FUNCTION Cares for residents under the direction and supervision of a registered nurse or a licensed practical/vocational nurse. QUALIFICATIONS The requirements listed below are representative of the knowledge, skill and/or ability required. Minimum Qualifications: • Freedom from illegal use of drugs • Freedom from use of and effects of use of drugs and alcohol in the workplace. • Anyone found guilty by a court of law of abusing, neglecting, or mistreating individuals in health care related setting are ineligible for employment in the position. Education and/or Experience: Minimum High school diploma or general education degree (GED), or one to three months related experience and/or training or equivalent combination of education and experience preferred. Certificates, Licensees, Registrations: Graduate of a state approved nursing assistant training program and passed a state approved competency examination (written and skills) within 120 days of employment; name entered into state nurse aide registry. LANGUAGE SKILLS Must be able to express self adequately in written and oral communication and to communicate effectively in an interdisciplinary care setting with residents, families and staff members. MATHEMATICAL SKILLS Ability to add and subtract three digit numbers; calculate percentage of whole; measure in cubic centimeters (cc’s); measure in feet and inches. Ability to perform these operations using units of weight measurement, volume, length and height. REASONING ABILITY Ability to apply common sense understanding to carry out instructions furnished in written, oral or diagram form. SUPERVISORY RESPONSIBILITIES N/A ESSENTIAL FUNCTIONS AND RESPONSIBILITIES To perform this job successfully, an individual must be able to perform each key function satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the key functions. Care and Services: • Take and records vital signs • Measures and records height and weight • Calculates and records weight gain or loss • Calculate and records fluid intake and output • Cares for the resident’s environment • Recognizes abnormal changes in body functioning and importance of reporting such changes to a supervisor • Cares for residents when death is imminent • Makes routine rounds on each assigned resident every two hours • Bathes residents • Assist with grooming, including mouth care • Dresses residents • Toilet residents • Assist with eating and hydration • Use proper feeding techniques • Calculates and records percentage of meal eaten • Observe resident’s skin when giving care and reports changes to license nurse • Provides skin care • Transfer, position and turns residents • Meets residents’ mental health and social service needs • Modifies own behavior in response to resident’s behaviors • Allows residents to make personal choices • Provides and reinforces other behavior consistent with the residents’ dignity. • Uses the residents’ families as a source of emotional support. • Contributes to the resident’s assessment (MDS/CAA) and the plan of care. • Provides nursing rehabilitation/restorative nursing services: - Promote resident’s ability to adopt and adjust to living as independently as possible - Trains the resident in self-care according to the resident’s abilities - Trains the resident in the use of assistive devices for transferring, walking and mobility. Dressing and grooming, eating and swallowing - Maintains range of motion; proper turning and positioning in bed and chair - Provides bladder and bowel retraining - Instructs the resident on the care and use of prosthetic and orthotic devices - Incorporates training and skill practice activities which include repetition, physical or verbal cueing and task segmentation • Care for residents with dementia: - Knows how to respond to residents’ behaviors - Allows residents to make personal choices - Provides and reinforces other behavior consistent with residents’ dignity - Uses the residents’ families as a source of emotional support - Demonstrates a basic understanding of behavior and functional symptoms associated with dementia by providing interventions and treatments to help reduce these symptoms - Uses modification in the presentation of activities of daily living to maintain and maximize resident competencies and function - Uses effective intervention techniques to address behavioral concerns - Acts as a facilitator for activity programming - Demonstrates effective communication techniques for persons with dementia • Provides non-resident care including, but not limited to: - Washing wheelchairs - Cleaning soiled utility areas - Cleaning nurses’ station - Cleaning shower and whirlpool rooms - Cleaning kitchen areas on the nursing unit • Provides transporation of residents to and from hospital and medical appointments RESIDENT RIGHTS Promotes and protects resident’s rights, assists residents to make informed decision, treats residents with dignity and respect, protects residents’ personal belongings, reports suspected abused or neglect, avoids the need for physical restraints in accordance with current professional standards and, supports independent expression, choice and decision-making consistent with applicable law and regulation. LEADERSHIP Demonstrates willingness to try new tasks; generates new ideas for change; evaluates and recognized priorities, challenges others to learn; keeps current and integrates new information, communicates and models organization values; and fosters high performance. PROCESS IMPROVEMENT Applies process