9514 jobs found

Trust, engagement, competence, respect and passion – these are the values under which North Shore Healthcare operates every day. Our dedicated team of professionals strive to deliver quality care to our residents and their families. We are one of the leading employers and providers of post-acute care in the Midwest and we are seeking exceptional individuals to join our team. If you value being a leader, working in a progressive environment and having opportunities to grow in your career, North Shore Healthcare is the Right Choice for you. Summary of position: Responsible for providing non-emergency transportation to residents for them to attend their medical appointments. May be required to perform on-call duties as needed. Requirements of the position: Required Education and Experience * High School diploma (or equivalent) * Must have valid driver’s license * Satisfactory driving record with no more than three (3) moving violations in the past three (3) years * No record of Reckless Driving or DUI/DWI in the past seven (7) years * Computer proficiency with Microsoft products Preferred Education and Experience * Experience in a fast-paced environment * Post-acute care or health care experience preferred Benefits: : We offer a comprehensive benefit packages which includes: * Health insurance for full-time employees starting the first of the month following 30 days of employment * Dental and vision insurance for full and part-time staff * 401(K) Program for full and part-time staff * 6 paid holidays plus one floating holiday for full-time staff * Company paid life insurance for full-time staff * Voluntary life and disability insurance for full-time staff * Paid Time Off Our mission is to establish a culture that reinforces the values necessary to be the premier health services provider and employer in each of the communities we serve. We understand that choosing where you want to go in your career is a big decision. We would like the opportunity to show you that North Shore Healthcare is the Right Choice for you.

Your Job: In this highly technical, fast-paced, and challenging nurse leadership position, you'll collaborate with multidisciplinary team members to provide the very best care for our patients by providing oversight, direction and management for a 25 bed Medical Unit.  The unit is made up of RNs, Patient Care Techs and Clinical Secretaries who care for complex patients, requiring strong assessment and critical thinking skills.  The Team establishes long term relationships with patients and their families through compassion and caring.  There is daily interacation with all physician specialities, mid-level providers: Advance Practice Nurses and Physician Assistants as well as other mutlidisciplinary team members. Your Job Requirements: Bachelor's degree in Nursing required; Master's degree in Nursing or other health-related program preferred. Current BCLS and ACLS certifications required. Current license to practice professional nursing in Texas. Four years of work experience in acute care hospital setting; progressive management experiences to meet Level II managerial criteria or demonstrated comparable achievement in past experience. Your Job Responsibilities: Communicate clearly and openly Build relationships to promote a collaborative environment Be accountable for your performance Always look for ways to improve the patient experience Take initiative for your professional growth Be engaged and eager to build a winning team

CHA provides 24-hour emergency care at its Cambridge, Somerville, and Everett Hospitals.   We are one of the busiest emergency services in Massachusetts with approximately 100,000 combined annual visits and have been recognized nationally as one of the most efficient emergency services in the nation. Highlights include a state-of-the-art patient triage and tracking system, a streamlined admission process that helps us get the sickest patients to a hospital bed sooner, rapid assessment protocol to help prioritize our work, a BIDMC tele-stroke program, and an integrated Psychiatric Emergency Services at Cambridge Hospital. The Patient Access Representative II candidate must exhibit excellent customer relations skills with patients, visitors, physicians, and co-workers. Must understand and integrate into the delivery of patient care the needs of specific ages in regard to their growth and development. Must organize daily work, prioritize, and make decisions concerning care to meet the needs of individual and groups of patients. Assist in the care and safety of all patients including behavioral health patients. Must adhere to and administer treatment according to Cambridge Health Alliance's policies and procedures. Duties and responsibilities include but are not limited to ability to work in a fast paced Emergency Department, answer phones, perform order entry, Phlebotomy (required to perform), Point of care Testing, working under the direction of a registered Nurse. Qualifications/Experience :  Certificate of completion of a nursing or medical assistant program in Massachusetts. Will also consider a nursing student who has completed a clinical rotation and or EMT/Paramedic certification. High School diploma or equivalent is required.  Emergency Room Experience strongly preferred. Current Basic Life Support (BLS) issued through the American Heart Association for Healthcare Providers required. One year Phlebotomy preferred. Successful passing of pre-employment physical including agility test required. [cha063094]

Ask us about our Sign-On Bonus for Experience Medical Assistants!   Job Summary:  Functions as a member of the practice clinical care delivery team to provide selected clinical care to patients under the direction of an LPN, RN, or medical provider. Performs clerical/administrative duties associated with medical practice front desk operations under the direction of the Practice Manager/Director and/or Site Manager or Office Coordinator. May be required to work in a variety of practice settings. Minimum Requirements:  Graduate of a program for Medical Assistant/Administrative Medical Assistant.  Demonstrates initiative and is able to function independently as well as collaboratively. Demonstrates the ability to accept, and adapt to change. Demonstrates time management and organizational skills. Excellent computer skills, including EMR, word processing and Excel. Demonstrates strong customer service and communication skills. Accepts and recognizes differences among people. Preferred Qualifications:  Associates degree in Medical Assisting preferred.  Minimum of three (3) years recent experience in a physician office practice setting. Licensure and Certifications:  Current BLS (provided during LVPG Orientation).

Ask us about our Sign-On Bonus for Experience Medical Assistants!   Job Summary:  Functions as a member of the practice clinical care delivery team to provide selected clinical care to patients under the direction of an LPN, RN, or medical provider. Performs clerical/administrative duties associated with medical practice front desk operations under the direction of the Practice Manager/Director and/or Site Manager or Office Coordinator. May be required to work in a variety of practice settings. Minimum Requirements:  Graduate of a program for Medical Assistant/Administrative Medical Assistant.  Demonstrates initiative and is able to function independently as well as collaboratively. Demonstrates the ability to accept, and adapt to change. Demonstrates time management and organizational skills. Excellent computer skills, including EMR, word processing and Excel. Demonstrates strong customer service and communication skills. Accepts and recognizes differences among people. Preferred Qualifications:  Associates degree in Medical Assisting preferred.  Minimum of three (3) years recent experience in a physician office practice setting. Licensure and Certifications:  Current BLS (provided during LVPG Orientation).

Ask us about our Sign-On Bonus for Experience Medical Assistants!   Job Summary:  Functions as a member of the practice clinical care delivery team to provide selected clinical care to patients under the direction of an LPN, RN, or medical provider. Performs clerical/administrative duties associated with medical practice front desk operations under the direction of the Practice Manager/Director and/or Site Manager or Office Coordinator. May be required to work in a variety of practice settings. Minimum Requirements:  Graduate of a program for Medical Assistant/Administrative Medical Assistant.  Demonstrates initiative and is able to function independently as well as collaboratively. Demonstrates the ability to accept, and adapt to change. Demonstrates time management and organizational skills. Excellent computer skills, including EMR, word processing and Excel. Demonstrates strong customer service and communication skills. Accepts and recognizes differences among people. Preferred Qualifications:  Associates degree in Medical Assisting preferred.  Minimum of three (3) years recent experience in a physician office practice setting. Licensure and Certifications:  Current BLS (provided during LVPG Orientation).

Duties and Responsibilities     Administrative Functions   Use the wristband or photo card file to identify residents before administering treatments, serving meals, etc., as necessary. Record all entries on flow sheets, notes, charts, etc., in an informative and descriptive manner. Use only authorized abbreviations established by this facility when recording information. Report all changes in the resident's condition to the Nurse Supervisor/Charge Nurse as soon as practical. Report all accidents and incidents you observe on the shift that they occur.     Admission, Transfer, and Discharge Functions   Ensure that the resident's room is ready for receiving the resident (i.e., bed made, name tags up, admission kit available, etc.). Greet residents and escort them to their room. Introduce resident to his/her roommate, if any, and other residents and personnel as appropriate. Make resident comfortable (i.e., put to bed, get water, etc.). Inventory and mark the resident's personal possessions as instructed. Store resident's clothing. Assist residents with packing their personal possessions when they are being transferred to a new room, or when being discharged. Transport residents to new rooms or to the receiving area. Assist with loading/unloading residents from vehicles as necessary.     Personnel Functions   Perform all assigned tasks in accordance with our established policies and procedures, and as instructed by your supervisors. Follow work assignments, and/or work schedules in completing and performing your assigned tasks. Cooperate with inter-departmental personnel, as well as other facility personnel to ensure that nursing services can be adequately maintained to meet the needs of the residents. Create and maintain an atmosphere of warmth, personal interest and positive emphasis, as well as a calm environment throughout the unit and shift. Meet with your shift's nursing personnel, on a regularly scheduled basis, to assist in identifying and correcting problem areas, and/or the improvement of services. Report all complaints and grievances made by the resident. Notify the facility when you will be late or absent from work. Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals to your supervisor.     Personal Nursing Care Functions   Participate in and receive the nursing report upon reporting for duty. Follow established policies concerning exposure to blood/body fluids. Assist residents with daily dental and mouth care (i.e., brushing teeth/dentures, oral hygiene, special mouth care, etc.). Assist residents with bath functions (i.e., bedbath, tub or shower bath, etc.) as directed. Give backrubs as instructed. Assist residents with dressing/undressing as necessary. Assist residents with hair care functions (i.e., combing, brushing, shampooing, etc.). Assist residents with nail care (i.e., clipping, trimming, and cleaning the finger/toenails). (Note: Does not include diabetic residents.) Shave male residents. Keep hair on female residents clean shaven (i.e., facial hair, under arms, on legs, etc.) as instructed. Keep residents dry (i.e., change gown, clothing, linen, etc., when it becomes wet or soiled). Change bed linens. Keep linens tight to avoid wrinkles from forming under the resident. Make beds (occupied and unoccupied). Put extra covers on beds as requested. Position bedfast residents in correct and comfortable position. Assist resident with bowel and bladder functions (i.e., take to bathroom, offer bedpan/urinal, portable commode, etc.). Maintain intake and output records as instructed. Keep incontinent residents clean and dry. Check and report bowel movements and character of stools as instructed. Prepare and give enemas. Report results as instructed. Collect specimens as instructed (i.e., urine, sputum, stools, etc.). Assist residents in preparing for medical tests (i.e., lab work, x-ray, therapy, dental, etc.). Assist residents in preparing for activity and social programs (i.e., church services, parties, visitors, etc.). Assist in transporting residents to/from appointments, activity and social programs, etc., as necessary. Assist with lifting, turning, moving, positioning, and transporting residents into and out of beds, chairs, bathtubs, wheelchairs, lifts, etc. Assist residents to walk with or without self-help devices as instructed. Perform restorative and rehabilitative procedures as instructed. Change dressings, bandages, binders, etc., as instructed. Provide eye and ear care (i.e., warm/cold compresses, eye/ear instillation, cleaning eyeglasses/hearing aides, etc.) as instructed. Assist with the application of nonsterile (moist and dry) warm/cold compresses. Assist in preparing the resident for a physical examination. Weigh and measure residents as instructed. Measure and record temperatures, pulse, and respirations (TPRs), as instructed. Answer resident calls promptly. Ensure that residents who are unable to call for help are checked frequently. Check each resident routinely to ensure that his/her personal care needs are being met in accordance with his/her wishes. Assist with the care of the dying resident. Provide post-mortem care as instructed.     Special Nursing Care Functions   Observe and report the presence of pressure areas and skin breakdowns to prevent decubitus ulcers (bedsores). Report injuries of an unknown source, including skin tears. Provide daily indwelling catheter care. Provide daily perineal care. Perform nonsterile (clean) vaginal irrigation/douches. Assist with the application of slings, elastic bandages, binders, etc. Give tepid sponge baths. Provide daily Range of Motion Exercises. Record data as instructed. Turn bedfast residents at least every two (2) hours. Perform diabetic urine testing (i.e., clinitest, acetest, etc.). Provide physical and respiratory therapy as instructed. Perform special treatments as instructed. Observe disoriented and comatose residents. Record and report data as instructed. Turn all medications found in the resident's room/possession over to the Nurse Supervisor/Charge Nurse. Provide residents with Reality Orientation as instructed. Watch for and report any change in room temperature, ventilation, lighting, etc.     Food Service Functions   Prepare residents for meals (i.e., take to bathroom, wash hands, comb hair, raise bed, position tables, place bibs, take to/from dining room, etc.). Serve food trays. Assist with feeding as indicated (i.e., cutting foods, feeding, assist in dining room supervision, etc.). Assist residents with identifying food arrangements (i.e., informing resident with sight problem of foods that are on his/her tray, where it is located, if it is hot/cold, etc.). Record the resident's food/fluid intake. Report changes in the resident's eating habits. Keep residents' water pitchers clean and filled with fresh water (on each shift), and within easy reach of the resident. Serve between meal and bedtime snacks. Perform after meal care (i.e., remove trays, clean resident's hands, face, clothing, take to bathroom, brush teeth, clean dentures, etc.). Check rooms for food articles (i.e., food in proper container, unauthorized food items, etc.).     Staff Development   Attend and participate in scheduled training and educational classes to maintain current certification as a Nursing Assistant. Attend and participate in scheduled orientation programs and activities. Attend and participate in annual OSHA and CDC in-service training programs for hazard communication, TB management, and bloodborne pathogens standard. Attend and participate in advance directive in-service training programs as scheduled.     Safety and Sanitation   Participate in appropriate in-service training programs prior to performing tasks that involve potential exposure to blood/body fluids. Wash hands before and after performing any service for the resident. Keep the nurses' call system within easy reach of the resident. Immediately notify the Nurse Supervisor/Charge Nurse of any resident leaving/missing from the facility. Follow established safety precautions in the performance of all duties. Keep residents' personal possessions off the floor and properly stored. Keep floors dry. Report spills immediately. Keep excess supplies and equipment off the floor. Store in designated areas. Wash wheelchairs, walkers, etc., as instructed. Clean, disinfect, and return all resident care equipment to its designated storage area after each use. Perform routine housekeeping duties (i.e., clean bedrails, overbed table, night stand, etc., that relate to nursing care procedures). Before leaving work area for breaks, or at the end of the work day, store all tools, equipment, and supplies. Report all hazardous conditions and equipment to the Nurse Supervisor/Charge Nurse immediately. Report all safety violations. Follow established smoking regulations. Report all violations. Report any communicable or infectious disease to the Director of Nursing Services and/or to the Infection Control Coordinator. Follow established isolation precautions and procedures. Wash hands before entering and after leaving an isolation room/area. Follow established procedures in the use and disposal of personal protective equipment. Wear and/or use safety equipment and supplies (e.g., back brace, mechanical lifts, etc.) when lifting or moving residents. Report missing/illegible labels and MSDSs to your supervisor.     Equipment and Supply Functions   Use only the equipment you have been trained to used. Operate all equipment in a safe manner. Use only the equipment and supplies necessary to do the job. Do not be wasteful. Report defective equipment to the Nurse Supervisor/Charge Nurse. Inform the Nurse Supervisor/Charge Nurse of your equipment and supply needs.     Care Plan Functions   Review care plans daily to determine if changes in the resident's daily care routine have been made on the care plan. Inform the Nurse Supervisor/Charge Nurse of any changes in the resident's condition so that appropriate information can be entered on the resident's care plan. Ensure that your notes reflect that the care plan is being followed.     Resident Rights   Maintain the confidentiality of all resident care information. Ensure that you treat all residents fairly, and with kindness, dignity, and respect. Ensure that all nursing care is provided in privacy. Knock before entering the resident's room. Report all grievances and complaints made by the resident to the Nurse Supervisor/Charge Nurse. Report all allegations of resident abuse and/or misappropriation of resident property. Honor the resident's refusal of treatment request. Report such requests to your supervisor.     Working Conditions   Works throughout the nursing service area (i.e., drug rooms, nurses' stations, resident rooms, etc.). Moves intermittently during working hours. Is subject to frequent interruptions. Is involved with residents, personnel, visitors, government agencies/personnel, etc., under all conditions and circumstances. Is subject to hostile and emotionally upset residents, family members, personnel, and visitors. Communicates with nursing personnel and other department personnel. Works beyond normal working hours, on weekends and holidays, and in other positions temporarily, when necessary. Is subject to call-back during emergency conditions (e.g., severe weather, evacuation, post-disaster, etc.). Attends and participates in continuing educational programs. Is subject to injury from falls, burns from equipment, odors, etc., throughout the work day, as well as to reactions from dust, disinfectants, tobacco smoke, and other air contaminants. Is subject to exposure to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses. May be subject to the handling of and exposure to hazardous chemicals.     Education   Must possess, as a minimum, a _______ grade education.     Experience   Must be a licensed Certified Nursing Assistant in accordance with laws of this state.     Specific Requirements   Must be able to read, write, speak, and understand the English language. Must possess the ability to make independent decisions when circumstances warrant such action. Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public. Must possess the ability and willingness to work harmoniously with other personnel. Must have patience, tact, a cheerful disposition and enthusiasm, as well as the willingness to handle difficult residents. Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices. Must be able to relate information concerning a resident's condition. Must not pose a direct threat to the health and safety of other individuals in the workplace.    

