RN - Long term care

pDescription/ppstrongPosition Summary:/strong/ppThe Registered Nurse in long term care must adhere to the RN legal scope of practice./ppbr//ppThe RN role is responsible for utilizing the nursing process to provide quality, competent nursing care in the LTC setting to residents, families, and significant others. So clinical skills expected are: age related resident protocols, medication, administration, skin wound care, and ongoing assessments. This role must work collaboratively with other team members, physicians, and healthcare workers to deliver quality care. Following a competency based formal evaluation completion and performance is expected. Must become competent in MDS assessment and Medicare task documentation. Must understand and use nursing process, must be able to critically think and be self-directed to manage resident care. Must be able to effectively delegate, collaborate, and negotiate with team members. Must be flexible in scheduling and resident care activities/needs. Must handle stressful situations effectively. Must be able to resident teach, be able to communicate effectively with residents, family, physicians, and other providers. When students are providing resident care, treatment, and/or services as part of their training any or all employees may be asked to supervise employees.nbsp;/ppbr//ppRequirements/ppstrongEducation/Experience:/strong/ppRN- graduate from an American College of Nursing or National League for Nursing accredited college of nursing. Current South Dakota RN license is required, or multi state licensure privileges;nbsp;/ppbr//ppstrongRequired Credentials (Licensure, Certification, or Registration):/strong/ppCurrent RN license to practice in the state of South Dakota or multi state license privileges;nbsp;/ppbr//ppstrongEmployment Variables:/strong/ppScheduled work hours may vary. Required to rotate weekends and holidays. Occasionally may need to work beyond normal work hours. Initial Tuberculosis (TB) test and drug screening is required by Winner Regional Health. Rubella titer will also be drawn upon hire and immunization is required if no past exposure or indication of immunization. Required to wear name tag provided by WRH and to follow the dress code of WRH.nbsp;nbsp;/ppbr//ppstrongJob Knowledge and Skills:/strong/ppAbility to read, write, speak, and understand the English language. Excellent oral and written communication skills. Ability to deal with people in a professional manner. Knowledge of nursing and medical practices, procedures, laws, regulations, and guidelines that pertain to Long Term Care.nbsp;/ppbr//ppstrongDirect Supervisor:/strong/ppDirector of Nursing/ppbr//ppstrongPART II: CODE OF CONDUCT/strong/ppbr//ppstrongFunction Explanation/strong/ppustrongHonesty /strong/uWe will do the right thing at all times, even if it is difficult, maintaining strong, ethical practices. We protect the confidentiality of others, including patients, staff, and the facility as a whole. We will take responsibility for our actions./ppustrongExpertise /strong/uWe will demonstrate superior judgement, training and skill, at all times, demonstrating professionalism while doing so. We will perform all aspects of our job to the best of our ability, utilizing all resources and tools available./ppustrongApproachability/strong/u We will be non-judgmental, friendly, and open and willing to listen to everyone we come into contact with while performing our duties. We are humble and learn from others.nbsp;/ppustrongRespect /strong/uWe will be understanding and sensitive to others’ feelings; caring and responding in a manner that sets them at ease, keeping the situation in perspective without minimizing others’ feelings or reactions. We will listen to others with full attention in a sincere, civil fashion, being careful not to be judgmental of the speaker. We maintain composure when facing conflict and avoid jumping to conclusions and defaming another’s name.nbsp;/ppustrongTeamwork /strong/uWe willingly work together with a common approach, trusting and supporting members of our organization, using our skills and resources, sharing information to achieve a common aim.nbsp;/ppbr//ppstrongPART III: ESSENTIAL FUNCTIONS/strong/ppbr//ppEssential functions are critical or fundamental to the performance of the job. They are the major functions for which the person in the job is held accountable. Following are the essential functions of the job, along with the corresponding performance standards.nbsp;/ppstrongFunction Explanation/strong/ppstrongDuties and Responsibilities/strongnbsp;/ppProvides timely and proper notification for absences and paid personal leave. Finds a replacement when necessary. No unexcused absences or excessive tardiness. Knows emergency procedures for