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Atlas Post Acute · 2 months ago

RN Part-Time Evening Shift 6-10 PM

San Joaquin Nursing Center

Full-time, Part-time

Onsite

Entry, Mid Level

2+ years exp

Atlas Post Acute is seeking a Registered Nurse (RN) to supervise day-to-day nursing activities at their facility. The role involves ensuring compliance with healthcare standards, managing nursing staff, and maintaining quality care for residents.

Hospital & Health Care

Responsibilities

Assist 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

Assist in developing methods for coordinating 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

Periodically review the resident’s written discharge plan. Participate in the updating of the resident’s written discharge plan as required

Assist the Director 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

Agree not to disclose assigned user ID code and password for accessing resident/facility information and promptly report suspected or known violations of such disclosure to the Administrator

Agree not to disclose resident’s protected health information and promptly report suspected or known violations of such disclosure to the Administrator

Report any known or suspected unauthorized attempt to access facility’s information system

Attend various committee meetings of the facility (i.e., Infection Control, Policy Advisory, Pharmaceutical, Quality Assessment, etc.) as required

Assist in preparing written and/or oral reports of the nursing service programs and activities to submit to such committee(s) as directed

Provide information to the Quality Assurance and Assessment Committee as requested

Participate in developing the agenda for the Care Plan Committee meetings as necessary

Participate in regularly scheduled reviews of the discharge plans and make such plans available to the Care Plan Committee as required or as may be necessary

Implement recommendations from established committees as instructed by the Director

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

Develop 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

Make rounds with physicians as necessary

Encourage attending physicians to record and sign progress notes, physicians’ orders, etc., on a timely basis and in accordance with current regulations

Inform the Director when physician visits are not made in a timely manner

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 resident’s attending physician and next-of-kin 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. Assist in developing and implementing corrective action

Keep the Director informed of the status of residents and other related matters through written/oral reports

Assist 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

Monitor medication passes and treatment schedules to ensure that medications are being administered as ordered and that treatments are provided as scheduled

Review medication cards for completeness of information, accuracy in the transcription of physician orders, and adherence to stop order policies

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

Assist 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

Assist the In-service Director/Educator in developing annual facility in-service training programs (e.g., OSHA, TB, HIPAA, Abuse Prevention, Safety, Infection Control, etc.)

Assist 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

Assist the Director and/or Infection Control Coordinator in identifying, evaluating, and classifying routine and job-related functions to ensure that tasks in which there is potential exposure to blood/body fluids are properly identified and recorded

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

Ensure that personnel follow established procedures for the use and disposal of personal protective equipment

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 nursing service work areas (i.e., nurses’ stations, medicine preparation rooms, etc.) are maintained in a clean and sanitary manner

Ensure that all resident care rooms, treatment areas, etc., are maintained in a clean, safe, and sanitary manner

Ensure that nursing service personnel follow established handwashing and hand hygiene procedures

Ensure that nursing service personnel participate in and conduct all fire safety and disaster preparedness drills in a safe and professional manner

Participate in the development, implementation, and maintenance of the infection control program for monitoring communicable and/or infectious diseases among the residents and personnel

Ensure that nursing service personnel follow established infection control procedures when isolation precautions become necessary

Participate in the development, implementation and maintenance of the procedures for reporting hazardous conditions or equipment

Ensure that all personnel wear and/or use safety equipment and supplies (e.g., back brace, mechanical lifts, etc.) when lifting or moving residents

Report missing/illegible labels and MSDSs to the safety officer or other designated person

Recommend to the Director the equipment and supply needs of the department

Ensure that an adequate stock level of medications, medical supplies, equipment, etc., is maintained on premises at all times to meet the needs of the resident

Assist the Maintenance Director in developing a preventive maintenance program for maintaining the nursing service department’s equipment and supplies in a safe and operable manner

Participate in the development and implementation of the procedures for the safe operation of all nursing service equipment

Ensure that only trained and authorized personnel operate the nursing service department’s equipment

Ensure that all personnel operate nursing service equipment in a safe manner

Monitor nursing procedures to ensure that nursing service supplies are used in an efficient manner to avoid waste

Ensure that appropriate MSDSs are on file for hazardous chemicals used in the nursing service department

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

Encourage the resident to participate in the development and review of his/her care plan

Review resident care plans for appropriate resident goals, problems, approaches, and revisions based on nursing needs

Ensure that all personnel involved in providing care to the resident are aware of the resident’s care plan. Ensure that nursing personnel refer to the resident’s care plan prior to administering daily care to the resident

Review nurses’ notes to determine if the care plan is being followed

Assist the Resident Assessment/Care Plan Coordinator in planning, scheduling, and revising the MDS, including the implementation of RAPs and Triggers

Review resident’s medical and nursing treatments to ensure that they are provided in accordance with the resident’s care plan and wishes

Keep abreast of economic conditions/situations, and recommend to the Director adjustments in nursing services that ensure the continued ability to provide quality care

Recommend to the Director the equipment needs of the nursing service department

Report suspected or known incidence of fraud relative to false billings, cost reports, kickbacks, etc

Qualification

Registered Nurse LicenseNursing DegreeCPR CertificationRehabilitative Nursing PracticesLong-term Care ExperiencePatient Care SkillsEnglish Language ProficiencyLeadership SkillsTeamworkCommunication Skills

Required

Must possess, as a minimum, a Nursing Degree from an accredited college or university

Must have training in rehabilitative and restorative nursing practices

2 years or more experience preferably in a long-term care facility

Must be able to read, write, speak, and understand the English language

Ability to read technical procedures

Ability to read and comprehend policy and procedure manuals

Ability to effectively present information and respond to questions from managers and employees

Ability to apply concepts such as fractions, percentages, ratios and proportions to practical situations

Must possess the ability to make independent decisions when circumstances warrant such action with the ability to solve practical problems

Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public

Must possess leadership and supervisory ability and the willingness to work harmoniously with and supervise other personnel

Must possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures, etc., that are necessary for providing quality care

Must demonstrate the knowledge and skills necessary to provide care appropriate to the age-related needs of the residents served

Must be a supportive team member, contribute to and be an example of teamwork and team concept

Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to nursing care facilities

Must have patience, tact, a cheerful disposition and enthusiasm, as well as the willingness to handle difficult residents

Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices

Must be able to relate information concerning a resident's condition

Must not pose a direct threat to the health or safety of other individuals in the workplace

Must possess a current, unencumbered, active license to practice as an RN in this state

Current CPR certification

Must maintain all required continuing education/licensing

Must remain in good standing with the State Board of Nursing at all times

Must be able to move intermittently throughout the workday

Must be able to speak and write the English language in an understandable manner

Must be able to cope with the mental and emotional stress of the position

Must be able to see and hear or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully met

Must function independently, and have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies

Must meet the general health requirements set forth by the policies of this facility, which include a medical and physical examination

Must be able to relate to and work with the ill, disabled, elderly, emotionally upset, and, at times, hostile people within the facility

Must be able to push, pull, move, and/or lift a minimum of 25 pounds to a minimum height of 5 feet and be able to push, pull, move, and/or carry such weight a minimum distance of 50 feet

May be necessary to assist in the evacuation of residents during emergency situations