Duties and Responsibilities     Administrative Functions   Use the wristband or photo card file to identify residents before administering treatments, serving meals, etc., as necessary. Record all entries on flow sheets, notes, charts, etc., in an informative and descriptive manner. Use only authorized abbreviations established by this facility when recording information. Report all changes in the resident's condition to the Nurse Supervisor/Charge Nurse as soon as practical. Report all accidents and incidents you observe on the shift that they occur.     Admission, Transfer, and Discharge Functions   Ensure that the resident's room is ready for receiving the resident (i.e., bed made, name tags up, admission kit available, etc.). Greet residents and escort them to their room. Introduce resident to his/her roommate, if any, and other residents and personnel as appropriate. Make resident comfortable (i.e., put to bed, get water, etc.). Inventory and mark the resident's personal possessions as instructed. Store resident's clothing. Assist residents with packing their personal possessions when they are being transferred to a new room, or when being discharged. Transport residents to new rooms or to the receiving area. Assist with loading/unloading residents from vehicles as necessary.     Personnel Functions   Perform all assigned tasks in accordance with our established policies and procedures, and as instructed by your supervisors. Follow work assignments, and/or work schedules in completing and performing your assigned tasks. Cooperate with inter-departmental personnel, as well as other facility personnel to ensure that nursing services can be adequately maintained to meet the needs of the residents. Create and maintain an atmosphere of warmth, personal interest and positive emphasis, as well as a calm environment throughout the unit and shift. Meet with your shift's nursing personnel, on a regularly scheduled basis, to assist in identifying and correcting problem areas, and/or the improvement of services. Report all complaints and grievances made by the resident. Notify the facility when you will be late or absent from work. Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals to your supervisor.     Personal Nursing Care Functions   Participate in and receive the nursing report upon reporting for duty. Follow established policies concerning exposure to blood/body fluids. Assist residents with daily dental and mouth care (i.e., brushing teeth/dentures, oral hygiene, special mouth care, etc.). Assist residents with bath functions (i.e., bedbath, tub or shower bath, etc.) as directed. Give backrubs as instructed. Assist residents with dressing/undressing as necessary. Assist residents with hair care functions (i.e., combing, brushing, shampooing, etc.). Assist residents with nail care (i.e., clipping, trimming, and cleaning the finger/toenails). (Note: Does not include diabetic residents.) Shave male residents. Keep hair on female residents clean shaven (i.e., facial hair, under arms, on legs, etc.) as instructed. Keep residents dry (i.e., change gown, clothing, linen, etc., when it becomes wet or soiled). Change bed linens. Keep linens tight to avoid wrinkles from forming under the resident. Make beds (occupied and unoccupied). Put extra covers on beds as requested. Position bedfast residents in correct and comfortable position. Assist resident with bowel and bladder functions (i.e., take to bathroom, offer bedpan/urinal, portable commode, etc.). Maintain intake and output records as instructed. Keep incontinent residents clean and dry. Check and report bowel movements and character of stools as instructed. Prepare and give enemas. Report results as instructed. Collect specimens as instructed (i.e., urine, sputum, stools, etc.). Assist residents in preparing for medical tests (i.e., lab work, x-ray, therapy, dental, etc.). Assist residents in preparing for activity and social programs (i.e., church services, parties, visitors, etc.). Assist in transporting residents to/from appointments, activity and social programs, etc., as necessary. Assist with lifting, turning, moving, positioning, and transporting residents into and out of beds, chairs, bathtubs, wheelchairs, lifts, etc. Assist residents to walk with or without self-help devices as instructed. Perform restorative and rehabilitative procedures as instructed. Change dressings, bandages, binders, etc., as instructed. Provide eye and ear care (i.e., warm/cold compresses, eye/ear instillation, cleaning eyeglasses/hearing aides, etc.) as instructed. Assist with the application of nonsterile (moist and dry) warm/cold compresses. Assist in preparing the resident for a physical examination. Weigh and measure residents as instructed. Measure and record temperatures, pulse, and respirations (TPRs), as instructed. Answer resident calls promptly. Ensure that residents who are unable to call for help are checked frequently. Check each resident routinely to ensure that his/her personal care needs are being met in accordance with his/her wishes. Assist with the care of the dying resident. Provide post-mortem care as instructed.     Special Nursing Care Functions   Observe and report the presence of pressure areas and skin breakdowns to prevent decubitus ulcers (bedsores). Report injuries of an unknown source, including skin tears. Provide daily indwelling catheter care. Provide daily perineal care. Perform nonsterile (clean) vaginal irrigation/douches. Assist with the application of slings, elastic bandages, binders, etc. Give tepid sponge baths. Provide daily Range of Motion Exercises. Record data as instructed. Turn bedfast residents at least every two (2) hours. Perform diabetic urine testing (i.e., clinitest, acetest, etc.). Provide physical and respiratory therapy as instructed. Perform special treatments as instructed. Observe disoriented and comatose residents. Record and report data as instructed. Turn all medications found in the resident's room/possession over to the Nurse Supervisor/Charge Nurse. Provide residents with Reality Orientation as instructed. Watch for and report any change in room temperature, ventilation, lighting, etc.     Food Service Functions   Prepare residents for meals (i.e., take to bathroom, wash hands, comb hair, raise bed, position tables, place bibs, take to/from dining room, etc.). Serve food trays. Assist with feeding as indicated (i.e., cutting foods, feeding, assist in dining room supervision, etc.). Assist residents with identifying food arrangements (i.e., informing resident with sight problem of foods that are on his/her tray, where it is located, if it is hot/cold, etc.). Record the resident's food/fluid intake. Report changes in the resident's eating habits. Keep residents' water pitchers clean and filled with fresh water (on each shift), and within easy reach of the resident. Serve between meal and bedtime snacks. Perform after meal care (i.e., remove trays, clean resident's hands, face, clothing, take to bathroom, brush teeth, clean dentures, etc.). Check rooms for food articles (i.e., food in proper container, unauthorized food items, etc.).     Staff Development   Attend and participate in scheduled training and educational classes to maintain current certification as a Nursing Assistant. Attend and participate in scheduled orientation programs and activities. Attend and participate in annual OSHA and CDC in-service training programs for hazard communication, TB management, and bloodborne pathogens standard. Attend and participate in advance directive in-service training programs as scheduled.     Safety and Sanitation   Participate in appropriate in-service training programs prior to performing tasks that involve potential exposure to blood/body fluids. Wash hands before and after performing any service for the resident. Keep the nurses' call system within easy reach of the resident. Immediately notify the Nurse Supervisor/Charge Nurse of any resident leaving/missing from the facility. Follow established safety precautions in the performance of all duties. Keep residents' personal possessions off the floor and properly stored. Keep floors dry. Report spills immediately. Keep excess supplies and equipment off the floor. Store in designated areas. Wash wheelchairs, walkers, etc., as instructed. Clean, disinfect, and return all resident care equipment to its designated storage area after each use. Perform routine housekeeping duties (i.e., clean bedrails, overbed table, night stand, etc., that relate to nursing care procedures). Before leaving work area for breaks, or at the end of the work day, store all tools, equipment, and supplies. Report all hazardous conditions and equipment to the Nurse Supervisor/Charge Nurse immediately. Report all safety violations. Follow established smoking regulations. Report all violations. Report any communicable or infectious disease to the Director of Nursing Services and/or to the Infection Control Coordinator. Follow established isolation precautions and procedures. Wash hands before entering and after leaving an isolation room/area. Follow established procedures in the use and disposal of personal protective equipment. Wear and/or use safety equipment and supplies (e.g., back brace, mechanical lifts, etc.) when lifting or moving residents. Report missing/illegible labels and MSDSs to your supervisor.     Equipment and Supply Functions   Use only the equipment you have been trained to used. Operate all equipment in a safe manner. Use only the equipment and supplies necessary to do the job. Do not be wasteful. Report defective equipment to the Nurse Supervisor/Charge Nurse. Inform the Nurse Supervisor/Charge Nurse of your equipment and supply needs.     Care Plan Functions   Review care plans daily to determine if changes in the resident's daily care routine have been made on the care plan. Inform the Nurse Supervisor/Charge Nurse of any changes in the resident's condition so that appropriate information can be entered on the resident's care plan. Ensure that your notes reflect that the care plan is being followed.     Resident Rights   Maintain the confidentiality of all resident care information. Ensure that you treat all residents fairly, and with kindness, dignity, and respect. Ensure that all nursing care is provided in privacy. Knock before entering the resident's room. Report all grievances and complaints made by the resident to the Nurse Supervisor/Charge Nurse. Report all allegations of resident abuse and/or misappropriation of resident property. Honor the resident's refusal of treatment request. Report such requests to your supervisor.     Working Conditions   Works throughout the nursing service area (i.e., drug rooms, nurses' stations, resident rooms, etc.). Moves intermittently during working hours. Is subject to frequent interruptions. Is involved with residents, personnel, visitors, government agencies/personnel, etc., under all conditions and circumstances. Is subject to hostile and emotionally upset residents, family members, personnel, and visitors. Communicates with nursing personnel and other department personnel. Works beyond normal working hours, on weekends and holidays, and in other positions temporarily, when necessary. Is subject to call-back during emergency conditions (e.g., severe weather, evacuation, post-disaster, etc.). Attends and participates in continuing educational programs. Is subject to injury from falls, burns from equipment, odors, etc., throughout the work day, as well as to reactions from dust, disinfectants, tobacco smoke, and other air contaminants. Is subject to exposure to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses. May be subject to the handling of and exposure to hazardous chemicals.     Education   Must possess, as a minimum, a _______ grade education.     Experience   Must be a licensed Certified Nursing Assistant in accordance with laws of this state.     Specific Requirements   Must be able to read, write, speak, and understand the English language. Must possess the ability to make independent decisions when circumstances warrant such action. Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public. Must possess the ability and willingness to work harmoniously with other personnel. Must have patience, tact, a cheerful disposition and enthusiasm, as well as the willingness to handle difficult residents. Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices. Must be able to relate information concerning a resident's condition. Must not pose a direct threat to the health and safety of other individuals in the workplace.    

