Job Title: Primary Care RN
FLSA Exemption Status: Exempt
State/Business Line Specific: PACE
Reports to: Director of Clinical Services
The Primary Care RN has the responsibility and accountability for the direct and indirect nursing care of assigned participants. The RN is independent in his/her application of geriatric nursing knowledge and skills. He/she manages complex clinical situations for which he/she is responsible. Works with other nursing personnel in the delivery of care and services according to each participant's comprehensive participant assessment and plan of care. Assists in managing clinic in accord with facility philosophy, in compliance with standards of professional nursing practice, and with all state and federal laws and regulations. Utilizes resources in an efficient and economic manner to ensure that each participant achieves the highest achievable physical, mental and psycho-social well-being.
Physical attendance at an InnovAge facility and/or an InnovAge participant home is essential to performing the job duties.
Essential Functions and Work Responsibilities
Functional Category: Participant Nursing
Estimated Percent of time Spent
ASSESSMENT: Collects participant data and completes clinical entry fields with appropriate responses according to unit standards; identifies participant's over problems/needs and sets priorities; identifies problems requiring further referral and/or follow up; interprets and records latest diagnostic results; performs advanced nursing using critical thinking skills.
Planning Care: Develops a plan of care based on nursing process and which incorporates the plans of other disciplines and continuing care needs; includes the participant/family in developing or revising the plan of care; makes referrals to multidisciplinary support services. Initial and periodic assessments (minimally every 6 months) to be completed prior to the scheduled team meeting. Communicates participant changes to team members.
Implementing /Managing Care: Care provided conforms to accepted practice standards; provides correct treatments/ procedures and other care as prescribed and according to participant care standards ; demonstrates understanding of age-related characteristics and needs of participants served; explains nursing procedures in appropriate forms; provides participant and family education in coordination of 24 hour care delivery; identifies emergency situations and independently initiates advanced therapy; acts as coordinator of participant care with other health care personnel and evaluates participant care measures instituted; understands and demonstrates respect for participant rights and utilizes established mechanisms for management of ethical issues in participant care. Analyzes data gathered from rounds and record reviews and acts promptly to resolve problems and to continuously improve quality. Participates in formal quality assessment and assurance activities as directed by the Quality Assurance Committee.
Evaluation: Records participant care delivered as planned and any variation, with appropriate rationale; makes and records observations related to impending or associated problems; implements nursing measures related to impending or associated problems.
Leadership: Using nursing process, assists with delegating nursing personnel, integrates cost effective measures into nursing practice; recognizes unit problems and takes responsibility for documenting same; demonstrates active participation in QI processes; complies with LIFE Program expectations to meet staffing demands based on participant care needs; complies with policies addressing safe working conditions and takes initiative when unsafe conditions appear; recognizes inappropriate and/ or ineffective participant care management and intercedes as appropriate, resolves issue/problem and completes written reports, fulfills call for unit as assigned and adjusts staffing for census (volume) and acuity.
Participates as member of interdisciplinary team in development of plan of care for each participant that assists the participant to attain or maintain the highest level of physical, mental and psycho-social well- being. Plans of care are developed with the participation, to the extent practicable, and consent of the participant and/or participant's interested family member, legal representative.
Maintains ongoing communication with other disciplines to evaluate participant responses to interventions, to suggest alternative approaches when indicated and to revise and update plans of care to reflect progress toward goals. Facilitates interdepartmental communication to meet participants' needs.
Develops and maintains nursing policies and procedures that reflect current standards of nursing practice and facility philosophy of care consistent with state and federal laws and regulations. Communicates and interprets policies and procedures to nursing staff. Monitors practice for effective implementation.
Establishes and implements infection control program designed to provide a safe, sanitary and comfortable environment and to prevent the development and transmission of disease and infection. Reviews infection control surveillance reports to identify trends and to develop effective actions to control and prevent infections in the facility. Includes infection control information and statistics in Quality Assessment and Assurance Committee report.
Monitors the provision of care and services to participants and evaluates regulatory compliance efforts through daily rounds to observe care, to review records and to interview staff members, participants, families and other interested parties.
Conducts quality assessment and assurance activities, including regulatory compliance rounds, in all departments to monitor performance and to continuously improve quality. Develops program to gather and analyze data for trends and to institute actions to resolve Evaluates effectiveness of actions. Participates as member of Quality Assessment and Assurance Committee. Reports and makes recommendations to Quality Assessment and Assurance Committee.
Participates in on-call schedule; triages phone calls to appropriate staff.
Informs the participant in advance about care and treatment and any changes to the plan of care.
Immediately informs the participant, consults with the participant's physician and notifies the designated family member and/or the participants legal representative when there is an accident involving an injury which has potential for requiring physician intervention; a significant change in the participants physical, mental or psycho-social states; a need to alter treatment significantly or a decision to transfer or discharge the participant from the facility.