improvement methods and techniques and identifies processes for improvement in daily work. ENVIRONMENT OF CARE Demonstrates understanding of fire and emergency procedures; participates in fire and disaster drills; demonstrates understanding of safety and security procedures; applies safety and security precautions; demonstrates understanding of hazardous materials plan; demonstrates proper use of equipment. INFECTION CONTROL Applies hand washing principles during daily work; demonstrates understanding of isolation precautions; recognizes signs and symptoms of infection and complies with the employee health program; demonstrates understanding of the process for identifying and handling infectious waste; maintains personal hygiene; complies with OSHA standards in the workplace; and demonstrates understanding of cross-contamination. INFORMATION MANAGEMENT Enters or records data timely and accurately; protects confidentiality of resident information, protects data against loss or destruction, reports suspected violation of security/confidentiality issues. Monitors and complies with company policies, procedures and state and federal law. INTERPERSONAL SKILLS Demonstrates active listening techniques, gains support through effective relationships, treats others with dignity and respect; and seeks feedback. CONTINUING EDUCATION Attends in-service and education programs; attends continuing education required for maintenance certification. PHYSICAL DEMANDS The physical demands describes here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is frequently required to stand, walk, use hands or fingers, reach with hands and arms, talk or hear. The employee is occasionally required to sit, climb or balance and stoop or kneel. The employee on occasion will assist to lift and/or transfer Residents weighing between 100 to 250 pounds. Specific vision abilities required by this job include close vision, distance vision and peripheral vision. WORK ENVIRONMENT The work environment characteristics describes here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is occasionally exposed to blood or other body fluids, fumes or airborne particles and toxic or caustic chemicals. The noise level in the work environment is usually moderate. THER REQUIREMENTS Participates in (or conducts) company-sponsored training to safeguard against improper use and disclosure of resident’s protected health information. Monitors and oversees facility’s efforts to comply with company policies, procedures and state and federal law. By his / her signature below, employee agrees to adhere to and oversee communication of privacy guidelines relative to the confidentiality of residents’ protected health information. JOB DESCRIPTION REVIEW I understand this job description, its requirements and that I am expected to complete all duties as assigned. I understand the job duties may be altered from time to time. SALARY RANGE: $24.00 to $26.00 PER HOUR DEPENDING ON EXPERIENCE Mariner Healthcare reserves the right to discontinue any bonus program at anytime.
Summary We are looking for dynamic associates to join our clinical team and provide our residents and network of Skilled Nursing Facilities with a best-in-class care experience! Whether you are just starting your career or have years of experience we want to meet you! The IP Nurse is responsible for the implementation of the Infection Control program of the facility including antibiotic stewardship program. Employee will also be responsible in keeping facility staff and residents compliant with immunization program as required by Title 22 regulations and CDPH directives. IP Nurse Requirements Active Licensed Vocational Nurse (LVN) in California Fully vaccinated against COVID-19 including Booster shots Knowledge of long-term care patient needs Current First Aid and CPR Card Attended Antibiotic Stewardship Certification or Infection Control Training Program. RN or LVN from an accredited school or have a Professional training in nursing, Medical technology, Microbiology, epidemiology, or another related field. Employee should have completed specialized training infection prevention and control. Demonstrated ability to deal with fast-paced environment Primary IP Nurse Responsibilities Complies with the facility’s attendance policy requiring regular, reliable, and punctual attendance Participate in the Antibiotic stewardship program of the facility to support the safe and appropriate use of antibiotics Review and monitor antibiotic usage patterns in the facility Review antibiotic resistance patterns especially MDRO (MRSA, VRE, CRE, ESBL, etc.) Maintain infection Log and surveillance report for each resident that had infection Responsible for the collection and gathering of data for review of the Antibiotic Stewardship Committee Responsible for the coordination and consultation with the Pharmacy consultant with the with the use of antibiotic in the facility Responsible with communicating to Infection Physicians and Attending Physicians regarding the appropriate use of antibiotic medications Review every antibiotic order in the facility ensure that each medication has proper indication for use and is appropriate for the residents Review of resident’s assessments, by facility nurse, for appropriateness of residents care with regards to infection control and adherence to isolation policies and procedures according to evidence-based practices. January 27, 2022 Responsible also for reviewing Laboratory provider with any results that