Duties and Responsibilities     Administrative Functions   Use the wristband or photo card file to identify residents before administering treatments, serving meals, etc., as necessary. Record all entries on flow sheets, notes, charts, etc., in an informative and descriptive manner. Use only authorized abbreviations established by this facility when recording information. Report all changes in the resident's condition to the Nurse Supervisor/Charge Nurse as soon as practical. Report all accidents and incidents you observe on the shift that they occur.     Admission, Transfer, and Discharge Functions   Ensure that the resident's room is ready for receiving the resident (i.e., bed made, name tags up, admission kit available, etc.). Greet residents and escort them to their room. Introduce resident to his/her roommate, if any, and other residents and personnel as appropriate. Make resident comfortable (i.e., put to bed, get water, etc.). Inventory and mark the resident's personal possessions as instructed. Store resident's clothing. Assist residents with packing their personal possessions when they are being transferred to a new room, or when being discharged. Transport residents to new rooms or to the receiving area. Assist with loading/unloading residents from vehicles as necessary.     Personnel Functions   Perform all assigned tasks in accordance with our established policies and procedures, and as instructed by your supervisors. Follow work assignments, and/or work schedules in completing and performing your assigned tasks. Cooperate with inter-departmental personnel, as well as other facility personnel to ensure that nursing services can be adequately maintained to meet the needs of the residents. Create and maintain an atmosphere of warmth, personal interest and positive emphasis, as well as a calm environment throughout the unit and shift. Meet with your shift's nursing personnel, on a regularly scheduled basis, to assist in identifying and correcting problem areas, and/or the improvement of services. Report all complaints and grievances made by the resident. Notify the facility when you will be late or absent from work. Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals to your supervisor.     Personal Nursing Care Functions   Participate in and receive the nursing report upon reporting for duty. Follow established policies concerning exposure to blood/body fluids. Assist residents with daily dental and mouth care (i.e., brushing teeth/dentures, oral hygiene, special mouth care, etc.). Assist residents with bath functions (i.e., bedbath, tub or shower bath, etc.) as directed. Give backrubs as instructed. Assist residents with dressing/undressing as necessary. Assist residents with hair care functions (i.e., combing, brushing, shampooing, etc.). Assist residents with nail care (i.e., clipping, trimming, and cleaning the finger/toenails). (Note: Does not include diabetic residents.) Shave male residents. Keep hair on female residents clean shaven (i.e., facial hair, under arms, on legs, etc.) as instructed. Keep residents dry (i.e., change gown, clothing, linen, etc., when it becomes wet or soiled). Change bed linens. Keep linens tight to avoid wrinkles from forming under the resident. Make beds (occupied and unoccupied). Put extra covers on beds as requested. Position bedfast residents in correct and comfortable position. Assist resident with bowel and bladder functions (i.e., take to bathroom, offer bedpan/urinal, portable commode, etc.). Maintain intake and output records as instructed. Keep incontinent residents clean and dry. Check and report bowel movements and character of stools as instructed. Prepare and give enemas. Report results as instructed. Collect specimens as instructed (i.e., urine, sputum, stools, etc.). Assist residents in preparing for medical tests (i.e., lab work, x-ray, therapy, dental, etc.). Assist residents in preparing for activity and social programs (i.e., church services, parties, visitors, etc.). Assist in transporting residents to/from appointments, activity and social programs, etc., as necessary. Assist with lifting, turning, moving, positioning, and transporting residents into and out of beds, chairs, bathtubs, wheelchairs, lifts, etc. Assist residents to walk with or without self-help devices as instructed. Perform restorative and rehabilitative procedures as instructed. Change dressings, bandages, binders, etc., as instructed. Provide eye and ear care (i.e., warm/cold compresses, eye/ear instillation, cleaning eyeglasses/hearing aides, etc.) as instructed. Assist with the application of nonsterile (moist and dry) warm/cold compresses. Assist in preparing the resident for a physical examination. Weigh and measure residents as instructed. Measure and record temperatures, pulse, and respirations (TPRs), as instructed. Answer resident calls promptly. Ensure that residents who are unable to call for help are checked frequently. Check each resident routinely to ensure that his/her personal care needs are being met in accordance with his/her wishes. Assist with the care of the dying resident. Provide post-mortem care as instructed.     Special Nursing Care Functions   Observe and report the presence of pressure areas and skin breakdowns to prevent decubitus ulcers (bedsores). Report injuries of an unknown source, including skin tears. Provide daily indwelling catheter care. Provide daily perineal care. Perform nonsterile (clean) vaginal irrigation/douches. Assist with the application of slings, elastic bandages, binders, etc. Give tepid sponge baths. Provide daily Range of Motion Exercises. Record data as instructed. Turn bedfast residents at least every two (2) hours. Perform diabetic urine testing (i.e., clinitest, acetest, etc.). Provide physical and respiratory therapy as instructed. Perform special treatments as instructed. Observe disoriented and comatose residents. Record and report data as instructed. Turn all medications found in the resident's room/possession over to the Nurse Supervisor/Charge Nurse. Provide residents with Reality Orientation as instructed. Watch for and report any change in room temperature, ventilation, lighting, etc.     Food Service Functions   Prepare residents for meals (i.e., take to bathroom, wash hands, comb hair, raise bed, position tables, place bibs, take to/from dining room, etc.). Serve food trays. Assist with feeding as indicated (i.e., cutting foods, feeding, assist in dining room supervision, etc.). Assist residents with identifying food arrangements (i.e., informing resident with sight problem of foods that are on his/her tray, where it is located, if it is hot/cold, etc.). Record the resident's food/fluid intake. Report changes in the resident's eating habits. Keep residents' water pitchers clean and filled with fresh water (on each shift), and within easy reach of the resident. Serve between meal and bedtime snacks. Perform after meal care (i.e., remove trays, clean resident's hands, face, clothing, take to bathroom, brush teeth, clean dentures, etc.). Check rooms for food articles (i.e., food in proper container, unauthorized food items, etc.).     Staff Development   Attend and participate in scheduled training and educational classes to maintain current certification as a Nursing Assistant. Attend and participate in scheduled orientation programs and activities. Attend and participate in annual OSHA and CDC in-service training programs for hazard communication, TB management, and bloodborne pathogens standard. Attend and participate in advance directive in-service training programs as scheduled.     Safety and Sanitation   Participate in appropriate in-service training programs prior to performing tasks that involve potential exposure to blood/body fluids. Wash hands before and after performing any service for the resident. Keep the nurses' call system within easy reach of the resident. Immediately notify the Nurse Supervisor/Charge Nurse of any resident leaving/missing from the facility. Follow established safety precautions in the performance of all duties. Keep residents' personal possessions off the floor and properly stored. Keep floors dry. Report spills immediately. Keep excess supplies and equipment off the floor. Store in designated areas. Wash wheelchairs, walkers, etc., as instructed. Clean, disinfect, and return all resident care equipment to its designated storage area after each use. Perform routine housekeeping duties (i.e., clean bedrails, overbed table, night stand, etc., that relate to nursing care procedures). Before leaving work area for breaks, or at the end of the work day, store all tools, equipment, and supplies. Report all hazardous conditions and equipment to the Nurse Supervisor/Charge Nurse immediately. Report all safety violations. Follow established smoking regulations. Report all violations. Report any communicable or infectious disease to the Director of Nursing Services and/or to the Infection Control Coordinator. Follow established isolation precautions and procedures. Wash hands before entering and after leaving an isolation room/area. Follow established procedures in the use and disposal of personal protective equipment. Wear and/or use safety equipment and supplies (e.g., back brace, mechanical lifts, etc.) when lifting or moving residents. Report missing/illegible labels and MSDSs to your supervisor.     Equipment and Supply Functions   Use only the equipment you have been trained to used. Operate all equipment in a safe manner. Use only the equipment and supplies necessary to do the job. Do not be wasteful. Report defective equipment to the Nurse Supervisor/Charge Nurse. Inform the Nurse Supervisor/Charge Nurse of your equipment and supply needs.     Care Plan Functions   Review care plans daily to determine if changes in the resident's daily care routine have been made on the care plan. Inform the Nurse Supervisor/Charge Nurse of any changes in the resident's condition so that appropriate information can be entered on the resident's care plan. Ensure that your notes reflect that the care plan is being followed.     Resident Rights   Maintain the confidentiality of all resident care information. Ensure that you treat all residents fairly, and with kindness, dignity, and respect. Ensure that all nursing care is provided in privacy. Knock before entering the resident's room. Report all grievances and complaints made by the resident to the Nurse Supervisor/Charge Nurse. Report all allegations of resident abuse and/or misappropriation of resident property. Honor the resident's refusal of treatment request. Report such requests to your supervisor.     Working Conditions   Works throughout the nursing service area (i.e., drug rooms, nurses' stations, resident rooms, etc.). Moves intermittently during working hours. Is subject to frequent interruptions. Is involved with residents, personnel, visitors, government agencies/personnel, etc., under all conditions and circumstances. Is subject to hostile and emotionally upset residents, family members, personnel, and visitors. Communicates with nursing personnel and other department personnel. Works beyond normal working hours, on weekends and holidays, and in other positions temporarily, when necessary. Is subject to call-back during emergency conditions (e.g., severe weather, evacuation, post-disaster, etc.). Attends and participates in continuing educational programs. Is subject to injury from falls, burns from equipment, odors, etc., throughout the work day, as well as to reactions from dust, disinfectants, tobacco smoke, and other air contaminants. Is subject to exposure to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses. May be subject to the handling of and exposure to hazardous chemicals.     Education   Must possess, as a minimum, a _______ grade education.     Experience   Must be a licensed Certified Nursing Assistant in accordance with laws of this state.     Specific Requirements   Must be able to read, write, speak, and understand the English language. Must possess the ability to make independent decisions when circumstances warrant such action. Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public. Must possess the ability and willingness to work harmoniously with other personnel. Must have patience, tact, a cheerful disposition and enthusiasm, as well as the willingness to handle difficult residents. Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices. Must be able to relate information concerning a resident's condition. Must not pose a direct threat to the health and safety of other individuals in the workplace.    

  Duties and Responsibilities   Administrative Functions   1. Plan, develop, organize, implement, evaluate, and direct the Maintenance Department, its programs and activities. 2. Develop and maintain written maintenance policies and procedures. 3. Develop and maintain written job descriptions for each level of maintenance personnel in accordance with the Americans with Disabilities Act, OSHA, and other pertinent laws and regulations. 4. Assist the maintenance staff in the development and use of departmental policies, procedures, equipment, supplies, etc. 5. Review the department's policies, procedure manuals, job descriptions, etc., at least annually for revisions and make recommendations to the Administrator. 6. Interpret the department's policies and procedures to employees, residents, visitors, government agencies, etc. 7. Assume the administrative authority, responsibility, and accountability of directing the Maintenance Department. 8. Coordinate maintenance services and activities with other related departments (i.e., Dietary, Nursing, etc.) 9. Make written oral reports/recommendations to the Administrator as necessary/required concerning the operation of the Maintenance Department. 10. Assist in establishing a preventive maintenance program. 11. Submit accident/incident reports to the Business Office within twenty-four (24) hours after their occurrence. 12. Assist the Infection Control Coordinator in identifying, evaluating, and classifying routine and job related maintenance functions to ensure that tasks involving the potential exposure to blood/body fluids are properly identified and recorded. 13. Inspect storage rooms, work rooms, utility/janitorial closets, etc., for upkeep and supply control. 14. Participate in facility surveys (inspections) made by authorized government agencies. 15. Review and develop a plan of correction for maintenance deficiencies noted during survey inspections and provide a written copy of such to the Administrator. 16. Keep abreast of economic conditions/situations and recommend to the Administrator adjustments in maintenance services that assure the continued ability to provide a clean, safe and comfortable environment. 17. Perform administrative duties such as completing necessary forms, reports, evaluations, studies, etc., to assure control of equipment and supplies. 18. Ensure that outside services are properly completed/supervised in accordance with contracts/work orders. 19. Delegate a responsible staff member to act in your behalf when you are absent from the facility.       Committee Functions   1. Serve on various committees of the facility (i.e., Infection Control, Safety, QA, etc.) and provide written/oral reports of maintenance services and activities as required by the committee's guidelines or direction. 2. Evaluate and implement recommendations from established committees (i.e., Infection Control, Safety, QA, etc.). 3. Meet with maintenance personnel, on a regularly scheduled basis, and solicit advice from inter-department supervisors concerning the operation of the maintenance department, assist in identifying and correcting problem areas, and/or the improvement of services. 4. Attend department head meetings, etc., as scheduled or as may be called. 5. Schedule and announce departmental meeting times, dates, places, etc.       Personnel Functions   1. Determine departmental staffing requirements necessary to meet the maintenance department's needs. 2. Recommend to the Administrator and/or Personnel Director the number and level of maintenance personnel to be employed. 3. Assist in the recruitment, interviewing, and selection of maintenance personnel. 4. Ensure that appropriate identification documents are presented prior to employment and that such records are maintained in the employee's personnel record. 5. Assign a sufficient number of maintenance personnel for each tour of duty. 6. Schedule department work hours (including vacation and holiday schedules), personnel, work assignments, etc., to expedite work. 7. Monitor absenteeism to ensure that an adequate number of housekeeping personnel are on duty at all times. 8. Delegate administrative authority, responsibility, and accountability to other maintenance personnel as deemed necessary to perform their assigned duties (i.e., Assistant Director, Supervisors, etc.). 9. Assist in standardizing the methods in which maintenance tasks will be performed. 10. Assist in establishing a preventive maintenance program. 11. Review and check competence of maintenance personnel and make necessary adjustments/corrections as required or that may become necessary. 12. Counsel/discipline maintenance personnel as requested or as necessary. 13. Ensure that departmental disciplinary action is administered fairly and without regard to race, color, creed, national origin, age, sex, religion, handicap, or marital status. 14. Terminate employment of personnel when necessary, documenting and coordinating such actions with the Personnel Director and/or Administrator. 15. Review complaints and grievances made or filed by department personnel. 16. Provide complaint/grievance reports to the Administrator as required or as may be necessary. 17. Conduct departmental performance evaluations in accordance with the facility's policies and procedures. 18. Maintain a productive working relationship with other department supervisors and coordinate maintenance services to assure that services can be performed without interruption. 19. Make daily rounds to assure that maintenance personnel are performing required duties and to assure that appropriate maintenance procedures are being rendered to meet the needs of the facility. 20. Create and maintain an atmosphere of warmth, personal interest, and positive emphasis as well as a calm environment throughout the facility.       Staff Development   1. Develop and participate in the planning, conducting, scheduling, etc., of in-service training classes, on-the-job training and orientation programs for maintenance personnel. 2. Assume the responsibility for maintaining your professional competence through participation in programs of continuing education (i.e., seminars, training programs, etc.). 3. Ensure that all maintenance personnel attend and participate in annual OSHA and CDC in-service training programs for hazard communication, TB management, and bloodborne pathogens standard.       Safety and Sanitation   1. Supervise safety and fire protection and prevention programs by inspecting work areas and equipment at least weekly. 2. Ensure that maintenance personnel follow established safety regulations in the use of equipment and supplies at all times. 3. Ensure that all personnel wear and/or use safety equipment and supplies (e.g., back brace, mechanical lifts, etc.) when lifting or moving heavy objects. 4. Ensure that supplies, equipment, etc., are maintained to provide a safe and comfortable environment. 5. Promptly report equipment or facility damage to the Administrator. 6. Assume the responsibility for obtaining/maintaining material safety data sheets (MSDSs) for hazardous chemicals in the maintenance department. 7. Ensure that containers of hazardous chemicals in the department are properly labeled and stored. 8. Ensure that all maintenance personnel are trained to use labels and MSDSs to recognize hazards and to follow appropriate protective measures. 9. Develop, maintain, and implement infection control and universal precautions policies and procedures to assure that a sanitary environment is maintained at all times and that aseptic and isolation techniques are followed by all maintenance personnel. 10. Ensure that all personnel performing tasks that involve potential exposure to blood, body fluids, or hazardous chemicals participate in appropriate in-service training programs prior to performing such tasks. 11. Ensure that maintenance personnel follow established handwashing procedures. 12. Assist in developing and implementing waste disposal policies and procedures for the maintenance department. 13. Ensure that maintenance personnel follow established policies governing the use/disposal of personal protective equipment and disposal of infectious wastes. 14. Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals in accordance with the facility's policies and procedures governing accidents and incidents. 15. Ensure that maintenance policies and procedures identify appropriate safety precautions and equipment to use when performing tasks that could result in bodily injury. 16. Other(s) that may become necessary/appropriate to assure that our facility is maintained in a safe and comfortable manner.       Equipment and Supply Functions   1. Recommend to the Administrator the equipment and supply needs of the department. 2. Make periodic rounds to check equipment and to assure that necessary equipment is available and working properly. 3. Check supply rooms and work areas to assure that needed supplies are readily available to perform assigned tasks. 4. Monitor maintenance procedures to ensure that supplies are used in an efficient manner to avoid waste. 5. Ensure that appropriate personal protective equipment used in the handling of infectious materials is available and easily accessible to maintenance personnel. 6. Maintain inventory and records according to established policies. 7. Place orders for equipment and supplies as necessary or as may be required. 8. Ensure that equipment contaminated with blood or other infectious material  is properly labeled or tagged before being sent for repair or decontamination     Budget and Planning Functions   1. Forecast needs of the department. 2. Assist in preparing and planning the Maintenance Department's budget for equipment, supplies, and labor and submit to the Administrator for review, recommendations, and approval. 3. Makes departmental adjustments in order to conform to approved budget, and/or as dictated by an analysis of the monthly operating statement. 4. Maintain current written records of department expenditures and assure that adequate financial records and cost reports are submitted to the Administrator upon request or as necessary.       Resident Rights   1. Maintain confidentiality of all resident information. 2. Knock before entering a resident's room. 3. Ensure that the residents' personal and property rights are followed by maintenance personnel at all times. 4. Ensure that maintenance personnel inform residents when it is necessary to move personal possessions (i.e. preventive maintenance, replacement of equipment, etc.). 5. Review maintenance complaints and grievances made by personnel, residents, family members, or visitors and make oral/written reports to the Administrator.     Miscellaneous   1. Ensure that all departmental employees follow established departmental policies and procedures. 2. Make weekly inspections of all maintenance functions to assure that quality control measures are continually maintained. 3. Be prepared to handle emergencies as they come up (i.e., rescheduling maintenance work schedules, etc.). 4. Be sure that appropriate medical waste is disposed of in accordance with our facility's established procedures.       Working Conditions   1. Works in office areas as well as throughout the facility (i.e., power rooms, resident rooms, therapy rooms, Dietary, etc.). 2. Moves intermittently during working hours. 3. Is subject to frequent interruptions. 4. Is involved with residents, personnel, visitors, government agencies/personnel, etc., under all conditions and circumstances. 5. Is subject to hostile and emotionally upset residents, family members, personnel, and visitors. 6. Communicates with maintenance personnel and other department supervisors. 7. Works beyond normal working hours and on weekends and holidays when necessary, as well as in other positions as needed. 8. Is subject to call-back during emergency conditions (e.g. , severe weather, evacuation, post-disaster, etc.). 9. Is required to be on-call for emergency situations. 10. Attends and participates in continuing educational programs. 11. Is subject to injury from falls, burns from equipment, odors, etc., throughout the work day, as well as to reactions from dust, disinfectants, tobacco smoke, and other air contaminants. 12. Is subject to exposure to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses. 13. May be subject to the handling of and exposure to hazardous chemicals. 14. Maintains a liaison with other department supervisors to adequately plan for maintenance services/activities. 15. May be required to work in cramped spaces and in adverse weather conditions.   Education   Must possess, as a minimum, a __________ grade education or its equivalent.   Experience   1. Must have, as a minimum, __________ year(s) experience in a supervisory capacity, in a maintenance/plant related position. 2. Must be knowledgeable of boilers, compressors, generators, etc., as well as various mechanical, electrical and plumbing systems. 3. Must have the ability to read and interpret blueprints. 4. Must be knowledgeable in building codes and safety regulations.   Specific Requirements   1. Must be licensed in accordance with current applicable standards, codes, labor laws, etc. 2. Must be able to read, write, speak, and understand the English language. 3. Must possess the ability to make independent decisions when circumstances warrant such action. 4. Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public. 5. Must be knowledgeable of maintenance practices and procedures, as well as the laws, regulations and guidelines governing maintenance functions in the long-term care facility. 6. Must possess leadership ability and willingness to work harmoniously with and supervise other personnel. 7. Must have the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies, procedures, etc., of the Maintenance Department. 8. Must maintain the care and use of supplies, equipment, etc., and maintain the appearance of maintenance areas; must perform regular inspections of resident rooms/units for order, safety, and proper performance of equipment. 9. Must have patience, tact, a cheerful disposition, and enthusiasm, as well as be willing to handle residents based on whatever maturity level they are currently functioning. 10. Must possess the ability to seek out new methods and principles and be willing to incorporate them into existing maintenance practices. 11. Must possess the ability to plan and carry out programs in repair, new construction, and equipment installation. 12. Must be able to relate information concerning a resident's condition. 13. Must not pose a direct threat to the health or safety of other individuals in the workplace.   Physical and Sensory Requirements (With or Without the Aid of Mechanical Devices)   1. Must be able to move intermittently throughout the work day. 2. Must be able to speak and write the English language in an understandable manner. 3. Must be able to cope with the mental and emotional stress of the position. 4. Must possess sight/hearing senses or use prosthetics that will enable these senses to function adequately so that the requirements of this position can be fully met. 5. Must function independently and have flexibility, personal integrity, and the ability to work effectively with the residents, personnel, and support agencies. 6. Must meet the general health requirements set forth by the policies of this facility which include a medical and physical examination. 7. Must be able to relate to and work with ill, disabled, elderly, emotionally upset, and, at times, hostile people within the facility. 8. Must be able to push, pull, move, and/or lift a minimum of __________ pounds to a minimum height of __________ feet and be able to push, pull, move, and/or carry such weight a minimum distance of _________ feet. 9. May be necessary to assist in the evacuation of residents during emergency situations. 

