Oswego Director of Healthcare
SUMMARY: Provides nursing care for residents according to established standards and practices relating to basic nursing, restorative, and personal care services where quality assurance, resident safety, and infection control are inherent responsibilities of the position.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
- Adheres to the scope of practice for their nursing licensure per state regulatory guidelines.
- Maintains a close working relationship with Executive Director to foster resident family support and resident welfare.
- Works to coordinate, support, and supervise home health care and hospice services for our residents.
- Demonstrates appropriate judgment skills to be able to make independent clinical decisions in routine and emergency resident care matters.
- Engages residents in meaningful conversation and activities related to their individual interests.
- Promotes the level of clinical expertise required of staff to provide safe, high quality nursing care.
- Remains flexible and responsive when changes occur in resident activity and workload.
- Performs appropriate documentation to maintain the standards set by the state and the company.
- Evaluates/assists in evaluation of appropriateness of the plan of care for residents and revise on an ongoing basis with communication to all other disciplines.
- Completes and submits all required documentation within established guidelines.
- Provides guidance and support to care giving staff.
- Assumes on-call responsibilities as needed.
- Implements physicians orders accurately and promptly, using nursing judgment.
- Conducts inventory of all medical/nursing supplies and places monthly order for needed medical supplies.
- Coordinates efforts to enhance the service provided to the resident i.e. home health, hospice, physical therapy, psychiatric assessment, durable medical equipment and other services.
- Communicates changes of resident’s conditions, status, and questions/challenges with executive director.
- Observes residents for significant changes, adverse reactions, emesis, drainage, bleeding and communicable diseases. Ensure that resident’s needs are met or fulfilled.
- Communicates all changes with residents to their responsible party
- Prepares, administers, and charts the administration of prescribed medications; documents effectiveness and adverse reactions.
- Processes daily physician orders.
- Maintains and monitors MARs on a daily basis and ensures accuracy.
- Regularly monitors EMAR reports to ensure medication administration compliance
- Logs incident reports daily.
- Prepares and maintains wound log report.
- Ensures resident’s medications supply is maintained on a daily basis.
- Ensures and performs personal comfort activities such as giving bed bath or shower or assisting with bath or shower. Observes skin and pressure areas; assists with personal hygiene services such as oral hygiene, hair care, nail care, shaving, dentures, eye wear and makeup, etc. Reviews weekly skin assessment and follow up with physician and family as necessary.
- Ensures documentation of the monthly summary for each resident is completed accurately.
- Prepares for and participates in care conferences.
- Prepares and monitors residents for meals, and between-meal nourishments; assists in positioning; sets up table; personally feeds residents if necessary.
- Monitors residents to ensure the resident remains clean, dry and comfortable by changing clothes, gowns, linens, and dressings as necessary; provides clean water and refreshments, assists in keeping the room clean and neat by straightening and replenishing personal supplies.
- Ensures that bed rest residents are repositioned at predetermined intervals; assists with skin care and treatments as assigned; assists and position residents into and out wheelchair, bed, stretcher, and stationary chair using proper body mechanics and staff assistance according to written procedures and ambulates residents.
- Monitors residents’ safety on a continuing basis, seeks assistance in emergencies, assists family members in times of stress or crisis, and performs established notification procedures during emergency situation.
- Takes and records at predetermined intervals vital signs such as temperature, pulse, respiration, weight, and blood pressure and measures intake as needed. Collects sputum, urine, and stool, discharge drainage and other specimens as ordered.
- Monitors the careful and efficient use of supplies; checks medical supplies and sees that equipment is clean, disinfected and functions prior to use.
- Performs periodic cleaning duties, maintains orderliness of the nurse’s station; collects and disposes of contents in trash containers.
- Works cooperatively with members of the care team, and staff; maintains effective interpersonal relations with residents, staff and visitors. Investigates incidents and ensures communication of incident is made to the family and physician in an appropriate time frame. Completes incident reports within one business day and submit to the executive director.
- Performs other administrative duties such as answering phones and other related duties.
- Must be available to staff 24 hours to answer questions regarding residents.
- Participates in all new resident admissions.
- Ensures all nursing documentation is done upon admission including nursing notes, diet communication form, service plan, functional assessment, comprehensive assessment, skin assessment, MAR completion, individual medication profile, and ER packets.
- Sets priorities in implementing resident care, check resident scheduled physician appointments, needed diagnostic tests, etc.
- Ensures all pre-admission documentation is received prior to move in date and is current within the last 30 days.
- Provides training and monitors caregivers on proper technique of administering medication in states where RN delegation is permitted.
- Performs monthly supervisory visits to all med passers in states where RNdelegation is permitted.
- Trains and delegates mediation administration to designated med passers and ensures the continued competency to maintain delegation.
- Verifies the training and competency of certified medication aids in states where permitted
- Provides training and orientation to the medication room for personal care supervisors and medication nurses in applicable regions.
- Provides comprehensive assessments to all residents prior to administration of any medication to ensure the appropriateness of the resident to receive medication administration from an unlicensed delegated person.
- Assesses all resident wounds on a regular basis and complete and submit a community wound log monthly.
- Maintains a log of all incidents for tracking and trending.
- Provides accurate and timely information regarding resident assessments and status to regional RN for HSS data collection.
- Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints, and resolving problems.
- Performs other duties as assigned.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.
- Completion of a Professional Nursing Program, approved by the state of which you are employed, and licensed to practice as a registered or licensed nurse. RN license preferred.
- Experience in Memory Care preferred.
- Must have a valid driver’s license.
- Ability to work evenings, weekends and flexible hours when necessary to meet the needs of our residents.
- Ability to read and interpret documents such as safety rules, operating procedures, policies and employee manuals. Ability to write reports and correspondence. Ability to speak effectively in front of others.
- Ability to solve practical problems and deal with a variety of variables in situations.
- High level of interpersonal skills to handle sensitive and confidential situations and documentation, and interaction with residents’ families and families experiencing loss.
- Attention to detail to ensure accuracy.
- Must be able to speak, read, write and understand English.
- This position requires local travel and occasional out of town travel.
- Organization - Excellent organizational skills and ability to prioritize; Completes administrative tasks correctly and on time;
- Teamwork - Exhibits objectivity and openness to others’ views; Gives and welcomes feedback; Contributes to building a positive team spirit.
- Business Acumen - Understands business and implications of decisions on the business.
- Ethics - Follows through on commitments; Inspires the trust of others; Works with integrity and ethically; Upholds organizational values.
- Professionalism - Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions.
- Dependability - Follows instructions, responds to management direction; results oriented and committed to achieving objectives and tasks as required.
PHYSICAL DEMANDS: The physical demands are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Required to stand and walk regularly, occasionally sit, lift and/or move up to 100 pounds.
- The noise level in the work environment is usually moderate.
Job Status: Full Time