RN Unit Manager
Company: Oxford Universal Healthcare
Location: Oxford
Posted on: January 26, 2023
Job Description:
NEW NURSING AND ADMINISTRATOR LEADERS! - -$5,OOO SIGN-ON BONUS!
- 7am-3pm shiftSKILLED NURSING FACILITYJob Summary -The RN
Supervisor provides direct nursing care to the residents and
supervises the day-to-day nursing activities performed by nursing
assistants on the assigned unit. Ensures nursing personnel deliver
nursing care 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,
facility policies and procedures, and federal, state, and local
guidelines. - - -Essential 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 patients' rights.
Assures that individuals' rights are honored, and that care is
delivered according to those rights and the individual's wishes.
Ensures patients' rights, safety, and choices are safeguarded.
-Ensures that care is provided in privacy. -Ensures protected
health information is kept confidential. Reports known or suspected
incidents of unauthorized disclosure of such information. -
Reports complaints made by
residents/patients to supervisor. -Reports all allegations of
patient abuse, neglect and/or misappropriation of patient property.
-Safety and Sanitation -
Follows established safety policies
and procedures. -Follows established infection control policies and
ensure compliance amongst staff. -
Observes safety needs of patients as
indicated in care plan and ensures staff do the same. -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 and licensure and as managed by regulatory
agencies and company policies. -Attends and participates in staff
training and orientation. Trains staff. Completes skill
observations and competencies. -Completes assigned Relias training.
Devotes adequate time and attention to personal development. -
-General Nursing Care Responsibilities -
Demonstrates knowledge and
appropriate use of the Infection Control policies and procedures.
-Accurately identifies skin changes and follows skin management
protocols. -Communicates physician orders and reports diagnostic
tests timely. -Understands, participates, and assists in
implementing QAPI. -Identifies, places, and monitors patients in
the appropriate programs. -
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 and treatments timely according to facility policy.
Performs medication administration and/or treatments as needed.
-Demonstrates ability to receive, transcribe, and carry out
physician orders. -
Makes rounds with physicians when
necessary. -Transcribes physician's orders to patient charts,
Kardex, 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, resident
representatives, and family. -
Conducts frequent rounds to evaluate
effectiveness of care delivery. -Orders supplies and charges for
items ordered through Central Supply. -Follows established policy
and procedures in the event a restraint must be utilized. Follows
established procedures for restraint reduction. -Assures that a
supply of personal protective equipment is 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. -Communicates physician orders and
reports diagnostic tests timely. -Participates in care planning
with team and routine interventions. - -Special Nursing Care
Responsibilities-Based on State Nursing Practice Act -
NG/tube: - insertion, placement,
irrigation -Colostomy care: - irrigation -Foley catheter care: -
insertion, Irrigation -Straight catheterization -
Tube feeding, hanging, and labeling,
operation of pump, calculating intake and output, assuring dietary,
recommended feeding allowances are maintained, monitoring the
weights of patients, assessing for abdominal distention, feeding
tube placement, residual. -Positioning techniques -Transfer
techniques -ROM exercises -Emergency procedures: properly
administers O2, suctions, performs CPR, and uses the ambu bag -
Performs glucometer checks -IVs: -
conducts IV site care, applies, and monitors a Heparin Lock, mixes,
hangs, and administers IV solutions to patients, is able to compute
rate of IV fluid administration, operates the infusion pump
-Suctioning: tracheotomy, nasotracheal -Tracheotomy care
-Gastrostomy Care: irrigation, placement check -
Sterile technique -Collection of lab
specimens -Isolation techniques - -Food Service Responsibilities -
Assists with meal service as needed.
-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. -Identifies patients at risk for
nutritional problems and implements preventative measures. -Checks
items and food that is brought in by family members to assure it
complies with patient's 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 patient's chart and the
Electronic Health Record (E.H.R.). -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 participating in therapy or restorative
nursing -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 the E.H.R. -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 Food and
Nutrition Services. -
Reports any discrepancies noted
concerning physician's orders, diet changes, charting errors, etc.
to the Director of Health Services or designee. - -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 MDS sections as
directed by Case Management 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. -
Completes admission, discharge, and
transfer per facility procedures. -Assures documentation is
accurately completed for admission, discharge, and transfer. -
-Admission, Discharge, and Transfer -Admission: -
Orients patient to room, facility,
policies -Obtains necessary physician orders -Completes nursing
admission assessments -Orders necessary medication, supplies and
diagnostic test -Informs nursing personnel of new admissions,
expected time of arrival, room assignments, admitting diagnosis,
etc. -
Obtains written or verbal report from
admitting facility on patient prior to or at the time of admission.