Duties and Responsibilities   Administrative Functions   Plan, develop, organize, implement, evaluate, and direct the nursing service department, as well as its programs and activities, in accordance with current rules, regulations, and guidelines that govern the long-term care facility. Develop, maintain, and periodically update written policies and procedures that govern the day-to-day functions of the nursing service department. Maintain a reference library of written nursing material (i.e., PDR'S, Federal and State Regulations, etc.) that will assist the nursing service department in meeting the day-to-day needs of the resident. Develop, maintain, and periodically update the Nursing Service Procedures Manual and nursing service objectives and philosophies. Develop and implement a nursing service organization structure. Make written and oral reports/recommendations to the Administrator, as necessary/required, concerning the operation of the nursing service department. Develop, maintain, and periodically update written job descriptions for each level of nursing personnel in accordance with the Americans with Disabilities Act, OSHA, and other pertinent laws and regulations. Develop methods for coordination of nursing services with other resident services to ensure the continuity of the residents' total regimen of care. Develop, implement, and maintain an ongoing quality assurance program for the nursing service department. Participate in facility surveys (inspections) made by authorized government agencies. Assist the Quality Assessment & Assurance Committee in developing and implementing appropriate plans of action to correct identified deficiencies. Assist the Discharge Planning Coordinator in developing, implementing and periodically updating the written procedures for the Discharge Planning Program. Assist the resident and Discharge Planning Coordinator in planning the nursing services portion of the resident's discharge plan. Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., as necessary.       Committee Functions   Serve on, participate in, and attend various committees of the facility (i.e., Infection Control, Policy Advisory, Pharmaceutical, Budget, Quality Assessment and Assurance, etc.) as required, and as appointed by the Administrator. Provide written and/or oral reports of the nursing service programs and activities as required, or as may be directed by such committee(s). Assist the Pharmaceutical Services Committee in developing, maintaining, implementing, and periodically updating written policies and procedures for the administration, storage, and control of medications and supplies. Schedule, attend, and participate in developing the agenda for Care Plan Committee meetings as necessary. Participate in regularly scheduled reviews of the Discharge Plans and make such plans available to the Care Plan Committee as required or as may be necessary. Evaluate and implement recommendations from established committees as they may pertain to nursing services.       Personnel Functions   Determine the staffing needs of the nursing service department necessary to meet the total nursing needs of the residents. Recommend the number and level of nursing personnel to be employed. Assist the Administrator and/or the Personnel Director in the recruitment and selection of nursing service personnel. Ensure that all nursing assistants are enrolled in or have graduated from an approved training program. Assign a sufficient number of licensed practical and/or registered nurses for each tour of duty to ensure that quality care is maintained. Assign a sufficient number of certified nursing assistants for each tour of duty to ensure that routine nursing care is provided to meet the daily nursing care needs of each resident. Ensure that all nurse aide trainees are under the direct supervision of a licensed nurse. Develop work assignments and schedule duty hours, and/or assist nursing supervisory staff in completing and performing such tasks. Delegate to nursing service supervisory personnel the administrative authority, responsibility, and accountability necessary to perform their assigned duties. Assist the Personnel Director in developing performance evaluation schedules, criteria, and annual reviews for the nursing service department (e.g., RNs, LPNs, CNAs, medication aides, etc.). Make daily rounds of the nursing service department to ensure that all nursing service personnel are performing their work assignments in accordance with acceptable nursing standards. Monitor absenteeism to ensure that an adequate number of nursing care personnel are on duty at all times. Develop, maintain, and periodically update the written procedure for ensuring that professional nursing personnel, including private duty nurses, have valid and current licenses as required by this State. Review complaints and grievances made or filed by department personnel.  Provide complaint/grievance reports to the Administrator as required or as may be necessary. Ensure that departmental disciplinary action is administered fairly and without regard to race, color, creed, national origin, age, sex, religion, handicap, or marital status. Assist the Infection Control Coordinator in establishing a TB management program for employees. Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals in accordance with the facility's policies and procedures governing accidents and incidents. Perform background checks on Nursing Service personnel in accordance with established procedures. Ensure that all CNA's credentials are verified through the State Nurse Aide Registry. Ensure that appropriate adverse personnel actions relative to CNA's employment criteria are reported to the State Nurse Aide Registry.       Nursing Care Functions   Participate in the interviewing and selection of residents for admission to the facility, including PASARR screenings. Provide the Administrator with information relative to the nursing needs of the resident and the nursing service department's ability to meet those needs. Inform nursing service personnel of new admissions, their expected time of arrival, room assignment, etc. Ensure that rooms are ready for new admissions. Greet newly admitted residents upon admission.  Escort to room as necessary. Make rounds with physicians as necessary. Schedule physician visits as necessary. Encourage attending physicians to record and sign progress notes, physicians' orders, etc., on a timely basis and in accordance with current regulations. Ensure that direct nursing care be provided by a licensed nurse, a CNA, and/or a nurse aide trainee qualified to perform the procedure. Review nurses' notes to ensure that they are informative and descriptive of the nursing care being provided, that they reflect the resident's response to the care, and that such care is provided in accordance with the resident's wishes. Schedule daily rounds to observe residents and to determine if nursing needs are being met in accordance with the resident's request. Monitor medication passes and treatment schedules to ensure that medications are being administered as ordered and that treatments are provided as scheduled. Provide direct nursing care as necessary. Authorize the use of restraints when necessary and in accordance with our established policies and procedures. Ensure that residents who are unable to call for help are checked frequently.       Staff Development   Develop and participate in the planning, conducting, and scheduling of timely in-service training classes that provide instructions on "how to do the job," and ensure a well-educated nursing service department. Develop, implement, and maintain an effective orientation program that orients the new employee to the facility, its policies and procedures, and to his/her job position and duties. Provide leadership training that includes the administrative and supervisory principles essential for Nurse Supervisors/Charge Nurses. Encourage the nursing supervisory staff to attend and participate in outside training programs.  Schedule times as appropriate. Assist the Administrator in developing and revising the nursing assistant training curriculum used by the facility. Submit to state agency for approval as required. Assist the In-service Director/Educator in developing annual OSHA and CDC in-service training programs for hazard communication, TB management,  and bloodborne pathogens standard. Assist the In-service Director/Educator in developing advance directive in-service training programs for the staff and community. Assist support services in developing, implementing, and conducting in-service training programs that relate to the nursing service department. Assist the In-service Director/Educator in the development of in-service training programs for the nursing staff. Ensure that these programs meet the continuing education requirements which allow licensed personnel (e.g., RNs, LPNs, CNAs, etc.) to keep their licenses on an active status. Attend and participate in continuing educational programs designed to keep you abreast of changes in your profession, as well as to maintain your license on a current status. Assist the Infection Control Coordinator in the development of a TB management program.       Safety and Sanitation   Assist the Safety Officer in developing safety standards for the nursing service department. Ensure that the department's policy and procedure manuals identify safety precautions and equipment to use when performing tasks that could result in bodily injury. Assist the Infection Control Coordinator in identifying, evaluating, and classifying routine and job-related functions to ensure that tasks in which potential exposure to blood/body fluids are properly identified and recorded. Ensure that all personnel performing tasks that involve potential exposure to blood/body fluids participate in appropriate in-service training programs prior to performing such tasks. Ensure that adequate supplies of personal protective equipment are on hand and are readily available to personnel who perform procedures that involve exposure to blood or body fluids. Monitor nursing service personnel to ensure that they are following established safety regulations in the use of equipment and supplies. Ensure that nursing service work areas (i.e., nurses' stations, medicine preparation rooms, etc.) are maintained in a clean and sanitary manner. Ensure that all resident care rooms, treatment areas, etc., are maintained in a clean, safe, and sanitary manner. Ensure that all nursing service personnel follow established departmental policies and procedures, including appropriate dress codes. Ensure that nursing service personnel participate in and conduct all fire safety and disaster preparedness drills in a safe and professional manner. Assist the Infection Control Committee in the development, implementation, and revising of written aseptic and isolation techniques. Develop, implement and maintain a program for monitoring communicable and/or infectious diseases, including TB, among the residents and personnel. Ensure that nursing service personnel follow established infection control procedures when isolation precautions become necessary. Develop, implement, and maintain a procedure for reporting hazardous conditions or equipment. Ensure that personnel wear and/or use safety equipment and supplies (e.g., back brace, mechanical lifts, etc.) when lifting or moving residents. Report missing/illegible labels and MSDSs to the safety officer or other designated person.       Equipment and Supply Functions   Recommend to the Administrator the equipment and supply needs of the department. Ensure that a stock level of medications, medical supplies, equipment, etc., is maintained on premises at all times to adequately meet the needs of the resident. Assist the Maintenance Director in developing a preventive maintenance program for maintaining the nursing service department's equipment and supplies in a safe and operable manner. Develop and implement procedures for the safe operation of all nursing service equipment. Ensure that only trained and authorized personnel operate the department's equipment. Ensure that all personnel operate nursing service equipment in a safe manner. Develop and implement procedures that ensure nursing service supplies are used in an efficient manner to avoid waste. Ensure that personal protective equipment used in the handling of infectious materials are available and easily accessible to nursing service personnel. Ensure that appropriate MSDSs are on file for hazardous chemicals used in the nursing service department.       Care Plan and Assessment Functions   Assist in the development of preliminary and comprehensive assessments of the nursing needs of each resident. Develop a written plan of care (preliminary and comprehensive) for each resident that identifies the problems/needs of the resident, indicates the care to be given, goals to be accomplished, and which professional service is responsible for each element of care. Encourage the resident and his/her family to participate in the development and review of the resident's plan of care. Assist the Resident Assessment/Care Plan Coordinator in the scheduling of care plans and assessments to be presented and discussed at each committee meeting. Ensure that all personnel involved in providing care to the resident are aware of the resident 's care plan. Ensure that nursing personnel refer to the resident's care plan prior to administering daily care to the resident. Review nurses' notes to determine if the care plan is being followed. Assist the Resident Assessment/Care Plan Coordinator in planning, scheduling, and revising the MDS, including the implementation of RAPs and Triggers. Review and revise care plans and assessments as necessary, but at least quarterly. Develop and maintain a good rapport with all services involved with the care plan to ensure that a team effort is achieved in developing a comprehensive plan of care. Ensure that medical and nursing care is administered in accordance with the resident's wishes, including the implementation of advance directives.       Budget and Planning Functions   Prepare and plan the nursing service department's budget and submit to the Administrator for his/her review, recommendations, and/or approval. Keep abreast of economic conditions/situations, and recommend to the Administrator adjustments in nursing services that ensure the continued ability to provide quality care. Recommend to the Administrator the equipment and supply needs of the nursing service department.       Resident Rights   Maintain the confidentiality of all resident care information. Monitor nursing care to ensure that all residents are treated fairly, and with kindness, dignity, and respect. Ensure that all nursing care is provided in privacy and that nursing service personnel knock before entering the resident's room. Ensure that all nursing service personnel are knowledgeable of the residents' responsibilities and rights including the right to refuse treatment. Review complaints and grievances made by the resident and make a written/oral report to the Administrator indicating what action(s) were taken to resolve the complaint or grievance. Follow facility's established procedures. Maintain a written record of the resident's complaints and/or grievances that indicates the action taken to resolve the complaint and the current status of the complaint. Ensure that appropriate notices are given to residents before their room or roommate is changed. Report and investigate all allegations of resident abuse and/or misappropriation of resident property. Ensure that nursing staff personnel honor the resident's refusal of treatment request. Ensure that such requests are in accordance with the facility's policies governing advance directives. Ensure that the facility's policies and procedures governing advance directives are reviewed with the resident and/or representative. Assist the Infection Control Coordinator in developing and implementing a resident TB management program.     Working Conditions   Works in office area(s) as well as throughout the nursing service area (i.e., drug rooms, nurses' stations, resident rooms, etc.). Moves intermittently during working hours. Is subject to frequent interruptions. Is involved with residents, personnel, visitors, government agencies/personnel, etc., under all conditions and circumstances. Is subject to hostile and emotionally upset residents, family members, personnel, and visitors. Communicates with the medical staff, nursing personnel, and other department supervisors. Works beyond normal working hours and on weekends and holidays when necessary. On call 24 hours per day, 7 days per week. Is subject to call-back during emergency conditions (e.g., severe weather, evacuation, post-disaster, etc.). Is involved in community/civic health matters/projects as appropriate. Attends and participates in continuing educational programs. Is subject to injury from falls, burns from equipment,odors, etc., throughout the work day, as well as to reactions from dust, disinfectants, tobacco smoke, and other air contaminants. Is subject to exposure to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses. May be subject to the handling of and exposure to hazardous chemicals. Maintains a liaison with the residents, their families, support departments, etc., to adequately plan for the residents' needs.   Education Requirements   Must possess, as a minimum, a Nursing Degree from an accredited college or university.   Experience   Must have, as a minimum, _______ year(s) of experience as a supervisor in a hospital, long-term care facility, or other related health care facility. Must have, as a minimum, ________ months training experience in rehabilitative and restorative nursing practices.   Specific Requirements   Must possess a current, unencumbered, active license to practice as a Registered Nurse in this state. Must be able to read, write, speak, and understand the English language. Must possess the ability to make independent decisions when circumstances warrant such action. Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public. Must be knowledgeable of nursing and medical practices and procedures, as well as laws, 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 have patience, tact, a cheerful disposition and enthusiasm, as well as the willingness to handle difficult residents. Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices. Must be able to relate information concerning a resident's condition. Must not pose a direct threat to the health or safety of other individuals in the workplace.     Physical and Sensory Requirements (With or Without the Aid of Mechanical Devices)   Must be able to move intermittently throughout the workday. Must be able to speak and write the English language in an understandable manner. Must be able to cope with the mental and emotional stress of the position. Must be able to see and hear or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully met. Must function independently, and have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies. Must meet the general health requirements set forth by the policies of this facility which include a medical and physical examination. Must be able to relate to and work with the ill, disabled, elderly, emotionally upset, and at times hostile people within the facility. Must be able to push, pull, move, and/or lift a minimum of __________ pounds to a minimum height of __________ feet and be able to push, pull, move, and/or carry such weight a minimum distance of _________ feet. May be necessary to assist in the evacuation of residents during emergency situations. 

