Ensure quality staff of Nurses/Medication Techs/Personal Care Specialists by recruiting, hiring, supervising, evaluating, counseling, and if necessary, terminating team members.
Ensure Nurses/Medication Techs/Personal Care Specialists are educated and trained using the respective Resources (e.g., Nurse Resource).
Ensure regular competency evaluations of Nurses/Medication Techs/Personal Care Specialists are completed.
Conduct continuing education and training for Nurses/Medication Techs/Personal Care Specialists as necessary on all shifts.
Complete Nursing Assessments, auxiliary evaluations of residents, and all other required and/or appropriate evaluations, addressing physical, emotional, social, and spiritual needs.
Responsible for establishing and maintaining quality care systems to ensure all residents receive the care as outlined on individual resident care plans. This includes systems to ensure correct medications are administered as needed, physicians and other health therapies are communicated within a timely way and families are informed of any resident change of conditions.
Ensure “processing” of new residents using New Resident Checklist; personally transcribe or otherwise implement all orders for new residents, or ensure this task is completed.
Ensure service and care plan review meetings with families, per policy.
Ensure that health services and other services that potentially impact the health of residents are offered according to service plans. Monitor physician orders and ensure correct implementation. Monitor laboratory and other test results of residents.
Monitor MAR: - Ensure medications and treatments are administered as ordered, including the use of Yesterday’s Missed Medications report. - Ensure parameters for administration of PRN medications and treatments are entered on MAR. - Address issues regarding unavailable medications or treatment supplies.
Establish vital sign and weight regimens, ensure weights are entered on MAR and/or Vital Signs Record, and address all significant weight changes.
Monitor alert charting, especially to ensure appropriate team member response to issues.
Assess residents, at minimum, upon initiation and completion of alert charting process.
Monitor skin problems using Current Skin Problems form; address identified skin problems.
Monitor Shift Change Notes and Communication Log.
Monitor and address consulting pharmacy reports.
Complete review of Resident Incident Reports.
Advise health services team members concerning resident health issues, by telephone if not in community (carries cellular telephone).
Effectively utilize and coordinate services with home health, hospice, and other agencies.
Ensure physician orders are reviewed, sent to physician, and returned with physician signatures quarterly.
Evaluate potential residents in a timely manner for current and chronic health conditions, ability to self-care or need for assistance.
Occasionally fulfill shift nurse duties in order to evaluate efficiencies, systems and resident care. In addition, in the event of other nurse absences or emergencies, fill in as a shift nurse.
Investigate controlled substance count discrepancies.
Ensure controlled substances are destroyed as necessary per policy and state or provincial regulations.
Monitor to ensure Daily Assignments duties are performed on all shifts.
Perform quality assurance audits as directed by the Executive Director.
Effectively communicate with physicians and other healthcare professionals involved with services to residents.
Ensure compliance with all federal and state or provincial regulations pertaining to health services.
Respect dignity and confidentiality standards and promote resident rights.
Attend and participate in onboarding, annual and in-service training, and team member meetings, as requested.
Complete or assist with special projects as requested by community or senior management.
Adhere to all policies and procedures of the company.
Perform other duties as assigned by the Executive Director