are flagged out with MDRO Perform daily rounds in the facility to assess and identify infection control related issues and problems. Conduct staff in-service education / training when needed, to abate known problems Perform hand hygiene observations and document findings of all departments including clinicians and outside contractual providers Acts as Infection Control supervisor, making sure all policies and procedures, regarding Infection Control are carried out Confirm, investigate and report Outbreaks Manage and follow up on employee and resident exposures to infectious diseases. Complete the Infection Risk scale upon admission, quarterly and when changes in condition occurs Conduct resident screening for TB during admission and annually using a 2-step tuberculin skin test, and Chest X-ray when skin test is positive Directs the implementation of the Immunization program for Flu and Pneumonia, ensure the completion of the informed consent and maintain a current log for immunization Perform surveillance of residents (and staff, when indicated) reported to have infections by collecting and analyzing and interpreting data documented Summarize data for a monthly and quarterly report Maintain infection control log for each infection occurring in the facility monthly Maintain tracking log for MDRO infections in the facility Collect and review types of antibiotics used in the facility, and cost of the treatment Review orders for antibiotic treatment if cultures were done prior to treatment and which physician started the therapy Review also antibiotic orders for length of therapy and any changes in the antibiotic during the course of treatment Attend quarterly QA meetings and participate as a member of the Quality Assurance Performance Improvement (QAPI) Committee. Report findings of review and analysis to the Quality Assurance committee Responsible for sharing feedback to Physicians regarding individual prescribing patterns of cultures ordered and antibiotic prescribed Assist DSD in the education program for the clinical staff, residents and families concerning the appropriate use of antibiotic and proper infection control practices Other duties may be assigned Physical setting: Long term care Nursing home Schedule: 8 hour shift On call Weekends as needed Ability to commute/relocate: Reliably commute or planning to relocate before starting work (Required) License/Certification: LVN (Required) IP Nurse (Required) Work Location : In person WAGE RATE: FROM $40.00 to $45.00 PER HOUR DEPENDING ON EXPERIENCE
FUNCTION Cares for residents under the direction and supervision of a registered nurse or a licensed practical/vocational nurse. QUALIFICATIONS The requirements listed below are representative of the knowledge, skill and/or ability required. Minimum Qualifications: • Freedom from illegal use of drugs • Freedom from use of and effects of use of drugs and alcohol in the workplace. • Anyone found guilty by a court of law of abusing, neglecting, or mistreating individuals in health care related setting are ineligible for employment in the position. Education and/or Experience: Minimum High school diploma or general education degree (GED), or one to three months related experience and/or training or equivalent combination of education and experience preferred. Certificates, Licensees, Registrations: Graduate of a state approved nursing assistant training program and passed a state approved competency examination (written and skills) within 120 days of employment; name entered into state nurse aide registry. LANGUAGE SKILLS Must be able to express self adequately in written and oral communication and to communicate effectively in an interdisciplinary care setting with residents, families and staff members. MATHEMATICAL SKILLS Ability to add and subtract three digit numbers; calculate percentage of whole; measure in cubic centimeters (cc’s); measure in feet and inches. Ability to perform these operations using units of weight measurement, volume, length and height. REASONING ABILITY Ability to apply common sense understanding to carry out instructions furnished in written, oral or diagram form. SUPERVISORY RESPONSIBILITIES N/A ESSENTIAL FUNCTIONS AND RESPONSIBILITIES To perform this job successfully, an individual must be able to perform each key function satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the key functions. Care and Services: • Take and records vital signs • Measures and records height and weight • Calculates and records weight gain or loss • Calculate and records fluid intake and output • Cares for the resident’s environment • Recognizes abnormal changes in body functioning and importance of reporting such changes to a supervisor • Cares for residents when death is imminent • Makes routine rounds on each assigned resident every two hours • Bathes residents • Assist with grooming, including mouth care • Dresses residents • Toilet residents • Assist with eating and hydration • Use proper feeding techniques • Calculates and records percentage of meal eaten • Observe resident’s skin when giving care and reports changes to license nurse • Provides skin care • Transfer, position and turns residents • Meets residents’ mental health and social service needs • Modifies own behavior in response to resident’s behaviors • Allows residents to make personal choices • Provides and reinforces other behavior consistent with the residents’ dignity. • Uses the residents’ families as a source of emotional support. • Contributes to the