Job Description:

• Provide all aspects of Nursing care for patients in the LTC setting under supervision of RN or Nurse Manager
• Observe each resident on a continuing basis alert to changes in mental and physical well-being; notifies the Supervisor of pertinent observations and discusses the need to notify physician; and receive Resident Status Report from off-going shift and give on-coming shift a detailed report of each resident's status and events of the shift.
• Record narcotics on a 30 days basis
• Accurately receive, transcribe, and carry out physician's orders.
• Administer medications and treatments as ordered by the physician and make proper documentation via a computerized system.
• Perform wound care and have knowledge of wound vacs.
• Perform regular duties on the unit such as checking appointments for the day; checking Physical, Occupational and Speech Therapy appointments; checking activity board; reminding staff of ambulation list, weights, blood pressures, and to document nutritional charts.
• Monitor LNA documentation and update LNA clipboard; oversight of infection control practices on the unit; ensure that unit is clean and hazard-free. Following the chain of command, report any problems to the Nurse Manager/Nursing Supervisor. Encourage LNA observations and include them when documenting and reporting.
• Admit, discharge and transfer residents, completing documentation and notifications as necessary.
• Complete 24-hour report for his/her assigned unit(s); check new orders; complete list of residents on antibiotics, precautions, etc.; maintain consistent communication with the Nurse Manager/ Nursing Supervisor regarding resident issues or concerns with staff; differentiating between acute and non-emergency problems; and attend all mandatory staff/educational meetings and non-mandatory meetings as assigned.
• Communicate with residents' families to resolve resident concerns and problems to notify family members of new orders, and to obtain consent when necessary.
• Receive incoming calls and determine appropriate response required.
• Follow State and Federal Regulations regarding the storage, usage and documentation of controlled medications including counting at the change of shift; notifies appropriate Supervisor if discrepancies are present.