Under the direct supervision of the WNRC Clinical Coordinator (LTCC) and the Director of Nursing (DON) or designee, implements basic nursing duties based on the residents’ plan of care: by organizing, directing and implementing services throughout the residents’ continuum of care. Performs direct resident care duties of assigned residents. Responsible for the administration of medications and treatments; assessments and documentation of his/her assigned group of residents throughout their stay. Facilitates and provides direct supervision of resident care activities in conjunction with Licensed Practical Nurse (LPN), Certified Nurse Aide (CNA), Restorative Nurse Aide (RNA) and other ancillary healthcare staff. Works with Long Term Coordinator (LTCC) and the Interdisciplinary Team (IDT) to assure residents stay and discharge planning are based on the residents’ plan of care. Under the direction and guidance of the LTC Leadership Team, utilizes appropriate resources and regulatory agencies to facilitate compliance in pertinent actions relative to the annual OHCA and Department of Health (DOH) survey process. Participates in Quality Assurance and Performance Improvement (QAPI) activities as related to WNRC QI Indicator Reports.
1. Perform duties of medication administration and wound treatments to assigned residents.
2. Maintain resident safety and dignity at all times.
3. Administer intravenous medication through PICC lines as prescribed by the physician for the entire unit.
4. Perform PICC line dressing changes and maintain patency on each shift.
5. Supervise CNAs and ensure activities of daily living (ADL) are being performed to their assigned residents.
6. Coordinate with Rehab and Activities staff in preparation of residents for their schedules.
7. Update and follow up with Primary Physicians for any changes in residents’ conditions and update family member.
8. Participate in care planning and implementation of residents’ care plans.
9. Supervise and assist LPN on his/her unit a needed including clinical assessments of medically complex residents.
10. Assist LPN and respond to resident emergencies.
11. Assist LPN with complex wound assessments and dressing changes and notify Wound Nurse as per protocol.
12. Prepare residents going for hemodialysis treatments and other appointments or follow up.
13. Report any updates or significant changes on the unit to LTCC/RN Supervisor and DON.
14. Perform other duties as assigned.
- Complies with internal/external standards applicable to unit, procedures, protocols, DOH/OHCA, and union contract provisions.
- Keep abreast of Federal/State and third party regulations and requirements to ensure compliance and maximize reimbursement as related to the admission and utilization review process.
- Participates in applicable committees.
Minimum Qualification Requirements
1. Ability to plan, organize, develop, implement and interpret the programs, goals, objectives, policies and procedures, etc. that are necessary for providing quality resident care and maintaining a sound operation.
2. Ability to deal tactfully with personnel, residents, families, visitors, government agencies/personnel and the general public.
3. Ability to work harmoniously with and supervise professional and non-professional staff.
4. Ability to read, speak, and write the English language efficiently to perform the duties of the position.
5. Ability to demonstrate the knowledge and skills necessary to plan and provide care appropriate to the age and special needs of residents/patients served.
6. Ability to maintain regular attendance and punctuality.
1. Graduate of an accredited School of Nursing.
1. Once (1) year experience in acute or nursing facility preferred.
1. Current RN licensure by the State of Hawaii
2. Passing score on the medication examination
3. Current BLS certification; must be able to physically perform CPR.
- Supervisory experience in Long Term Care.
- Air conditioned, well lighted environment.
- Exposure to infectious and contagious diseases, bodily fluids and washes; bloodborne pathogens.
- Subject to frequent interruptions.
- May work beyond normal work hours.
- Interacts with other departments and personnel and outside contacts.
- Use of various diagnostic and therapeutic equipment and patient assistance devices; general office equipment.
Mental and Physical Demands
- Ability to lift/carry and push/pull up to 50 pounds without assistance.
- Position involves reaching, sitting, standing, and walking for prolonged periods of time.