Nurse Supervisor RN/LPN
Job Description
Dept: Nursing
Reports to: Director of Nursing
W/H Class: Non-Exempt, Hourly
Job Summary
Supervises nursing personnel to deliver nursing care and within scope of practice coordinates care delivery, which will ensure that patient’s needs are met in accordance with professional standards of practice through physician orders, center policies and procedures, and federal, state and local guidelines. Currently licensed as an LPN/LVN or RN.
Essential Job Functions
Every effort has been made to make your job description as complete as possible. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related or is a logical assignment to the position.
Residents Rights
• Knows and respects patient rights
• Ensures protected health information is kept confidential
• Reports complaints made by patients to supervisor
• Reports allegations of patient abuse, neglect and/or misappropriation of patient property
Safety and Sanitation
• Follows established safety policies and procedures
• Observes safety needs of patients as indicated in care plan
• Wears and/or uses safety equipment and supplies when indicated and properly trained to use
• Demonstrates job-specific knowledge of fire and disaster preparedness during drills or actual situations
Staff Development
• Attends and participates in scheduled in-service training, educational classes and meetings to maintain current certification as applicable and as managed by regulatory agencies and company policies.
• Participates in QAA program
General Nursing Care Responsibilities
• Demonstrates knowledge and appropriate use of Pearl Healthcare Infection Control Manual.
• Understands, participates and assists in implementing the Q.A.A.
• Notifies other Departments of patient changes, i.e., room changes, LOA, new admits, discharge, etc.
• Conducts family and patient education.
• Locates and uses emergency equipment when necessary.
• Demonstrates the ability to administer medications timely and according to facility policy.
General Nursing Care Responsibilities, continued
• Demonstrates the ability to administer treatments timely and according to facility policy.
• Demonstrates ability to receive, transcribe, and carry out physician orders.
• Makes rounds with physicians when necessary.
• Transcribes physician’s orders to patient charts, cardex, medication/treatment cards and care plans, as required.
• Charts progress notes in an informative, factual manner that reflects the care administered as well as the patient’s response to care.
• Follows established procedure for charting and reporting all reports of incident/accidents (patients & employees).
• Identifies and reports changes in condition to supervisor, physician and family.
• Accurately identifies skin changes and follows Pearl Healthcare skin management protocols.
• Communicates physician orders and reports diagnostic tests timely.
• Conducts frequent rounds to evaluate effectiveness of care delivery.
• Orders supplies and charges for items ordered through Central Supply.
• Assures that a supply of personal protective equipment are on hand and are available for staff to perform procedures that involve exposure to body/blood fluids.
• Counts narcotics at the beginning and completion of each shift with the nurse leaving and coming on to the shift.
• Follows Pharmacy policy and procedures for ordering and delivering medications.
• Coordinates patient rehabilitation program with therapies to ensure 24 hour rehabilitation needs are met.
• Participates in care planning with team and routine interventions
Food Service Responsibilities
• Consults with dietary regarding the special dietary needs of the patients and follows through on dietary recommendations.
• Monitors patients with significant weight loss and gain and reports this to the physician and dietary.
• Checks items and food that is brought in by family members to assure it complies with patient orders, dietary needs, and safety.
Documentation Responsibilities
• Documents medications, treatments, prn’s per facility policy.
• Completes 24 hour report daily.
• Monitors patient intake and output.
• Participates in the monthly medication renewal process.
• Accurately completes and is familiar with the forms used throughout the patients chart.
• Documents in progress notes any exceptions to patient condition, including daily charting on ill patients, 24, 48, or 72 hour follow up charting on patients with infections, incidents, new admissions or those with a change in condition.
• Completes documentation to reflect progress or lack of progress of patients.
• Interpret Department’s policies and procedures to personnel, patients, visitors, and government agencies as required.
• Ensures that all patient admissions, discharges and transfers are entered timely in PCC
• Obtain patient’s or responsible party’s signature on Consent to Treat Form upon admission as needed.
• Accurately maintains daily census reports and submits to business office daily.
• Performs administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc. as necessary.
• Records new/changed diet orders. Forwards information to the Dietary Department.
Documentation Responsibilities, continued
• Reports any discrepancies noted concerning physician’s orders, diet changes, charting errors, etc. to the Nurse Supervisor/Manager.
Care Plan Responsibilities
• Assists in completion of the care plans (acute and long term) and is involved in the care conference as deemed necessary.
• Assists in completion of the MDS and is knowledgeable in the MDS process.
• Evaluates the effectiveness of the care interventions, identifies problems and trends and develops alternative interventions.
• Participates and conducts (as appropriate) investigations related to any alleged abuse.
• Has knowledge and understanding of Patient Rights.
• Ensures that the progress notes are reflective of the care plan and that the approaches on the care plan are being followed.
• Assures that assigned nursing assistants are aware of the patient care plans and ensure that the nursing assistant refers to the care plan prior to administering care.
• Admission, Discharge and Transfer per center procedures.
• Assures documentation is accurately completed for admission, discharge and transfer.
Supervisory/People Management Responsibilities
• Demonstrates knowledge of location and how to use Nursing Policy and Procedure Manual.
• Supervises CNA’s; gives and receives daily reports from CNA’s ; Monitors that CNA documentation is completed daily.
• Prepares and delivers performance evaluations to subordinates, utilizing the information to further their growth and development.
• Makes recommendations for pay increase, promotions or performance improvement plans as deemed appropriate.
• Counsels/disciplines personnel as necessary up to and including termination.
• Makes assignments for CNA’s; insures CNA assignments are completed on time.
• Reviews employee call-off’s and calls in off duty employees or adjusts the assignment sheet to adequately cover staffing.
• Receives, investigates and responds to employee and patient/family complaints.
Administrative Responsibilities
• Participates in developing and updating department policies and procedures.
• Maintains confidentiality of necessary information.
• Performs any miscellaneous work assignments as may be required.
Education
• Currently licensed as RN/LPN/LVN in state.
Experience
• One year prior nursing management experience preferred.
Physical Demands
• Lifting 50 pounds max. with frequent lifting and/or carrying of objects weighing up to 20 pounds; Walking, standing, fingering, reaching, seeing, stooping, smelling, depth perception, color vision, pushing.
Travel
• N/A
Working Conditions
• Considerable exposure to disagreeable conditions including odors, infection, illness, and physical contact from disruptive patients.
Principal Contacts
• Nursing staff and patients.
General Requirements
• Must be able to execute the terms and conditions set forth in the Pearl Healthcare Employee Handbook, including, but not limited to:
• Works in a safety-conscious manner, which ensures that safe work practices are used in order not to pose a risk to self or others in the workplace. Reports any safety violations or hazards to supervisor
• Complies with company policies and procedures and local, state, and federal regulations
• Adheres to policy on Drug-Free Workplace
• Interacts in a tactful, diplomatic, and humanistic manner with patients, families, visitors, and co-workers to provide a safe, efficient, and therapeutically effective caring environment which ensures the self-respect, personal dignity, rights and physical safety of each patient and facility guest
• Maintains a dependable attendance record and adheres to standards of cleanliness, grooming, hygiene, and dress code.
• Takes positive action to ensure equal opportunity in the conduct of all business activities without regard to race, color, religion, sex/gender, age, national origin, disability, citizenship, veteran status or any other legally protected category.