Must possess a positive feeling for the elderly and be able to work well with them. Must possess good assessment, documentation and communication skills. High school education. Graduate of an approved Licensed Practical Nursing or Registered Nurse Program . BLS Certification required. Must have a current ND driver’s license and be insurable by facilities insurance carrier. Experience preferred but not required.
I. Hardwiring Excellence. Responsible to know and adhere to evidence based leadership to achieve excellence.
1. Standards of Behavior
2. Key Words at Key Times – AIDET
II. Professional attitude, leadership role and team member abilities. Maintains a positive professional role throughout the facility and community.
1. Exhibits a positive professional approach when dealing with the public and demonstrates solution oriented involvement with problems of the facility, staff and residents.
2. Good communication with subordinates and peers.
3. Shows initiative and follow-through in work projects.
4. Values and pursues professional education and self-improvement.
a. Attends Monthly IDM’s.
b. Attends Education Day. Completes annual education in Safety, Infection
Control, Confidentiality, Bill of Rights, Open Admissions and Care of Residents.
III. Accountability for Safety
1. Familiarizes self with and adheres to all facility and department safety policies and procedures.
2. Completes all required annual safety training.
3. Supports and implements safety into all job responsibilities regarding self, other employees, residents/patients and visitors.
4. Reports safety violations (or unsafe observances) to supervisor and/or department head immediately.
5. Promotes a culture of safety to improve employee safety.
IV. Safeguarding the privacy and security of protected health information (PHI) in any form including electronic, written or oral.
1. Responsible for safeguarding any PHI or EPHI seen, used or disclosed during this positions normal job functions as stated in the above job responsibilities based on the HIPAA privacy and security policies and procedures.
2. Responsible to conduct any oral discussions of PHI with other staff or with patients and family members in a manner that limits the possibility of inadvertent disclosures.
3. Responsible for maintaining strict confidentiality with any unintentional access to PHI whether written, electronic or oral.
4. Responsible for reporting suspected violations of the safeguarding of PHI or EPHI by any GSHA employee or business associate.
5. Responsible to ensure the use or disclosure of PHI or EPHI that is not routinely available to this position must be coordinated with the HIPAA Privacy Officer, Security Officer or designees.
Resident Care including Assessments, Care Planning, and Implementation
1. Admission assessment, completion of admission checklist, admission forms and nursing narrative.
2. Observes and initiates provider orders and Haaland Home standing orders, assuring documentation and protocols are observed and communicated so all aspects are carried out accurately.
3. Assessment of resident – monitoring for any health changes and makes referrals as needed.
4. Assists with initial resident care planning. Assessing health, behavior, and ADL ability, while maintaining care plan goal of highest level of independence.
5. Re-evaluate and updates care plans according to resident needs and adjusting for any changes.
6. Responsible to see that care plan is implemented and carried out in daily cares. Assists resident to maintain independence.
7. Assesses resident health, ADL abilities and behavior concerns of residents on admission, discharge from hospital and quarterly.
8. Carries out Haaland Home clinic duties and serves as clinic nurse on clinic days.
9. Maintains good relationship with resident and families.
10. Coordinates or assists with seating arrangement in dining room.
11. Assists as necessary in dining room to maintain excellent of service.
12. Observation and Reporting:
a. Communicates resident needs with coworkers during report and throughout the shift.
b. Reports facility problems to appropriate department.
c. Operates intercom system.
Resident Care including Medication and treatment Administration
1. Administers medications and treatments as ordered by provider.
2. Keeps accurate record of medications administered.
3. Maintains cleanliness and order to medication cart.
4. Is observant to resident condition and/or symptoms in relation to medications the resident is receiving.
5. Provides oral and/or written communications to director of nursing or provider regarding any change in resident status.
6. Provides oral and/or written communications of any variances in medication pass as ordered. (Resident refusal, medication held per resident request or per provider orders)
7. Provides oral and/or written communication to PRN mediations dispensed as well as resident symptoms.
8. Assess resident self-administration of medications, creams or ointments and documents appropriately.
9. Verbalizes knowledge of adverse reaction, drug/drug interaction and drug/food interaction.
10. Follows governmental regulations for administering and storing mediations, including narcotics.
11. Makes decisions concerning the administration of medications for comfort or bowel protocol and documents results.
12. Respects residents’ rights, including the right to refuse medication and the right to be informed of the consequences of that refusal.
13. Maintain resident medications and stock medication, and reorders as needed.
14. Responsible for receiving and counting medications, including narcotics.
15. Removal of mediations that have been discontinued, following facility policy.
16. Reviews and observes the resident MAR for accuracy.
Resident Care including Supervisory Role
1. Provides guidance for staff working with them.
2. Provides input for staff education.
3. Communicates with nursing personnel in and organized manner while prioritizing and coordinating residents’ needs.
4. Reports pertinent information at change of shift.
5. Reports changes in resident status to director of nursing, provider and family as needed.
6. Delegates responsibilities to CNAs and CMAs appropriately.
7. Collaborates in the development of policies and procedures.
8. Observes and transcribes physician orders accurately.
9. Communicates with other departments as necessary regarding resident needs and issues.