A Registered Nurse (RN) is a health care professional skilled in all phases of the nursing process.
He/she is adaptable to the needs of the individual and family during health and illness and has the ability to prioritize.
The RN assesses, plans, implements and evaluates daily resident care and is responsible for the direction of personnel assigned to him/her.
Job Responsibilities
Assessments
Completes the nursing admission assessment on admission or assigned residents per procedure utilizing proper techniques, tools and history
Utilizes the admission assessment for information in caring for each resident as assigned
Makes appropriate situational decisions with information received from assessments
Notifies and consults with physicians and supervisors
Makes appropriate referrals or social service contacts
Consults with other departments as required or needed
Planning
Initiates a nursing care plan on each assigned admission based on nursing assessments and identification of nursing problems
Reviews physician orders on assigned residents prior to care and requests physician’s orders when appropriate to plan resident’s care
Encourages participation of residents/families in plans of care
Integrates therapeutic plans of care in collaboration with the interdisciplinary team
Implementation
Executes procedures consistent with interdisciplinary nursing care plans, the regulatory manual and the Petersen Health Care Policy and Procedures Manuals that are within the scope of the role of the RN
Consistently demonstrates proficiency in skills applicable to nursing
Provides for the safety and security needs of assigned residents through:
Appropriate explanations
Appropriate use of restraints
Maintenance of communication devices (nurse call lights, TV, telephone, etc.
), proper equipment, utensils, transportation, total body hygiene, and basic comfort care measures including pain control
Utilizes all techniques of infection control appropriately: hand washing, changing dressings, giving injections, applying isolation precautions
Provides for the psycho-social needs of residents by :
Anticipating fears, worries, changes in life style
Listening to and hearing resident/family anxieties and providing forum for venting or reducing anxieties; providing diversion consistent with interests and condition of resident
Coordinated development of a realistic comprehensive resident/family education plan in conjunction with the interdisciplinary team
Evaluation
Reviews plans of care of assigned residents on a day-to-day basis updating as necessary when outcomes cannot e realized or problems
Communication Skills
Obtains pertinent data in an objective and professional manner by:
Interviewing residents/families in a sensitive fact finding way
Seeking information from physicians appropriately
Communicates pertinent information and seeks assistance regarding resident care throughout the tour of duty and at change of shift
Articulates and utilizes factual data for problem solving in resident/family and/or interdepartmental staff-related conflicts in a way that demonstrates a positive and cooperative manner
Contributes in a constructive manner in staff meetings and Resident Care Conferences
Consistently communicates in a manner that demonstrates a positive and cooperative attitude
Documents clearly and completely the various aspects of the nursing process on medical records and other appropriate forms
Utilizes appropriate and professional body language
Demonstrates receptively through active listening
Change Process
Identifies areas appropriate for change in a manner that demonstrate a positive attitude
Facilitates change process in a manner that demonstrate a positive attitude
Adapts to change brought about by external and internal force in a cooperative and mature way
Required Skills and Qualifications
Be of legal working age
Be able to read and follow written directions
Be able to communicate with residents and co-workers in English
Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel and the general
Work overtime as necessary
Must possess a general knowledge and understanding of state and federal laws as they pertain to long term care
Graduate of an accredited school of nursing
Current license in good standing in the state in which the facility is located
Must have the current federally required vaccines or proof of a valid exemption.