The Registered Nurse reports to and receives general direction from the Director of Nursing and is responsible for delivering quality nursing care to assigned residents in compliance with current applicable federal, state, and local standards, guidelines, and established policies and procedures which encourages each resident’s ability to maintain or attain the highest practical physical, mental, and psychosocial well-being. 

Schedule: Full-Time, Nights, 7 PM - 7 AM, 

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Assess each resident; collect and document the resident’s current health status and medical history. Complete and/or review the Admission Data Record. Make accurate and ongoing assessments of the resident’s status and respond appropriately.
• Plan/Implement: Set priorities for nursing action in a logical sequence according to the resident’s needs and formulate a plan of care by the appropriate selection of Nurse Practice Standards. The Plan of Care is initiated on resident admission based on all aspects of the initial assessment. Plan includes physiological, psychosocial, and environmental factors.
• Evaluate: Perform ongoing assessments and revise plan of care based on new data and resident’s condition. .
• Documentation: Document accurate and ongoing assessments of resident status. Document resident care which reflects nursing intervention, resident response to care provided, resident needs, problems, capabilities, limitations and progress toward goals. 
• Communicate with physicians regarding resident needs, the nursing assessments, and recommendations as needed. Collaborate with other nurses and nursing department staff to ensure the resident’s well being.
• Administer medications, IV’s, treatments and procedures in accordance with physician’s orders.
• Observe and document resident’s response to medications and treatments.
• Ensure proper disposal of all drugs and medications.
• Ensure adequate levels of medication, supplies and equipment is available at all time. Report needs to the Director of Nursing.
• Handle emergency situations in a prompt, precise and professional manner.
• Maintain the comfort, privacy, and dignity of each resident in the delivery of services. 
• Interact with residents in a manner that displays warmth and promotes a caring environment.
• Comprehensive understanding and adherence to all aspects of residents’ rights, including the right to be free of restraints and free of abuse. 
• Promptly report to the charge nurse or administrative staff all incidents or evidence of resident abuse or violation of residents’ rights.
• Assure residents have call lights at hand and answer resident’s call lights promptly and courteously.
• Assist with orienting residents and their families to the nursing facility upon admission.
• Receive the nursing report upon reporting for duty each shift. Give the nursing report to relief personnel before departing at the end of each shift.
• Observe and report the presence of pressure areas and skin breakdown to the Charge Nurse.
• Promptly report injuries of an unknown source, including skin tears to the Charge Nurse.
• Communicate and interact effectively, courteously, and tactfully with residents, visitors, family members, peers, and supervisors.
• Thoroughly wash hands before and after performing any service for the resident.
• Make rounds frequently and check each resident routinely to ensure his/her nursing care needs are being met.
• Respond to inquiries or requests from residents and family members in a prompt and courteous manner.
• Promote positive public relations with residents, family members and guests.
• Maintain the confidentiality of all resident care information.

QUALIFICATIONS:

• Graduate of an accredited school of Nursing.
• Must possess a current, unencumbered Registered Nurse License or Practical Nurse License issued by the State.

PHYSICAL AND MENTAL DEMANDS:

• Must be able to push, pull, move and/or lift a minimum of 50 pounds.
• Must be able to stand and walk for long periods of time.
• Must be able to reach, stoop, kneel, bend, lift and move intermittently throughout the work day throughout the facility.
• Must be able to work outside of normal work hours including nights, holidays, and weekends as needed to meet facility and position demands.
• Must be free of diseases that may be transmitted in the performance of job responsibilities during the stage of communicability.
• Must be able to relate to and work with ill, disabled, elderly, emotionally upset and at times hostile people within the facility.