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Registered Nurse
2 months ago
Position Summary
The primary responsibility of this role is to oversee nursing staff, monitor patient conditions, implement treatment plans, and develop comprehensive care strategies for long-term patient needs. This position involves administering medications, engaging with families, and ensuring the highest standard of care for all residents/patients. Compliance with current federal and state regulations, as well as company policies, is essential.
Key Responsibilities
- Deliver exceptional patient care to all facility residents.
- Accurately document care provided and observations of resident conditions in the clinical record, adhering to standard clinical documentation protocols as mandated by the facility and applicable regulations.
- Maintain communication with the resident's healthcare provider.
- Complete all required nursing documentation, including assessments, orders, progress notes, and any assigned tasks, ensuring accuracy in reflecting the services rendered to residents.
- Participate in medication management to ensure safety and effectiveness for residents by:
- Administering prescribed medications, including the next scheduled dose upon admission or readmission, and notifying supervisors of any unavailable medications;
- Preparing, administering, and documenting medications as directed;
- Monitoring and reporting resident responses to medications;
- Identifying and promptly communicating any adverse drug reactions;
- Initiating enteral or parenteral therapy as required;
- Maintaining accurate narcotic records;
- Coordinating the ordering of pharmaceuticals;
- Informing physicians of automatic stop orders;
- Completing reviews of recapitulated physician orders as assigned.
- Assist with or implement emergency measures for sudden adverse developments in residents, including directing and administering cardiopulmonary resuscitation.
- Exhibit punctuality and regular attendance for scheduled shifts.
Additional Responsibilities
- Ensure adherence to the company's clinical policies and procedures.
- Follow guidelines established by the Nurse Practice Act, company standards, and sound nursing judgment.
- Perform other related duties as assigned.
Knowledge, Skills, and Abilities
- Maintain confidentiality and protect resident rights regarding all personnel and resident information.
- Possess a strong understanding of HIPAA laws and related regulations.
- Demonstrate strong communication, customer service, teamwork, and organizational skills.
- Exhibit a positive and enthusiastic attitude.
Qualifications
Education
Graduate of an accredited School of Nursing; BSN preferred.
Licenses/Certification
Current RN/LPN Licensure in the state of employment.
Valid CPR Certification.
Experience
Preferred six months of experience in a long-term care setting.