PER Diem RN

Waterville Residential - WRCC is seeking a per diem RN to join our team of health care professionals. Join a close knit facility rooted in Waterville NY, with a rich history of serving the community surrounding us. A place where life in balance is promoted, and our mission of providing quality care to those we serve is celebrated everyday. Job Summary: Assists in planning and implementing the nursing care of residents within the skilled nursing setting with the supervision of a Registered Nurse. Responsible for ensuring continuity of care of the residents between shifts by providing direct care as well as supervising the care given by CNAs and supportive staff members. Participates in resident and family teaching. Maintains role as resident advocate with a focus on the facility's mission.

DUTIES AND RESPONSIBILITIES:
•   Documentation : Documents accurately per policy on residents in a change in condition or on 24 hr report, on an ordered documentation log such as behavior, pain, sleep, functionally mobility, stop and watch, medicare look back as well as required admission, lateral transfer, or discharge documentation.
•   Change in Condition : Observes for changes in the resident's condition and suggests nursing needs. Obtains vital signs, lung sounds and other needed clinical data, notifies on duty facility supervisor and medical via acute log on any new changes in condition with also having appropriate documentation in resident record so that appropriate action can be taken.
•   Pain Management : Ability to adequately monitor, treat and report resident pain whether physical or emotional, verbal or nonverbal. Demonstrates knowledge of symptoms of pain and depression. Utilizes appropriate pain management techniques checks for available prn's and administers appropriately as well as monitors for and documents/reports effectiveness. Reinforces education with resident and family regarding pain management. Ensures the quality of life for residents by advocating and assisting them to remain free from pain.
•   Medication Administration: Administers medications safely and per policy, follows the seven (7) medication rights and reduces the potential for medication errors. Demonstrates competency in medication administration per regulations. Utilizes prn medication when needed.
•   Documentation 2 : Meets current skilled nursing documentation standards and policies.
•   Time Management Skills : Notes and carries out physician's orders in a timely manner. Completes shift work of med pass, treatments and documentation in timely manor. Demonstrates adequate organizational skills to complete job duties.
•   Communication Skills : Gives a thorough report to oncoming shift by documenting appropriately in resident record and documenting on 24 hr report. Communicates resident or family concerns to Inter Disciplinary Team.
•   Follow Through : Follows up on information given by shift report, resident or family regarding resident concerns. Notifies physician of changes in resident's condition and follows through until appropriate action is taken.
•   Care Plan Compliance : Implements plan of care of the resident based on assessments and goals established by the interdisciplinary care team. Ensure care plans are followed.
•   Customer Service: Treats residents and their families with respect and dignity. Identifies and addresses psychosocial, cultural, ethnic and religious/spiritual needs of residents and their families. Demonstrates good customer service skills with internal and external staff as well as any outside services that may be associated with resident care or facility. Represents facility in a professional manor.
•   End of Life Care: Ensures residents at end of life or on hospice services are kept clean, dry and comfortable. Provides frequent checks for comfort and reports to supervisor or medical any sx of discomfort such as labored breathing, moaning or groaning, facial grimacing or restlessness. Administers pain management meds appropriately, timely and as ordered, obtains increases in pain management orders as needed by continuous observation of resident comfort level and communicating with medical team when need for med increases are observed in a timely manner. Oral care: uses mouth swabs throughout shift for residents no longer taking anything by mouth, uses a&d to lips for moisture. Comforts and gives extra support to residents and family. Treats resident and family with compassion and respect. Provides postmortem care as needed, notifies supervisor and medical of deceased resident and documents appropriately, contacts family, funeral home or medical examiner per supervisor direction enters release of body MD order and emails team time of death and when resident body has left the building.
•   Resident Dining : Assists in a positive dining experience for the residents. Uses proper hand hygiene when handling food. Provides nursing supervision during mealtime in designated or assigned resident dining areas as well as overseeing that resident nourishment pass is complete.
•   Infection Control : Is competent in: use of PPE (mask, gloves, gown, goggles), sharps safety (sharps boxes, where they are and what they are used for), Respiratory hygiene and cough etiquette, assists in the cleaning and disinfecting of environment surfaces and shared objects on units. Is competent with sterile and aseptic technique for appropriate nursing procedures. Disinfects equipment between use of residents such as stethoscope, BG machines, BP cuffs, pulse oximeters.
•   Infection Control : Maintains all isolation precautions as ordered. Ensures red stop sign is present, isolation carts are stocked, isolation garbage or linen bins are emptied every shift. Understands droplet, contact, airborne and universal precautions.
•   Call Bells: Answers residents' call lights in a timely manner, anticipates residents' needs and makes rounds on unit. Does not use "that is not my job" approach, demonstrates the willingness to assist all residents and staff in need when requested.
•   Assistive Devices: Ensures residents have their assistive devices and they are clean and in good working order as care planned such as: dentures, glasses, contact lenses, hearing aids and prosthetic devices, walker, wheelchair ect. Reports and broken or missing items to social work and supervisor.
•   Transportation of Residents : Assists in transporting residents to and from meals, therapy, activities inside appointments as needed or requested. Uses leg rests when transporting residents for safety.
•   Accidents and Incident Reporting: Reports to supervisor all incidents or injuries such as: skin tears, bruises, falls, choking, resident wandering in nonresident areas, confused resident attempting to leave facility, resident attempts or threats of suicide to hurt self or others, resident to resident verbal or physical aggression and any other incidents observed or heard of that could potentially cause harm to a resident.
•   Abuse Reporting : Understands and follows the policy on abuse reporting, reports any questionable signs or observations of abuse whether verbal, physical, emotional, sexual of resident to resident, staff to resident, or visitor to resident. Reports any and all resident accusations or suspicion to immediate supervisor and removes resident from any potential harm.
•   Skin Care and Skin Protocol: Follows skin protocol policy. Participates in providing proper skin care keeps residents skin clean, dry and intact. Uses moisturizers on dry skin and barrier creams on incontinent residents as instructed. Follows pressure prevention care plans ensures turning and positioning, bed to chair schedules, incontinence rounds, heel booties, floats heels are completed as instructed per care plan. Observes for and reports any skin issues or concerns immediately to supervisor, medical and in shift huddles.
•   Supervision and Leadership Skills: Demonstrates adequate supervision of certified nursing assistants. Ensures POC documentation and quality resident care is provided on assigned residents. Functions as a leader for the CNAs; delegates in a manner that contributes to the excellence of the nursing unit to which LPN is assigned.
•   Clinical Competencies: Demonstrates competence in technical and manual skills according to scope of practice for LPNs. Stays current with completing annual nursing competencies in Employee Education. Demonstrates daily competence and follows regulatory guidelines in nursing clinical skills such as wound care, foley care, respiratory treatments, vital signs, lung sounds, bowel sounds, apical heart rate and safe medication administration.
•   Residents Preferences and Choices: Functions as a resident advocate by protecting the resident's rights and honors residents' preferences and choices.
•   Participates in Performance Improvement Plans : Demonstrates creativity in solving problems and looking at situations in new and innovative ways. Works with management in problem solving unit, facility or resident issues. Participates in accident incident review.
•   Promotes Positive Environment : Interacts with residents, families, co-workers, managers and other departmental staff in a kind, knowledgeable, professional and friendly manner. Demonstrates good customer service skills. Promotes a positive environment for residents and staff. Supports and maintains a culture of safety and quality for residents and staff.
•   Medication Storage Safety : Demonstrates competency in proper med storage keeps med cart locked and clean up to regulatory standards . click apply for full job details