Respiratory Therapist Job Duties: Meets patient's goals and needs and provides quality care by conducting pulmonary function tests; assessing and interpreting evaluations and test results; determining respiratory therapy treatment plans in consultation with physicians and by prescription. Helps patient accomplish treatment plan and supports life by administering inhalants; operating mechanical ventilators, therapeutic gas administration apparatus, environmental control systems, and aerosol generators. Administers respiratory therapy treatments by performing bronchopulmonary drainage; assisting with breathing exercises; monitoring physiological responses to therapy, such as vital signs, arterial blood gases, and blood chemistry changes; directing treatments given by aides, technicians and assistants. Evaluates effects of respiratory therapy treatment plan by observing, noting, and evaluating patient's progress; recommending adjustments and modifications. Completes discharge planning by consulting with physicians, nurses, social workers, and other health care workers; contributing to patient care conferences. Assures continuation of therapeutic plan following discharge by designing home exercise programs; instructing patients, families, and caregivers in home exercise programs; recommending and/or providing assistive equipment; recommending outpatient or home health follow-up programs. Documents patient care services by charting in patient and department records. Maintains patient confidence and protects hospital operations by keeping information confidential. Maintains safe and clean working environment by complying with procedures, rules, and regulations. Protects patients and employees by adhering to infection-control policies and protocols. Ensures operation of equipment by completing preventive maintenance requirements; following manufacturer's instructions; troubleshooting malfunctions; calling for repairs. Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies. Develops respiratory therapy staff by providing information; developing and conducting in-service training programs. Complies with federal, state, and local legal and certification requirements by studying existing and new legislation; anticipating future legislation; enforcing adherence to requirements; advising management on needed actions. Contributes to team effort by accomplishing related results as needed. Skills: Bedside Manner, Physiological Knowledge, Infection Control, Health Promotion and Maintenance, Create a Safe & Effective Environment, Informing Others, Verbal Communication, Medical Teamwork, Judgment, Procedural Skills, People Skills   Qualifications: Nursing Home experience preferred BLS/ACLS Certified

Duties and Responsibilities   Administrative Functions   Assist the Assistant Director of Nursing Services in directing the day-to-day functions of the nursing activities in accordance with current rules, regulations, and guidelines that govern the long-term care facility. Participate in developing, maintaining, and updating written policies and procedures that govern the day-to-day functions of the nursing service department. Ensure that reference material (i.e., PDR'S, Federal and State Regulations, etc.) maintained at the nurses' stations is current. Recommend written material that will assist the nursing service department in meeting the day-to-day needs of the resident. Ensure that the Nursing Service Procedures Manual is current and reflects the day to day nursing procedures performed in this facility. Ensure that all nursing service personnel comply with the procedures set forth in the Nursing Service Procedures Manual. Make written and oral reports/recommendations to the Director as necessary/required, concerning the operation of the nursing service department. Periodically review the department's policies, procedure manuals, job descriptions, etc. Make recommendations for revisions to the Director. Assist in developing methods for coordinating nursing services with other resident services to ensure the continuity of the residents' total regimen of care. Ensure that all nursing service personnel are in compliance with their respective job descriptions. Participate in the development, maintenance and implementation of the facility's quality assurance program for the nursing service department. Participate in facility surveys (inspections) made by authorized government agencies as requested by the Administrator or Director of Nursing Services. Periodically review the resident's written discharge plan. Participate in the updating of the resident's written discharge plan as required. Assist the Director in planning the nursing services portion of the resident's discharge plan as necessary. Meet with the nursing staff, as well as support personnel, in planning the department's services, programs, and activities. Admit, transfer, and discharge residents as required. Complete accident/incident reports as necessary. Interpret the department's policies and procedures to personnel, residents, visitors, and government agencies as required. Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., as necessary.     Committee Functions Attend various committee meetings of the facility (i.e., Infection Control, Policy Advisory, Pharmaceutical, Quality Assessment, etc.) as required. Assist in preparing written and/or oral reports of the nursing service programs and activities to submit to such committee(s) as directed. Provide information to the Quality Assurance and Assessment Committee as requested. Participate in developing the agenda for the Care Plan Committee meetings as necessary. Participate in regularly scheduled reviews of the discharge plans and make such plans available to the Care Plan Committee as required or as may be necessary. Implement recommendations from established committees as instructed by the Director.     Personnel Functions Ensure that a sufficient number of licensed practical and/or registered nurses are available for your tour of duty to ensure that quality care is maintained. Ensure that a sufficient number of certified nursing assistants are available for your tour of duty to ensure that routine nursing care is provided to meet the daily nursing care needs of each resident. Develop work assignments, and/or assist in completing and performing such tasks. Delegate to each Charge Nurse the administrative authority, responsibility, and accountability necessary to perform his/her assigned duties. Ensure that all nursing assistants are enrolled in or have graduated from an approved nursing assistant training program. Ensure that all nurse aide trainees are under the direct supervision of a licensed nurse. Make daily rounds of the nursing service department to ensure that all nursing service personnel are performing their work assignments in accordance with acceptable nursing standards. Report findings to the Director. Monitor absenteeism to ensure that an adequate number of nursing care personnel are on duty at all times. Report problem areas to the Director. Ensure that established policies and procedures, including dress codes, are followed by all departmental personnel. Review complaints and grievances made or filed by department personnel. Make appropriate reports to the Director as required or as may be necessary. Develop and maintain a good working rapport with inter-department personnel, as well as other departments within the facility to ensure that nursing services and activities can be adequately maintained to meet the needs of the residents. Create and maintain an atmosphere of warmth, personal interest and positive emphasis, as well as a calm environment throughout the unit and shift. Meet with your shift on a regularly scheduled basis to assist in identifying and correcting problem areas and/or to assist in the improvement of services. Review and evaluate your department's work force and make recommendations to the Director. Participate in employee performance evaluations, determining your shift's staffing requirements, and making recommendations to the Director concerning employee dismissals, transfers, etc. Ensure that departmental disciplinary action is administered fairly and without regard to race, color, creed, national origin, age, sex, religion, handicap, or marital status. Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals in accordance with the facility's policies and procedures governing accidents and incidents.     Nursing Care Functions Inform nursing service personnel of new admissions, their expected time of arrival, room assignment, etc. Ensure that rooms are ready for new admissions. Greet newly admitted residents upon admission. Escort them to their rooms as necessary. Make rounds with physicians as necessary. Encourage attending physicians to record and sign progress notes, physicians' orders, etc., on a timely basis and in accordance with current regulations. Inform the Director when physician visits are not made in a timely manner. Consult with the resident, his/her family, and the resident's physician in planning the resident's care, treatment, rehabilitation, etc., as necessary. Notify the resident's attending physician and next-of-kin when there is a change in the resident's condition. Visit residents on a daily basis in order to observe and evaluate each resident's physical and emotional status. Ensure that direct nursing care be provided by a licensed nurse, a certified nursing assistant, and/or a nurse aide trainee qualified to perform the procedure. Review nurses' notes to ensure that they are informative and descriptive of the nursing care being provided, that they reflect the resident's response to the care, and that such care is provided in accordance with the resident's wishes. Provide direct nursing care as necessary. Start IVs, obtain sputum, urine and other specimens for lab tests as ordered. Take TPRs, blood pressures, etc., as necessary. Admit, transfer and discharge residents as necessary. Report problem areas to the Director. Assist in developing and implementing corrective action. Keep the Director informed of the status of residents and other related matters through written/oral reports. Assist the Charge Nurse in monitoring seriously ill residents. Authorize the use of restraints when necessary and in accordance with our facilities policies and procedures. Ensure that all RNs and LPNs on your shift comply with written procedures for the administration, storage, and control of medications and supplies. Monitor medication passes and treatment schedules to ensure that medications are being administered as ordered and that treatments are provided as scheduled. Review medication cards for completeness of information, accuracy in the transcription of physician orders, and adherence to stop order policies. Inspect the nursing service treatment areas daily to ensure that they are maintained in a clean and safe manner. Ensure that residents who are unable to call for help are checked frequently. Meet with residents, and/or family members, as necessary. Report problems to the Director. Assist in arranging transportation for discharged residents as necessary. Inform family members of the death of the resident. Call funeral homes when requested by the family.     Staff Development   Participate in developing, planning, conducting, and scheduling in-service training classes that provide instructions on "how to do the job," and ensure a well-educated nursing service department. Develop, implement, and maintain an effective orientation program that orients the new employee to your shift, its policies and procedures, and to his/her job position and duties. Provide leadership training that includes the administrative and supervisory principles essential for your Charge Nurses. Encourage your Charge Nurses to attend and participate in outside training programs. Schedule times as appropriate. Assist the Director in developing and revising the nursing assistant training curriculum used by the facility. Assist the Director in planning clinical supervision for nurse aide trainees. Assist the  In-service Director/Educator in developing annual OSHA and CDC in-service training programs for hazard communication, TB management, and bloodborne pathogens standard. Assist the In-service Director/Educator in developing advance directive in-service training programs for the staff and community. Assist support services in developing, implementing, and conducting in-service training programs that relate to the nursing service department. Assist the In-service Director/Educator in the development of in-service training programs for the nursing staff. Ensure that these programs meet the continuing education requirements which allow licensed personnel (e.g., RNs, LPNs, CNAs, etc.) to keep their license on an active status. Attend and participate in continuing education programs designed to keep you abreast of changes in your profession, as well as to maintain your license on a current status.     Safety and Sanitation Assist the Safety Officer in developing safety standards for the nursing service department as necessary. Assist the Director and/or Infection Control Coordinator in identifying, evaluating, and classifying routine and job-related functions to ensure that tasks in which there is potential exposure to blood/body fluids are properly identified and recorded. Ensure that all personnel performing tasks that involve potential exposure to blood/body fluids participate in appropriate in-service training programs prior to performing such tasks. Ensure that an adequate supply of personal protective equipment is on hand and readily available to personnel who perform procedures that involve exposure to blood or body fluids. Ensure that personnel follow established procedures for the use and disposal of personal protective equipment. Monitor your shift's personnel to ensure that they are following established safety regulations in the use of equipment and supplies. Ensure that all nursing service personnel comply with established departmental policies and procedures. Ensure that nursing service work areas (i.e., nurses' stations, medicine preparation rooms, etc.) are maintained in a clean and sanitary manner. Ensure that all resident care rooms, treatment areas, etc., are maintained in a clean, safe, and sanitary manner. Ensure that nursing service personnel follow established handwashing procedures. Ensure that nursing service personnel participate in and conduct all fire safety and disaster preparedness drills in a safe and professional manner. Participate in the development, implementation, and maintenance of the infection control program for monitoring communicable and/or infectious diseases among the residents and personnel. Ensure that nursing service personnel follow established infection control procedures when isolation precautions become necessary. Participate in the development, implementation and maintenance of the procedures for reporting hazardous conditions or equipment. Ensure that all personnel wear and/or use safety equipment and supplies (e.g., back brace, mechanical lifts, etc.) when lifting or moving residents. Report missing/illegible labels and MSDSs to the safety officer or other designated person.     Equipment and Supply Functions Recommend to the Director the equipment and supply needs of the department. Ensure that an adequate stock level of medications, medical supplies, equipment, etc., is maintained on premises at all times to meet the needs of the resident. Assist the Maintenance Director in developing a preventive maintenance program for maintaining the nursing service department's equipment and supplies in a safe and operable manner. Participate in the development and implementation of the procedures for the safe operation of all nursing service equipment. Ensure that only trained and authorized personnel operate the nursing service department's equipment. Ensure that all personnel operate nursing service equipment in a safe manner. Monitor nursing procedures to ensure that nursing service supplies are used in an efficient manner to avoid waste. Ensure that appropriate MSDSs are on file for hazardous chemicals used in the nursing service department.     Care Plan and Assessment Functions Participate in the development of written preliminary and comprehensive assessments of the nursing needs of each resident as necessary. Participate in the development of a written plan of care (preliminary and comprehensive) for each resident that identifies the problems/needs of the resident, indicates the care to be given, goals to be accomplished, and which professional service is responsible for each element of care. Encourage the resident to participate in the development and review of his/her care plan. Review resident care plans for appropriate resident goals, problems, approaches, and revisions based on nursing needs. Ensure that all personnel involved in providing care to the resident are aware of the resident's care plan. Ensure that nursing personnel refer to the resident's care plan prior to administering daily care to the resident. Review nurses' notes to determine if the care plan is being followed. Assist the Resident Assessment/Care Plan Coordinator in planning, scheduling, and revising the MDS, including the implementation of RAPs and Triggers. Review resident's medical and nursing treatments to ensure that they are provided in accordance with the resident's care plan and wishes.    Budget and Planning Functions Keep abreast of economic conditions/situations, and recommend to the Director adjustments in nursing services that ensure the continued ability to provide quality care. Recommend to the Director the equipment needs of the nursing service department.     Resident Rights Maintain the confidentiality of all resident care information. Monitor nursing care to ensure that all residents are treated fairly, and with kindness, dignity, and respect. Ensure that all nursing care is provided in privacy and that nursing service personnel knock before entering the resident's room. Ensure that all nursing service personnel are knowledgeable of the residents' responsibilities and rights including the right to refuse treatment. Review complaints and grievances made by the resident and make a written/oral report to the Director indicating what action(s) were taken to resolve the complaint or grievance. Follow facility's established procedures. Maintain a written record of the resident's complaints and/or grievances that indicates the action taken to resolve the complaint and the current status of the complaint. Report and investigate all allegations of resident abuse and/or misappropriation of resident property. Ensure that nursing staff personnel honor the resident's refusal of treatment request. Ensure that such requests are in accordance with the facility's policies governing advance directives.     Working Conditions Works in office area(s) as well as throughout the nursing service area (i.e., drug rooms, nurses' stations, resident rooms, etc.). Moves intermittently during working hours. Is subject to frequent interruptions. Is involved with residents, personnel, visitors, government agencies/personnel, etc., under all conditions and circumstances. Is subject to hostile and emotionally upset residents, family members, personnel, and visitors. Communicates with the medical staff, nursing personnel, and other department supervisors. Works beyond normal working hours and on weekends and holidays when necessary. Is subject to call-back during emergency conditions (e.g., severe weather, evacuation, post-disaster, etc.). Is involved in community/civic health matters/projects as appropriate. Attends and participates in continuing educational programs. Is subject to injury from falls, burns from equipment, odors, etc., throughout the work day, as well as reactions from dust, disinfectants, tobacco smoke, and other air contaminants. Is subject to exposure to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses. May be subject to the handling of and exposure to hazardous chemicals. Maintains a liaison with the residents, their families, support departments, etc., to adequately plan for the residents' needs.   Education  Must possess, as a minimum, a Nursing Degree from an accredited college or university, or be a graduate of an approved LPN/LVN program.  Experience Must have, as a minimum, _____ year(s) of experience as a supervisor in a hospital, long-term care facility, or other related health care facility. Must have training in rehabilitative and restorative nursing practices.   Specific Requirements Must possess a current, unencumbered, active license to practice as an RN or LPN/LVN in this state. Must be able to read, write, speak, and understand the English language. Must possess the ability to make independent decisions when circumstances warrant such action. Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public. Must be knowledgeable of nursing and medical practices and procedures, as well as laws, 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 have patience, tact, a cheerful disposition and enthusiasm, as well as the willingness to handle difficult residents. Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices. Must be able to relate information concerning a resident's condition. Must not pose a direct threat to the health or safety of other individuals in the workplace.   Physical and Sensory Requirements (With or Without the Aid of Mechanical Devices)  Must be able to move intermittently throughout the workday. Must be able to speak and write the English language in an understandable manner. Must be able to cope with the mental and emotional stress of the position. Must be able to see and hear or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully met. Must function independently, and have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies. Must meet the general health requirements set forth by the policies of this facility which include a medical and physical examination. Must be able to relate to and work with the ill, disabled, elderly, emotionally upset, and, at times, hostile people within the facility. Must be able to push, pull, move, and/or lift a minimum of __________ pounds to a minimum height of __________ feet and be able to push, pull, move, and/or carry such weight a minimum distance of _________ feet. May be necessary to assist in the evacuation of residents during emergency situations. 

