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RN Utility Nurse
1 month ago
Job Summary:
The RN Utility Nurse is a key member of the nursing team, responsible for ensuring the quality and efficiency of nursing services and care. This includes nursing supervision, medication pass, treatments, assessments, admission, and discharge of residents in conformance with facility policies and New York State and Federal Regulations.
Key Responsibilities:
- Oversee the admission process for each resident, ensuring completion of the entire nursing assessment phase.
- Work with LPNs to ensure admission orders are written, transcribed, and sent to the pharmacy.
- Orient and educate residents and their families on what to expect during their stay.
- Initiate interim care plans, providing educational information to direct care providers on treatments, procedures, medications, and continuing care requirements.
- Review previous admissions to ensure all skilled nursing documentation is complete and nursing orders for care are indicated on the resident care profile.
- Function as the administrative leader in the building in the absence of the administrator and Director of Nursing on off-shifts, weekends, and holidays.
- Supervise and direct nursing staff in the provision of resident care and performance of job duties.
- Assess residents demonstrating a change in status and notify MD/Nurse Practitioner as needed.
- Complete treatments as needed, following Seneca Hill Manor Skin Care Protocol and preventative skin care policy.
- Transcribe, double-check, and carry out MD/Nurse Practitioner orders as needed.
- Document resident problems/changes in status in compliance with facility policy and mandated regulations.
- Complete all required documentation in a consistent, timely, and thorough manner.
- Monitor/evaluate all resident's information/diagnostic results received during shift to determine need for follow-up.
- Administer medications (as required) per facility policy, following principles of safe medication administration.
- Maintain confidentiality of all resident's information.
- Take a leadership role in all medical and facility emergencies.
- Participate in the development, revision, and implementation of nursing policies and procedures.
- Initiate an investigation in the event of any report of actual or suspected resident abuse.
- Work with families/residents to problem-solve issues as they arise.
- Keep Administrator or on-call representative informed of facility/resident issues as appropriate.
- Instruct/educate nursing staff on new policies/procedures, and equipment as requested.
- Obtain necessary equipment, supplies, medication, and diagnostic studies needed to meet the needs of the resident during the shift.
- Coordinate all aspects of the nursing department operations during the shift.
- Call off-duty staff as needed to cover all call-ins.
- Complete resident/family teachings as needed.
- Assist in the notification of family/MD in the event of a resident death.
- As needed, review 24-hour report, make rounds, and review everyone on report related to any clinical problems or issues.
- Confers with Unit Manager, Nurse Practitioner, MD, resident, resident's family, and staff as indicated throughout the shift.
- Make certain that the LPNs and CNAs are aware of any changes needed on the delivery of care.
- Follow-up on any residents who are demonstrating new clinical issues.
- Oversee discharge planning process to ensure a smooth transition back to the community.
- Responsible for updating care plans for residents as clinical changes develop.
- Participate in in-services, seminars, etc. to enhance skills.
- Perform other duties as requested.
Requirements:
- Must be currently licensed in New York State as a Registered Nurse.
- One year of Medical/Surgical and Gerontology experience strongly preferred.
- CPR certifications required.
Working Conditions:
Requires frequent walking, standing, bending, lifting, pushing, and pulling during the work day. Requires pushing beds, wheelchairs, and recliners in excess of approximately 200 pounds with assistance. Requires lifting, carrying, repositioning, and transferring residents who may weigh in excess of 200 pounds using proper body mechanics.
Occasionally participates in the development, revision, and implementation of nursing policies and procedures. Requires unit-specific orientation. Occasionally requires assembling, operating, checking, and maintaining equipment; place work orders for client-owned electrical equipment, department repairs, and faulty equipment.
Requires attendance of various meetings and participation on committees as required. Actively participates in in-service programs (12 hours annually), in Quality Assurance programs and CQI, cross-training; attends all mandatory classes as required; completes unit-specific competencies.
Occasionally requires assignments to other units/shifts as hospital needs require. Complies with DOH requirements for annual health assessments and required immunizations.
