Yukio Okutsu State Veterans Home
  • Hilo, HI, USA
  • 38.08
  • Full Time

JOB TITLE: Registered Nurse

REPORTS TO: Director of Nursing

DEPARTMENT: Nursing

FLSA STATUS: Non-exempt/Hourly

SHIFT: Schedule varies and must be available weekends and holidays


JOB SUMMARY

Responsible for the independent supervision of the delivery of care to a group of residents in a nursing unit. Assess resident needs, develop individual care plans, administer nursing care, evaluate nursing care, and supervise Certified Nursing Assistants (CNAs) and other personnel in the delivery of nursing care.

Minimum Qualifications

  • Must hold and maintain a current license to practice as a Registered Nurse in practicing state.
  • Recent clinical experience, education, or specialty skills specific to geriatrics.
  • Demonstrate understanding that state and Federal rules and regulations govern the practices within the facility.
  • Demonstrate working knowledge of infection control principles and practices.
  • Ongoing pursuit of Continuing Education Credits in clinical subjects, management, personal growth and development.
  • Proven ability to communicate effectively and positively with staff, residents and family members.
  • Basic computer knowledge and ability with an aptitude to learn company software.
  • Must be capable of maintaining regular attendance.
  • Must meet all local health regulations and pass post-employment physical exam, if required. This requirement also includes drug screening, criminal background investigation and reference inquiry.

Essential Job Functions

Resident Assessment

  • Adhere to state rules and regulations concerning delivery of care and assure that effective quality nursing care is delivered which is outcome focused through utilization of the nursing process. Effectively interview the resident/responsible party to obtain information required for developing and implementing a plan of care.
  • Demonstrate ability to perform physical assessment through observation, inspection, palpation, percussion and auscultation. If applicable, is involved in and accurately complete the RAI process.
  • Identify needs and provide input for discharge planning and follow-up throughout length of stay.

Develops Plan of Care

  • Develop individualized plan of care in collaboration with the resident/responsible party and interdisciplinary care team by documenting problems, statements, goals and approaches in collaboration with other members of the interdisciplinary care team.
  • Seek LPN and Certified Nursing Assistant input when developing plan of care.
  • Define realistic and obtainable long and short-term goals for the residents. Initiate appropriate nursing interventions with time frames for outcome evaluations and document appropriately in medical record.
  • Revise plan of care with input from resident/responsible party and interdisciplinary care team. Implement teaching with resident/responsible party consistent with interdisciplinary plan of care.

Implements Plan of Care

  • Implement plan of care consistently, effectively and cost efficiently with focus on resident centered outcomes.
  • Identify rationale and anticipated outcomes for each nursing intervention.
  • Assume responsibility for care interventions consistent with skill level and professional standards of care.
  • Utilize time efficiently to assure completion of duties and responsibilities in allotted time frame.
  • Utilize professional and sound judgment in delivery of care which is cost efficient but does not jeopardize safe, effective care delivery.
  • Utilize all appropriate, available resources for resident/family/responsible party counseling and discharge planning.
  • Follow company policies and procedures to ensure a safe, caring, comfortable and clean environment.
  • Keep physician and/or other health care professionals (Nurse Practitioner, Physician Assistant, podiatrist, dentist, etc.) informed of resident's condition; and notify physician and/or other healthcare professionals immediately of significant changes of condition.
  • Work in collaboration with physician and/or other health care professionals by sharing information relevant to changing plan of care.
  • Question and seek clarification of unclear orders.

Evaluates Plan of Care

  • Evaluate team and make changes as needs are recognized. Critique and take responsibility for evaluating nursing care delivered. Utilize the expertise of Nursing colleagues to evaluate plan of care.
  • Elicit feedback from individual being served and/or family or responsible party to determine that their needs are being met.
  • Evaluate effectiveness of the plan of care in conjunction with the interdisciplinary care plan team.

Delivers Resident Care

  • Deliver and maintain optimum resident care and comfort by demonstrating knowledge and skills of current nursing practices.
  • Transcribe physician and/or other health care professionals' orders appropriately and accurately. Ask for clarification of questionable orders from the ordering physician and/or other health care professionals. Notify physician and/or other health care professionals if orders are not carried out and document event appropriately.
  • Perform only those activities which are within the scope of RN nursing practice.
  • Follow company, facility and departmental policies and procedures, and appropriately utilize nursing judgment.
  • Ensure accurate documentation of all medical records and reporting forms.
  • Promptly respond to call lights and other resident needs.

