Registered Nurse Rn

Job Description:

We are seeking a dedicated and compassionate Registered Nurse to join our team. The ideal candidate will be responsible for providing quality nursing care to residents, insuring compliance with all operating policies and procedures and Rhode Island Department of Health regulations and Federal regulations promoting patient safety and ensuring a positive patient experience.

Standard Requirements:

• Supports the Mission, Values and Vision of The Holiday Retirement Home.
• Knowledgeable of resident rights and ensures an atmosphere which allows for the privacy, dignity, and well-being of all residents in a safe, secure environment.
• Supports, cooperates with, and implements specific procedures and programs for:
  • Safety, including universal precautions and safe work practices, established fire/safety/disaster plans, risk management, and security, report and/or correct unsafe working conditions, equipment repair and maintenance needs.
  • Confidentiality of all data, including resident, employee, and operations data.
  • Quality Assurance and compliance with all regulatory requirements.
  • Compliance with current law and policy to provide a work environment free from sexual harassment and all illegal and discriminatory behavior.
• Supports and participates in common teamwork:
  • Cooperates and collaborates with all co-workers; plan and complete job duties with minimal supervisory direction, including appropriate judgement.
  • Uses tactful, appropriate communications in sensitive and emotional situations.
  • Follows up as appropriate with supervisor, co-workers or residents regarding reported complaints, problems, and concerns.
  • Promotes positive public relations with residents, family members and guests. Completes requirements for in-service training, acceptable attendance, uniform, and dress codes including personal hygiene, and other work duties as assigned.

Responsibilities - Charge Nurse

• Perform various duties to provide quality nursing care to residents to maintain or attain the highest practical level of functioning and to coordinate total nursing care for the residents as illustrated by the following:
  • Assess residents and analyze obtained information to develop appropriate interventions to prevent decline; record signs of change in condition; notify appropriate staff per facility protocol to evaluate weight loss, decline in ambulation, development of skin breakdown, etc.; observe conditions which indicate possible need for restorative nursing programs and then notify appropriate staff per facility protocol of the need for evaluation; inform the physician of changes in assessment when appropriate.
  • Administer medications and treatments to residents; monitor administration of intravenous fluids; place orders for medication from the pharmacy.
  • Assess residents upon admission to develop interim care plan and further assess in depth to contribute to the complete care plan. Update care plans as warranted and required. Attend and participate at Plan of Care meetings as scheduled.
  • Respond to emergencies; assess the condition of the resident; decide on the type of medical attention; call appropriate ambulance service if needed; notify family when resident is transferred or admitted to the hospital; notify the physician when a change in condition occurs.
  • Confer with residents and families; make referrals to other departments when appropriate.
  • Maintain resident clinical files; keep charts updated; document appropriately (see Task List).
  • Complete employee and resident incident report forms; complete follow-up investigation forms.
  • Make rounds to see each resident daily and as needed.
  • Ensure that residents are aware of the services that are available to them; encourage residents to participate in activities program and provide staff support to enable residents to get to and from and participate in activities.
  • Maintain accountability for controlled substances; inventory medications at the beginning and end of the shift with another licensed nurse; notify supervisor of discrepancies.
  • Support the facility’s medical supply system; follow procedures for resident charge items.
  • Correlate accurate and complete documentation and its impact on reimbursement and federal regulations.
  • Communicate status of residents to incoming personnel according to established procedures; communicate with physicians; transcribe, clarify, and implement physicians’ orders.
• Supervise the certified nursing assistants and the CMT’s and determine work procedures, prepare work schedules, expedite workflow, evaluate, counsel and discipline.
• Ensures that certified nursing assistants and CMT’s and all supervised personnel adhere to standard job requirements.

Other Duties:

• Documentation requirements include, but are not limited to, the following:
  • Changes in medical and physical condition.
  • Response to antibiotic therapy.
  • Report of weight loss or gain and response to change.
  • Report of peg tube patency as directed.
  • Complete accurate, and timely physicians; information.
  • Changes in specialized diets; and
  • Report of pressure ulcer condition and response to treatment weekly.
• Shift report to the certified nursing assistants must include, but are not limited to, the following:
  • Changes in resident condition.
  • Report of new admissions.
  • Residents scheduled for appointments and rehabilitation.
  • Assigned baths and restorative instructions.
  • Splint applications.
  • Changes in specialized diets.
  • Individualized patient instructions; and
  • Special attention needs to be given to the CNA’s who are new to their assignments.
• Charge nurses are responsible for the knowledge of patient information through the maintenance of accurate lists. This knowledge includes, but is not limited to:
  • Resident skin condition.
  • Diet and supplements.
  • Special equipment needs.
  • Contingency and protection used.
  • Weight gain or loss.
  • Side rail use and reason for use.
  • Assistance required by resident; and
  • Residents at considerable risk for skin breakdown requiring more frequent positioning.
• Assessment of the residents for skin breakdown done by following the admission, Braden Scale analysis and by personal physical assessment done of the resident by the charge nurse per policy.
• Perform tasks which are supportive in nature to the essential functions of the job, but which may be altered or redesigned depending upon individual circumstances.

The Holiday is an Equal Opportunity Employer. Our policy is clear: there shall be no discrimination on the basis of age, disability, sex, race, religion or belief, gender reassignment, marriage/civil partnership, pregnancy/maternity, or sexual orientation.