-Discharge: - -
Completes post discharge plan
-Educates patient on post discharge needs -Completes discharge
paperwork -
Informs nursing personnel of planned
discharges for their shift. -Arrange for discharge transportation.
-Transfer: -
Successfully transfers a patient
-Assures documentation is accurately completed for admission,
discharge, and transfer. - -Supervisory/People Management
Responsibilities -
Demonstrates knowledge of location of
clinical policies and procedures -Supervises LPNs -Acts as the
charge nurse and assumes responsibility for the facility in
accordance with the chain of command. -
Supervises CNAs; gives and receives
daily reports from CNA's; Monitors that CNA documentation is
completed daily. -Makes assignments for CNA's; Ensures CNA
assignments are completed on time. -Reviews employee call-offs and
calls in off duty employees or adjusts the assignment sheet to
adequately cover staffing. -Communicates appropriate information to
team members, physicians, families, and supervisor. -Demonstrates a
caring attitude toward patients, family members, employees, and
other company guests as the need arises; Ensures that subordinates
are helpful, caring, and responsive to all guests. -
Devotes adequate time and attention
to personal development and training, particularly in the
management of people resources. -Receives, investigates, and
responds to employee and patient/family complaints and grievances.
-Participates in communicating department policies and procedures.
Trains staff in department policies and procedures. -Performs any
miscellaneous work assignments as may be required. -
-Education/Qualifications -
Must possess a current, unencumbered,
active license to practice as an RN in the state in which the
facility is located; Bachelor's Degree in Nursing from an
accredited college or university preferred. -Current CPR
certification required. -Must be able to read, write, speak, and
understand the English language. -Must demonstrate the knowledge
and skills necessary to provide care appropriate to the age-related
needs of the residents served. -
Be a supportive team member,
contribute to and be an example of teamwork and team concept. -Must
possess the ability to make independent decisions when
circumstances warrant such action. -Must possess the ability to
deal tactfully with personnel, residents, family members, visitors,
government agencies/personnel, and the public. -Must be
knowledgeable of nursing and medical practices and procedures, as
well as laws, regulations, and guidelines that pertain to nursing
care facilities. -Must possess leadership and supervisory ability
and the willingness to work harmoniously with and supervise other
personnel. -
Must be able to relate information
concerning a resident's condition. -Persons who have been found
guilty of abuse, neglect, exploitation, or mistreatment or
misappropriation of property by a court of law; or who has a
finding in the State nurse aide registry concerning abuse, neglect,
exploitation, mistreatment of residents or misappropriation of
resident property, or has had a disciplinary action in effect taken
against his/her professional license are not eligible for
employment in this position. - -Experience -
Must have, as a minimum, one (1) year
of experience as an RN in the post-acute or related healthcare
setting. One-year prior nursing management experience preferred.
Training provided. - -Physical Demands -
Lifting 50 pounds max. with frequent
lifting and/or carrying of objects weighing up to 20 pounds;
Walking, standing, fingering, reaching, stooping, smelling, near
and far visual acuity, depth perception, color vision, pushing. -
-Travel -
n/a - -Work Environment/Conditions -
Considerable exposure to disagreeable
conditions including odors, infection, illness, and physical
contact from disruptive patients. Is subject to hostile and
emotionally upset residents, family members, personnel, and
visitors. -Work will be performed primarily indoors throughout all
areas, including in resident rooms, and on carpeted and/or tiled
floors. Due to the nature of facility's business, worker may be
exposed to occasional slippery floors, object on floors, chemicals,
sharp objects, hazardous materials, and waste (including human),
bloodborne pathogens, and communicable diseases, as well as
high-stress medical and/or life-threatening situations. -
Tasks assigned to this position may
involve potential and/or direct exposure to blood, body fluids,
infectious diseases, air contaminants, and hazardous conditions
-
Keywords: Oxford Universal Healthcare, Durham , RN Unit Manager, Executive , Oxford, North Carolina
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