RN - Long term care

Position Summary:

The Registered Nurse in long term care must adhere to the RN legal scope of practice.

The 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 selfdirected 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.

Education/Experience:

RN 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;

Required Credentials (Licensure Certification or Registration):

Current RN license to practice in the state of South Dakota or multi state license privileges;

Employment Variables:

Scheduled 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.

Job Knowledge and Skills:

Ability 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.

Direct Supervisor:

Director of Nursing

PART II: CODE OF CONDUCT

Function Explanation

Honesty We 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.

Expertise We 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.

Approachability We will be nonjudgmental 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.

Respect We 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 anothers name.

Teamwork We 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.

PART III: ESSENTIAL FUNCTIONS

Essential 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.

Function Explanation

Duties and Responsibilities

Provides 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 crosstrained to other areas/positions/departments to provide assistance when needed.

Assessment

Collects 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 residents emotional spiritual and physical care needs. Completes admission assessment within time frame identified in admission policy.

Diagnosis

Analyzes 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 residents present and potential capabilities.

Identification of Outcomes

Develops 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

Planning

Develops 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

Implementation

Implements the interventions identified in the plan of care. Carries out interventions in a safe and timely manner. Incorporates evidencedbased treatments in care of resident. Uses resources and collaborates with others to implement plan. Documents intervention implementation noting exceptions/modifications

Evaluation

Evaluates the residents 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 care

Quality of Care

Systemically 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

Performance Appraisal

Evaluates 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

Education

Acquires 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

Collegiality

Contributes 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 onetoone communication. Interacts with peers and colleagues to enhance performance. Contributes in a positive manner to the environment making conducive to education and learning

PART IV: COMPLIANCE

Compliance 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.

PART V: PHYSICAL AND MENTAL REQUIREMENTS

General Activity

In a regular workday employee may:

• Sit 1/2
• Hours at a time; up to 11.5
• Hours during the day
• Stand 3 Hours at a time; up to 6.5 Hours during the day
• Walk
• Hours at a time; up to 46
• Hours during the day

Motion

Employee is required: (In terms of a regular workday Occasionally equals 1 to 33 Frequently 34 to 66 Continuously greater than 67.

• Bend/Stoop Occasionally
• Kneel Duration 30 sec Occasionally
• Squat Occasionally
• Balance Occasionally
• Crawl Distance Not at all
• Twist Occasionally
• Climb Height Occasionally
• Keyboarding/Mousing Occasionally
• Reach above shoulder level Occasionally

Physical Demand

Employees job requires he/she carry and lift loads from the floor from 12 inches from the floor to shoulder height and overhead. Employees job requires a pushing/pulling force to move a load (not the weight of the load).

Physical Demand Classification: Carrying/lifting weight and pushing/pulling force:

• Medium
• Occasionally 50 lbs.
• Frequently 25 lbs.
• Constantly 10 lbs.

Sensory Requirements:

Yes/No Explanation (if Yes)

• Speech 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
• Need to continuously communicate with residents and coworkers.
• Vision (VDT) Are there specific vision requirements for the job Yes
• Need to accurately measure intake and output; work with multiple tubes drains monitoring equipment etc. Must be able to visually assess residents including color recognition.
• Hearing 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
• Need to continuously hear instructions from coworkers physicians request from residents. Need to hear BP and monitor alarms assess by auscultation.
• Smell Checking for odors related to infections Yes Checking for odors related to infections

Environmental Factors

Yes/No Explanation (if Yes)

• Working on unprotected heights No
• Being around moving machinery Yes
• Pheresis equipment
• Exposure to marked changes in temperature and humidity No
• Driving automotive equipment No
• Wearing personal protective equipment Yes
• Exposure to blood/body substances and other chemicals
• Exposure to atmospheric conditions (i.e. fumes dust odors mists gases or poor ventilation) Yes
• Potential chemical exposure
• Exposure to extreme noise or vibration No
• Exposure to blood body fluids and waste Yes
• As Above.
• Exposure to radiation Yes
• Xrays
• Exposure to other hazards (i.e. mechanical electrical burns or explosives) Yes
• Chemotherapy agents

Emotional/Psychological Factors

Yes/No Explanation (if Yes)

• Stress: Exposed to stressful situations Yes
• Dealing with residents families and others who may be very upset. Has high accountability for tasks performed.
• Concentration: Must be able to concentrate on work tasks amidst distractions. Yes
• Work must be done accurately even when multitasking. Mistakes may be harmful to resident outcomes.
• Must exert selfcontrol. Yes
• Due to stressful situations regarding resident needs must maintain composure at all times. Will give directions and take directions from multiple sources.

PART VI: JOB RELATIONSHIPS

Supervises

0 No supervisory responsibilities

1 Supervisory responsibility

# Direct Reports: depends upon shift

# Indirect Reports:

Age of Resident Populations Served 0 Neonates: 130 days

0 Infant: 30 days 1 yr

0 Children: 1 12 yrs

0 Adolescents: 13 18 yrs

1 Adults: 19 70 yrs

1 Geriatrics: 70 yrs

1 All

0 Not applicable

Internal Contacts

1 Residents

1 Providers: (i.e. Physicians Therapists Social Workers)

1 Staff: (i.e. clinical and administrative support staff)

1 Volunteers

0 Others:

External Contacts

1 Residents

1 Families/Significant Others

1 Providers

1 Vendors

1 Community and Health Agencies

1 Regulatory agencies

1 Other: Job Applicants