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Registered Nurse
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Registered Nurse
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Douglasville, GA, United States Wellstar Health System Full timeFacility: Douglas HospitalJob Summary: The RN Clinical Nurse is a proactive member of an interdisciplinary team of licensed and unlicensed care givers who ensure that patients, families and significant others receive individualized high quality, safe patient care. They practice in a clinical environment that is administered by Nurse Supervisors/ Office...
RN Supervisor
4 months ago
Job Requirements:Provides supervision and medical oversight to ensure that clients are being served effectively and safely and supervises all client care and services.Responds to calls within 30 minutesConducts supervisory visit at least once every 60 daysEnsures services are delivered as indicated on the client's care planConducts initial evaluation of clientsAssesses, evaluates, and monitors clients' needs, current status, and environmentImplements appropriate interventionsDocuments accurately, appropriately, and in a timely mannerPrepares progress notesDocuments, signs, and dates supervisory visits notesDocuments evaluation of client's health status and needsDocuments interventions and outcome of those interventionsCompletes client's discharge summary when indicatedMaintains clients' clinical records in accordance with acceptable professional standards and guidelinesConduct audit on clients' record monthly (end of month)Ensures clients' records are readily accessible and organizedEnsures confidentiality of clients recordsInstructs staff on proper charting protocolsReviews, signs, and dates all entries made by non-licensed staffReviews Level of Care and Placement Instrument at least Maintains ongoing and effective communication with Care Coordinators, clients, caregivers, staff, physicians, and all other relevant partiesCommunicates problem approaches, changes to client care plans, and other pertinent information to staffCommunicates recommendations for changes in the clients' care to Care CoordinatorObtains Care Coordinator's approval prior to making changes in client's servicesReports problems regarding clients' health services to Care Coordinator in timely mannerSubmits notification of start of care to Care Coordinator within 2-3 days Monitors client's medicationsIs aware of all client's prescription and over-the-counter medicationsReports concerns about client's medications to Care Coordinator and client's physicianInstructs staff on level of assistance clients needs with medicationsReviews, signs, and dates client's medication administration record at least every 60 daysProvides written instructions to staff regarding signs and symptoms of potential drug reactionsRecords any client reactions to medications in the client's clinical recordInitiates, reviews, and revised Client's Care PlanCoordinate supervisory visit every 60 daysInitiates client's care plan within 60 days of initial evaluation of clientReviews, signs, and dates client's care plan at least every 60 daysEnsures client's care plan identifies specific physical, mental, and social health problems/needsLists personal care tasks needed on client's care planRe-writes the client's care plan at least once per yearCoordinates and participates in learning opportunities for staff and clientsConduct interview for potential LPN and RN with General ManagerSchedules, coordinates, and presents monthly in-service training to staffEnsures appropriate health related topics are presented to staffInstructs client and other care-givers about clients' health needsAssists with continuous quality improvement programEvaluates quality of client care during face-to-face evaluation with clientsConducts monthly compliance visits Reviews policies and procedures at least twice per yearRecommends revisions to policies and procedures as neededReviews at least 10% of client clinical records each monthEnsures staff compliance with infection control policies and proceduresEnsures staff compliance to fire and safety policies and proceduresPresents neat, professional appearanceDemonstrates positive attitudePromotes teamwork
