RN (On-Call)

About the role

The primary responsibility of your job position is to supervise the day-to-day nursing activities of the facility during your tour of duty. Such supervision must be accordance with current federal, state, and local standards, guidelines and regulations that govern the facility and may be required by the Director of Nursing (DON) and/or Assistant Director of Nursing (ADON) when applicable, to ensure that the highest degree of quality care is maintained at all times.

Responsibilities

• Aid the Director of Nursing Services in directing the day-to-day functions of the nursing activities in accordance with current rules, regulations, and guidelines that govern the long-term care facility.
• Participate in developing, maintaining, and updating written policies and procedures that govern the day-to-day functions of the nursing service department.
• Ensure that reference material (i.e., PDR’s, regulations, professional standards of practice, etc.) maintained at the nurses’ stations is current.
• Recommend written material that will assist the nursing service department in meeting the day-to-day needs of the resident.
• Ensure that the Nursing Service Procedures Manual is current and reflects the day-to-day nursing procedures performed in this facility.
• Ensure that all nursing service personnel comply with the procedures set forth in the Nursing Service Procedures Manual.
• Make written and oral reports/recommendations to the Director as necessary/required, concerning the operation of the nursing service department.
• Periodically review the department’s policies, procedure manuals, job descriptions, etc. Make recommendations for revisions to the Director.
• Coordinate nursing services with other resident services to ensure the continuity of the residents’ total regimen of care.
• Ensure that all nursing service personnel are in compliance with their respective 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 (inspections) made by authorized government agencies as requested by the Administrator or Director of Nursing Services.
• Review and update the resident’s written discharge plan as required.
• Aid in planning the nursing services portion of the resident’s discharge plan as necessary.
• Meet with the nursing staff, as well as support personnel, in planning the department’s services, programs, and activities.
• Admit, transfer, and discharge residents as required.
• Complete accident/incident reports as necessary.
• Interpret the department’s policies and procedures to personnel, residents, visitors, and government agencies as required.
• Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., as necessary.
• Ensure that a sufficient number of licensed practical and/or registered nurses are available for your tour of duty to ensure that quality care is maintained.
• Ensure that a sufficient number of certified nursing assistants are available for your tour of duty to ensure that routine nursing care is provided to meet the daily nursing care needs of each resident.
• Develop work assignments, and/or assist in completing and performing such tasks.
• Delegate to each Charge Nurse the administrative authority, responsibility, and accountability necessary to perform his/her assigned duties.
• Ensure that all nursing assistants are enrolled in or have graduated from an approved nursing assistant training program.
• Ensure that all nurse aide trainees are under the direct supervision of a licensed nurse.
• Make daily rounds of the nursing service department to ensure that all nursing service personnel are performing their work assignments in accordance with acceptable nursing standards.
• Report findings to the Director.
• Monitor absenteeism to ensure that an adequate number of nursing care personnel are on duty at all times.
• Report problem areas to the Director.
• Ensure that established policies and procedures, including dress codes, are followed by all departmental personnel.
• Review complaints and grievances made or filed by department personnel.
• Make appropriate reports to the Director as required or as may be necessary.
• Create and maintain a good working rapport with inter-department personnel, as well as other departments within the facility to ensure that nursing services and activities can be adequately maintained to meet the needs of the residents.
• 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 your shift on a regularly scheduled basis to assist in identifying and correcting problem areas and/or to assist in the improvement of services.
• Review and evaluate your department’s work force and make recommendations to the Director.
• Participate in employee performance evaluations, determining your shift’s staffing requirements, and making recommendations to the Director concerning employee dismissals, transfers, etc.
• Ensure that departmental disciplinary action is administered fairly and without regard to race, color, creed, national origin, age, sex, religion, handicap, or marital status.
• Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals in accordance with the facility’s policies and procedures governing accidents and incidents.
• Report known or suspected incidents of fraud to the Administrator.
• Ensure that departmental computer workstations left unattended are properly logged off or the password protected automatic screen-saver activates within established facility policy guidelines.
• Inform nursing service personnel of new admissions, their expected time of arrival, room assignment, etc.
• Ensure that rooms are ready for new admissions.
• Greet newly admitted residents upon admission.
• Escort them to their rooms as necessary.
• Consult with the resident, his/her family, and the resident’s physician in planning the resident’s care, treatment, rehabilitation, etc., as necessary.
• Notify the Director when physician visits are not made in a timely manner.
• Inform the Director when there is a change in the resident’s condition.
• Visit residents on a daily basis in order to observe and evaluate each resident’s physical and emotional status.
• Ensure that direct nursing care be provided by a licensed nurse, a certified nursing assistant, and/or a nurse aide trainee qualified to perform the procedure.
