RN - $36.25-$38.25

Job Title: Registered Nurse

Department: Nursing

Reports To: Director of Nursing

Effective Date: 2023

FLSA Status: Hourly

SUMMARY

To provide professional nursing care to assigned residents in accordance with MD orders, established policies and procedures and standards of nursing in a caring, safe and efficient manner. May direct and lead the activities of other nursing personnel and assist MD’s with rounds. Perform observations and assessments and communicate these findings to co-workers and physicians as necessary. Assist with admissions and discharges. Pass medications and perform treatments. Document update and complete all necessary paperwork, forms, orders and care plans.

Vulnerable Adult Mandated Reporter

A mandated vulnerable adult reporter of maltreatment, neglect, abuse of vulnerable residents/tenants. Required to report any alleged maltreatment, neglect, or abuse to your supervisor and appropriate state agencies.

ESSENTIAL DUTIES AND RESPONSIBILITIES: include the following other duties may be assigned.

· Supervising and evaluating performance of nursing personnel.

· The authority to direct all non-professional personnel in his or her charge to act in the interests and welfare of the residents on the floor (to include schedule changes and job assignments).

· Planning, developing and implementing resident care plans necessary to the individual’s needs.

· Administering treatments, medications and diagnostic procedures as ordered by the attending physician and assigned by administration.

· Handling admission, transfers and discharges of residents.

· Completing quarterly reviews, annual and other required MDS’s as assigned by wing for DON.

· Assist in coordinating Medicare certifications.

· Assist with pre-admission screening if needed.

· Assist with contacting resident or DPOA of Medicare “denial” letters.

· Expected to response to emergency situations involving the safety of residents, other employees and the facility. This included the ability to assist with a possible evacuation of residents.

· Complete related sections on the MDS/RAI.

· Coordinate Medicare charting schedule.

· Assist with implementing policies/procedures with impact Medicare coverage.

· Other duties and responsibilities assigned by DON or ADON within the scope of Minnesota Nurse Practice Act.

· Assisting staff with major nursing care problems and reporting all major problems and accidents to the Director of Nursing or Assistant Director of Nursing.

· Making daily rounds to assigned nursing units under assigned supervision and performing such functions as assessing residents, reviewing medications and clinical records, resident care plans and staff assignments, and, to the extent possible, accompanying physicians when they make rounds.

· Participates in on-site physician visits; communicates comprehensive information related to resident status and needs.

· Ability to plan, assign, and supervise the work of others.

· Ability to recognize significant changes in the condition of residents and to take necessary action.

· Ability to establish and maintain effective working and public relationships.

· Cooperating with Inservice education of nursing personnel.

· Notifying the attending physician when stop order policies would prohibit additional administration of medications to individual residents so there may be a decision if the order is to be renewed, and of changes in resident’s conditions.

· Follows instructions willingly, able to meet deadlines, organizational loyalty, honesty, punctual, and dependable.

MARGINAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.

SUPERVISORY RESPONSIBILITIES

· Delegated supervisor of NA/R's and LPN's

· Is responsible for the overall direction, coordination, and evaluation of these responsibilities include training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.

· Delegates duties and care of residents appropriately.

· Possesses and utilizes decision-making ability.

· Supervises those under him/her to ensure proper policies and procedures are followed.

· Informally educates other as needed.

· Gives clear and specific direction to others.

· Gives timely, appropriate response to resident/nursing staff problems.

· Channels problems through correct chain of command.

· Communicated data shift to shift.

· Informs affected others when changes are made.

· Delegates and evaluates duties and responsibilities of LPN, Nurse Technicians and nursing assistants.

· Communicates pertinent information regarding residents care to nurses/nursing assistants.

QUALIFICATIONS To:perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

· Thorough knowledge of professional nursing theory and practice.

· Considerable knowledge of the supervision and administration of a nursing unit in a health care facility.

· Considerable knowledge of restorative nursing.

· Considerable knowledge of psychiatric and/or geriatric nursing

· Must be Licensed and MN Board of Nursing, as a Registered Nurse.

EDUCATION and/or EXPERIENCE

· Graduation from an accredited school of nursing.

· Other ongoing training/education as provided by facility to meet regulatory and facility policy changes

· Prefer 1-year experience in a long-term care setting.

LANGUAGE SKILLS

· Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization.

MATHEMATICAL SKILLS

· Ability to add, subtract, multiply and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent.

REASONING ABILITY

· Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.

· Must be able to deal effectively with stress created by sick residents, multiple tasks, noises, and interruptions, and must be able to work cooperatively as part of the health care team while maintaining a pleasant demeanor.

LICENSES

· Registration as a professional nurse in the State of Minnesota.

PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is required to:

· Must be able to occasionally push and pull residents weighing more than 75 pounds in wheelchairs and Geri-chairs. Must be able to occasionally reposition residents weighing more than 75 pounds in bed for treatments, nursing procedures and as needed.

· Must be able to frequently push/pull medication cart requiring force of 10-30 pounds on linoleum and carpeted floors.

· Must be able to continually perform simple and complex manipulative tasks using resident care equipment, as well as items such as the administration of meds (oral, injection and IV). (Continuously)

· Must be able to manipulate carts through doorways and into close-fitting areas.

· Must be able to safely assist a resident with transfers and ambulating. Must be able to move about in tight spaces and between objects, equipment, and furniture. (Frequently)

· Must have hand-eye coordination to administer injections and adjusting flow rates, etc. (Frequently).

· Constant walking and standing is required. Frequent reaching, bending, kneeling, and squatting are also required to reach lower drawers in Med carts, assist residents, etc.

· Must be able to smell smoke.

· Specific vision abilities required by this job include:

· Close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.

WORK ENVIRONMENT:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is occasionally exposed to:

· Occasional exposure to blood, body tissues, and other potentially infectious fluids.

· Frequent exposure to chemical compounds of medication and treatments.

· Frequent exposure to microbial bacteria and other infectious agents inherent to care of ill residents.

· Occasional exposure to loud or unpleasant voices and bodily injury due to unpredictable behavior of residents.

· Occasional exposure to unpleasant odors as related to care of incontinent residents.

· Continuous exposure to latex, Tyvex, plastic and/or materials which are used for personal protective equipment.

· Stress of working with sick residents and their families, combined with the resident who may be confused, irrational, highly agitated, or given to abrupt mood swings. (Frequently)

· Seasonal exposure to high humidity to resident’s option to control their environment.

The noise level in the work environment is:

· Quiet to loud

Equipment Used:

· Medication/treatment cart, blood pressure gauge, stethoscope, scissors, sterile/non-sterile treatment supplies, adaptive devices, bathing equipment, mechanical lifts, adjustable beds, scale, gait belt, laundry and food carts, telephone, water faucets, thermometers, wheelchairs, walkers, hearing aids, electric shavers, catheters, ostomy supplies, tube feeding equipment, oxygen concentrator, microwave oven, etc.

Job Type: Full-time

Pay: $36.25 - $38.25 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Tuition reimbursement
• Vision insurance

Medical specialties:

• Home Health

Physical setting:

• Nursing home

Standard shift:

• Day shift
• Evening shift
• Night shift

Weekly schedule:

• Monday to Friday
• Rotating weekends
• Weekend availability

Ability to commute/relocate:

• Le Sueur, MN: Reliably commute or planning to relocate before starting work (Preferred)

License/Certification:

• RN (Required)

Work Location: In person

Salary : $36 - $38