Posted: 10/31/2013 | Employer: Rice Memorial Hospital, Willmar, MN
Benefits eligible. Part-time 56 hours per pay period RICE CARE CENTERJOB DESCRIPTION AUDITI. JOB TITLE: RN House SupervisorII. DEPARTMENT: NursingIII. PERSON(S) CURRENTLY OCCUPYING THE POSITION:IV. JOB SUMMARY: RN Supervise identifies and implements nursing interventions that have predictable outcomes, and evaluates the results of these interventions for a given patient population. Required to assume leadership and supervisory skills to manage staff issues and resident care.V. JOB RELATIONSHIPS:A. REPORTS TO: Director of NursingB. SUPERVISES: LPN's and Nursing AssistantsC. INTERRELATIONSHIPS WITH: All nursing staff, Physician's, Residents, Other facility departments.VI. HOURS OF WORK: Hours work will be according to facility needs.VII. DRESS CODE: Per facility dress code.VIII. ESSENTIAL REQUIREMENTS OF WORK (Minimum qualifications necessary to function at full productivity).A. EDUCATION AND TRAINING: Graduate of an accredited school of nursing. Must maintain current license as an RN in the State of Minnesota.B. EXPERIENCE: Minimum 2 year experience in direct care in LTCC. JOB KNOWLEDGE (Specific): Working knowledge of professional nursing theory and practice. Ability to communicate effectively orally and in writing. Ability to establish and maintain effective working relationships with residents, employees, the general public, and other providers.IX. BUDGET: NoneX. CLIENTELE DIRECTLY AFFECTED BY JOB: Residents, family members, physicians, and multidisciplinary team members.XI. PHYSICAL DEMANDS OF THE JOB: Sustained physical effort, seldom seated, continuous activity, lifting/pushing/pulling.XII. PHYSICAL ENVIRONMENT OF THE JOB: Fair working conditions with frequent exposure to disagreeable elements and danger.XIII. EQUIPMENT OR MACHINES USED ON THE JOB: Variety of medical suctions/pumps/suctions/respiratory/vital sign measurement equipment/beds/carts/lifting devices/wheelchairs; fax and copy machine, telephone system.XIV. MENTAL DEMANDS OF THE JOB:A. JUDGEMENT AND INITIATIVE: Requires continuous mental effort for decision making and problem solving on a variety of resident care situations, many of which are complex and/or stressful in nature.B. INDEPENDENT ACTION: Needs to perform at independent level with minimal direction.C. EFFECT OF ERROR: High liability for nurse and facility for resident care errors. No room for error. Could cause harm to resident.D. CONTACT WITH OTHERS: Frequent contact with other care providers and ancillary support staff.XV. PRINCIPAL JOB RESPONSIBILITIES, TASKS, AND AUTHORITIES:A. RESPONSIBILITY: Nursing Practice and Resident Care ResponsibilitiesTASKS:1. Assessment and Diagnosisa.) Establishes relationship with patient and family and introduces self and explains role.b.) Applies effective interviewing skills to elicit information from resident/family/significant other that is necessary to plan, implement and evaluate nursing care.b.) Performs the initial nursing and physical assessment; document in Matrix.c.) Identifies relationships and implications of collected data for patient care through the nursing interview.e.) Identifies and interprets abnormal diagnostic data and incorporates it in the written assessment.f.) Identifies verbal and nonverbal communication problems of residents and/or family.g.) Integrates assessment data and identifies all appropriate priority nursing diagnosis.h.) Identifies implications of resident age in assessment of needs and identification of nursing diagnosis.i.) Assesses the needs of a specific resident population by:1) Collaborating with physicians, care managers and other members of the health team as appropriate2. Planninga.) Identify expected outcomes for planned nursing interventions.b.) Interprets data obtained by self & others and incorporates this in the nursing care plan.c.) Participates in the organization and implementation of formal teaching plan.d.) Collaborates with resident/family, care manager, social worker, and other disciplines to coordinate/plan resident care.e.) Establishes short-term resident care plan within 24 hours of admission.f.)Communicates and directs the resident care plan to other members of the multidisciplinary team. 3. Implementationa.) Identifies self to residents/family and maintains open communication with both. b.) Establishes priorities and implements nursing actions on the resident care plan by direct care or delegation of responsibility.c.) Documents resident care problems utilizing assessment data; updating narrative charting regarding resident's condition and/or change in condition.d.) Implements and/or assists others on teaching plans regarding resident care.e.) Works closely with other disciplines and makes recommendations for referrals, etc. as care team input.4. Evaluationa.) Responsible for total evaluation of resident's plan of care.b.) Utilizes data obtained from resident/family and/or significant other to re-evaluate resident care.c.) Interprets initial assessments and revises these assessments based on resident's response.PRIORITY: A % OTIME: 70% DCRETION: A D. RESPONSIBILITY: Other Direct Resident Care ActivitiesTASKS:1. Gives direct care to residents with complicated nursing problems and assists with residents in unstable conditions.2. Performs treatments and may do medication pass as need arises with residents.3. Assists with answering call lights as needed.4. Follows up on observations reported by NA/R's.5. Listens to nursing report regarding residents, if necessary gives taped nursing report to on-coming shift 6. If necessary receives report from NA/R's and LPN's, and makes appropriate recommendations, and takes action as needed as it relates to resident care.7. Makes rounds a minimum of every two hours to assess residents paying particular attention to condition changes, repositioning of residents, and general overall appearance of residents.8. Accompany physicians on rounds9. Assist physician with minor procedures as necessary. 