RN Registered Nurse ***10,000 SOB***
Company: Odin Health and Rehab Center
Posted on: May 15, 2022
PURPOSE -The primary purpose of this position is to function as
a collaborative member of the IDT, provide Patient quality care,
optimal clinical outcomes and assuring resident safety.KEY JOB
- Provides accurate assessment, over-sight, and monitoring of
Patients for quality medical management and early detection of
changes in condition.
- Responds promptly to evaluate and remedy Patient concerns and
complaints; manages and documents accordingly.
- Utilizes professional standards in performing clinical
assessment and monitoring in accordance with scope of
- Mentors/collaborates/directs facility LVNs/LPNs in establishing
proper clinical management of patient conditions.
- Recognizes AND appropriately responds to emergent and
significant change in condition; completes documentation as
- Recognizes AND appropriately responds to significant incidents;
completes required notifications and investigative documentation as
- Utilizes change of condition management practice including
referencing care pathways, on-site services, change-of-condition
file cards and stop-and-watch tools.
- Maintains familiarity with the use of emergency medical
supplies; follows facility practices for monitoring and re-stocking
crash carts & other emergency supplies.
- Effectively communicates accurate assessment detail, medical
history, advanced directives, and availability of onsite services
- Escalates Medical Director involvement when needed to
facilitate proper medical care and clinical management of a
- Observes, records, reports to supervisor and physician
Patient's change of condition and significant incidents.
- Provides change-of-shift report to communicate changes in
condition and unit activities; updates 24 hour communication report
- Maintains communication with responsible party specific to
changes in condition and notification requirements.
- Develops, implements, evaluates, and updates plans of care
- Encourages Patients to participate in prescribed therapies,
dietary regimen, and activity programs, as appropriate. Reports,
documents, and care plans non-compliance.
- Effectively participates in IDT Walking Rounds and reviews plan
of care for assigned Patients; collaborates with MDS for completion
- Completes admission, transfers, and discharge processes in an
efficient manner; promotes accurate and timely documentation.
- Answers call lights and attends to Patient needs in accordance
with scope of practice.
- Supervises/mentors CNAs in providing quality services in
accordance with facility policies, state/federal laws, scope of
practice, and individualized plans of care.
- Identifies and acts upon unsafe situations (i.e./ oxygen
storage, smoking practices, unauthorized medication use, ETOH or
drug abuse, unsafe environmental conditions, etc).
- Provides/facilitates appropriate assessment, diagnostics, and
management interventions to address psycho-social and behavioral
- Facilitates the proper identification, assessment, and clinical
management of skin disorders and pressure ulcers; notifies
physician's of new, stagnant, and worsening conditions.
- Monitors and facilitates the proper delivery of therapeutic
diets, fluid restrictions, and modified fluids in accordance with
physician's orders and care plan.
- Initiates and facilitates proper meal/fluid intake and output
monitoring; acts to prevent complications including sig. weight
variance, dehydration, fluid overload, and fecal impaction.
- Identifies Patient risk(s) areas and appropriately implements
preventative measures as needed (i.e./ at bedside, etc);
facilitates compliance with individualized plans of care.
- Monitors and provides appropriate care to clinically complex
patients in accordance with facility policies and scope of
practice; enteral, dialysis, IV therapy, trachs, etc.
- Maintains familiarity and promotes the use of Patient safety
equipment and supplies; mechanical lifts, gait belts, alarms,
sensors, floor mats, assistive devices, etc.
- Maintains familiarity and promotes the use of personal
protective equipment; follows infection control policies and
- Collaborates / Educates Patients and Families [uses
"teach-back" method] as needed to achieve highest level of wellness
in accordance with plans of care and discharge plans.
- Identifies functional declines and reports to physician, IDT,
and RP accordingly.
- Completes appropriate referrals to other departments and
ancillary providers when needed to address patient needs [IDT,
therapy, dietary, social services, activities, etc.].
- Regularly monitors documentation/Progress Reports to facilitate
point of care ADL documentation and complete intake & output
records.MEDICATION AND TREATMENT ADMINISTRATION FUNCTIONS:
- Takes, transcribes, and carries out complete orders in
accordance with professional standards and Covenant Care's order
- Implements and maintains established policies and procedures
relative to skin care treatments; communicates formulary
availability to physician's accordingly.
- Clarifies incomplete, unclear, or atypical orders and
- Facilitates the availability of medications, treatment
supplies, diagnostic testing, and equipment to comply with
physician's orders; invokes satellite/STAT procedures when
- Properly prepares and administers medications and
- Complies with professional standards, policies & procedures,
and legal documentation principles for administering medications,
treatments, enterals, and intravenous therapies.
- Performs shift counts for controlled substances and ensures
records reflect accurate reconciliation of shift activities;
immediately reports discrepancies to Supervisor.
- Disposes of drugs, controlled substances, and biologicals in
accordance with established policies and procedures.
- Checks medications in upon delivery from pharmacy and validates
accuracy; reconciles new and re-admission drug regimens
- Promptly identifies AND reports medication errors to attending
MD, DON, and RP; invokes appropriate monitoring and management of
- Maintains proper storage and security of medications and
biologicals; medication/treatment carts, controlled storage,
medication rooms, and other storage areas.
- Maintains cleanliness and organization of nurses station and
drug storage areas.
- Properly labels, re-stocks, and discards items on med/treatment
- Demonstrates competency in professional standards for safe
- Maintains proper hand washing and infection control practices
during med pass and treatment; including disinfecting CoaguCheck,
blood glucose monitors, iSTAT.