DUTIES AND RESPONSIBILITIES : Complete, distribute the midnight census; maintain accurate records of census activity. Responsible for the admission/re-admission process outlined in the Department’s Operational policy and procedure. Ensures photographs of new resident admissions are on resident’s medical record. Communicate Admissions/Discharges via notices in the Nursing Administration Communication Book Compile facility’s Roster Matrix/Census and condition sheet on a weekly basis. Compile and distribute weekly Pressure Ulcer tracking in read only format for the Wound Care Specialist and other clinical staff as appropriate. Complete assignments from the ADNS/In-service Director. Completes and distributes weekly In-service Calendars. Enter all nursing staff /orientation/training into the departmental tracking computer program Collaborate with ADNS/In-service Director to review the monthly Pharmacy Consultant audits. Distribute Implementation/Discontinuation of Infection Precautions form to the ID Team Maintain files on completed Occurrence Report for residents. Ensures all nursing license/certifications are maintained and are current. Responsible for re-certification procedures for Certified Nursing Assistants. Facilitate the completion of probationary and annual nursing employee evaluations. Maintains an updated list/log of all employee physicals. Respond to Units request for durable medical equipment; inform DNS/designee of anticipated need for purchasing/renting additional durable medical equipment. Collaborate with Purchasing in the ordering of additional equipment. DME includes but is not limited to: Oxygen concentrators/Heavy duty compressors, Oxygen cylinders (E tanks), Suction machines, Nebulizers, Enteral feeding pumps/polls, Tracheostomy set-ups/supply of inner cannulas, Bath chairs, Low beds/floor mattresses, Personal monitors, etc. Order and maintain inventory of office supplies; monitor inventory of pre-printed documents and places all orders for pre-printed documentation forms with Purchasing. Maintain a professional relationship with vendors; reconcile vendor billing for oxygen, tracheostomy supplies, personal monitors, Wander Guard devices, etc. Facilitate the completion of various departmental audits. Order and track Wander Guard devices (weekly); ensure Wander Guard book is updated on an on-going basis.; ensure Security Guard has picture of resident at risk for unsafe wandering and elopement with the resident’s name. Manage the medication scanning and return to Pharmacy Collaborate with the Director for Quality Management to: Completion of Medicare/Medicaid documentation (Certifications/authorizations) File MD certifications/authorization documents in medical record Fax resident updates to 3rdParty Payors; Follow-up with received authorizations Monitor PAR levels in the Night and Evening Shift supply closets and collaborate with Purchasing to maintain adequate supplies Participates in filing of Nursing related form in residents’ medical record. Provide coverage for Medical office, as necessary. Complies with all HIPAA regulations to assure resident rights are protected. Perform related duties as assigned, etc. compose routine correspondence, reports, statements, minutes of meetings, agenda, makes appointments with doctors, schedules transportation, etc., as necessary/directed. 

Duties and Responsibilities     Administrative Functions   Use the wristband or photo card file to identify residents before administering treatments, serving meals, etc., as necessary. Record all entries on flow sheets, notes, charts, etc., in an informative and descriptive manner. Use only authorized abbreviations established by this facility when recording information. Report all changes in the resident's condition to the Nurse Supervisor/Charge Nurse as soon as practical. Report all accidents and incidents you observe on the shift that they occur.     Admission, Transfer, and Discharge Functions   Ensure that the resident's room is ready for receiving the resident (i.e., bed made, name tags up, admission kit available, etc.). Greet residents and escort them to their room. Introduce resident to his/her roommate, if any, and other residents and personnel as appropriate. Make resident comfortable (i.e., put to bed, get water, etc.). Inventory and mark the resident's personal possessions as instructed. Store resident's clothing. Assist residents with packing their personal possessions when they are being transferred to a new room, or when being discharged. Transport residents to new rooms or to the receiving area. Assist with loading/unloading residents from vehicles as necessary.     Personnel Functions   Perform all assigned tasks in accordance with our established policies and procedures, and as instructed by your supervisors. Follow work assignments, and/or work schedules in completing and performing your assigned tasks. Cooperate with inter-departmental personnel, as well as other facility personnel to ensure that nursing services can be adequately maintained to meet the needs of the residents. Create and maintain an atmosphere of warmth, personal interest and positive emphasis, as well as a calm environment throughout the unit and shift. Meet with your shift's nursing personnel, on a regularly scheduled basis, to assist in identifying and correcting problem areas, and/or the improvement of services. Report all complaints and grievances made by the resident. Notify the facility when you will be late or absent from work. Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals to your supervisor.     Personal Nursing Care Functions   Participate in and receive the nursing report upon reporting for duty. Follow established policies concerning exposure to blood/body fluids. Assist residents with daily dental and mouth care (i.e., brushing teeth/dentures, oral hygiene, special mouth care, etc.). Assist residents with bath functions (i.e., bedbath, tub or shower bath, etc.) as directed. Give backrubs as instructed. Assist residents with dressing/undressing as necessary. Assist residents with hair care functions (i.e., combing, brushing, shampooing, etc.). Assist residents with nail care (i.e., clipping, trimming, and cleaning the finger/toenails). (Note: Does not include diabetic residents.) Shave male residents. Keep hair on female residents clean shaven (i.e., facial hair, under arms, on legs, etc.) as instructed. Keep residents dry (i.e., change gown, clothing, linen, etc., when it becomes wet or soiled). Change bed linens. Keep linens tight to avoid wrinkles from forming under the resident. Make beds (occupied and unoccupied). Put extra covers on beds as requested. Position bedfast residents in correct and comfortable position. Assist resident with bowel and bladder functions (i.e., take to bathroom, offer bedpan/urinal, portable commode, etc.). Maintain intake and output records as instructed. Keep incontinent residents clean and dry. Check and report bowel movements and character of stools as instructed. Prepare and give enemas. Report results as instructed. Collect specimens as instructed (i.e., urine, sputum, stools, etc.). Assist residents in preparing for medical tests (i.e., lab work, x-ray, therapy, dental, etc.). Assist residents in preparing for activity and social programs (i.e., church services, parties, visitors, etc.). Assist in transporting residents to/from appointments, activity and social programs, etc., as necessary. Assist with lifting, turning, moving, positioning, and transporting residents into and out of beds, chairs, bathtubs, wheelchairs, lifts, etc. Assist residents to walk with or without self-help devices as instructed. Perform restorative and rehabilitative procedures as instructed. Change dressings, bandages, binders, etc., as instructed. Provide eye and ear care (i.e., warm/cold compresses, eye/ear instillation, cleaning eyeglasses/hearing aides, etc.) as instructed. Assist with the application of nonsterile (moist and dry) warm/cold compresses. Assist in preparing the resident for a physical examination. Weigh and measure residents as instructed. Measure and record temperatures, pulse, and respirations (TPRs), as instructed. Answer resident calls promptly. Ensure that residents who are unable to call for help are checked frequently. Check each resident routinely to ensure that his/her personal care needs are being met in accordance with his/her wishes. Assist with the care of the dying resident. Provide post-mortem care as instructed.     Special Nursing Care Functions   Observe and report the presence of pressure areas and skin breakdowns to prevent decubitus ulcers (bedsores). Report injuries of an unknown source, including skin tears. Provide daily indwelling catheter care. Provide daily perineal care. Perform nonsterile (clean) vaginal irrigation/douches. Assist with the application of slings, elastic bandages, binders, etc. Give tepid sponge baths. Provide daily Range of Motion Exercises. Record data as instructed. Turn bedfast residents at least every two (2) hours. Perform diabetic urine testing (i.e., clinitest, acetest, etc.). Provide physical and respiratory therapy as instructed. Perform special treatments as instructed. Observe disoriented and comatose residents. Record and report data as instructed. Turn all medications found in the resident's room/possession over to the Nurse Supervisor/Charge Nurse. Provide residents with Reality Orientation as instructed. Watch for and report any change in room temperature, ventilation, lighting, etc.     Food Service Functions   Prepare residents for meals (i.e., take to bathroom, wash hands, comb hair, raise bed, position tables, place bibs, take to/from dining room, etc.). Serve food trays. Assist with feeding as indicated (i.e., cutting foods, feeding, assist in dining room supervision, etc.). Assist residents with identifying food arrangements (i.e., informing resident with sight problem of foods that are on his/her tray, where it is located, if it is hot/cold, etc.). Record the resident's food/fluid intake. Report changes in the resident's eating habits. Keep residents' water pitchers clean and filled with fresh water (on each shift), and within easy reach of the resident. Serve between meal and bedtime snacks. Perform after meal care (i.e., remove trays, clean resident's hands, face, clothing, take to bathroom, brush teeth, clean dentures, etc.). Check rooms for food articles (i.e., food in proper container, unauthorized food items, etc.).     Staff Development   Attend and participate in scheduled training and educational classes to maintain current certification as a Nursing Assistant. Attend and participate in scheduled orientation programs and activities. Attend and participate in annual OSHA and CDC in-service training programs for hazard communication, TB management, and bloodborne pathogens standard. Attend and participate in advance directive in-service training programs as scheduled.     Safety and Sanitation   Participate in appropriate in-service training programs prior to performing tasks that involve potential exposure to blood/body fluids. Wash hands before and after performing any service for the resident. Keep the nurses' call system within easy reach of the resident. Immediately notify the Nurse Supervisor/Charge Nurse of any resident leaving/missing from the facility. Follow established safety precautions in the performance of all duties. Keep residents' personal possessions off the floor and properly stored. Keep floors dry. Report spills immediately. Keep excess supplies and equipment off the floor. Store in designated areas. Wash wheelchairs, walkers, etc., as instructed. Clean, disinfect, and return all resident care equipment to its designated storage area after each use. Perform routine housekeeping duties (i.e., clean bedrails, overbed table, night stand, etc., that relate to nursing care procedures). Before leaving work area for breaks, or at the end of the work day, store all tools, equipment, and supplies. Report all hazardous conditions and equipment to the Nurse Supervisor/Charge Nurse immediately. Report all safety violations. Follow established smoking regulations. Report all violations. Report any communicable or infectious disease to the Director of Nursing Services and/or to the Infection Control Coordinator. Follow established isolation precautions and procedures. Wash hands before entering and after leaving an isolation room/area. Follow established procedures in the use and disposal of personal protective equipment. Wear and/or use safety equipment and supplies (e.g., back brace, mechanical lifts, etc.) when lifting or moving residents. Report missing/illegible labels and MSDSs to your supervisor.     Equipment and Supply Functions   Use only the equipment you have been trained to used. Operate all equipment in a safe manner. Use only the equipment and supplies necessary to do the job. Do not be wasteful. Report defective equipment to the Nurse Supervisor/Charge Nurse. Inform the Nurse Supervisor/Charge Nurse of your equipment and supply needs.     Care Plan Functions   Review care plans daily to determine if changes in the resident's daily care routine have been made on the care plan. Inform the Nurse Supervisor/Charge Nurse of any changes in the resident's condition so that appropriate information can be entered on the resident's care plan. Ensure that your notes reflect that the care plan is being followed.     Resident Rights   Maintain the confidentiality of all resident care information. Ensure that you treat all residents fairly, and with kindness, dignity, and respect. Ensure that all nursing care is provided in privacy. Knock before entering the resident's room. Report all grievances and complaints made by the resident to the Nurse Supervisor/Charge Nurse. Report all allegations of resident abuse and/or misappropriation of resident property. Honor the resident's refusal of treatment request. Report such requests to your supervisor.     Working Conditions   Works throughout the nursing service area (i.e., drug rooms, nurses' stations, resident rooms, etc.). Moves intermittently during working hours. Is subject to frequent interruptions. Is involved with residents, personnel, visitors, government agencies/personnel, etc., under all conditions and circumstances. Is subject to hostile and emotionally upset residents, family members, personnel, and visitors. Communicates with nursing personnel and other department personnel. Works beyond normal working hours, on weekends and holidays, and in other positions temporarily, when necessary. Is subject to call-back during emergency conditions (e.g., severe weather, evacuation, post-disaster, etc.). Attends and participates in continuing educational programs. Is subject to injury from falls, burns from equipment, odors, etc., throughout the work day, as well as to reactions from dust, disinfectants, tobacco smoke, and other air contaminants. Is subject to exposure to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses. May be subject to the handling of and exposure to hazardous chemicals.     Education   Must possess, as a minimum, a _______ grade education.     Experience   Must be a licensed Certified Nursing Assistant in accordance with laws of this state.     Specific Requirements   Must be able to read, write, speak, and understand the English language. Must possess the ability to make independent decisions when circumstances warrant such action. Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public. Must possess the ability and willingness to work harmoniously with other personnel. Must have patience, tact, a cheerful disposition and enthusiasm, as well as the willingness to handle difficult residents. Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices. Must be able to relate information concerning a resident's condition. Must not pose a direct threat to the health and safety of other individuals in the workplace.    

