Job Overview
- 9a-530p Shift
- Provide direct and individualized nursing care to assigned residents based on established nursing protocol. Observe and assess for: pain/discomfort, oxygen therapy, all drainage, all dressings, and any incontinent elimination which may have occurred.
- Provide ignition and ongoing systematic assessment of the physical, emotional, social, educational, and functional needs of the resident/family through observation, interview, and physical examination.
- Interpret assessment data and information to assist in developing a plan of care.
- Assure medical orders are transcribed and processed accurately and timely and integrate the medical care plan into the provision of nursing care.
- Assure that medication administration is correct, according to the established nursing policies and procedures.
- Provide accurate and timely documentation consistent with the resident plan of care.
- Administer medication per physician orders. Document properly on MOR. Observe for any adverse reaction.
- Assemble resident charts, resident records, and assure all necessary form are completed in a timely manner. Assure all monthly summaries are completed in a timely manner for assigned residents.
- Prepare incident/accident reports for residents as needed per policy, notify AL Director, physician, and family post incident per policy and document accordingly.
- Assist resident in learning self-care activities.
- Supervise all resident assignments to nursing team members, and assure special instructions are given to team members.
- Observe and supervise all meals to ensure residents receive the proper diet and any assistance required.
- Monitor and organize all material resources necessary for meeting needs of assigned unit.
- Recognize emergencies and life-threatening situations and initiate appropriate action.
- Ensure that resident call lights are promptly answered, and their needs are addressed timely and appropriately.
- Assist with the orientation of new staff members.
- Ensure that all scheduled activities take place on assigned unit by utilizing activity personnel and/or nursing personnel.
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