RN Outpatient Full-time
Fresenius Medical Care

Outpatient Registered Nurse - RN

Fresenius Medical Care Inglewood, CA 90301, US
$34.50 - $59 / hour
Apply Now

PURPOSE AND SCOPE:

Functions as part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality patient care on a daily basis in accordance with FMS policies, procedures, and training. Supports the FMCNA’s mission, vision, values, and customer service philosophy. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMCNA Quality Enhancement Goals (QEP). Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

  • Directs Patient Care Technician’s provision of safe and effective delivery of chronic hemodialysis therapy to patients in compliance with standards outlined in the facility policy procedure manuals, as well as regulations set forth by the corporation, state, and federal agencies.
  • Delegates tasks to all direct patient care staff including but not limited to LVN/LPNs, Patient Care Technicians, and Dialysis Assistants.
  • Assesses daily patient care needs and develops appropriate patient care assignments.
  • Routinely monitors patient care staff for appropriate techniques and adherence to facility policy and procedures.
  • Participates in staff training and orientation of new staff as assigned
  • Participates in all required staff meetings as scheduled.
  • Ensures educational needs of patients and family are met regarding End Stage Renal Disease (ESRD).
  • Provides ongoing education to patients regarding their renal disease, vascular access and dialysis therapy, and other related health conditions.
  • Discusses with patient, and records education related to diet/fluid and medication compliance.
  • Provides patient specific detailed education regarding adequacy measures where applicable - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM).
  • Ensures transplant awareness, modality awareness, and drive catheter reduction.
  • Educates patients regarding laboratory values and the relationship to adequate dialysis therapy, compliance with treatment schedule, medications, and fluid.
  • Provides safe and effective delivery of care to patients with ESRD.
  • Accurately implements treatment prescriptions including Sodium (Na) modeling prescription, and Ultrafiltration modeling (where appropriate) to ensure stable treatment therapy as indicated.
  • Assesses patients’ response to hemodialysis treatment therapy, making appropriate adjustments and modifications to the treatment plan as indicated by the prescribing physician. Communicates problems or concerns to the Team Leader or physician.
  • Identifies and communicates patient related issues to Team Leader or physician.
  • Initiates Initial and Annual Nursing Assessment, and ongoing evaluation and documentation of patient care needs according to FMC Policies and Procedures.
  • Actively participates in the pre-evaluation, initiation, monitoring, termination, access homeostasis, and post evaluation of patients receiving hemodialysis treatment therapy according to established FMC procedures.
  • Takes appropriate intervention for changes in patient adequacy status and troubleshooting access flow issues as identified by OLC/AMP yellow lights.
  • Provides, supervises (if applicable), and monitors hemodialysis access care according to established procedures.
  • Implements, administers, monitors, and documents patient's response to prescribed interdialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier.
  • Ensures accurate and complete documentation by Patient Care Technician on the Hemodialysis Treatment Sheet.
  • Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System.
  • Ensures appropriate preparation of lab requisitions for Spectra or alternate lab.
  • Ensures correct labs tubes are utilized for prescribed lab specimens and that lab draw and processing procedures are performed appropriately for all lab samples.
  • Identifies and ensures appropriate follow-through regarding missed labs and specimens reported to be insufficient according to company policies and procedures.
  • Ensures all specimens are appropriately packaged according to Department of Transportation (DOT) policies and procedures relating to shipment of blood or body fluid specimens and potentially hazardous material.
  • Ensures that all labs are directed and delivered to appropriate labs.
  • Reports alert/panic and abnormal labs results to appropriate physician.
  • Ensures lab results are forwarded to physicians as requested.
  • Enforces all company approved policies and procedures, as well as regulations set forth by state and federal agencies and departments.
  • Maintains overall shift operation in a safe, efficient, and effective manner.
  • Act as a resource for other staff members.
  • Routinely meets with the Clinical Manager to discuss personnel and patient care status, issues, and information.
  • Collaborate and communicate with physicians and other members of the healthcare team to interpret, adjust, and coordinate care provided to the patient.
  • Provides assistance as needed to patients regarding prescription refills according to FMCNA Policies.
  • Ensures all physician orders are transcribed and entered into the Medical Information system in a timely manner.
  • Oversees all documentation of patient information.
  • Maintains facility drug list for all required stock medications.
  • Maintains competency with all emergency operational procedures, and initiates CPR and emergency measures in the event of a cardiac and/or respiratory arrest.
  • Ensures verification and availability of adequate emergency equipment.
  • Ensures provision of appropriate vaccinations, immunizations, and annual Tuberculosis (TB) testing.
  • Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification if indicated.
  • Administers PRN medications as prescribed and completes appropriate documentation of assessment of effectiveness.
  • Maintains appropriate recording of controlled substances as required by law.
  • Assists with the coordination of patient transportation if necessary.
  • Ensures a clean, safe, and sanitary environment in the dialysis facility treatment area.
  • Ensures competency in the operation of all dialysis-related equipment safely and effectively.
  • Ensures all patient stations, including machines and chairs, are clean and free of blood and placed appropriately.
  • Ensures that all blood spills are immediately addressed according to FMCNA Bloodborne Pathogen Control Policies.
  • Ensures all relevant data including physician orders, lab results, vital signs and treatment parameters, and patient status are documented appropriately and entered into Medical Information System.
  • Ensures all appropriate patient related treatment data is entered into the Medical Information System.
  • Ensures all FMCNA policies regarding patient admission, transfer, and discharge are appropriately implemented.
  • Ensures and verify accuracy of Patient Care Technician documentation.
  • Reviews and ensures appropriate daily completion of Hemodialysis Treatment Sheets by all patient care staff.
  • Ensures that all appropriate procedures are followed regarding opening and closing procedures, inclusive of monitoring that all staff and patients have safely left the premises.
  • Initiates, documents, and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports.
  • Completes monthly nurses' progress note.
  • Ensures patient medical records are complete with appropriate information, documentation, and identification on each page (Addressograph label is on all chart forms).
  • Reviews transplant status and follows established procedure regarding appropriate action to be taken.
  • Completes patient care plans for new patients within the initial 30 days or any patients deemed unstable requiring monthly patient care plans.
  • Completes any long-term programs that are due.
  • Completes initial and annual Nursing History and Assessment physical.
  • Ensures completion of Annual Standing Order Review with each physician as required.
  • Performs additional duties as assigned.

