as well.Monitor that privacy and confidentiality of resident information is upheld. Monitor that facility computers are used for resident related services only. Monitor that employee cell phones are kept in the employee locker room or employee vehicle.Nursing Care Functions
Inform nursing service personnel of new admissions and information about the new resident.Audit the appearance and staging of the room so that it is ready when the resident arrives.Greet the new resident upon admission.Review nurses' documentation monitoring that it is descriptive of the nursing care being provided and reflective of the resident's response to care.Make rounds with physicians as necessary. Encourage attending physicians to record and sign progress notes, physicians' orders, etc., on a timely basis.Make daily resident visits to observe and evaluate the resident's physical and emotional status.Monitor medication administration and treatment schedules observing that they are being administered as ordered and provided as scheduled.Review medication record for completeness of information, accuracy in the transcription of physician orders, and adherence to stop order guidelines.Update the DON and the Administrator of the status of residents as necessary.Review the plan of care with residents, and / or family members, as necessary. Openly discuss concerns or challenges with the intent to find an agreeable plan.Inspect the nursing service treatment areas daily to monitor that they are maintained in a clean and safe manner.Consult with the resident's physician in planning resident care, treatment, rehabilitation, etc., as necessary.Notify the resident's attending physician and HCPOA when there is a significant change in the resident's condition.Start IVs, obtain sputum, urine and other lab tests as ordered.Admit, transfer and discharge residents as necessary.Assist the Unit Nurse in monitoring seriously ill residents.Inform family members of the death of resident as necessary.Safety and Sanitation
Monitor your shift's personnel observing that they are following established safety regulations in the use of equipment and supplies.Monitor that nursing service work areas are maintained in a clean and sanitary manner.Monitor that all resident rooms, treatment areas, etc., are maintained in a clean, safe, and sanitary manner.Monitor that nursing service personnel participate in fire safety and disaster preparedness drills in a safe and professional manner.Monitor that nursing service personnel follow infection control guidelines.Monitor that nursing service personnel follow established hand washing guidelines.Care Plan and Assessment Functions
Participate in the development of written preliminary and comprehensive assessments of the nursing needs of each resident as necessary.Participate in the development of a written plan of care (preliminary and comprehensive) for each resident that identifies the problems / needs of the resident, indicates the care to be given, goals to be accomplished, and which professional service is responsible for each element of care.Insofar as practical, encourage the resident to participate in the development and review of his / her plan of care.Review resident care plans for appropriate resident goals, problems, approaches, and revisions based on nursing needs.Observe that personnel involved in providing care to the resident is aware of the care plan and that care plans are used in administering daily care to the resident.Completes regular audits of the process for managing resident change of condition, observing that the process is complete and completing aspects of the process that have not been completed. Prepares the respective written report on the audit tool.Resident Rights
Maintain the confidentiality of all resident personal health information.Monitor that residents are treated fairly, and with kindness, dignity, and respect.Monitor that nursing care is provided in privacy and that nursing service personnel knock before entering the resident's room.Monitor that nursing service personnel are knowledgeable of the residents' rights.Qualifications
Minimum Training and Experience Required to Perform Essential Job Functions
Minimum of two (2) years' experience as a registered nurse with a current unrestricted Wisconsin licenseAt least one (1) year experience in long term care and / or acute hospital careMinimum of one (1) year nursing management experience.Other
Pleasant View Nursing Home is a 24 hour facility which requires continuous care for residents, therefore employees must meet attendance standards by arriving to work on time, work all scheduled shifts and extra shifts that are agreed to work and have an overall excellent attendance record.
Physical and Mental Abilities Required to Perform Essential Job Functions
Language Ability and Interpersonal Communication
Ability to decide the time, place, and sequence of operations with a system or organizational framework, as well as the ability to oversee their execution. Ability to develop, analyze, and categorize data and information using changing and established criteria, in order to define consequences and to consider and select alternatives. Ability to compare, differentiate, measure and / or sort data and information. Ability to classify, compute, tabulate, and categorize data.Ability to manage and direct a group of workers. Ability to counsel and mediate. Ability to persuade, convinces, and train others. Ability to advise and interpret on how to apply guidelines and standards to specific situations.Ability to use advisory and design data and information such as technical manuals, resident records, admission and discharge documents, physician's orders and reports, budget reports and summaries, nursing staff certification and licenses, payroll records, lab reports, drug reference manuals, incident / accident reports, medical charts, Bureau of Quality Assurance memos and audit reports, rules and regulations regarding long term care, billing statements, resident care plans, restraint consent forms, nursing guidelines, infection control manuals, personnel guidelines non-routine correspondence, professional nursing journals and periodicals, laws and educational curricula.Ability to communicate effectively with nursing personnel, PV department supervisors, therapists, physicians, County Supervisors, nursing educators, hospital and clinic personnel, residents, residents' families, lab technicians, pharmacists, clergy, insurance company representatives, vendor representatives, Administrator, State and Federal health care regulators.Mathematical Ability
Ability to calculate percentages, fractions, and decimals; ability to calculate volume, ratios, and ability to interpret basic descriptive statistical reports.Judgment and Situational Reasoning Ability
Ability to use functional reasoning development in performing functions within influence systems such as associated with supervising, managing, leading, teaching, directing and controlling.Ability to apply situational reasoning ability by exercising judgment, decisiveness, and creativity in situations involving the direction, control, and planning of an entire program or set of programs.Physical Requirements
Ability to sit approximately 2-3 hours, stand approximately 5-6 hours and walk approximately 4-5 hours or longer when needed.Ability to operate medical equipment, stoop, squat, bend, kneel, reach, twist, climb and balance approximately 1-33% and have hearing acuity, vision acuity far, vision acuity near, color vision and depth perception approximately 67-100% of the time working.Ability to use both right and left hands for repetitive actions such as grasping, grasping and turning, fine manipulation, speed work.Ability to operate equipment and machinery requiring simple, periodic adjustments. Ability to move and guide material using simple tools. Ability to operate mechanical lifts, stethoscope, sphygmomanometer, and thermometers.Ability to coordinate eyes, hands, feet and limbs in performing semi-skilled movements in nursing practice.Ability to exert mildly heavy physical effort in moderate to heavy work in an eight hour work day, including lifting / carrying (0-34 lbs. approximately 34-66%; 35-100 lbs. approximately 1-33%).Ability to push / pull residents and other necessary items related to performing the CNA role (1-24lbs. approximately 34-66%; 25-100 lbs. approximately 1-33%).Ability to recognize and identify degrees of similarities or differences between characteristics of colors, forms, sounds, tastes, odors, textures associated with objects, materials, and ingredients.Possess an excellent attendance record.Environmental Adaptability :
Ability to work in an environment with potential exposure to blood-borne pathogens, odors, toxic agents, violence, noise, and disease.Green County is an Equal Opportunity Employer. In compliance with the Americans with Disabilities Act, the County will provide reasonable accommodations to qualified individuals with disabilities and encourages both prospective and current employees to discuss potential accommodations with the employer.
Pleasant View Nursing Home offers a competitive benefits package to regular full-time employees including : Health, Dental, and Vision Insurance; Life Insurance, Long-term Disability Insurance, Short-Term Disability Insurance, Retirement through Wisconsin Retirement System, BESTflex, PTO, and vacation.
Salary : $74,506