fire, internal/external disaster plans, codes, etc. and participates in drills. Verbally supportive of Winner Regional Health and the Sanford Health Network. Participates on committees and/or is involved in special projects of Winner Regional Health. Provides for patient, resident, employee, and visitor safety through preventative measures. Identifies hazards and reports incidents. Utilizes and adheres to appropriate precautions/techniques with hazardous chemicals, blood and body fluids, medical waste and/or equipment. Satisfactory attendance at department meetings (50% attendance meets expectations). Is cross-trained to other areas/positions/departments to provide assistance when needed./ppstrongAssessment/strong/ppCollects and organizes pertinent resident assessment data. Seeks information from resident, family, health care providers and environment on an ongoing basis. Uses established assessment forms to document assessment of resident's emotional, spiritual and physical care needs. Completes admission assessment within time frame identified in admission policy./ppstrongDiagnosis/strong/ppAnalyzes assessment data to identify expected outcomes unique to the resident. Expected outcomes are mutually formulated with resident, family and health care team. Formulates measurable expected outcomes using resident profile, pathways and standards of care as guides. Identifies expected outcomes which are realistic in respect to resident's present and potential capabilities.nbsp;/ppstrongIdentification of Outcomes/strong/ppDevelops plan of care consistent with assessment data. Involves resident, family and healthcare providers to identify outcomes. Incorporates cultural needs/diversity in individualized resident outcome identification. Defines outcomes with attainable timeframes. Documents outcomes as measurable goals/ppstrongPlanning/strong/ppDevelops a plan to provide direct nursing care to attain outcomes. Individualizes plan based upon identified resident needs, such as economic impact, cultural concerns. Prioritizes implementation of diagnoses and interventions based on resident condition. Utilizes standardized terminology to communicate to others/ppstrongImplementation/strongnbsp;/ppImplements the interventions identified in the plan of care. Carries out interventions in a safe and timely manner. Incorporates evidenced-based treatments in care of resident. Uses resources and collaborates with others to implement plan. Documents intervention implementation, noting exceptions/modifications/ppstrongEvaluation/strong/ppEvaluates the resident’s progress toward attainment of outcomes. Utilizes an organized ongoing process to determine outcome attainment based on the plan of care. Includes resident, family, health care providers involved in resident care in evaluation process. Documents evaluation findings. Utilizes evaluation data to revise as necessary, diagnoses, outcome, plan and implementation process. Communicates results to resident and those involved in carenbsp;/ppstrongQuality of Care/strong/ppSystemically evaluates the quality and effectiveness of nursing practice. Documents in a responsible, accountable and ethical manner. Uses results of quality improvement activities to initiate change. Implements creativity and innovation to improve care delivery. Participates in quality improvement activities/ppstrongPerformance Appraisal/strong/ppEvaluates his/her own nursing practice in relation to professional practice standards and relevant statues and regulation. Engages in self evaluation on regular basis, identifies strengths and weaknesses. Obtains informal feedback on performance from residents, peers, colleagues, others. Acts to achieve identified performance goals. Provides rationale for practice behaviors/ppstrongEducation/strong/ppAcquires and maintains current knowledge in nursing practice. Participates in ongoing educational related activities. Demonstrates commitment to lifelong learning. Seeks experiences to maintain skills and competence for role performance. Maintains records to support competency and lifelong learning/ppstrongCollegiality/strong/ppContributes to the professional development of peers, colleagues and others. Shares knowledge and skills with others (resident conference, meeting presentations, precept/mentoring). Provides peer feedback in constructive manner. Engages in direct one-to-one communication. Interacts with peers and colleagues to enhance performance. Contributes in a positive manner to the environment, making conducive to education and learning/ppbr//ppstrongPART IV: COMPLIANCE/strong/ppCompliance Must comply with the Corporate Compliance Policy and all laws, rules, regulations and standards of conduct relating to the position. The employee has a duty to report any suspected violations of the law or the standards of conduct to the Compliance Officer or the Chief Executive Officer./ppbr//ppstrongPART V: PHYSICAL AND MENTAL REQUIREMENTS/strong/ppstrongGeneral Activity/strong/ppIn a regular workday, employee may:/pulliSit 1/2/liliHours at a time; up to 1-1.5/liliHours during the day/liliStand 3 Hours at a time; up to 6.5 Hours during the day/liliWalknbsp;nbsp;nbsp;nbsp;nbsp;nbsp;/liliHours at a time; up to 4-6/liliHours during the day/li/ulpstrongMotion/strong/ppEmployee is required: (In terms of a regular workday, "Occasionally" equals 1% to 33%, "Frequently" 34% to 66%, "Continuously", greater than 67%.)