PHYSICAL DEMANDS AND WORKING CONDITIONS:

The physical demands and work environment characteristics described 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.

  • The position provides direct patient care that regularly involves heavy lifting and moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. up as high as 5 feet.
  • The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials.
  • Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the

Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodation can be made.

SUPERVISION:

  • None

EDUCATION AND REQUIRED CREDENTIALS:

  • Graduate of an accredited School of Nursing.
  • Current appropriate state licensure.
  • Must meet the practice requirements in the state in which he or she is employed.

EXPERIENCE AND SKILLS:

  • Minimum of one-year medical-surgical nursing experience preferred.
  • Hemodialysis experience preferred.
  • ICU experience preferred.
  • Successfully complete a training course in the theory and practice of hemodialysis.
  • Successfully complete CPR Certification.
  • Employees have to meet the necessary requirements of Ishihara's Color Blindness test as a condition of employment.
  • Provide coverage at any or all area facilities as required by management.
  • Icd-9 coding Training.
  • Nurses Technical Training.
  • Must meet appropriate state requirements (if any).

The rate of pay for this position will depend on the successful candidate’s work location and qualifications, including relevant education, work experience, skills, and competencies.

Hourly Rate: $34.50 - $59.00

Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave.

Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.

Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors

Share this job

Share to FB Share to LinkedIn Share to Twitter

Related Jobs

RN ER Full-time
Emanate Health

R.N. II Emergency - Full Time - 11am Shift - 12hr QVH

Emanate Health West Covina, CA
$48.97 - $74.88 / hour
Current Emanate Health Employees - Please log into your Workday account to apply Everyone at Emanate Health plays a vital role in the care we deliver. No matter what department you belong to, the work you do at Emanate Health affects lives. When you join Emanate Health, you become part of a team that works together to strengthen our communities and grow as individuals. On Glassdoor's list of "Best Places to Work" in 2021, Emanate Health was named the #1 ranked health care system in the United States, and the #19 ranked company in the country. Job Summary The Emergency Services (ES) Registered Nurse (RN) is responsible for performing the functions of assessing, planning, implementing and evaluating the care of patients with perceived, actual or potential, sudden or urgent, physical or psychosocial problems that are primarily episodic or acute and that occur in a variety of settings. These may require minimal care of life support measures, patient and significant other education, appropriate referral, and knowledge of legal implications. Emergency patients may be neonatal, pediatric, adolescent, adult or geriatric with diagnosed, undiagnosed or misdiagnosed problems of varying complexity. Job Requirements Minimum Education Requirement: Attend at least 4 hours of BRN-approved pediatric education within 6 months of hire date and every year thereafter. May attend a Two-day approved EDAP/ENPC course every 4 years (QVH Only). Minimum Experience Requirement: All (1) newly graduated nurses, (2) re-entry nurses, and (3) nurses new to the U.S. healthcare system must satisfactorily complete the Emanate Health R.N. New Grad Program. One (1) year clinical experience is preferred. Emergency or Critical Care nursing experience preferred. For those with no prior emergency room experience, the Basic ER Nursing Course is to be completed within 6 months of hire. Excellent customer service skills required. Minimum License Requirement: Current RN license in the State of California. BLS certification required. ACLS and PALS Certification required within 3 months of hire. Assaultive Behavior Training Certification that meets AB508 and SB1299 required within 30 days of hire/transfer. New hires that have completed Assaultive Behavior training outside of Emanate Health will be required to complete Emanate Health Work Place Violence online awareness module within 30 days of hire/transfer. CEN preferred. National Institutes of Health (NIH) Stroke Scale Certification "A" required within 3 months of hire/transfer for those working at QVH and FPH. Annual 8 hours of Stroke Education required for those working at QVH. Must be available to work every other weekend Delivering world-class health care one patient at a time. Pay Range: $48.97 - $74.88
RN Telemetry Full-time
ScionHealth

LA Float Pool Med Tele Registered Nurse RN FT Days

ScionHealth Westminster, CA
