JOB SUMMARY:
Evaluates residents’ needs, condition, and care and assists the care plan coordinator in developing nursing care plans for individual residents.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
(Other duties may be assigned.)
- Carries out administrative and resident care duties as directed.
- Periodically reviews ECC service plans with ECC supervisor and other health team members. Attends service plan meetings as needed.
- Completes monthly summaries on each resident.
- Takes and transcribes physicians’ orders to resident medication sheet, treatment sheets, diet list, etc. in consultation with DON
- Admits new residents by observing their needs and reviewing physician orders.
- Sends diet orders to dietary department.
- Assembles resident’s charts, attaching required forms.
- Requisitions supplies, equipment, linens, emergency drugs, etc. to meet unit needs. Sees that equipment is in good working order, in consultation with DON and Administrator.
- Evaluate/reprimand C.N.A.’s as needed.
- Perform physical assessment on ALF and independent residents per physician order and/or following incidents or activation of emergency call light.
- Abide by department policies and procedures and interprets them to personnel, residents, medical staff and public.
- Gives/receives the nursing report upon report as well as counting of Narcotics upon beginning and ending shift duty hours.
- Answers telephone inquires.
- Order prescribed medications, supplies, and equipment as necessary, in accordance with established ALF policies.
- Requisition and arranges for diagnostic and therapeutic services as ordered by ALF resident’s physician.
- Completes unit or medical chart forms as required.
- Assist in scheduling appointments and arrangements for transportation of ALF residents to other departments or facilities and clinics for diagnostic, therapeutic, dental or medical services in consultation with DON
- Discharge or transfer residents, making necessary arrangements, and completing necessary forms per facility policy, re: giving discharge instructions to the resident or responsible party; completing discharge nurses summary; disposing the meds in an appropriate manner.
- May assist in on-the-job orientation, instruction and supervision of nursing personnel.
- Maintain a professional attitude at all times on the unit and a professional approach towards nursing care and personnel.
- Notify ALF Administrator when a resident is transferred to another facility, discharged, or expires.
- Assure that established infection control and universal precautions are maintained when performing duties.
- Follow up with new orders, labs, x-ray, or other diagnostic exams done on a day to day basis.
- Prefill medication box for ALF residents and/or administer medications per physician orders.
- Assist with resident transfers from one level of care to another within the OLT complex.
- Documentation of all activities, writing of incident reports, and subsequent follow-up as needed, and providing a detailed report at the end of each shift for the next nurse to be aware of situations that may occur and have occurred.
- Performs other duties as assigned.