ALF-Charge nurse

Department

Assisted Living

Reports to

Resident Care Manager Assisted Living Administrator

Reporting to this position

Lead Caregivers Certified Nursing Assistants Home Care Aides

Job Classification

Department Staff

Position Purpose

May provide direct nursing care to the residents and supervises the day-to-day nursing activities performed by the certified nursing assistants and caregivers in accordance with current federal state and local regulations and guidelines and established facility policies and procedures.

Major Duties and Responsibilities

Renders professional nursing care for the care comfort and well-being of the residents of the TLC.

Provides Limited Nursing Services as described in WAC 388-78A-265.

Follows the nursing model to promote holistic care for the residents.

Maintains appropriate nursing documentation (alert charting MD visits new orders incident reports etc.).

Accounts for narcotics in accordance with established procedures.

Checks in and accounts for medication deliveries.

Participates in the admission discharge and transfers of residents as required.

Assesses for changes in residents status notifying the physician and residents family or representative and documenting accordingly.

Transcribes physician orders to medical record and carries out orders as written.

Prepares and administers medications as per physicians orders and observes for adverse effects as indicated.

Provides nursing leadership to caregiving staff and handles staffing issues during the shift including call-ins.

Assists caregivers with answering pendants as able.

Assists with pharmacy follow-ups as needed.

Destroys non-narcotic medications as needed.

Assists with medication return process to pharmacies.

Checks all medication carts on a weekly basis for narcotics that need to be reordered which includes faxing the doctors for narcotic renewals as needed.

Checks insulin and eye drop dates on a weekly basis and reorders as needed.

Assists with processing daily physician orders.

Performs rounds to ensure resident needs are being met and personnel are performing their assigned duties.

Collaborates with other members of the interdisciplinary team as needed to ensure residents needs are holistically met.

Participates in management team meetings as indicated to discuss census changes resident changes in status or care need or complaints or concerns.

Reports any incidents or unusual occurrences to the resident care manager and assisted living administrator and participates in the investigative process as needed.

Participates in end of life care as required.

Ensures that there is adequate stock of supplies and equipment and notifies appropriate personnel of needs.

Promotes teamwork mutual respect and effective communication.

Participates in the survey process when inspection surveys arise.

Ensures that infection control principles are followed and helps correct deficiencies in practice as noted.

Completes projects assigned by the administrator.

Other duties as assigned.

Additional Tasks

Treats all residents with dignity and respect. Promotes and protects all residents rights.

Establishes a culture of compliance by adhering to all facility policies and procedures. Complies with standards of business conduct and state/federal regulations and guidelines.

Follows appropriate safety and hygiene measures at all times to protect residents and themselves.

Maintains confidentiality of protected health information including verbal written and electronic communications.

Reports noncompliance with policies procedures regulations or breaches in confidentiality to appropriate personnel. Reports any retaliation or discrimination to HR or compliance officer.

Reports any allegations of abuse neglect misappropriation of property exploitation or mistreatment of residents to supervisor and/or administrator. Protects residents from abuse and cooperates with all investigations.

Reports any occupational exposures to blood body fluids infectious materials and/or hazardous chemicals in accordance with facility policy.

Participates in all life safety and emergency drills and trainings. Fulfills responsibilities as assigned during implementation or activation of the facilitys emergency plan.

Reports work-related injuries and illnesses immediately to supervisor.

Follows established infection control policies and procedures.

As a condition of employment completes all assigned training and skills competency.

Personal Skills and Traits Desired/ Physical Requirements/Working Conditions

Ability to read write speak and understand the English language.

Must be a supportive team member contribute to and be an example of team work.

Ability to think act and intervene independently in both routine and emergency situations.

Ability to deal tactfully with personnel residents family members visitors government agencies/personnel and the general public.

Ability to treat personnel residents family members visitors government agencies/personnel and the general public with respect.

Ability to cope under stress and to handle crises.

Ability to give and take constructive criticism.

Ability to be a mentor who models expectations and who has the ability to train and teach new staff.

Ability to resolve problems directly quickly and completely with persons involved without gossiping or backbiting.

Must be flexible and be able to adapt.

Must be self-motivated and be able to prioritize.

Must have patience tact and willingness to deal with difficult residents family and staff.

Must be able to relay information concerning a residents condition.

Must not pose a threat to the health and safety of other individuals in the workplace.

Must be able to move intermittently throughout the workday.

Meets general health requirements according to facility policy including medical and physical exams and checking immunity status to various infectious diseases.

Ability to assist in evacuation of residents during emergency situations.

Ability to bend stoop kneel crouch perform overhead lifting and perform other common physical movements as needed for the position.

May be subject to falls burns from equipment and/or odors throughout the day; encounter reactions from dust tobacco smoke disinfectants and other air contaminants.

Subject to exposure to infectious waste diseases and/or conditions which include AIDS Coronavirus Hepatitis B and Tuberculosis.

May be subject to hostile or emotional residents family members visitors or personnel.

Must possess leadership supervisory ability and willingness to work harmoniously with and supervise other personnel.

Must be able to follow oral and written instructions.

Communicates with medical and nursing staff and other departments.

Subject to call-back during emergency conditions.

Works at nursing station and throughout the facility.

Subject to frequent interruptions.

May work beyond normal working hours and on weekends holidays when necessary.

Compliance as a Condition of Employment and Performance Appraisal

Agreement to abide by all standards policies and procedures of the facility including the facilitys compliance and ethics program is a condition of employment. Compliance will be a factor in evaluating job performance. Violations including failure to report violations will result in disciplinary action up to and including termination.

This job description is intended to convey the general scope of the major duties and responsibilities inherent in this position. Other tasks not listed here may be assigned by the Administrator. Periodic revision may be necessary to reflect changes in expectations placed on long term care by various governmental agencies. This job description will be reviewed and/or revised annually and as needed.

Individual performance will be evaluated using the following scale:

Unsatisfactory: Achieves results which are far less than the standards identified for the performance factors rated.

Needs Improvement: Achieves results which are less than the standards identified for the performance factors rated. Exhibits the potential to become a competent performer. May be new to job or need skill development.

Meets Standards: Achieves results which meet the standards identified for the performance factors rated. This rating is the expected level of performance.

Exceeds Standards: Achieves results which usually exceed the standards identified for the performance factors rated.

Reasonable Accommodation Statement

Consistent with the Americans with Disabilities Act (ADA) and Washington State civil rights law it is the policy of Washington Odd Fellows Home to provide reasonable accommodation when requested by a qualified applicant or employee with a disability unless such accommodation would cause an undue hardship. The policy regarding requests for reasonable accommodation applies to all aspects of employment including the application process. If reasonable accommodation is needed please contact Nathanial Murphy CHRO at

Required Qualifications

Prior experience in long-term care preferred but not required.

A Nursing degree from an accredited college or university.

Current unrestricted license as a Registered Nurse (RN) or Licensed Practical Nurse (LPN) in Washington State.

Current CPR certification.