Assess patient health problems and needs, develop and implement nursing care plans, and maintain medical records. Administer nursing care to residents.
Responsibilities:
- Monitor, record, and report symptoms or changes in residents' conditions.
- Maintain accurate, detailed reports and records.
- Record residents' medical information.
- Modify resident's care plans as indicated by patients' responses and conditions.
- Direct or supervise LPN/CNA/RA staff or supervise a particular unit.
- Consult and coordinate with healthcare team members to assess, plan, implement, or evaluate residents care plans.
- Perform physical assessments, notify physician as indicated and follow medical directives.
- Follow facility infection control programs, advising or consulting with specified personnel about necessary precautions.
- Address residents needs and determine how to assist them.
- Administer prescribed medications as ordered by physician(s) or in response to emergency situations, per medical directives. Record times, amounts, and summaries on resident chart.
- Observe residents, charting and reporting changes in patients' conditions, such as adverse reactions to medication or treatment, and acute change of conditions and take appropriate action.
- Record all medical, Medicare and medication data accurately and report changes in condition or errors and omissions to ensure records are accurate.
- Assist in the development and implementation of skilled and restorative nursing care measures and plan of care.
- Ensure compliance with infection control pragmas, advising or consulting with specified personnel regarding necessary precautions.
- Assist in the development, monitoring and updating of individualized care plans.
- Facilitate transfers to hospitals or triage centers.
- Perform medical procedures such as IV/Saline locks, lab specimen collection (urine, stool), glucose, INR monitor, bladder scan, suction. Ensure procedures are continued as indicated in medical orders.
- PFV/VOW: Admits residents to Assisted Living. Coordinate with resident aides, residents, and resident families for resident intake.
- Attend and participate in all appropriate meetings and training opportunities in order to keep informed on current information and skill development.
- Follow established policies and procedures including but not limited to: Presbyterian Villages policies and procedures; Safety policies and procedures; Federal, state and local regulations.
- All other duties as assigned.
Education:
- Graduate from an accredited school of nursing.
- Associate's Degree or Bachelor’s degree in nursing preferred.
Experience:
- Six months to one year geriatric experience preferred.
Computer Skills:
- Must have ability to operate a computer.
- EMR experience preferred.
Certificates & Licenses:
- Current registration and licensure from the State of Michigan.
- Current CPR/First Aid certifications.
Other Requirements:
- Availability to work holidays, evenings, or weekends.
- Nurse will be on-call to answer concerns from staff and being available to come on-site using judgment to determine when necessary.