• Review nurses’ notes to ensure that they are informative and descriptive of the nursing care being provided, that they reflect the resident’s response to the care, and that such care is provided in accordance with the resident’s wishes.
• Provide direct nursing care as necessary.
• Start IVs, obtain sputum, urine and other specimens for lab tests as ordered.
• Take TPRs, blood pressures, etc., as necessary.
• Admit, transfer and discharge residents as necessary.
• Report problem areas to the Director.
• Aid in developing and implementing corrective action.
• Keep the Director informed of the status of residents and other related matters through written/oral reports.
• Aid the Charge Nurse in monitoring seriously ill residents.
• Authorize the use of restraints when necessary and in accordance with our facilities policies and procedures.
• Ensure that all RNs and LPNs on your shift comply with written procedures for the administration, storage, and control of medications and supplies.
• Maintain medication passes and treatment schedules to ensure that medications are being administered as ordered and that treatments are provided as scheduled.
• Inspect the nursing service treatment areas daily to ensure that they are maintained in a clean and safe manner.
• Ensure that residents who are unable to call for help are checked frequently.
• Meet with residents, and/or family members, as necessary.
• Report problems to the Director.
• Aid in arranging transportation for discharged residents as necessary.
• Inform family members of the death of the resident.
• Call funeral homes when requested by the family.
• Participate in developing, planning, conducting, and scheduling in-service training classes that provide instructions on “how to do the job,” and ensure a well-educated nursing service department.
• Aid the In-service Director/Educator in developing annual facility in-service training programs (e.g., OSHA, TB, HIPAA, Abuse Prevention, Safety, Infection Control, etc.).
• Aid the Director in planning clinical supervision for nurse aide trainees.
• Attend and participate in continuing education programs designed to keep you abreast of changes in your profession, as well as to maintain your license on a current status.
• Assist the Safety Officer in developing safety standards for the nursing service department as necessary.
• Absorb and implement recommendations from established committees as instructed by the Director.
• Ensure that all personnel performing tasks that involve potential exposure to blood/body fluids participate in appropriate in-service training programs prior to performing such tasks.
• Ensure that an adequate supply of personal protective equipment is on hand and readily available to personnel who perform procedures that involve exposure to blood or body fluids.
• Monitor your shift’s personnel to ensure that they are following established safety regulations in the use of equipment and supplies.
• Ensure that all nursing service personnel comply with established departmental policies and procedures.
• Ensure that all nursing service personnel comply with their respective job descriptions.
• Ensure that all nursing service personnel comply with the procedures set forth in the Nursing Service Procedures Manual.
• Ensure that all nursing service personnel comply with the department’s policies and procedures.
• Ensure that all nursing service personnel comply with the department’s policies and procedures.
• Ensure that all nursing service personnel comply with the department’s policies and procedures.
• Ensure that all nursing service personnel comply with the department’s policies and procedures.
• Ensure that all nursing service personnel comply with the department’s policies and procedures.
• Ensure that all nursing service personnel comply with the department’s policies and procedures.
• Ensure that all nursing service personnel comply with the department’s policies and procedures.
• Ensure that all nursing service personnel comply with the department’s policies and procedures.
• Ensure that all nursing service personnel comply with the department’s policies and procedures.
• Ensure that all nursing service personnel comply with the department’s policies and procedures.
• Ensure that all nursing service personnel comply with the department’s policies and procedures.
• Ensure that all nursing service personnel comply with the department’s policies and procedures.
• Ensure that all nursing service personnel comply with the department’s policies and procedures.
• Ensure that all nursing service personnel comply with the department’s policies and procedures.
• Ensure that all nursing service personnel comply with the department’s policies and procedures.
• Ensure that all nursing service personnel comply with the department’s policies and procedures.
• Ensure that all nursing service personnel comply with the department’s policies and procedures.
• Ensure that all nursing service personnel comply with the department’s policies and procedures.
• Ensure that all nursing service personnel comply with the department’s policies and procedures.
• Ensure that all nursing service personnel comply with the department’s policies and procedures.
• Ensure that all nursing service personnel comply with the department’s policies and procedures.
• Ensure that all nursing service personnel comply with the department’s policies and procedures.
• Ensure that all nursing service personnel comply with the department’s policies and procedures.
• Ensure that all nursing service personnel comply with the department’s policies and procedures.
• Ensure that all nursing service personnel comply with the department’s policies and procedures.
• Ensure that all nursing service personnel comply with the department’s policies and procedures.
• Ensure that all nursing service personnel comply with the department’s policies and procedures.
• Ensure that all nursing service personnel comply with the department’s policies and procedures.
• Ensure that all nursing service personnel comply with the department’s policies and procedures.
• Ensure that all nursing service personnel comply with the department’s policies and procedures.
• Ensure