Duties and Responsibilities   Administrative Functions   Assist the Director of Nursing Services in planning, developing, organizing, implementing, evaluating, and directing the day-to-day functions of the nursing service department, in accordance with current rules, regulations, and guidelines that govern the long-term care facility. Participate in developing, maintaining, and updating our written policies and procedures that govern the day-to-day functions of the nursing service department. Ensure that reference material (i.e., PDR'S, Federal and State Regulations, etc.) maintained at the nurses' stations is current. Recommend to the Director written material that will assist the nursing service department in meeting the day-to-day needs of residents. Ensure that the Nursing Service Procedures Manual is current at all times and reflects the day-to-day nursing care procedures used by this facility. Develop and periodically update nursing service objectives and statements of philosophy. Assist in developing and implementing a nursing service organization structure. Make written and oral reports/recommendations to the Director as necessary/ required, concerning the operation of the nursing service department. Periodically review the department's policies, procedure manuals, job descriptions, etc. Make recommendations for revisions of policies, procedures, etc., to the Director of Nursing Services. Assist in developing methods for coordinating nursing services with other resident services to ensure the continuity of the residents' total regimen of care. Ensure that all nursing service personnel are following their respective job descriptions. Participate in developing, maintaining, and periodically updating the written job descriptions for each level of nursing personnel in accordance with the Americans with Disabilities Act, OSHA, and other pertinent laws and regulations. Participate in the development, maintenance, and implementation of the facility's quality assurance program for the nursing service department. Participate in facility surveys (inspections) made by authorized government agencies as requested by the administrator or director of nursing services. Participate in developing, implementing, and periodically updating the resident's written discharge plan. Assist the resident and Discharge Planning Coordinator in planning the nursing services portion of the resident's discharge plan. Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., as necessary.     Committee Functions   In the absence of the Director, serve on, participate in, and attend various committees of the facility (i.e., Infection Control, Policy Advisory, Pharmaceutical, Budget, Quality Assurance & Assessment, etc.). Serve on the Quality Assurance and Assessment Committee as directed. Assist the Director in preparing written and/or oral reports of the nursing service programs and activities to submit to such committee(s). Participate in the development, maintenance, implementation, and updating of the written policies and procedures for the administration, storage, and control of medications and supplies. Schedule, attend, and participate in developing the agenda for the Care Plan Committee meetings as necessary. Participate in regularly scheduled reviews of the discharge plans and make such plans available to the Care Plan Committee as required or as may be necessary. Evaluate and implement recommendations from established committees as they may pertain to nursing services.     Personnel Functions   Assist the Director in determining the staffing needs of the nursing service department. Recommend to the Director the number and level of nursing personnel to be employed. Assist the Director in the recruitment and selection of nursing service personnel. Ensure that a sufficient number of licensed practical and/or registered nurses are available for each tour of duty to ensure that quality care is maintained. Ensure that a sufficient number of certified nursing assistants are available for each tour of duty to ensure that routine nursing care is provided to meet the daily nursing care needs of each resident. Ensure that all nursing assistants are enrolled in or have graduated from an approved nursing assistant training program. Develop work assignments and schedule duty hours, and/or assist nursing supervisory staff in completing and performing such tasks. Ensure that all nurse aide trainees are under the direct supervision of a licensed nurse. Schedule work assignments and duty hours. Delegate to the Charge Nurses and Nurse Supervisors the administrative authority, responsibility, and accountability necessary to perform their assigned duties. Assist the Director in preparing performance evaluations as directed. Participate in the development and implementation of performance evaluations for the nursing service department. Make daily rounds of the nursing service department to ensure that all nursing service personnel are performing their work assignments in accordance with acceptable nursing standards. Report findings to the Director. Monitor absenteeism to ensure that an adequate number of nursing care personnel are on duty at all times. Report problem areas to the Director. Monitor the professional nurses' licensing status to ensure that they remain current. Inform nurses at least 30 days in advance of their license expiration date. Review complaints and grievances made or filed by department personnel. Make appropriate reports to the Director as required or as may be necessary. Ensure that departmental disciplinary action is administered fairly and without regard to race, color, creed, national origin, age, sex, religion, handicap, or marital status. Interpret the department's policies and procedures to personnel, residents, visitors, and government agencies as necessary. Ensure that all nursing personnel participate in the facility's TB testing program. Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals in accordance with the facility's policies and procedures governing accident and incidents.     Nursing Care Functions   Participate in the interviewing and selection of residents for admission to the facility, including the PASARR screenings. Provide the Director with information relative to the nursing needs of the resident and to the nursing service department's ability to meet those needs. Inform nursing service personnel of new admissions, their expected time of arrival, room assignment, etc. Ensure that rooms are ready for new admissions. Greet newly admitted residents upon admission. Escort them to their rooms as necessary. Make rounds with physicians as necessary. Inform the Director when physician visits are not made in a timely manner. Encourage attending physicians to record and sign progress notes, physicians' orders, etc., on a timely basis and in accordance with current regulations. Ensure that direct nursing care be provided by a licensed nurse, a certified nursing assistant, and/or a nurse aide trainee qualified to perform the procedure. Review nurses' notes to ensure that they are informative and descriptive of the nursing care being provided, that they reflect the resident's response to the care, and that such care is provided in accordance with the resident's wishes. Schedule daily rounds to observe residents and to determine if nursing needs are being met. Monitor medication passes and treatment schedules to ensure that medications are being administered as ordered and that treatments are provided as scheduled. Report medication errors to the Director. Provide direct nursing care as necessary. Report problem areas to the Director. Assist in developing and implementing corrective action. Authorize the use of restraints when necessary and in accordance with our established policies and procedures. Ensure that residents who are unable to call for help are checked frequently.     Staff Development   Participate in developing, planning, conducting, and scheduling in-service training classes that provide instructions on "how to do the job," and ensure a well-educated nursing service department. Develop, implement, and maintain an effective orientation program that orients the new employee to the facility, its policies and procedures, and to his/her job position and duties. Provide leadership training that includes the administrative and supervisory principles essential for Nurse Supervisors/Charge Nurses. Encourage Nurse Supervisors/Charge Nurses to attend and participate in outside training programs. Schedule times as appropriate. Assist the Director in developing and revising the nursing assistant training curriculum used by the facility. Assist the Director in planning and conducting universal precautions in-service training. Assist the  In-service Director/Educator in developing annual OSHA and CDC in-service training programs for hazard communication, TB management, and bloodborne pathogens standard. Assist the In-service Director/Educator in developing advance directive in-service training programs for the staff and community. Assist support services in developing, implementing, and conducting in-service training programs that relate to the nursing service department. Assist the In-service Director/Educator in the development of in-service training programs for the nursing staff. Ensure that these programs meet the continuing education requirements which allow licensed personnel (e.g., RNs, LPNs, CNAs, etc.) to keep their license on an active status. Attend and participate in continuing education programs designed to keep you abreast of changes in your profession, as well as to maintain your license on a current status.     Safety and Sanitation   Assist the Safety Officer in developing safety standards for the nursing service department. Assist the Director and/or Infection Control Coordinator in identifying, evaluating, and classifying routine and job-related functions to ensure that tasks in which there is potential exposure to blood/body fluids are properly identified and recorded. Ensure that all personnel performing tasks that involve potential exposure to blood/body fluids participate in appropriate in-service training programs prior to performing such tasks. Ensure that an adequate supply of personal protective equipment is on hand and readily available to personnel who perform procedures that involve exposure to blood or body fluids. Monitor nursing service personnel to ensure that they are following established safety regulations in the use of equipment and supplies. Ensure that nursing service work areas (i.e., nurses' stations, medicine preparation rooms, etc.) are maintained in a clean and sanitary manner. Ensure that all resident care rooms, treatment areas, etc., are maintained in a clean, safe, and sanitary manner. Ensure that all nursing service personnel follow established departmental policies and procedures, including appropriate dress codes. Ensure that nursing service personnel participate in and conduct all fire safety and disaster preparedness drills in a safe and professional manner. Assist the Infection Control Committee in the development, implementation, and revising of written aseptic and isolation techniques. Participate in the development, implementation, and maintenance of the infection control program for monitoring communicable and/or infectious diseases among the residents and personnel. Ensure that nursing service personnel follow established infection control procedures when isolation precautions become necessary. Participate in the development, implementation and maintenance of the procedures for reporting hazardous conditions or equipment. Ensure that all personnel wear and/or use safety equipment and supplies (e.g., back brace, mechanical lifts, etc.) when moving or lifting a resident. Report missing/illegible labels and MSDSs to the safety officer or other designated person.     Equipment and Supply Functions   Recommend to the Director the equipment and supply needs of the department. Ensure that an adequate stock level of medications, medical supplies, equipment, etc., is maintained on premises at all times to adequately meet the needs of the resident. Assist the Maintenance Director in developing a preventive maintenance program for maintaining the nursing department's equipment and supplies in a safe and operable manner. Participate in the development and implementation of the procedures for the safe operation of all nursing service equipment. Ensure that only trained and authorized personnel operate the department's equipment. Ensure that all personnel operate nursing service equipment in a safe manner. Monitor nursing procedures to ensure that nursing service supplies are used in an efficient manner to avoid waste. Ensure that appropriate MSDSs are on file for hazardous chemicals used in the nursing service department.     Care Plan and Assessment Functions   Participate in the development of written preliminary and comprehensive assessments of the nursing needs of each resident. Assist the Resident Assessment/Care Plan Coordinator in planning, scheduling, and revising the MDS, including the implementation of RAPs and Triggers. Participate in the development of a written care plan (preliminary and comprehensive) for each resident that identifies the problems/needs of the resident, indicates the care to be given, goals to be accomplished, and which professional service is responsible for each element of care. Encourage the resident and his/her family to participate in the development and review of the resident's plan of care. Assist in the scheduling of care plans and assessments to be presented and discussed at each committee meeting. Ensure that all personnel involved in providing care to the resident are aware of the resident's care plan. Ensure that nursing personnel refer to the resident's care plan prior to administering daily care to the resident. Review nurses' notes to determine if the care plan is being followed. Review and revise care plans and assessments as necessary, but at least quarterly. Develop and maintain a good rapport with all services involved with the care plan to ensure that a team effort is achieved in developing the resident's comprehensive care plan. Be sure that staff members are providing care that reflects the wishes of the resident.     Budget and Planning Functions   Participate in the preparation of and planning of the nursing service department's budget and submit to the Director for his/her review, recommendations, and/or approval. Keep abreast of economic conditions/situations, and recommend to the Director adjustments in nursing services that ensure the continued ability to provide quality care. Recommend to the Director the equipment needs of the nursing service department.     Resident Rights   Maintain the confidentiality of all resident care information. Monitor nursing care to ensure that all residents are treated fairly, and with kindness, dignity, and respect. Ensure that all nursing care is provided in privacy and that nursing service personnel knock before entering the resident's room. Ensure that all nursing service personnel are knowledgeable of the residents' responsibilities and rights including the right to refuse treatment. Review complaints and grievances made by the resident and make a written/oral report to the Director indicating what action(s) were taken to resolve the complaint or grievance. Follow facility's established procedures. Maintain a written record of the resident's complaints and/or grievances that indicates the action taken to resolve the complaint and the current status of the complaint. Ensure that appropriate notices are received by the resident before his/her room or roommate is changed. Report and investigate all allegations of resident abuse and/or misappropriation of resident property. Ensure that nursing staff personnel honor the resident's refusal of treatment request. Ensure that such requests are in accordance with the facility's policies governing advance directives. Review the facility's advance directive policies and procedures with resident and/or family members as necessary.   Working Conditions   Works in office area(s) as well as throughout the nursing service area (i.e., drug rooms, nurses' stations, resident rooms, etc.). Moves intermittently during working hours. Is subject to frequent interruptions. Is involved with residents, personnel, visitors, government agencies/personnel, etc., under all conditions and circumstances. Is subject to hostile and emotionally upset residents, family members, personnel, and visitors. Communicates with the medical staff, nursing personnel, and other department supervisors. Works beyond normal working hours and on weekends and holidays when necessary. Is subject to call-back during emergency conditions (e.g., severe weather, evacuation, post-disaster, etc.). Is involved in community/civic health matters/projects as appropriate. Attends and participates in continuing educational programs. Is subject to injury from falls, burns from equipment, odors, etc., throughout the work day, as well as to reactions from dust, disinfectants, tobacco smoke, and other air contaminants. Is subject to exposure to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses. May be subject to the handling of and exposure to hazardous chemicals. Maintains a liaison with the residents, their families, support departments, etc., to adequately plan for the residents' needs.   Education   Must possess, as a minimum, a Nursing Degree from an accredited college or university.   Experienc e   Must have, as a minimum, ________ year(s) of experience as a supervisor in a hospital, long-term care facility, or other related health care facility. Must have, as a minimum, ________ months training experience in rehabilitative and restorative nursing practices.   Specific Requirements   Must possess a current, unencumbered, active license to practice as a Registered Nurse in this state. Must be able to read, write, speak, and understand the English language. Must possess the ability to make independent decisions when circumstances warrant such action. Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public. Must be knowledgeable of nursing and medical practices and procedures, as well as laws, 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 have patience, tact, a cheerful disposition and enthusiasm, as well as the willingness to handle difficult residents. Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices. Must be able to relate information concerning a resident's condition. Must not pose a direct threat to the health or safety of other individuals in the workplace. Physical and Sensory Requirements (With or Without the Aid of Mechanical Devices)   Must be able to move intermittently throughout the workday. Must be able to speak and write the English language in an understandable manner. Must be able to cope with the mental and emotional stress of the position. Must be able to see and hear or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully met. Must function independently, and have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies. Must meet the general health requirements set forth by the policies of this facility which include a medical and physical examination. Must be able to relate to and work with the ill, disabled, elderly, emotionally upset, and, at times, hostile people within the facility. Must be able to push, pull, move, and/or lift a minimum of __________ pounds to a minimum height of __________ feet and be able to push, pull, move, and/or carry such weight a minimum distance of _________ feet. May be necessary to assist in the evacuation of residents during emergency situations. 

