RN 6p-6a Transitional Care Center

Company Description

Located in Muscatine, Iowa, we provide you with residences, services, and conveniences for a full life today, and the continuum of health care and rehabilitation to support you into the future.

Lutheran Living Senior Campus is the only Continuing Care Retirement Community (CCRC) in the area. We offer the full range of senior living and services including age 55-plus town homes, independent living apartments, assisted living apartments, Alzheimer’s disease and memory loss care, and Medicare-certified short-term Transitional Care Center and Health Care Center for long-term skilled nursing.

Seniors enjoy carefree and maintenance-free living along with a variety of social, educational, and entertaining activities and events. Conveniences and services include housekeeping, transportation services, delicious meals and dining programs, welcoming community spaces, and emergency call systems for added peace of mind. As health needs change, additional health care services are available on our campus.

Our new Transitional Care Center offers the latest in new construction, medical management technology, and clinical expertise. Providing comprehensive rehabilitation for recovery after surgery, illness, injury, and hospitalization, we assist patients in achieving their best health and returning home.

Lutheran Living Senior Campus spiritual care includes a full-time chaplain and staff serving all faiths and supporting residents and families. Faith Chapel is open for weekly worship, prayer, and meditation.

Serving in a Christian tradition, Lutheran Living is a faith-based nonprofit organization affiliated with church-affiliated governing board and a Social Ministry Organization of the Evangelical Lutheran Church in America (ELCA), one of only four in Iowa. Our staff and services encircle our residents with physical, emotional, social, and spiritual care.

With a Christian foundation, Lutheran Living Senior Campus has been making a difference in the lives of Muscatine area residents since 1895.

Job Description

The Registered Nurse assists in the supervision and administration of the quality of nursing care for the facility. The Registered Nurse must possess a comprehensive knowledge of general nursing, theory and practice, including basic knowledge related to nursing such as medications, biological, physical, social, and medical sciences, and their application for a better understanding of resident -care problems. The Registered Nurse assists in maintaining a physical, social, and psychological environment which will be conducive to the best interest and welfare of the residents.

Administration

• Evaluate resident needs, conditions, and care, and assist in developing nursing care plans for individual residents, including rehabilitative and restorative activities and instruction in self-help.
• Communicate with family members regarding the condition and progress of the resident, including in-person discussion and answering of telephone inquiries.
• Assist the physicians in rounds when needed, reviewing physicians’ orders, ordering medications, maintaining residents’ charts, and transcribing physicians’ orders.
• Assist Nurse Managers with orientation and training programs for new employees in the department, as required.
• Assist the Director of Nursing or designee with implementation of guidelines and procedures for the department/facility.
• Make daily rounds to evaluate emotional and physical needs of residents during the tour of duty.
• Notify the physician and family of incidents or changes in the condition of a resident.
• Participate in all in-service meetings and CEU’s as required.
• Carry out and follow all facility personnel guidelines.
• Supervise Nursing Assistants/Nourishment Aides and Aide Helpers.
• Arrange the schedules, appointments and transportation arrangements necessary for residents in connection with diagnostic, therapeutic, dental, or medical services.
• Perform other duties as assigned by the Director of Nursing or Nurse Manager.

Safety

• Follow established infection control procedures at all times.
• Follow established procedures in the use and disposal of personal protective equipment.
• Report hazardous conditions or equipment to the Charge Nurse.
• Report missing/illegible labels and MSDSs to the Charge Nurse.

Charting and documentation

• Receive telephone orders from physicians and record on the Physician’s Order Form.
• Chart nurses’ notes in an informative and descriptive manner that reflects the care provided to the resident, as well as the resident’s response to the care.
• Fill out and complete accident/incident reports. Submit to the Safety Manager.  Chart all reports of accidents/ incidents involving residents.
• Record new/changed diet orders. Forward information to the Dietary Department.
• Report all discrepancies noted concerning physician’s orders, diet change, charting error, etc. to the Charge Nurse.
• Fill out and complete transfer forms in accordance with established procedures.
• Transcribe physician’s orders to resident charts, cardex, medication cards, treatment/care plans, as required.
• Ensure that appropriate documentation concerning unauthorized discharges is entered into he resident’s record in accordance with established procedures.
• Sign and date all entries made in the resident’s medical record.
• Perform routine charting duties as required an in accordance with established charging and documentation policies and procedures.
• Ensure that narcotic records are accurate for your shift.

Drug administration

• Give correct medication to the right resident, according to the amount, time, and route of administration as ordered by the physician.  Ensure that prescribed medication for one resident is not administered to another.  Verify the identity of the resident before administering the medication/treatment.
• Dispose of drugs and narcotics as required, and in accordance with established procedures.
• Notify the attending physician of automatic stop orders prior to the last dosage being administered.
• Review medication cards for completeness of information, accuracy in the transcription of the physician’s order, and adherence to stop order policies.
• Notify the Nurse Manager of all drug and narcotic discrepancies noted on your shift.
• Ensure that an adequate supply of floor, stock medications, emergency medications, supplies and equipment is on hand to meet the nursing needs of the residents. Report needs to the Unit Secretary.  Requisition prescribed medications, supplies, and equipment as necessary.

Nursing care

• Carry out restorative and rehabilitative programs, to include self-help and care.
• Administer professional services including, but not limited to: catheterization, suction, applying and changing dressings/bandages, packs, colostomy, and drainage bags, taking blood, giving massages and range of motion exercises, care for the dead/dying, etc., as required.
• Obtain sputum, urine and other specimens for lab tests as ordered.
• Take and record TPRs, blood pressures, etc., as necessary.
• Monitor seriously ill residents.
• Perform other duties as assigned by the Director of Nursing or designee.

Resident Rights

• Maintain the confidentiality of all resident care information.
• Treat all residents fairly, and with kindness, dignity, and respect. 
• Provide nursing care in privacy and knock before entering the resident’s room.
• Be familiar with resident rights and responsibilities.
• Assure complaints and grievances made by the residents are reported either in writing, or orally, using the facility procedure. 
• Report all allegations of resident abuse and/or misappropriation of resident property, using facility procedure.
• Notify the Charge Nurse of any change in a resident’s condition.

Qualifications

The Registered Nurse must be a graduate of an accredited school of nursing and must possess and be responsible for all actions necessary to maintain a current license with the Iowa State Board of Nursing. Advanced preparation in geriatrics preferred.

Additional Information

All your information will be kept confidential according to EEO guidelines.