10. Find replacement staff for ill employees:- Replace ill calls in absence of scheduler- Reassign residents to staff to reflect changes11. Determine resident acuity/staffing for day and determine productive nursing hours needed to adjust staffing ratios accordingly.12. Is familiar with all emergency and evacuation plans and institutes as needed to ensure resident safety.13. Performs accurate blood-glucose monitoring for residents, and administers insulin per facility policy to assigned residents.PRIORITY: A % OTIME: 10% DCRETION: AE. RESPONSIBILITY: Pain ManagementTASKS:1. Provides appropriate and attentive pain management which includes:a. Accepts the resident's report of pain.b. Relieves the physical and psychosocial symptoms associated with pain while optimizing individual and family functioning.c. Promotes active participation by residents and their families in selecting pain management strategies and in communicating new or unrelieved pain.d. Provides consistent state of the art care through multi-disciplinary care team and universal guidelines for pain management.e. Educates residents, families and care givers about pain management and continually reinforces the development and application of knowledge.F. RESPONSIBILITY: Evaluation of Resident Care/ Resident AssignmentsTASKS:1. Participates in staff assignments and their revision.2. Participates in evaluation of environmental safety and assumes responsibility for interventions.3. Assigns aspects of care to selected members of the nursing staff.4. Guides care given by selected members of the nursing staff.AUTHORITY LEVEL: AG. RESPONSIBILITY: Professional ResponsibilitiesTASKS:a. Self Developmenta. Participates in a formal self-evaluation by identifying areas of strength and limitation.b. Seeks supervision of own actions and sets goals for self-improvementc. Participates in educational programs and workshops to increase professional competence and meet personal needs and goalsd. Understands the legal consequences of nursing actions.e. Seeks consultation with nursing colleagues as appropriate.f. Participates in the identified Patient Care Delivery System:1) Makes decisions regarding the patient's nursing care2) Plans and provides care to assist the patient/resident with achieving stated outcomes3) Utilizes verbal/written communication with all members of the health care team, patient/resident and family, to meet patient/resident needsg. Initiates and conducts informal care conferences as neededb. Facility Developmenta. Participates consistently in appropriate staff assignments and their revision.b. Participates effectively in evaluation of environmental safety and assumes responsibility for interventions.c. Guides care given by selected members of the nursing staff.d. Participates in staff meetings.e. Actively involved in nursing team meetings and initiates and leads meetings at request from Director of Nursing.f. Participates in formal and informal care conferences regarding residents.g. .Actively involved in committee work and multidisciplinary team meetingsc. Staff Developmenta. Demonstrates the use of strong interpersonal communication skills with staff and other members of the health care teamb. Communicates concisely, assertively, and responsively with peersc. Works with new employees to see that designed orientation plan is carried out.d. Participates in the staff evaluation process as requested.d. Student Development a. Participates in orientation of facility for faculty and/or studentsb. Participates in assigning students to individual residents/patientsc. Evaluates specific facility-level learning experiences and informs the students and/or faculty of opportunitiesd. Contributes to the evaluation of student clinical experiencee. Actively participates in guiding/mentoring of students-nursing and others. B. RESPONSIBILITY: Household Livinge. Household Living1. Works together with Household staff to get things done.2. Facilitates the creation of homey spaces.3. Sees possibilities and creating a daily life that naturally facilitates pleasurable moments, laughter and fun with lots of opportunity for a wide variety of meaningful relationships.4. Is creative and takes initiative, encourages others. 5. Always looking for clever and innovative ways to improve situations. 6. Engages sensitively and appropriately throughout the household.b. Customer Relations1. Participate in welcoming new residents, families, and friends. 2. Participation in admission assessments for the Household as appropriate. 3. Provide orientation of the Household facility programs and services to new residents and families and assist with move-ins to ensure a smooth and comfortable transition for the resident (if applicable)4. Maintain a working knowledge of RCC and its programs and services. 5. Strive to maintain positive public relations with all customers. 6. Facilitate resolution to individual resident and family concerns.AUTHORITIES: Has the authority to accomplish the above responsibilities.PRIORITY: A % OTIME: 10% DCRETION: AH. RESPONSIBILITY: Continuous Quality ImprovementTASKS:1. Demonstrates sensitivity to customers and their needs.2. Interacts appropriately with internal customers, ie: co-workers within department, other department staff, etc.3. Interacts with external customers, ie: residents, families, medical staff, vendors, etc.4. Role models positive behaviors.AUTHORITY LEVEL: AI. RESPONSIBILITY: Supervision of PersonnelTASKS:1. Monitor resident care being provided to residents.2. Completes performance evaluation and provide input to DON regarding work performance of LPN's and NA/R's.3. If employee counseling needed regarding work performance, initiates and documents accordingly.4. Communicates appropriate to DON any counseling of staff or resident/patientJ. RESPONSIBILITY: Resident RightsTASKS:1. Acts as an advocate for Resident Bill of Rights2. Assures that all residents, families and staff are aware of resident rights 3. Assists in the identification of vulnerable adult issues4. Respects resident property5. Maintains dignity and privacy of residents by knocking before entering resident room, addressing them in a respectful manner, discussing their status in a private manner, treating them in a courteous and polite manner.K. RESPONSIBILITY: Service ExcellenceTASKS:Demonstrates an ongoing commitment to the Service Excellence philosophy by adhering to behaviors outlined in Rice's “Standards of Excellence.”L. RESPONSIBILITY: Safety - Maintain and promote a safe environment for all patients, visitors and staff.TASKS: 1. Consistently follow all policies, practices and work rules. 2. Do not use shortcuts or work-arounds that may reduce safety or increase risk. 3. Stay alert, act responsibly and use common sense to reduce risks. 4. Report actual events and good catches as soon as possible.5. Create a safe environment by eliminating hazards and identifying and reporting unsafe systems. 6. Complete all mandatory safety education, attend safety sessions, review and understand the Safety Program (available on RiceNet). Seek answers to questions you have about the Safety Program.