/pulliBend/Stoop Occasionally/liliKneel, Duration 30 sec Occasionally/liliSquat Occasionally/liliBalance Occasionally/liliCrawl, Distance Not at all/liliTwist Occasionally/liliClimb, Height Occasionally/liliKeyboarding/Mousing Occasionally/liliReach above shoulder level Occasionally/li/ulpstrongPhysical Demand/strong/ppEmployee’s job requires he/she carry and lift loads from the floor, from 12 inches from the floor, to shoulder height and overhead. Employee’s job requires a pushing/pulling force to move a load (not the weight of the load)./ppPhysical Demand Classification: Carrying/lifting weight and pushing/pulling force:/pulliMedium/liliOccasionally 50 lbs.nbsp;/liliFrequently 25 lbs./liliConstantly 10 lbs./li/ulpstrongSensory Requirements:/strong/ppnbsp;Yes/No Explanation (if Yes)/pulliSpeech Expressing or exchanging ideas by means of the spoken word. Those activities in which they must convey detailed or important spoken instructions to other workers accurately, loudly, or quickly. Yes/liliNeed to continuously communicate with residents and co-workers./liliVision (VDT) Are there specific vision requirements for the job? Yes/liliNeed to accurately measure intake and output; work with multiple tubes, drains, monitoring equipment, etc. Must be able to visually assess residents, including color recognition./liliHearing Ability to receive detailed information through oral communications, and to make fine discriminations in sound; i.e., making fine adjustments on machine parts, using a telephone, taking blood pressures. Yes/liliNeed to continuously hear instructions from co-workers, physicians, request from residents. Need to hear BP and monitor alarms, assess by auscultation.nbsp;/liliSmell Checking for odors related to infections Yes Checking for odors related to infections/li/ulpbr//ppstrongEnvironmental Factors/strong/ppYes/No Explanation (if Yes)/pulliWorking on unprotected heights No/liliBeing around moving machinery Yes/liliPheresis equipment/liliExposure to marked changes in temperature and humidity No/liliDriving automotive equipment No/liliWearing personal protective equipment Yes/liliExposure to blood/body substances and other chemicals/liliExposure to atmospheric conditions (i.e. fumes, dust, odors, mists, gases, or poor ventilation) Yes/liliPotential chemical exposure/liliExposure to extreme noise or vibration No/liliExposure to blood, body fluids and waste Yes/liliAs Above./liliExposure to radiation Yes/liliX-rays/liliExposure to other hazards (i.e. mechanical, electrical, burns, or explosives) Yes/liliChemotherapy agents/li/ulpbr//ppstrongEmotional/Psychological Factors/strong/ppYes/No Explanation (if Yes)/pulliStress: Exposed to stressful situations Yes/liliDealing with residents, families and others who may be very upset. Has high accountability for tasks performed./liliConcentration: Must be able to concentrate on work tasks amidst distractions. Yes/liliWork must be done accurately even when multi-tasking. Mistakes may be harmful to resident outcomes./liliMust exert self-control. Yes/liliDue to stressful situations regarding resident needs, must maintain composure at all times. Will give directions and take directions from multiple sources.nbsp;/li/ulpbr//ppstrongPART VI: JOB RELATIONSHIPS/strong/ppstrongSupervises/strong/pp0 No supervisory responsibilities/pp1 Supervisory responsibility/pp# Direct Reports: depends upon shift/pp# Indirect Reports:nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;/ppAge of Resident Populations Served 0 Neonates: 1-30 days/pp0 Infant: 30 days - 1 yr/pp0 Children: 1- 12 yrsnbsp;/pp0 Adolescents: 13- 18 yrs/pp1 Adults: 19- 70 yrs/pp1 Geriatrics: 70+ yrs/pp1 All/pp0 Not applicable/ppbr//ppstrongInternal Contacts/strong/pp1 Residents/pp1 Providers: (i.e. Physicians, Therapists, Social Workers)/pp1 Staff: (i.e. clinical and administrative support staff)/pp1 Volunteers/pp0 Others:nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;/ppbr//ppstrongExternal Contacts/strong/pp1 Residents/pp1 Families/Significant Others/pp1 Providers/pp1 Vendors/pp1 Community and Health Agencies/pp1 Regulatory agencies/pp1 Other: Job Applicants/ppbr//p