Job Details
Outcome HC -
Registered Nurse $60 Hr Rate
7 am to 3 pm must have everyother weekend availability
QUALIFICATIONS:
- Graduated of an accredited school of nursing and licensed by the state of NJ as a RN.
- Current CPR or certified within 90 days of hire
- Other certifications may be required for other areas of the organization
POSITION SUMMARY:
The RN assumes responsibility for a specific unit or area within the organization to include assessment (under the supervision of the DON/ADON), medication distribution, treatment clinical documentation, and supervision of CNA s and other staff.
PART I: JOB RESPONSIBILITIES AND STANDARDS
- Uses dual identifiers to confirm resident/guest identify prior to medication administration and treatments.
- Practices SBAR (situation, background, assessment, recommendation), the preferred method of communication when interacting with members of healthcare community.
- Encourages resident/guest to be involved in their own care when possible.
- Receives full and detailed report from the outgoing nurses to ensure proper communication and necessary follow-up of resident s/guest s care.
- Recognizes and responds competently to changes in resident s condition and documents appropriately.
- Initiates Plan of Care on admission. Reviews, evaluates & updates plan & interventions as needed.
- Interacts and partners with all multidisciplinary service teams, internal and external, to assure continuum of care.
- Practices Standard Precautions and adheres to infection prevention strategies.
- Demonstrates compliance to Resident s Rights.
- Refers to Nursing/Administration/IV/Emergency Management Policy and Procedures (Public Folders, Hard Copy manual) to assure standard of care.
- Transcribes physician orders correctly on MAR & TAR.
- Faxes POS to Pharmacy provider to ensure timely delivery and administration.
- Maintains a safe environment for residents/guests and reports unsafe situation for resolution.
- Follows chain of command.
- Adheres to proper hand washing technique.
- Administers medications according to policy and procedure.
- Notifies responsible party of changes in patient s condition.
- Works closely with Social Worker in trying to resolve residents /guests/ needs.
- Checks syringes, and counts narcotics at end of shift.
- Orders stock medications and prescription medications; as needed.
- Admits and discharges residents/guests according to facility procedure.
- Reviews report with CNAs prior to their assignment activation.
- Performs assessments related to:
- Skin
- Cardiac
- Respiratory
- GI
- Neurological
- Muscular Skeletal
- Renal
- Pain
24.Accurately documents on the following forms:
- Ambulation/Restorative care
- Pyschotropic Monitoring
- Pain Management
- Pressure Ulcer Management/skin assessment
- Fall Prevention Strategies
- Antibiotic documentation
- Incidents/accident
- Nurses Note day 1-5 and day 6 -Discharge Documentation.
- Accurate and timely completion of Nursing assessment and data collection upon admission:
- Fall Risk assessment
- Side Rail screen
- Braden Scale
- Bowel and Bladder
- Elopement Risk Profile
- Pain Evaluation
- Smoking Evaluation
- Data collection
- Immunization Record Sheet
- Contacts physician for admission orders:
- Reconciles medications
- Documents legibly onto POS
- Read back and verifies Telephone Orders
- Make appropriate referrals
- Transcribes all orders.
- Fax back (new admissions)
PART II. FACILITY WIDE RESPONSIBILITIES & STANDARDS
EMPLOYEE IS REQUIRED TO:
- Speak English in patient care areas.
- Attend mandatory and scheduled in-services/meetings.
- Arrive to work on time as scheduled
- Demonstrate ability to work with others cooperatively.
- Demonstrate flexibility in assignment to meet resident/family needs.
- Wear ID at all times appropriately when working.
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