- Appropriately monitors, assesses, documents, and medicates pain
throughout the shift; follows company practices for recording pain
characteristics; levels using 0/10 pain scale.
- Monitors and reports adverse drug reactions, side effects,
enteral, and intravenous therapy complications as appropriate.
- Administers and safely monitors Coumadin Therapy.CHARTING AND
- Completes required documentation and assessments timely;
retains and files legal documentation accordingly.
- Completes daily Medicare assessments and supportive skilled
- Encourages attending physicians to review treatment plans,
record/sign orders, progress notes, etc. in accordance with
established policies and best practices.
- Records nurses' notes and SBAR COC's in an accurate, complete,
informative, and descriptive manner reflecting care provided and
- Follows Covenant Cares incident management standards; completes
appropriate SBAR's/COC and associated documentation, notification,
and care plans.
- Documents complete and accurate skin assessments upon
admission, transfer, discharge, and COC; Completes accurate and
timely documentation and re-evaluations.
- Develops, reviews, and amends care plans accordingly.
- Completes, and follows legal standards for entering, signing,
dating, and correcting (errors/late entries) in the Patient's
- Demonstrate key competencies as required by the position and in
accordance with State/Federal regulations.INTERPERSONAL /
- Cooperates with others to achieve department objectives and
maintain good employee, interdepartmental, and public
- Works cooperatively with IDT, nursing staff, and families to
achieve the best possible outcomes for Patients.
- Provides exceptional customer service to Patients, families,
physician's, and facility partners; practices "family serving
- Greets newly admitted patients/families upon admission. Orients
new patients and families to facility, staff, and routines.
- Timely greets and makes rounds with physicians when they come
to facility; proactively collaborates and communicates with
- Utilizes a positive, 'can do' approach when interacting with
patients, Physician's, family members, colleagues, caregivers, case
managers, etc. and assignments / work.
- Interacts with everyone in a friendly, courteous, kind,
respectful manner that recognizes everyone as a unique, special
- Maintains HIPAA Privacy & Confidentiality of personal protected
- Reports occupational exposures to blood, body fluids,
infectious materials, and hazardous chemicals in accordance with
the facility's policies and procedures.
- Recognizes and reports abuse, unethical behavior, attendance/HR
issues, and code of conduct infractions.
- Practices high standards of nursing care and follows facility
policy & procedures; federal and state laws, Nurse Practice
- Records absences, tardiest, and relief coverage for assigned
shifts as required; reports staffing concerns immediately to
- Follows HR practices for documenting progressive disciplinary
actions of supervised staff. Participates/completes annual
performance reviews as required.
- Takes initiative and identifies potential issues, problems, and
challenges for management/QMP review; collaborates on the
development of practical solutions.
- Serves on, participates in, and attends various facility -based
committees (e.g. Quality Management/Safety/IDT) as desired or
- Organizes work day according to accepted routines and
prioritizes activities to accomplish shift activities in a timely
- Maintains a skill set in teach back methods and educational
programs for Patients and family members discharged to home;
understands/articulates proper disease management.
- Attends/participates in annual mandatory training programs for
OSHA, hazard communication, exposure control, blood borne
pathogens, abuse, HIPPA/Privacy, etc.
- Attends and participates in continuing education and enhanced
learning programs offered by the facility; maintains knowledge and
skills to practice safe/competent care-giving.
- Follows the federal/state laws and company policy related to
reporting suspected injury or suspected abuse.
- Understands and complies with Code of Conduct, HIPAA, reporting
practices, and applicable company policies.
- Maintains required licenses and certifications.
- Abstains from chemical and substance abuse.
- Maintains professional boundaries with patients, families,
physicians, and colleagues.MINIMUM QUALIFICATIONS (Specific
Requirements, Education, Certification, and Experience)* Must be a
graduate of an accredited school of nursing. * Must posses a
current, unencumbered, active license to practice as a Registered
Nurse in the State in which you are employed.* Must be able to
read, write, speak and understand the English language. * Must
posses the ability to make independent decisions when circumstance
warrant such action * Must be knowledgeable of nursing and medical
practices and procedures, as well as law, regulations, and
guidelines that pertain to long-term care.* Must possess leadership
and supervisory ability and the willingness to work harmoniously
with and supervise other personnel.* Must possess the ability to
plan, organize, develop, implement and interpret the programs,
goals, objectives, policies and procedures, etc., that are
necessary for providing quality care. * Must be able to relate
information concerning a Patient's condition. * Must not pose a
direct threat to the health of other individuals in the workplace.
* Must meet the general health requirements set forth by the
policies of the facility or department which may include a medical
and physical examination.ENVIRONMENTAL CONDITIONS AND PHYSICAL
REQUIREMENTS* Artificial lighting.* Safety equipment required:
Closed toed, non-skid shoes; application of universal precautions
and use of appropriate PPE as indicated.* Typically 8 hour shifts
with weekend coverage; first, second, and third shift. * Paced
based on individual patient care demands and nurse assistant to
patient ratio. * Flooring: Tile, carpet.* Medium to heavy physical
demands including, occasional to frequent lifting, up to 100
pounds. * Frequent standing, bending, and reaching.* Occasional
squatting, kneeling, twisting, and extending. * Subject to
call-back emergency situations (i.e., severe weather, evacuation,
and post disaster, etc.). * Possible exposure to infectious waste,
hazardous chemicals, diseases, including TB, AIDS and Hepatitis B
viruses.* May be subject to hostile residents (patients) and/or
Keywords: Odin Health and Rehab Center, Decatur , RN Registered Nurse ***10,000 SOB***, Healthcare , Odin, Illinois
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