Supervision

  • Supervise Certified Nursing Assistants and other personnel. May supervise other Nurses, including other RNs. Coach, counsel and assign Certified Nursing Assistants and other Nurses to provide quality resident care.
  • Independently evaluate the job skills and work performance of the Certified Nursing Assistants and other Nurses through the formal performance evaluation process. Appropriately discipline or participate in the discipline of Certified Nursing Assistants and other Nurses for violations of work rules, policies or poor performance, including the recommendation of suspensions and terminations.
    Recognize Certified Nursing Assistants and other Nurses for exceptional care and job performance on a regular basis and as part of their formal performance evaluation.
  • Assign Certified Nursing Assistants and other Nurses specific duties for resident care and direct their work. Assign hours, breaks and meal periods to Certified Nursing Assistants and other Nurses. Ensure proper staffing by calling in replacement employees for Certified Nursing Assistants and other Nurses not reporting for work and by transferring or reassigning Certified Nursing Assistants and other
  • Nurses to ensure adequate staffing levels. Revise work schedules of Certified Nursing Assistants and other Nurses as necessary. Train and/or assist in the orientation of new employees.
  • Attempt to effectively resolve Certified Nursing Assistant and other Nurses' problems/complaints and grievances. Incorporate Certified Nursing Assistants and other Nurses in a work team to meet resident needs.
  • Attend and participate in supervisory meetings. Support and follow through with management team goals.
  • Perform other management duties as assigned.

Customer Service

  • Provide compassionate resident care services. Establish and maintain positive interactions with internal and external customers, including co-workers and direct reports.
  • Take responsibility for resolving Certified Nursing Assistant, Nurse, and other customers' issues and concerns striving for a win-win outcome. Customers include residents, families, vendors and other employees.

Residents' Rights

  • Demonstrate strong ethical practices regarding individual/resident rights as stated in company policy. Support resident autonomy and choice. Demonstrate both sensitivity and appropriate responsiveness to each resident's "end of life" wishes.

Resident Comfort and Safety

  • Demonstrate safe practices in regard to resident's comfort and safety by applying knowledge of proper body alignment for self and resident. Practice and promote adherence to institutional safety codes.
  • Promote a restraint-free environment.

Pharmacy Knowledge

  • Maintain an updated knowledge base in pharmacology. Demonstrate knowledge of policies governing medication administration and documentation. Demonstrate a knowledge of drug reactions and sensitivities and nursing interventions.
  • Assure that narcotics are accounted for properly.
  • Apply adult learning principles when educating individuals, family members or responsible party regarding the resident's medication regimen.

Lab Values

  • Recognize normal and abnormal lab values and communicate same in appropriate manner to physician and other interdisciplinary team members as appropriate.

Infection Control

  • Demonstrate working knowledge of infection control practices.

Continuing Education

  • Recognize self-evaluation and self-development as important tools in maintaining high standards of care and professionalism. Seek and provide peer support and consultation.
  • Participate in facility/department in-services. Attend continuing education programs. Attend facility/department/staff meetings as required.

Safety

  • Comply with all Company safety policies, regulations and requirements regarding fire and life safety.
  • Comply with all Company safety policies regulations and requirements involving employee safety and patient safety. This includes but is not limited to: a zero tolerance for harassment and violence; following infection control procedures; following safe patient handling as required with your specific job position.
  • May be required to assist in the evacuation of patients during emergency situations.
  • Meet the general health requirements set forth by the policies of this facility.

Residents' Rights and Positive Relationships

  • Understand, comply with and promote all rules and regulations regarding residents' rights.
  • Promote positive relationships with residents, visitors, and regulators, to include presenting a professional appearance.

Physical and Sensory Requirements (With or Without Aid of Mechanical Devices)

This position is very active and requires:

  • Walking, standing, reaching, bending, crouching, grasping, pushing, pulling, and lifting.
  • The ability to work at a rapid pace for an entire shift.
  • The employee must frequently lift or move objects and patients weighing up to 40 pounds. Following the patient care plan and using a variety of equipment, the employee may frequently move, reposition and transfer patients of varying weights up to 300 lbs.
  • Must have finger and hand dexterity sufficient to type, handle and manipulate instruments and operate departmental equipment.
  • Have a working understanding of English: ability to read and write; ability to understand and follow written and oral instructions; ability to verbally communicate with residents and others; ability to hear and respond to pages.
  • Ability to distinguish smells, tastes and temperatures.
  • Ability to remain calm in emergency situations and when handling multiple tasks.

Other Functions and Responsibilities

  • Must adhere to Code of Conduct and Business Ethics policy, including documentation and reporting responsibilities.
  • Participate in Quality Improvement activities as assigned.
  • Other duties as assigned or needed.
  • Ability to understand and apply training from in-service education and ability to instruct personnel during training education and staff meetings.
  • This position regularly requires long hours and frequent weekend work.
  • This is a position in a health care facility open 24 hours a day, 365 days a year. Rotating shifts as well as holiday and working during inclement weather may be required.
Yukio Okutsu State Veterans Home
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