Departmental:

• Assists with the planning, organization, development, coordination and direction of the Nursing Department in its Programs and activities in accordance with current Federal, State and Local guidelines and regulations, accepted standards of practice and as may be directed by Administration and/or VP of Nursing.

• The RN's responsibilities, including supervising and carrying out clinical assignments in conducting the direct care operations, have a significant impact on the facility operations.

• The RN has the authority to formulate, affect, interpret and implement management policies and operating procedures with regard to Nursing responsibilities.

• Makes independent decisions, as necessary, in carrying out day to day operations in ensuring optimal resident care.

• Directly supervises assigned staff which includes but is not limited to, participating in orientation, manage staff performance in relation to the position's standards, and monitor time and attendance.

• Exercises good independent judgment and discretion in effectively managing assigned staff by, but not limited to, hiring, transfers, conducting performance appraisals, corrective disciplinary action up to and including termination and other supervisory interventions which may affect a change in the assigned staff's status of employment.

• Makes recommendations to Department Head or designee, as to the hiring, firing, advancement, promotion or any other change in employment status.

• Responsible for supervision of care given to residents by Licensed Practical Nurse, CNA's, and other members of the team.

• Develops resident's daily assignment sheets and makes changes as indicated based on staffing patterns and resident acuity.

• Independently assigns duties to staff to ensure optimal patient care.

• Maintains a liaison and communicates with other department supervisors to adequately plan for resident activities and ensures continuity of resident care.

• Evaluates resident's response to medication and treatment.

• Responsible for ensuring administration of medication arid treatments, and evaluating resident’s response to medication and treatment.

• Responsible for assessing the nutritional needs of residents.

• Performs ongoing physical assessments on all residents and notifies Medical Staff, Nurse Manager/ Supervisor.

• Gives direct resident care based on sound scientific principles as deemed necessary.

• Participates in pressure ulcer rounds and documents pressure ulcers in accordance with policies and procedures.

• Participates in admissions, transfers, and discharge planning according to Nursing procedures, including, but not limited to interviewing and assessing new admissions and initiating care plans.

• Responsible for providing complete physical care.

• Identifies educational needs of Nursing Staff and participates in in-service educational pro grains by attending and providing individual, group, unit, and facility education/in-service.

• Assures weights are obtained per policy and procedure and discrepancies are reported to RNM, Medical Staff, and Dietary.

• Makes rounds at least two times per shift to assess resident condition and unit environment.

• Maintains the confidentiality of all resident information as per HIP AA guidelines and the facility’s policies.

• Develops and maintains a written care plan for each resident; both initial and interim care plans as residents' problems/needs change.

• Reviews and regularly evaluates resident care plans to meet nursing care goals.

• Participation in resident teaching and documentation of same.

• In absence of Nurse Manager, does MDS~ care plans and runs CCP meeting, or as directed.

• Responsible for complete assessment and Nursing care plan of resident.

• Responsible for accurate documentation in the chart and all related documentation as indicated.

• Establishes communication links with patient, responsible relative or friend.

• Communicates with other disciplines to provide continuity of care.

• Participates in investigations, facility emergencies and other essential operations.

• Responsible for providing a safe environment.

• Keeps Administration/Nursing Administration advised of potential/actual safety hazards.

• Performs other duties as assigned.