Description LA Float pool supports our LA, San Gabriel, South Bay, Baldwin Park & Paramount Hospitals At ScionHealth , we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates. Job Summary Provides planning and delivery of direct and indirect patient care through the nursing process of Assessment, Planning, Intervention, and Evaluation. Develops nursing care plans in coordination with patient, family and interdisciplinary staff as necessary. Communicates changes in patient’s clinical condition with Physicians, Nursing Supervisor/Manager, and co-workers as appropriate. Participates in discharge planning process. Essential Functions Maintains the standard of nursing care and implements policies and procedures of the hospital and nursing department. Directs, supervises, provides and evaluates nursing care provided to patients. Assigns or delegates tasks based on the needs and condition of the patient, potential for harm, complexity of the task, and within scope of practice of the staff to whom the task is delegated. Assigns nursing care team members in accordance with patient needs, team member’s capabilities and qualifications. Documents patient admission assessment and reassessments, patient care plans and other pertinent information, completely in the patient’s medical record according to nursing standards and policies. Performs assessment on all patients on admission and reassessments as per policy. Makes referrals to other disciplines based on assessment. Develops nursing care plan of assigned patient on admission, updates plan of care as needed and ensures plan of care is coordinated with patient, family, and other members of the team. Assesses and reassesses pain. Utilizes appropriate pain management techniques. Educates the patient and family regarding pain management. Revises the plan of care as indicated by the patient’s response to treatment and evaluates overall plan daily for effectiveness. Performs patient care responsibilities considering needs specific to the standard of care for patient’s age. Receives physician’s orders, ensures transcription is accurate and documents completion. Administers medication utilizing the five rights of medication administration reducing the potential for medication errors. Formulates a teaching plan based upon identified learning needs and evaluates effectiveness of learning; family is included in teaching as appropriate. Assists physicians with examinations, treatments and special procedures and performs services requiring technical and manual skills within scope of practice. Performs treatments and provides services to level of licensure. Treats patients and their families with respect and dignity. Identifies and addresses psychosocial, cultural, ethnic, and religious/spiritual needs of patients and their families. Functions as liaison between administration, patients, physicians, and other healthcare providers. Interacts professionally with patient/family and involves patient/family in the formation of the plan of care. Interprets data about the patient’s status to identify each patient’s age specific needs and provide care needed by the patient group. Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors. Initiates or assists with emergency measures for sudden adverse developments in patients’ condition. Answers telephone, paging system, patients’ call lights, anticipates patients’ needs, and makes rounds of assigned patients and responds as appropriate. Consults other departments as appropriate to provide for an interdisciplinary approach to the patient’s needs. Provides end of shift report to oncoming nurse, narcotics are counted, documentation is complete, and physician orders signed off. Communicates appropriately and clearly to management, co-workers, and physicians. Identifies and addresses psychosocial needs of patients and family; communicates with Social Service/Discharge Planner regarding both in hospital and post discharge needs. Participates in orientation, instruction/training of new personnel. Manages and operates equipment safely and correctly. Knowledge/Skills/Abilities/Expectations Knowledge of medications and their correct administration based on age of the patient and their clinical condition. Basic computer knowledge. Able to organize tasks, develop action plans, set priorities and function under stressful situations. Ability to maintain a good working relationship both within the department and with other departments. Approximate percent of time required to travel: 0% Must read, write and speak fluent English. Must have good and regular attendance. Performs other related duties as assigned. Pay Range: $44.38 - $55.18/Hr + $8hr to work float pool ScionHealth has a comprehensive benefits package for benefit-eligible employees that includes Medical, Dental, Vision, 401(k), FSA/HSA, Life Insurance, Paid Time Off, and Wellness. Qualifications Education Postsecondary certificate, diploma, or program graduation from an accredited school of nursing. (Required) Associate’s Degree or Bachelor’s Degree in Nursing. (Preferred) Licenses/Certifications Registered Nurse (RN) – State Licensure and/or Compact State Licensure in the state of practice. (Required upon hire) Basic Life Support (BCLS). (Required upon hire) Advanced Cardiac Life Support (ACLS). (Preferred upon hire) Experience Six (6) months of Medical/Surgical nursing experience in an acute care setting. (Preferred) Experience demonstrating critical thinking, decision-making, and effective prioritization in a fast-paced clinical environment. (Preferred)
RN Telemetry Full-time
ScionHealth