resident’s assessment (MDS/CAA) and the plan of care. • Provides nursing rehabilitation/restorative nursing services: - Promote resident’s ability to adopt and adjust to living as independently as possible - Trains the resident in self-care according to the resident’s abilities - Trains the resident in the use of assistive devices for transferring, walking and mobility. Dressing and grooming, eating and swallowing - Maintains range of motion; proper turning and positioning in bed and chair - Provides bladder and bowel retraining - Instructs the resident on the care and use of prosthetic and orthotic devices - Incorporates training and skill practice activities which include repetition, physical or verbal cueing and task segmentation • Care for residents with dementia: - Knows how to respond to residents’ behaviors - Allows residents to make personal choices - Provides and reinforces other behavior consistent with residents’ dignity - Uses the residents’ families as a source of emotional support - Demonstrates a basic understanding of behavior and functional symptoms associated with dementia by providing interventions and treatments to help reduce these symptoms - Uses modification in the presentation of activities of daily living to maintain and maximize resident competencies and function - Uses effective intervention techniques to address behavioral concerns - Acts as a facilitator for activity programming - Demonstrates effective communication techniques for persons with dementia • Provides non-resident care including, but not limited to: - Washing wheelchairs - Cleaning soiled utility areas - Cleaning nurses’ station - Cleaning shower and whirlpool rooms - Cleaning kitchen areas on the nursing unit • Provides transporation of residents to and from hospital and medical appointments RESIDENT RIGHTS Promotes and protects resident’s rights, assists residents to make informed decision, treats residents with dignity and respect, protects residents’ personal belongings, reports suspected abused or neglect, avoids the need for physical restraints in accordance with current professional standards and, supports independent expression, choice and decision-making consistent with applicable law and regulation. LEADERSHIP Demonstrates willingness to try new tasks; generates new ideas for change; evaluates and recognized priorities, challenges others to learn; keeps current and integrates new information, communicates and models organization values; and fosters high performance. PROCESS IMPROVEMENT Applies process improvement methods and techniques and identifies processes for improvement in daily work. ENVIRONMENT OF CARE Demonstrates understanding of fire and emergency procedures; participates in fire and disaster drills; demonstrates understanding of safety and security procedures; applies safety and security precautions; demonstrates understanding of hazardous materials plan; demonstrates proper use of equipment. INFECTION CONTROL Applies hand washing principles during daily work; demonstrates understanding of isolation precautions; recognizes signs and symptoms of infection and complies with the employee health program; demonstrates understanding of the process for identifying and handling infectious waste; maintains personal hygiene; complies with OSHA standards in the workplace; and demonstrates understanding of cross-contamination. INFORMATION MANAGEMENT Enters or records data timely and accurately; protects confidentiality of resident information, protects data against loss or destruction, reports suspected violation of security/confidentiality issues. Monitors and complies with company policies, procedures and state and federal law. INTERPERSONAL SKILLS Demonstrates active listening techniques, gains support through effective relationships, treats others with dignity and respect; and seeks feedback. CONTINUING EDUCATION Attends in-service and education programs; attends continuing education required for maintenance certification. PHYSICAL DEMANDS The physical demands describes here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is frequently required to stand, walk, use hands or fingers, reach with hands and arms, talk or hear. The employee is occasionally required to sit, climb or balance and stoop or kneel. The employee on occasion will assist to lift and/or transfer Residents weighing between 100 to 250 pounds. Specific vision abilities required by this job include close vision, distance vision and peripheral vision. WORK ENVIRONMENT The work environment characteristics describes here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is occasionally exposed to blood or other body fluids, fumes or airborne particles and toxic or caustic chemicals. The noise level in the work environment is usually moderate. OTHER REQUIREMENTS Participates in (or conducts) company-sponsored training to safeguard against improper use and disclosure of resident’s protected health information. Monitors and oversees facility’s efforts to comply with company policies, procedures and state and federal law. By his / her signature below, employee agrees to adhere to and oversee communication of privacy guidelines relative to the confidentiality of residents' protected health information. JOB DESCRIPTION REVIEW I understand this job description, its requirements and that I am expected to complete all duties as assigned. I understand the job duties may be altered from time to time. SALARY RANGE: $24.00 to $26.00 PER HOUR DEPENDING ON EXPERIENCE
