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Nurse Practitioner
2 months ago
Majestic Care Center - QUALIFICATIONS: Graduate of an accredited nursing program and holds a valid nursing license in the state of NJ.
Current CPR certification or completion within 90 days of employment. Additional certifications may be necessary for specific departments within the organization.POSITION SUMMARY:
The Nurse Practitioner is accountable for overseeing a designated unit or area within the facility, which includes patient evaluation (under the guidance of the Director of Nursing/Assistant Director of Nursing), medication administration, treatment documentation, and supervision of Certified Nursing Assistants and other personnel.
PART I:
KEY RESPONSIBILITIES AND STANDARDS
- Utilizes dual identifiers to verify patient identity prior to administering medications and treatments.
- Employs SBAR (situation, background, assessment, recommendation) as the preferred communication method when engaging with healthcare team members.
- Encourages patient involvement in their own care whenever feasible.
- Receives comprehensive reports from outgoing nursing staff to ensure effective communication and necessary follow-up on patient care.
- Identifies and competently responds to changes in patient conditions, documenting appropriately.
- Initiates and reviews the Plan of Care upon admission, making updates and adjustments as required.
- Collaborates with all multidisciplinary teams, both internal and external, to ensure a seamless continuum of care.
- Adheres to Standard Precautions and infection control protocols.
- Demonstrates compliance with patient rights.
- Refers to Nursing/Administration/IV/Emergency Management Policies and Procedures to maintain standards of care.
- Accurately transcribes physician orders onto the Medication Administration Record (MAR) and Treatment Administration Record (TAR).
- Facilitates timely delivery and administration of medications by communicating with pharmacy providers.
- Maintains a safe environment for patients and reports any unsafe conditions for resolution.
- Follows the established chain of command.
- Practices proper hand hygiene techniques.
- Administers medications in accordance with established policies and procedures.
- Informs responsible parties of any changes in patient conditions.
- Works closely with Social Workers to address patient needs.
- Conducts checks on syringes and counts narcotics at the end of each shift.
- Orders stock and prescription medications as necessary.
- Facilitates patient admissions and discharges according to facility protocols.
- Reviews reports with CNAs prior to their shift assignments.
Performs assessments related to:
- Skin
- Cardiac
- Respiratory
- Gastrointestinal
- Neurological
- Musculoskeletal
- Renal
- Pain
Accurately documents on the following forms:
- Ambulation/Restorative care
- Psychotropic Monitoring
- Pain Management
- Pressure Ulcer Management/Skin Assessment
- Fall Prevention Strategies
- Antibiotic Documentation
- Incident Reports
- Nursing Notes for Day 1-5 and Day 6-Discharge Documentation.
- Fall Risk Assessment
- Side Rail Screening
- Braden Scale
- Bowel and Bladder Assessment
- Elopement Risk Profile
- Pain Assessment
Contacts physician for admission orders:
- Reconciles medications
- Documents legibly on the Physician Order Sheet (POS)
- Verifies and reads back telephone orders
- Makes appropriate referrals
- Transcribes all orders accurately.
- Faxes back new admissions.
PART II. FACILITY-WIDE RESPONSIBILITIES & STANDARDS
EMPLOYEE IS REQUIRED TO:
- Communicate in English in patient care areas.
- Attend mandatory and scheduled training sessions/meetings.
- Arrive at work punctually as scheduled.
- Exhibit the ability to work collaboratively with others.
- Demonstrate flexibility in assignments to meet patient and family needs.
- Wear identification at all times while on duty.