LA Float Pool Med Tele Registered Nurse RN FT Nights

ScionHealth Westminster, CA
Description LA Float pool supports our LA, San Gabriel, South Bay, Baldwin Park & Paramount Hospitals At ScionHealth , we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates. Job Summary Provides planning and delivery of direct and indirect patient care through the nursing process of Assessment, Planning, Intervention, and Evaluation. Develops nursing care plans in coordination with patient, family and interdisciplinary staff as necessary. Communicates changes in patient’s clinical condition with Physicians, Nursing Supervisor/Manager, and co-workers as appropriate. Participates in discharge planning process. Essential Functions Maintains the standard of nursing care and implements policies and procedures of the hospital and nursing department. Directs, supervises, provides and evaluates nursing care provided to patients. Assigns or delegates tasks based on the needs and condition of the patient, potential for harm, complexity of the task, and within scope of practice of the staff to whom the task is delegated. Assigns nursing care team members in accordance with patient needs, team member’s capabilities and qualifications. Documents patient admission assessment and reassessments, patient care plans and other pertinent information, completely in the patient’s medical record according to nursing standards and policies. Performs assessment on all patients on admission and reassessments as per policy. Makes referrals to other disciplines based on assessment. Develops nursing care plan of assigned patient on admission, updates plan of care as needed and ensures plan of care is coordinated with patient, family, and other members of the team. Assesses and reassesses pain. Utilizes appropriate pain management techniques. Educates the patient and family regarding pain management. Revises the plan of care as indicated by the patient’s response to treatment and evaluates overall plan daily for effectiveness. Performs patient care responsibilities considering needs specific to the standard of care for patient’s age. Receives physician’s orders, ensures transcription is accurate and documents completion. Administers medication utilizing the five rights of medication administration reducing the potential for medication errors. Formulates a teaching plan based upon identified learning needs and evaluates effectiveness of learning; family is included in teaching as appropriate. Assists physicians with examinations, treatments and special procedures and performs services requiring technical and manual skills within scope of practice. Performs treatments and provides services to level of licensure. Treats patients and their families with respect and dignity. Identifies and addresses psychosocial, cultural, ethnic, and religious/spiritual needs of patients and their families. Functions as liaison between administration, patients, physicians, and other healthcare providers. Interacts professionally with patient/family and involves patient/family in the formation of the plan of care. Interprets data about the patient’s status to identify each patient’s age specific needs and provide care needed by the patient group. Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors. Initiates or assists with emergency measures for sudden adverse developments in patients’ condition. Answers telephone, paging system, patients’ call lights, anticipates patients’ needs, and makes rounds of assigned patients and responds as appropriate. Consults other departments as appropriate to provide for an interdisciplinary approach to the patient’s needs. Provides end of shift report to oncoming nurse, narcotics are counted, documentation is complete, and physician orders signed off. Communicates appropriately and clearly to management, co-workers, and physicians. Identifies and addresses psychosocial needs of patients and family; communicates with Social Service/Discharge Planner regarding both in hospital and post discharge needs. Participates in orientation, instruction/training of new personnel. Manages and operates equipment safely and correctly. Knowledge/Skills/Abilities/Expectations Knowledge of medications and their correct administration based on age of the patient and their clinical condition. Basic computer knowledge. Able to organize tasks, develop action plans, set priorities and function under stressful situations. Ability to maintain a good working relationship both within the department and with other departments. Approximate percent of time required to travel: 0% Must read, write and speak fluent English. Must have good and regular attendance. Performs other related duties as assigned. Pay Range: $44.38 - $55.18/Hr + $8hr to work float pool ScionHealth has a comprehensive benefits package for benefit-eligible employees that includes Medical, Dental, Vision, 401(k), FSA/HSA, Life Insurance, Paid Time Off, and Wellness. Qualifications Education Postsecondary certificate, diploma, or program graduation from an accredited school of nursing. (Required) Associate’s Degree or Bachelor’s Degree in Nursing. (Preferred) Licenses/Certifications Registered Nurse (RN) – State Licensure and/or Compact State Licensure in the state of practice. (Required upon hire) Basic Life Support (BCLS). (Required upon hire) Advanced Cardiac Life Support (ACLS). (Preferred upon hire) Experience Six (6) months of Medical/Surgical nursing experience in an acute care setting. (Preferred) Experience demonstrating critical thinking, decision-making, and effective prioritization in a fast-paced clinical environment. (Preferred)
RN Labor and Delivery Full-time
Emanate Health

