MDS RN-H Part Time

Responsibilities

• Administer patient assessments, oversee the assessment process, set assessment schedules, and ensure assessments are done accurately and timely.
• Coordinate care plans according to regulatory requirements.
• Create schedules for Medicare and Medicaid, initiate Medicare coverage for newly qualified patients, send denial letters, and stay updated on Medicare changes.
• Determine documents needed for Medicaid reimbursement.
• Direct day-to-day functions of nursing assistants in compliance with facility rules, regulations, and guidelines.
• Ensure nursing personnel comply with facility policies and procedures.
• Periodically review and recommend revisions to department policies, procedure manuals, and job descriptions.
• Plan shifts' services, programs, and activities with assigned nursing staff and support personnel.
• Maintain and ensure compliance with the Nursing Service Procedures Manual.
• Submit written and oral reports concerning shift activities as required.
• Coordinate with other resident services to maintain the resident's total regimen of care.
• Ensure nursing service personnel comply with their job descriptions.
• Participate in the development, maintenance, and implementation of the facility's quality assurance program for the nursing service department.
• Participate in facility surveys and inspections by authorized government agencies.
• Review and update residents' written discharge plans as required.
• Interpret department policies and procedures to personnel, residents, visitors, and government agencies.
• Admit, transfer, and discharge residents as required.
• Complete and submit accident/incident reports, resident charge slips, and the Daily Census Report.
• Perform administrative duties such as completing medical forms, reports, evaluations, studies, and charting.
• Maintain confidentiality of assigned user ID codes, passwords, and resident protected health information.
• Report unauthorized attempts to access facility information systems and suspected violations of confidentiality.
• Complete and file required recordkeeping forms/charts upon resident admission, transfer, and/or discharge.
• Encourage and ensure attending physicians review treatment plans, record, and sign orders and progress notes.
• Receive and record telephone orders from physicians on the Physicians' Order Form.
• Transcribe physician's orders to resident charts, cardex, medication cards, and treatment/care plans.
• Chart nurses' notes descriptively reflecting care provided and resident responses.
• Fill out and complete accident/incident reports and submit them as required.
• Record new/changed diet orders and forward information to the Food Services Department.
• Report discrepancies in physician's orders, diet changes, and charting errors to the Nurse Supervisor.
• Prepare and administer medications as ordered by the physician, verifying resident identity before administration.
• Ensure prescribed medication for one resident is not administered to another.
• Maintain an adequate supply of floor stock medications, supplies, and equipment.
• Report drug and narcotic discrepancies to the Nurse Supervisor.
• Review medication cards for completeness and accuracy in transcription of physician's orders.
• Notify attending physicians of automatic stop orders prior to the last dosage.
• Dispose of drugs and narcotics according to established procedures.
• Participate in employee performance evaluations and determine staffing requirements.
• Make recommendations concerning employee dismissals and transfers.
• Inform the Nurse Supervisor of staffing needs and absentee call-ins.
• Review and evaluate the department's workforce and make recommendations.
• Develop work assignments and assist in completing them.
• Provide leadership to nursing personnel and ensure they perform work assignments according to acceptable nursing standards.
• Make daily rounds to monitor nursing service personnel performance.
• Ensure nursing assistants are enrolled in or have graduated from an approved training program.
• Supervise nurse aide trainees under the direct supervision of a licensed nurse.
• Meet regularly with nursing personnel to identify and correct problem areas.
• Ensure compliance with department policies and procedures by personnel, residents, and visitors.
• Maintain a good working rapport with interdepartmental personnel.
• Create and maintain a positive and calm environment throughout the unit and shift.
• Review and address complaints and grievances from assigned personnel.
• Administer disciplinary action fairly and without bias.
• Receive and give nursing reports at the start and end of shifts.
• Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals.
• Report known or suspected incidents of fraud to the Administrator.
• Ensure unattended computer workstations are properly logged off or secured with password protection.
• Inform nursing personnel of new admissions, room assignments, and prepare rooms for new residents.
• Greet and escort newly admitted residents to their rooms.
• Participate in the orientation of new residents and family members.
• Make rounds with physicians as necessary.
• Requisition and arrange for diagnostic and therapeutic services as ordered by the physician.
• Consult with residents' physicians regarding care, treatment, and rehabilitation.
• Review resident charts for specific treatments, medication orders, and diets.
• Implement and maintain established nursing objectives and standards.
• Periodically check to ensure prescribed treatments are properly administered and evaluate residents' physical and emotional status.
• Ensure direct nursing care is provided by qualified personnel.
• Coordinate social and activity programs with nursing service schedules.
• Notify attending physicians and next of kin of changes in residents' conditions or accidents/incidents.
• Carry out restorative and rehabilitative programs, including self-help and care.
• Inspect nursing service treatment areas daily to ensure cleanliness and safety.
• Administer professional services such as catheterization, tube feedings, suction, dressings/bandages, colostomy care, and more.
• Use restraints when necessary and in accordance with established policies.
• Obtain specimens for lab tests as ordered and take and record vital signs.
• Monitor seriously ill residents as necessary.
• Check foods brought in by family/visitors to ensure compliance with dietary allowances.
• Ensure direct care personnel follow residents' care plans and wishes.
• Frequently check on residents unable to call for help.
• Meet with residents and/or family members as needed and report problem areas.
• Assist in arranging transportation for discharged residents and ensure they are escorted to the pick-up area.
• Inform family members of resident deaths and call funeral homes when requested.
• Follow established post-mortem procedures.
• Participate in developing, planning, conducting, and scheduling in-service training classes.
• Implement and maintain an effective orientation program for new employees.
• Assist in ongoing staff development initiatives.