Position Summary: Under the leadership of the Manager, Physician Services, the Office Coordinator I isan active member of the Physician Services team that delivers office support consistent with the strategic vision, goals, philosophy and direction of Physician Services and CRHS. The Office Coordinator I provides clerical and administrative support to the medical office staff, maintaining files and records, scheduling office appointments and preparing reports or other documents as directed. The Office Coordinator I ensures that the medical office operates in an efficient manner and collects, verifies and submits patient billing information for reimbursement.   Basic Qualifications: Education: Requires a high school diploma with an emphasis in Office Occupations and Administrative Skills or a GED state certification.  A business office school, Medical Assistant program or Associate’s degrees is preferred.    Experience: Requires up to one year of work-related on-the-job experience or any equivalent combination of education, training and experience. Licensure, Registrations & Certifications: Requires and maintains a current and valid driver’s license and proof of insurance.   Essential Job Responsibilities: Provides clerical and administrative support to the medical office staff ensuring it operates efficiently. Enters and tracks the timely submission of patient-related paperwork, supplemental orders and billing-related information. Coordinates with Financial Services billing-related issues to ensure the maximum reimbursement for services rendered is obtained. Prepares medical office financial reports and submits reports to Financial Services according to established procedures and within established timeframes. Receives patient payments and prepares daily deposit for funds received according to established procedures. Requisitions from CRHS all required office and medical supplies, and places them into the medical office inventory once received. Promotes teamwork on a daily basis by encouraging communication and reporting problems and concerns to the Director, Physician Services. Assists the physicians with reports and correspondence as directed. Assists with the coordination of medical office sponsored special events, meetings, seminars, educational or training programs. Performs other related job duties as assigned.   Standards of Performance: Performs general office operations and tasks, including covering for other clerical staff to keep the office working and orderly, as measured by feedback from staff, physicians and the Director.  Demonstrates reliability as measured by compliance with the CRHS Time and Attendance policy. Demonstrates professional conduct, as measured by accuracy and legitimacy of billing, and adherence to confidentiality, accounting, and HIPAA standards. Promotes teamwork with the entire agency staff, as well as other contacts within the hospital, as measured by observations of Director and co-workers. Develops accurate reports as measured by Director review. Adheres to the CRHS Standards of Behavior as measured by observations of the nursing and medical staff, patients, family members and other staff members for CRHS that maintain ongoing contact with the position.

Position Summary: Under the leadership of the Director, Blackshear Villa, the care specialist is an active member of the medical office staff that collects data, provides comfort measures and basic care to residents. The Care Specialist works under close supervision and according to specific instructions performing a variety of basic resident care activities and related services necessary in caring for the personal needs and comfort of patients. The care specialist is responsible for providing care that is appropriate for the resident's developmental age and is culturally sensitive.    Basic Qualifications: ·          Education: Requires a high school diploma in General Studies or a GED state certification. ·          Experience: Requires up to six months of work-related experience or any equivalent combination of education, training and experience. ·          Licensure, Registrations & Certifications: Requires and maintains a current and valid driver's license. Requires a current valid driver's license. A motor vehicle report is required upon hire and reviewed annually.    Essential Job Responsibilities: Functions as part of an interdisciplinary team with positive interpersonal communication skills when communicating with patients, families, visitors, physicians, coworkers, and staff from other departments of the organization. Assists resident with personal hygiene care and other routine services for residents requiring assistance such as bathing, dressing, shaving, offering and bed side commode, and giving back rubs. Takes and reports patient vital signs and initial medical history or other related information. Observes residents condition and ensures that medical equipment or apparatus is functioning properly. May assist nurses or LPN's with resident examinations.  Administers respiratory therapy treatments per physician orders and the patient's age.  Answers residents' calls and ascertains residents' needs, acts upon routine requests and relays information tot he proper person.  Performs a number of routine patient care procedures that require basic training.  Assists with the ambulation of residents.  Obtains resident specimens for laboratory analysis as directed.  Assists residents with basic hygiene, hair and oral care as required.  Complies with CRHS and Physician Sefvices safety, infection control and performance improvement initiatives to ensure the delivery of quality care and services.  Attends scheduled in-service programs as requested.  Provides basic clerical support as requested.  Presents a professional image to CRHS nursing, clinical and medical staff members, patients, families, and visitors.    Standards of Performance: Performs basic patient care tasks and clerical support duties as measured by feedback from co-workers and observations of the departmental Director. Performs assigned patient care duties in a timely and accurate manner as measured by logs, charts, and observation. Performs basic clerical support functions as measured by observations of departmental Director and co-workers. Complies with standards of care, safety, and infection control policies and procedures. Demonstrates reliability as measured by compliance with the CRHS Time and Attendance policy. Demonstrates professional conduct and adherence to safety, confidentiality, and HIPAA standards. Promotes intradepartmental and interdepartmental teamwork  as measured by observations of the Director and coworkers Adheres to the CRHS Standards of Behavior as measured by observations of managers, coworkers, and  outside and/or inside customers. Actively participates as a member of the healthcare team by attending all mandated in-services, as well as departmental staff meetings as determined by the departmental Director Verbalizes and/or demonstrates  core competencies of the unit and department Complies with regulatory requirements, including the National Patient Safety Goals, as observed by peers, supervisors, and other members of the healthcare team.

Position Summary: Under the leadership of the department Manager, Physician Services, the Medical Assistant isan active member of the Physician Services team that collects data and provides comfort measures and care to patients. The Medical Assistant is responsible for providing care that is appropriate for the patient’s developmental age and is culturally sensitive. The Medical Assistant formulates an appropriate plan for care and analyzes the effectiveness of interventions while effectively interacting with patients, families other medical office staff members.  The Medical Assistant maintains standards of professional nursing.    Basic Qualifications: Education: Requires a high school diploma with an emphasis in Office Occupations and Administrative Skills or a GED state certification.  A business office school, Medical Assistant program or Associate’s degrees is preferred.    Experience: Requires up to one year of work-related on-the-job experience or any equivalent combination of education, training and experience. Licensure, Registrations & Certifications: A Medical Assistant certification preferred. Requires a current certification in Basic Life Saving (BLS). (If BLS verification is not current upon hire, it must be obtained within three (3) months of hire.)   Essential Job Responsibilities: Functions as part of an interdisciplinary team with positive interpersonal communication skills when communicating with patients, families, and the medical office staff. Conducts an assessment of patient’s condition and documents findings. Uses professional judgment in treating patients and modifies the treatment and/or contacts the physician as appropriate. Reviews with patient relevant health-risks, nutritional issues and corresponding lifestyle changes that are warranted.  Discusses with the patient and family members medications and medical tests, and assists with their scheduling. Schedules consultations and referrals as needed and calls in prescriptions as directed. Answers patients’ questions and ascertains patients’ needs, acts upon routine requests and relays information. Notifies patients of test results as directed and any follow-up visits requested by the physician. Communicates and reinforces patient care plan and education plan with patient and family, and assesses the patient or family’s ability to comprehend. Ensures examination rooms are stocked with supplies and reorders supplies as necessary. Serves as a clinical leader, implementing nursing concepts, and mentoring other staff as necessary. Remains current on innovations, developments, new procedures and techniques in nursing care in order to provide quality nursing care services. Assumes responsibility for safety, infection control and performance improvement as part of CRHS’s efforts to provide quality care and services. Performs all associated duties, responsibilities and tasks. Presents a professional image to CRHS’s medical staff, co-workers, physicians, patients and family members. Attends professional development programs and in-service trainings and meets the minimum requirement for continuing professional education. Performs other related job duties as assigned.   Standards of Performance: Performs nursing care in accordance with all established department and CRHS policies and procedures as measured by feedback and observation from nursing, medical and management staff. Performs all assigned patient care duties in a timely and accurate manner as measured by logs, charts and observation. Complies with all safety and infection control policies and practices in the delivery of direct patient care as measured by feedback and observation from nursing, medical and management staff. Demonstrates reliability as measured by compliance with the CRHS Time and Attendance policy. Demonstrates professional conduct and adherence to all safety, confidentiality, and HIPAA standards. Promotes teamwork with the entire staff, as well as other contacts within the department as measured by observations of manager and co-workers. Adheres to the CRHS Standards of Behavior as measured by observations of staff, as well as outside and other inside customers. Verbalizes all core competencies of the unit and department. Complies with all regulatory requirements including the National Patient Safety Goals as observed by peers, supervisor and all members of the healthcare team. Actively participates as a member of the healthcare team by attending all mandated in-services and a minimum of 75% of the unit staff meetings and employee forums.

Position Summary: Under the leadership of the departmental Nursing Director, the Registered Nurse (RN) I isresponsible for utilizing the nursing process in assessing, planning, implementing, and evaluating patient care.  The RN I is responsible for providing culturally sensitive care that is appropriate for the patient’s developmental age.  The RN I formulates an appropriate nursing plan of care and effectively interacts with patients, family members, and other health team members.  The RN I maintains the standards of professional nursing.The RN I’s duties are based on scientific principles and established standards of nursing practice.   Basic Qualifications: Education: Requires an Associate’s degree in Nursing from an accredited school of nursing. Requires completion of the Neonatal Resuscitation Program and Electronic Fetal Monitoring, or equivalent courses. (If course is not completed upon hire, it must be obtained within the orientation period.) Experience: Requires up to one year of work-related experience, or an equivalent combination of education, training and experience. Licensure, Registrations & Certifications: Requires a current state license as a Registered Nurse and is listed in good standing with the state’s Department of Professional Credentialing. Requires a current certification in Basic Life Support (BLS). (If BLS verification is not current upon hire, it must be obtained within the orientation period.)   Essential Job Responsibilities: Conducts an assessment of patient’s condition (i.e., physical, emotional, age, etc.), documents assessment findings, and, in conjunction with medical notes, develops a plan of care. Collaborates with other members of the patient care team to discuss, evaluate, and monitor the plan of care. Modifies the plan of care as appropriate given changes in a patient's condition. Effectively and consistently performs basic nursing skills and treatments as prescribed by the physician or as indicated by the patient's condition.  Uses professional judgment in treating patients and modifies the treatment and/or contacts the physician as appropriate. Prepares or directs the preparation of necessary equipment and assists the physician during examination and treatment. Demonstrates prioritization and decisiveness that enables the completion of typical patient assignments within an assigned shift. Participates in the patient and family education and rehabilitation process by explaining and instructing patients regarding treatments, procedures, and nursing care plans to help mitigate fears and to educate them during the recovery process.  Meets with patients and their families in order to help them overcome emotional problems associated with health care conditions. Makes regular rounds to assigned patients, alone or with physicians, observing and evaluating patients' symptoms and reactions to treatments and medications.  Determines progress and problems and takes corrective action as indicated or directed. Demonstrates ability to collaborate with other members of the health care team and provide support to the patient during the labor and delivery process and provide care to the newborn infant. Maintains patient records, reports to the proper person pertinent information regarding the patients' conditions, medications, treatments, etc. Participates in performance improvement studies and integrates performance improvement standards into patient care activities. Participates in discharge planning activities in order to prepare the patient and his/her family for release from the hospital.  Acts as a liaison between members of the patient’s care team. Serves as a clinical leader, implementing nursing concepts, conducting patient conferences, and assisting in directing, orienting, and teaching student nurses, Nursing Assistants, LPNs, and other ancillary personnel. Remains current on innovations, developments, new procedures, and techniques in nursing care in order to provide quality nursing care services. Performs associated duties, responsibilities, and tasks relating to safety, infection control, and performance improvement as part of CRHS’s efforts to provide quality care and services. Presents a professional image to CRHS’s nursing co-workers, clinical and medical staff members, patients, families, and visitors. Attends professional development programs and in-service training and meets the minimum requirement for continuing professional education. Performs other related job duties as assigned.   Standards of Performance: Performs nursing care in accordance with all established departmental and CRHS policies and procedures as measured by feedback and observation from nursing, medical, and management staff. Performs assigned patient care duties in a timely and accurate manner as measured by logs, charts, and observation. Complies with safety and infection control policies and practices in the delivery of patient care as measured by feedback and observation from nursing, medical, and management staff. Demonstrates reliability as measured by compliance with the CRHS Time and Attendance policy. Demonstrates professional conduct and adherence to all safety, confidentiality, and HIPAA standards. Promotes teamwork with the entire staff, as well as other contacts within the department, as measured by observations of manager and coworkers. Adheres to the CRHS Standards of Behavior as measured by observations of managers, coworkers, and outside and/or inside customers. Verbalizes and/or demonstrates core competencies of the unit and department. Complies with regulatory requirements, including the National Patient Safety Goals, as observed by peers, supervisors, and other members of the healthcare team. Actively participates as a member of the healthcare team by attending all mandated in-services, as well as departmental staff meetings as determined by the departmental Director.