RN II L&D - Full Time - Nights - 12hrs QVH

Emanate Health West Covina, CA
$48.97 - $74.88 / hour
Current Emanate Health Employees - Please log into your Workday account to apply Everyone at Emanate Health plays a vital role in the care we deliver. No matter what department you belong to, the work you do at Emanate Health affects lives. When you join Emanate Health, you become part of a team that works together to strengthen our communities and grow as individuals. On Glassdoor's list of "Best Places to Work" in 2021, Emanate Health was named the #1 ranked health care system in the United States, and the #19 ranked company in the country. Job Summary The Staff RN is a professional caregiver who assumes responsibility and accountability for a group of patients for a designated time frame. Prepares patient for surgery. May be assigned responsibility for circulating, and provides post anesthesia care. Provides medical screening examine for appropriate disposition of patients. Assesses patient during labor, delivery and post partum. Provides newborn assessment. Assesses resuscitation needs of the newborn. He/she is a clinical practitioner who coordinates and implements patient care specific to the age of the patient population served on the assigned units. Provides care for high-risk patient ante partum population. He/she ensures that quality care is provided in an efficient and safe manner consistent with the unit's standard of care. Utilizes nursing skills to determine the biophysical, psychosocial, environmental, self care and educational needs of the patient/family/significant other to develop, implement and revise the plan of care. Provides family centered education. Job Requirements Minimum Experience Requirement: All (1) newly graduated nurses, (2) re-entry nurses, and (3) nurses new to the U.S. healthcare system must satisfactorily complete the Emanate Health R.N. New Grad Program. One year of L&D experience is preferred. Excellent customer service skills required Minimum License Requirement: Current RN license in the State of California. BLS certification required. ACLS and Advanced NRP within 90 days of hire/transfer. AWOHNN Advanced Fetal monitoring will be obtained within 90 days of hire for experienced RNs. RNs participating in the L&D Training Program will complete AWOHNN Advanced Fetal Monitoring in the program within 18 months of hire/transfer. Annual 1 hour of Stroke Education required. Delivering world-class health care one patient at a time. Pay Range: $48.97 - $74.88
RN Full-time
West Haven Healthcare

Registered Nurse (RN)

