Under the direction and supervision of the Director of Nursing Services, the Treatment Nurse is responsible for all the treatments that are prescribed by the attending physician for all residents in the facility. Treatment Nurse Registered Nurse (RN) Licensed Vocational Nurse (LVN) QUALIFICATIONS • Graduate of an accredited school of professional nursing. • Current licensure as a Registered Nurse or a Licensed Vocational Nurse in the state in which practicing. • Possess one or more year’s experience in a skilled nursing care facility. • Ability to read, write and speak the English language. • Possess mental and physical health. Treatment Nurse Registered Nurse (RN) Licensed Vocational Nurse (LVN) GENERAL DUTIES AND RESPONSIBILITIES: CLINICAL • Assess resident’s skin condition by doing complete body assessment on admission, re-admission and return from day, night or extended leave of absence. • Initiate the Nurse’s Skin and Wound Progress report upon identification of any skin problem and/or pressure ulcer. • Notify attending physician promptly when any skin condition is identified. • Initiate all treatments immediately as prescribed by attending physician. • Ensure that all skin conditions have corresponding treatment orders. • Ensure that all sites of any skin problems are identified and documented on the nursing assessment form upon admission. • Photograph all newly admitted residents with any skin problems and with stage 2, 3, and 4 pressure ulcers. Indicate date photograph was taken. • Photograph all residents with any skin problems and with stage 2, 3, and 4 pressure ulcers upon discharge, except in an emergency transfer. • Ensure that all skin problems and pressure ulcers are documented on the resident’s Plan of Care. • Perform a weekly skin assessment on all residents and submit findings to the Administrator, Director of Nurses, MDS Coordinator, Dietary Consultant and Physical Therapist. • Document skin assessment findings during weekly assessment on weekly Nurse’s Skin Wound Progress Report form, inform physician as needed and enter on resident’s Plan of Care. • Notify attending physician and Director of Nursing Services promptly of any deterioration of any skin problem and non-response to treatment. • Notify Dietary Consultant promptly on any need for dietary intervention. • Notify Physical Therapist promptly on any need for wound management. • Transcribe and document treatment orders on treatment sheet. • Audit and check treatment sheet recaps on a monthly basis. • Audit missing documentation on treatment sheet at the end of each month. • Order medication and treatment from pharmacy as prescribed by the attending physician. • Consult with skin care consultant regarding need to initiate or discontinue special bed. • Responsible for daily charges of equipment and supplies. • Review monthly charges before submission to Business Office. • Monitor oxygen supply. • Check and request supplies weekly from central supply personnel. • Change drainage bags weekly and PRN, or as per facility policy and procedure. • Responsible for taking cultures as ordered by the attending physician. • Attend in-service classes, meetings and seminars as required. • Make monthly rounds with skin care consultant. • Keep treatment carts clean at all times. • Notify Director of Nursing Services promptly of any skin problem that developed in the facility. • Others as may become necessary and appropriate or as may be directed by the Director of Nursing Services or Administrator. CONSUMER SERVICE • Presents professional image to consumers through dress, behavior and speech. • Adheres to Company standards for resolving consumer concerns. • Ensures that all consumer/resident rights are protected.
RN Supervisor (Registered Nurse) is a licensed professional nurse directly under the supervision of the Director of Nursing Services. The RN Supervisor (Registered Nurse) is to assist the planning, organizing, developing and directing of nursing service to assure that the highest degree of quality resident care can be maintained at all times. RN Supervisor (Registered Nurse) QUALIFICATIONS • Graduate of an accredited school of nursing. • Current nursing licensure in the state in which practicing. • At least one year of experience in supervision. • Strong qualities of leadership, communication and organizational skills. • Ability to communicate effectively in English through both speech and writing. • Possess mental, emotional and physical health. RN Supervisor (Registered Nurse) GENERAL DUTIES AND RESPONSIBILITIES: GENERAL • Assure that residents have a clean, safe, orderly and comfortable environment. • Initiate resident Plans of Care on admission. • Assist in implementing recommendations from consultants and the Quality Assurance team as directed by the Director of Nursing Services. • Assist in developing, reviewing, revising an updating resident Plans of Care for individual residents. • Ensure that notification is given to the resident’s attending/alternate physician, as well as the resident’s legal guardian/representative, when the resident becomes critically ill, injured, etc., or has a significant change in condition as outlined within our established policies. • Review complaints and grievances form families and notify the Director of Nursing Services as necessary. • Evaluate emergencies and assist in implementing emergency measures. • Assure that the unit area is maintained in a clean and safe manner for resident comfort and convenience, by ensuring that necessary equipment and supplies are maintained to perform nursing care. • Assist in notification of physician of any resident incidents/unusual occurrences. Ensure that the Accident/Incident Report forms are filled out and completed on all such occurrences and such information charted in the resident’s medical record as outlined in our established policies and procedures. • Assist the Charge Nurse on investigation of alleged abuse or unusual occurrence as outlined within our established policies and procedures. • Start and monitor intravenous medication as ordered. • Assist the Charge Nurse and other nursing personnel in performing nursing procedures as necessary. • Assist the Charge Nurse in admitting, transferring and discharging residents. • Assist in correcting findings and deficiencies from the Department of Health Services, Consultants, and the Quality Assurance Team. RN SUPERVISOR – Cont’d. Job Descriptions Manual • Assist in completing restraint assessments, pain assessments, oral assessments, psychotropic assessments, bowel and bladder assessments and I & O weekly evaluations. • Assure that all nurse’s notes are charted in an informative and descriptive manner that reflects the are provided as well as the resident’s response to the care. • Attend and participate in staff meetings and in-service classes. • Others as may become necessary and appropriate or as may be directed by the Director of Nursing Services or Administrator. SUPERVISION • Make resident rounds to ensure appropriate care is being rendered, identifying and making corrections as necessary. • Meet with nursing personnel to assist in identifying and correcting problem areas and/or the improvement of resident care. • Assist in making rounds with the attending physician as necessary. • Assist the Charge Nurse in revision and distribution of assignments in case of nursing shortage. • Assist in the supervision and direction of nursing personnel. • Participate in disciplinary action and evaluation of nursing personnel. CONSUMER SERVICE • Presents professional image to consumers through dress, behavior and speech. • Adheres to Company standards for resolving consumer concerns. • Ensures that all resident rights are protected.
