RN or LPN Long Term Care (Days and Nights)

## Description

**Job Summary**

Coordinates and delivers, on an age and developmentally appropriate basis, direct clinical care per nursing process for adult and geriatric residents/patients. Delivers resident/patient care according to the Scope of Service for the Living Center. Assumes weekend charge nurse responsibilities as follows: acts as a clinical and administrative role model and resource for the Living Center. Contact person for the physicians and other department managers. Manages the care of the residents/patients. Adheres to and practices the SJH Corporate Compliance Program and participates in Performance Improvement activities.

**Essential Functions**

**Resident Care**

• Obtains data from resident and/or family using observational, interviewing, interpretation and critical thinking skills for valid assessment of condition upon admission and daily. Data to include: condition of the skin, mobility, sensory impairments, cardiovascular status, respiratory status, nutritional status, reaction to medication, psychosocial and mental status.
• Utilizes resident data for problem identification, particularly rehabilitation and restoration of all functions where possible and good supportive care to prevent further deterioration when not possible.
• Initiates appropriate nursing interventions that are population specific/developmentally appropriate and allows for resident choice whenever possible.
• Identifies changes in resident status and responds appropriately using safe nursing judgment in the notification of a physician and follows chain of command.
• Assures all pertinent resident data is communicated through oral and written means appropriately using the change of condition log.
• Uses SBAR when communicating resident information.

**Resident Safety and Plan of Care**

• Formulates a plan of care that is resident centered and is based on the 10 Eden principles.
• Attends care conferences as schedule allows.
• Responsible for following resident care plan guidelines as outlined by the Care Coordinators.
• Identifies risk factors and provides for resident safety.
• Implements measures to prevent injury and provide a safe environment.
• Keeps department and hallways clean and orderly.
• Demonstrates knowledge and awareness of medication action, side effects and protocols for use.
• Gives medications safely and accurately according to policy and procedure.
• Completes event reports for all adverse drug reactions.
• Consistently implements the current National Patient Safety Goals.
• Uses two patient identifiers
• Provides clear and concise reports when "handing off" to another provider
• Completes medication reconciliation on admission and at discharge
• Implements correct hand washing according to the CDC guidelines
• Implements interventions to reduce falls and pressure ulcers

**Resident and Family Education**

• Addresses resident and family's spiritual needs utilizing a holistic, resident centered approach.
• Incorporates teaching/education into all aspects of resident care and nursing practice.
• Provides clear information to assist the resident and family to make informed decisions.
• Notifies families appropriately regarding resident's needs and/or change in condition.
• Documents all resident and family education and pertinent communications.

**Job Requirements**

**Minimum Education**

**Required:**ASN

**Preferred:**BSN

**Minimum Work Experience**

**Required:**Good communication and customer service skills. Excellent organizational skills. Demonstrated leadership and decision making skills. Basic computer skills.

**Required Licenses:**Current RN license with the authority to practice in the State of Wyoming and current BLS required at time of hire.

**Functional Demands**

**Working Conditions**

Long term care clinical setting, frequent stressful situations, irregular hours, and care of patients/residents with complicated medical/psychosocial conditions. May be required to take call shifts and must be able to work shifts. Must be on-site at the SJH campus living center to fulfill the responsibilities of this role.

**Physical Requirements**

75% of the shift spent standing and walking, Intermittent sitting and computer use. Physically active, including heavy lifting and moving of residents, equipment and supplies. Must possess sight/hearing abilities to perform job requirements. Must possess the ability to push, pull, bend and reach. Must be able to lift up to 50 pounds.

**Direct Reports:** None

**Reports to:** Director of Nursing LC

**Internal and External Contacts:**All hospital departments, residents, physicians, families and/or friends of residents and community agencies.

**Leadership Capabilities**

**1. Patient Focus**

• Is dedicated to meeting the expectations and requirements of patient
• Gets firsthand patient feedback and uses it for improvements
• Establishes and maintains effective relationships with patients and gains their trust and respect

**2. Attention to Detail**

• Completes tasks in a way that ensures there are not errors
• Methodically and patiently reviews work to identify any mistakes or discrepancies
• Creates and stores documentation in a way that is thorough and easy to access

**3. Quality Decision Making**

• Considers many factors and sources when making decisions
• Is correct and accurate with most of his/her solutions and suggestions when judged over time
• Is sought out by others for advice and solutions
• Spends his/her time and the time of others on what's important
• Quickly zeros in on the critical and few and puts the trivial many aside
• Handles risks and uncertainty with composure

**4. Interpersonal Skills (Nursing)**

• Steps up to conflicts, seeing them as opportunities
• Builds appropriate rapport
• Finds common ground and gains cooperation
• Taking responsibility for the consequences of one's own actions and decisions