Provides compassionate and holistic nursing care for the residents in accordance with their individual service plan (ISP) and following established policies and procedures and accepted Standards of Practice. In collaboration with the Director of CBRF, designee, and/or the physician and utilizing the nursing process develops and delivers the clinical care of each resident. Supervises and supports care delivered by the nursing staff to assure quality of care is maintained. Demonstrates the mission of Three Pillars and upholds our customer service standards at all times.

A. Resident Care 

· Safely   administer medications and treatments as ordered by the physician and in   accordance with accepted standards of practice and Three Pillars policies and   procedures.

· Maintain   timely, accurate written and electronic charts/documents/records as required   by law, regulations and Three Pillars policies and procedures.

· Utilize   the nursing process to assess resident condition and effectiveness of ISP.   Make changes to ISP as indicated. Support and assist LPNs and Service Associates/Resident Assistants in   assessment and ISP development. 

· Communicate   resident change of condition to appropriate persons. (Director of Clinical   Services/designee, physician, family, clergy, hospice team, interdisciplinary   team, etc.)

· Assist   in the admission/readmission process including comprehensive assessment and   development and implementation of the ISP.

· Provide   direct resident focused care as needed. Assist other staff members as needed. 

· Obtain,   transcribe, and implement physician’s orders according to accepted standards   of practice and Three Pillars policies and procedures. 

· Interpret   the ISP to the resident, resident families, and members of the nursing team. 

· Develop   effective working relationships with medical staff, contract physicians and   other services, always maintaining a professional stance and projecting a   positive image of Three Pillars. 

· Support   and participate in all resident care programs (ie Bowel and Bladder, Skin   Integrity, Comfort, etc.) including following individual POCs, documentation,   communication of observations, and offering of feed back/suggestions. Assure all staff are fulfilling their   responsibilities in these program areas.

· Promote   and protect the rights of each resident. Report any suspected violations immediately.

B. Supervise Staff 

· Delegate duties to and supervise nursing staff according to accepted standards of practice, level of training, and experience.

·  Assure quality of care is maintained throughout the facility through observation of care delivery by all nursing dept. staff.

· Provide coaching and re-education of staff as needed to improve/maintain quality of care.

· Assist in the evaluation process of all nursing dept. staff through written and/or verbal communication of observations to the Director of Clinical Services/designee

· Assist in the initiation, follow through and documentation of disciplinary actions for all nursing dept. staff.

· Actively manage conflicts between individuals and shifts as well as between nursing and other departments in a respectful manner, following the appropriate channels and working towards solutions.

· Identify and reward positive behavior and teamwork.

· Assist in maintaining the daily schedule, calling in replacement help for absent employees and adjusting assignments as needed. Act in whatever capacity needed to fulfill facility need.

C. Safety 

· Follow all safety, security, infection control (including Standard Precautions) and hazardous materials policies and procedures. Perform all tasks to assure resident and personal safety and the protection of Three Pillars property.

·  Be familiar with the operation/function of all equipment in the department. Demonstrate and reinforce proper use in accordance with established policies and procedures. Monitor proper use of equipment to assure resident safety.

· Assure that all resident transfer directives are followed as found on the individualized POC. Provide follow up for all concerns identified.

· Respond to facility alarms and call lights promptly.

· Coordinate and assure completion of safety rounds of residents at the beginning and end of each shift. Provide follow-up on all safety concerns communicated.

· Monitor environment to assure it is safe, clean, orderly, and comfortable for the residents at all times. Report environmental safety hazards immediately.

· Respond in emergency situations to assure resident/staff/guest safety and security. This can include acting as “Person in Charge” as described in Three Pillars emergency policy and procedures.

· Promptly assess, investigate, document and follow through on all resident incidents and injuries and notify appropriate parties. Provide immediate intervention(s) and/or staff education to prevent similar occurrences.

D. Other Responsibilities 

· Complete all training as required by position including monthly meetings, inservice programming, etc. Demonstrate carry over knowledge to the daily work environment.

· Assist with the orientation of new staff members, maintaining a positive attitude and projecting a positive image of the department and the organization.

· Achieve and maintain level of excellence through commitment to personal growth and ongoing professional development.

· Continually seek opportunities for Quality Improvement.

· Maintain an acceptable attendance record as outlined in the employee handbook.

· Maintains knowledge of and works within the standards/scope of practice and standards of conduct for an RN as described in the Wisconsin Nurse Practice Act (N6) and the Rules of Conduct (N7). 

· Act in a professional manner that is consistent with the rules of society, good customer service practices, and in accordance with the Three Pillars Standards of Conduct.

· Other duties as assigned by the supervisor.

Minimum education, certification and/or licensure: 

o Registered Nurse in Wisconsin

o Current and valid CBRF certification or willingness to obtain upon hire

Physical requirements: 

o Walk or stand constantly, and able to squat, kneel, twist, sit, and bend frequently. 

o Able to frequently push/pull objects weighing 30 pounds and frequently lift objects up to 10 pounds and occasionally lift and move objects weighing up to 75 pounds. 

o Able to consistently attend work as scheduled and in accordance with the no-fault absence guidelines. 

o Visual acuity up to 100 feet. 

o Hearing ability within the high decibel range and the normal range of a voice. 

o Legible penmanship.

Mental requirements: 

o Knowledge of OBRA, state and federal regulations as applied to long term care helpful. 

o Able to read, write, and verbally communicate in English to the proficiency level necessary to ensure quality of resident care and life. 

o Handle hostile or emotionally upset residents, staff, etc. 

o Able to focus on fine detail with constant interruption. 

o Able to maintain a positive attitude in a busy and sometimes stressful environment.

Experience: 

o Experience in long term care/assisted living helpful, experience in working with residents who have dementia

Computer knowledge: 

o Basic computer knowledge helpful. 

o Ability to learn and use computer applications as they apply to job duties.