West Haven Healthcare West Covina, CA
SUMMARY Under the general supervision of the Director of Nursing, the Registered Nurse performs a variety of resident care functions and closely observes residents for changes in medical status. This position also uses independent judgment and discretion in maintaining the delivery of quality resident care by assuring that the nursing and medical care plan is followed, and makes supervisory decisions. In the absence of the Director of Nursing, this position assumes full responsibility for the resident care. ESSENTIAL RESPONSIBILITIES AND JOB FUNCTIONS Nursing Care : Administers nursing care as indicated by the nursing care plan and in compliance with all Regulatory Agencies. Administration of Resident Care : Demonstrates ability to provide appropriate and quality nursing care to residents, including but not limited to: (1) Reviews all resident histories to determine course of illness and all co morbidities for integration into the care plan. (2) Demonstrating the ability to assign meaning to resident symptoms and initiating appropriate action. (3) Ensuring that problems/concerns regarding activities in the facility/department are communicated appropriately. (4) Effectively assessing, planning, implementing, and evaluating nursing care for residents. (5) Educating residents, families and significant others regarding treatment, tests, special procedures, medications and safety. (6) Consistently monitoring resident condition and initiates appropriate nursing intervention. (7) Initiating and conducting emergency measures (including CPR) required to stabilize patient's condition. (8) Prioritizing residents’ needs, expediting treatment for acutely ill residents to include CPR. (9) Consistently documenting resident care and reports pertinent clinical observations and reactions to the appropriate individual. (10) Actively participating in development and assessment of resident care issues as they relate to. Performance Improvement activities for the department. Resident Plan of Care : Initiates the plan of care within 24 hrs. of admission and consistently updates care plan with changes in resident needs/condition. Resident Admission Assessments : Performs and accurately documents the resident admission assessment, completing within 24 hours of admission. Resident Re-assessments : Consistently and accurately performs reassessments during each shift and when the resident condition changes. Other Resident Assessments : Completes other assessment tools as defined in policy when appropriate (i.e. pain assessment, pressure ulcer protocol, fall assessments etc). Resident Medications: Demonstrates ability to provide appropriate nursing medication management including, but not limited to: (1) Administering medications as ordered by physician using age specific monitors. (2) Ensuring medications are ordered, received and transcribed on a routine basis and in a timely manner. (3) Appropriately transcribing, administering and documenting medications according to policy and procedures and age specific considerations. (4) Monitoring and removing any discontinued or expired medications from medication carts. (5) Maintaining a current, accurate listing of all resident medications. (6) Demonstrating knowledge and ability to intercede in repetitive prescriptions or contradictory medications. (7) Reordering emergency medications from emergency box (e-kit) as needed. (8) Completing appropriate forms and returning unused medication to the pharmacy in a timely manner. IV Therapy : Appropriately and safely administers IV therapy and documents according to policy and procedure. Team Conferences : Participates in interdisciplinary team conferences and relays treatment plan decisions to the other members of the nursing team. Reporting/Triaging Abnormal Test Results : Reports all abnormal test results to physician in a timely manner; triages activities based on borderline and/or abnormal and/or unusual findings. Age Specific Special Needs: Demonstrates ability to understand and react effectively to unique/special needs of adults, and/or elderly residents. Triaging Resident Complaints : Initiates approved regimes of care as established by policy. Reports all findings to physicians. Assures proper follow-up resolution of resident clinical complaints. Leadership Skills : Demonstrates leadership, communication and teaching skills. Education Resources for Staff : Serves as an education resource for staff, sharing information in an accurate, cooperative and professional manner. Infection Control and Isolation Techniques : Practices appropriate infection control and isolation techniques to maintain a safe environment and control the spread of infection. Progress Notes : Writes and reviews progress notes according to policy and procedures. Documentation: Demonstrates ability to appropriately document resident care, including but not limited to: (1) Appropriately transcribing, administering, and documenting medications according to P&P and age specific considerations. (2) Documenting nursing interventions and resident responses including physical and psychological response. (3) Documenting resident needs, problem capabilities, limitations and progress. (4) Ensuring documentation is legible and neat and that records are appropriately signed (i.e., first initial, last name, title, and date). (5) Documenting any teaching done with resident family and/or significant other. (6) Ensuring accuracy regarding transcribing of physician orders. (7) Ensuring appropriate documentation regarding resident response to medications. Charting Forms: Utilizes the appropriate charting forms and documents appropriately and legibly using charting by exception. Performance Improvement: Participates in performance improvement activities. (i.e. – Infection Control Surveillance; weights loss/gain; diabetic management and pressure ulcer management. Resident Care Information : Exchanges