Job Detail

R01/18

POSITION DESCRIPTION

Responsible for interviewing, hiring, supervising and conducting performance evaluation for Certified Nursing Assistants. The Neighborhood/Household Nurse performs nursing functions with the neighborhood/household that includes passing medications, observing residents’ condition and communicating them to the Nurse Supervisor (RN), Director of Nursing or the physician as needed. The Nurse works closely with the Nurse Leader to ensure regulatory compliance, nurture a person-centered resident-directed culture, strengthens the ability of the neighborhood/household to grow as an effective home and promote individual and team learning. The Nurse is a teacher and role-model of professional nursing practices to the neighborhood/household staff and resident advocate for quality clinical care. The Nurse provides each resident with routine daily nursing care and other desired services in accordance with their assessment, choices and plan of care.

CORE VALUES

Every job at Pilgrim Place is critical to the overall success of the organization. All employees are expected to demonstrate behaviors in line with the following five core values that all relationships involving staff at Pilgrim Place are based:

Future Oriented – We think about and work toward making Pilgrim Place a community where seniors want to live and employees committed to excellence want to work.

Innovative – We look for new and creative ways to change and improve how we perform our job day-to-day and work productively with others.

Respect – We appreciate each other’s talents and contributions, and treat one another with courtesy, dignity and trust.

Service Driven – We listen to and anticipate the needs of residents, staff, volunteers, and visitors, and “go the extra mile” to provide the highest levels of satisfaction to all we serve.

Teamwork – We communicate and work together to identify and solve problems, carry out day- to-day responsibilities, and accomplish common goals.

COMPETENCIES

• Demonstrate to all staff, residents, and families that the organization is committed to the creation of the pleasures and good daily life expected of home.
• Model and ensure that others are providing medical treatment in a manner that honors resident preferences and individuality. Demonstrate strong commitment to the highest clinical outcomes.
• Sees supervision of other staff a role of service, rather than one of authority. Willing to do any task needed, including those that may seem menial.
• Recognizes early signs of changing conditions and uses all available and appropriate resources to resolve needs. Very strong observational skills with regards to physical and medical conditions, coupled with ability to discern effective response and treatment.
• Ability to model person-centered practices, as well as evaluate and provide direction and coaching to other staff as needed.
• Ability to provide clear directions and explanations and elicit trust and cooperation from staff. Ability to communicate residents’ medical needs clearly with staff and families, and to facilitate other staff participation in medical care through eliciting others’ observations, and suggestions. Able to communicate clearly and effectively with physicians.
• Ability to demonstrate and nurture care practices for persons with dementia that meet needs while protecting personhood and sense of well-being

ESSENTIAL DUTIES AND RESPONSIBILITIE

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Ensures the clinical operations in the neighborhood/household are in compliance with federal, state, and local regulations and professional standards of nursing care while honoring person-centered and resident-directed care; observes resident status as necessary to assure quality care and coordinates with other resident services to assure continuity of care.
• Provides leadership to the neighborhood/household staff to maintain policies and procedures for clinical practices and neighborhood/household management that supports the values of PersonFirst and resident directed care. Assist with staff orientation and education as needed.
• Assures that documentation, medication, administration, resident nursing care, safety and sanitation, personnel and staff development and resident rights are in compliance with facility standards.
• Provide CNA assignments and evaluate the quality of care given by CNA’s.
• Check audit sheets daily and ensure CNA’s complete required charting.
• Responsible for conducting performance evaluations of Certified Nursing Assistants.
• Provide medications and treatments per RX by physician. Notify attending physician of any change in patient condition, incident, or weight change of five (5) pounds in one month. Make rounds with physicians, assisting when needed.
• Supervise the assigned dining room during meal periods.
• Revise and update patient nursing care plan and weekly summary as outlined for each shift. Transcribe doctors’ orders when appropriate. Fosters collaboration, consensus and negotiation to address problem solving in the neighborhood/household.
• Participate in resident conferences with team members as assigned.
• Attend in-service education programs and licensed staff meetings. Demonstrate carry-over of new or reinforce learning. Participate in establishing and improving standards of resident care by active contribution to creative ideas and sharing new innovations in nursing.
• Implement nursing policies/procedures such as bowel, bladder, skin care programs, restorative nursing, and orders drugs from pharmacy as needed.
• Complete incident reports with appropriate communication to M.D. P.R.N.
• Document on appropriate records of all nursing care given to each resident. Chart daily on Medicare residents depicting skilled nursing as ordered by physicians. Chart daily and as needed on all critical or terminally ill residents any change in patient condition for three (3) days after incident report, first three (3) days of admission. Record vital signs, output/intake, and administer oxygen if needed.
• Participate in Culture Change process through committee assignments that may involve Steering Committee, Action teams, PersonFirst team, and/or other self-led neighborhood/household team.
• Complete injury reports of employees and conduct investigation of employee injuries.
• Act as resource person for fire and disaster preparedness.
• Practice good body mechanics and use safety belt/support, gait belt as needed.
• Assist in answering call lights as needed.