and communicates resident care information with interdisciplinary team. Clarity: Demonstrates an understanding of the legal implications of clarity. Audits: Corrects audit deficiencies of medical record within allotted time frames. Contacting DON/Administrator : Follows guidelines regarding contacting administrator and DON regarding real or potential abuse situations. Responsibilities during Director of Nursing Absence : Assumes responsibilities for operations of the unit and personnel in the absence of the Director of Nursing. Emergencies: Initiates emergency measures in event of disaster or threat to the facility as per emergency plans and protocols. Input from Director of Nursing: Seeks the assistance of the Director of Nursing regarding areas of concern or conflicts with families, co-workers or residents in a professional proactive and courteous manner. Participation in unit based data collection for Q.I ( Quality Improvement ) Resident Advocate: Demonstrates ability to serve as a resident advocate; demonstrates compassion and empathy with residents and their families. This position serves as a member of the overall facility treatment team and as such is required to maintain a positive attitude towards all team members and residents. This position must function as a role model for LVN’s and CNAs as well as other team members. In addition, this position must function as a positive supporter of the facility policies and procedures at all times following the lead of the management team, administrative team and the facility administrator. Other Duties : Seeks out additional duties during slow periods and/or assists others in completion of duties. Assignment of Other Duties : Performs other duties as assigned. EDUCATION/EXPERIENCE To perform this job successfully, an individual must be able to fulfill each essential duty with a strong degree of professionalism. This position requires a detail-oriented professional with excellent communication skills. The requirements listed below are representative of the knowledge, skill and/or ability required. · Minimum of H.S. degree or equivalent. · Long-Term care experience preferably in a skilled nursing setting. · Current Licensure as a Registered Nurse by the State of California. · Must be certified in CPR. · IV certification. · Must maintain current licensure in good standing during employment with this facility in accordance to the State Board. LANGUAGE/REASONING AND INTERPERSONAL SKILLS · Must possess ability to speak, read and write English effectively. · Must possess emotional maturity, reliability, tact, integrity, and good judgment. · Must possess an understanding of facility’s goals and philosophy. · Must possess good problem solving skills with ability to plan, organize, and execute work activities independently. · Must possess ability to interact effectively with team members, residents, families and visitors. · Must possess knowledge of accreditation and licensing standards as they apply to resident care and safety. PHYSICAL DEMANDS/WORK ENVIRONMENT The demands and environment described here are representative of those that must be met by an employee to successfully perform the functions of this job, Reasonable accommodations may be made to enable individuals with disabilities to perform these functions. · The physical demands and work environment described herein is representative of those that generally 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. · Work primarily involves standing, walking, twisting, reaching, bending/stooping, pushing/pulling, and carrying/lifting potentially up to 40 lbs. or more occasionally, up to 25 lbs. or more frequently, and up to 10 lbs. or more regularly. · This position requires using arm, leg and back muscles frequently and for extended periods of time, and also involves using both hands and legs regularly. · Vision abilities required by this job includes good vision and depth perception, both near and far as well as ability to distinguish basic shades and colors. · The noise level in the facility work environment is usually moderately quiet; however, at times, due to the nature of clients treated at this facility, occasional loud outbursts by residents may be expected. · The employee is required to hear within normal range and at a conversation level. · The employee is required to have the ability to express or exchange ideas frequently and the ability to understand communication of others with or without adaptive devices. · This position requires performing simple repetitive tasks regularly and performing complex or varied tasks often. · This position requires that employee have the ability to make generalizations, evaluations or decisions using independent judgment without immediate supervision. · This position requires the employee to occasionally work with hands in water and with or near chemicals. · This position requires the employee to regularly work with equipment with moveable parts. · This position does not require: use of hand tools, working with ladders/scaffolding, working below ground. · This position requires the employee to work 8 hours per day up to five days per week. Additional hours may be requested by the employer based upon staffing need · This position may require the use of a computer for up to 6 - 8 hours in a day EXPOSURE/INFECTION CONTROL: This position has a Personnel Exposure Risk Index rating of “High” for potential exposure to blood borne pathogens. See facility Exposure Control Plan for more information on the Personnel Exposure Risk Index along with identified personal protective equipment required to be worn by employees with a “High” rating for potential exposure. In addition, this position requires that employee: · Must be knowledgeable of and practice infection control techniques and standard (Universal) precautions at all times. · Must obtain a tuberculosis test at the time of hire and on an annual basis thereafter.