Interacts with participants, family members, legal representatives, surrogates to answer questions, resolve concerns. Makes prompt attempts to resolve all participant grievances, seeking consultation or assistance from other departments or administration as appropriate.
Participates in self development and education activities, educates self and nursing peers by observing practice, interpreting facility policies and procedures, identifying learning needs and taking advantage of opportunities to teach on the unit. Fulfills state required continuing education requirements.
Practices in manner consistent with infection control procedures. Consults with Nurse Practitioner and or Medical Director with any questions related to infection control.
Ensures sufficient number of staff; evaluates staffing based on LIFE daily census, participant acuity, and other participant needs. Adjusts staffing pattern accordingly. Communicates difficulty meeting participant needs and maintaining regulatory compliance promptly to Director of Clinical Services.
Completes required documentation of care and services delivered including subjective findings, objective symptoms, interventions and participant responses to interventions. Completes required documentation of special circumstances including accident/incident reports compliance with state and federal laws and regulations.
Reports relevant information to the Medical Director, Center Director, QA Coordinator and interdisciplinary team re: functioning and communication, regulatory compliance issues, participant risk factors, sudden changes in participant behavior, expressed dissatisfaction by participant or family, reviews of treatment unexplained injuries, staff behavior (positive and negative), staffing needs, equipment and supply needs, opportunities to revise policies, procedures, improve quality.
Reports all injuries to self or others to supervisor immediately.
Participates in fire and disaster drills. In the event of an emergency carries out assigned duties to assure participant safety.
Additional work functions and duties may be assigned
Travel may be required
Possible overnight travel out of state
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. 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
Licensure, Certification, Registration or Designation
Current State issued Registered Nurses License required.
Current CPR certification or the ability to obtain CPR certification is required.
Require personal transportation, current state issued driver's license, good driving record and auto insurance as required by law.
Work Experience and Qualifications
Two years professional nursing experience providing direct care in long term care facility
Familiarity with state and federal regulatory requirements
Licensure, Certification, Registration or Designation
Work Experience and Qualifications
Three years of health care experience with emphasis in geriatrics
1 year supervisory or management experience with direct care staff
Participant geriatric clinic and home health experience preferred
Other Knowledge Skills and Abilities Required
Must be computer proficient and possess experience with Microsoft Word, Excel, and Outlook.
Must be able to quickly learn specific software and new applications.
Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.
Able to analyze data and statistics and draw reasonable conclusions and compile accurate reports.
Ability to read, analyze and interpret regulations and other documents.
Strong interpersonal skills and ability to effectively and tactfully present information to, and communicate with, co-workers, employees, and others.
Possess exceptional English written and verbal communication skills, including accurate grammar and business correspondence knowledge.
Ability to read and write memos, reports, and correspondence that conform to prescribed style and format.
Other Skills and Abilities:
Able to establish and maintain cooperative and positive working relationships.
Organized, detail-oriented, diplomatic, proactive, self-motivated, dependable, and driven by excellence.
Even-tempered and able to balance multiple tasks in accordance with changing deadlines and priorities in a fast-paced environment.
Ability to work sensitively and effectively with individuals of diverse ethnic and cultural backgrounds.
InnovAge Service Standards Requirements
Physical Demands /Work Environment
Must possess mobility to work in a standard office setting, or clinical setting, and use standard office equipment, including a computer, and medical equipment; vision/sight (close distance, long distance, depth and peripheral) to assess emergency situations, including medical incidents and to read printed materials and a computer screen; and hearing and speech to communicate in person, before groups, and over the telephone. Depending on assignment, standing in work areas and walking between work areas may be required, and travel to visit various cultural, physical, behavioral and environmental settings may be required. Finger dexterity is needed to access, enter, and retrieve data using a computer keyboard, typewriter keyboard, or calculator and to operate standard office and medical equipment. Positions in this classification occasionally bend, stoop, kneel, reach, push, and pull drawers open and closed to retrieve and file information. Employees must possess the ability to lift, carry, push, and pull materials and objects up to 50 pounds. Reasonable accommodations will be made for individuals on a case-by-case basis.
Employees primarily work in an office environment with moderate noise levels and controlled temperature. Employees may work outdoors and are occasionally exposed to loud noise levels and cold and/or hot temperatures. Incumbents may be exposed to blood and body fluids in the performance of their assigned duties. Employees may interact with members of the public or with staff under emotionally stressful conditions while interpreting and enforcing departmental policies and procedures.
MATERIALS, TOOLS EQUIPMENT, WORK AIDS
May require use of wheelchair, medical equipment, gait belts, sliding board, bedside commode, shower equipment, and other work aids
May require working under stressful conditions. May experience pressure to meet scheduled deadlines. There may be distractions such as phone calls, work interruptions, and communication from co-workers.
Respond and intervene appropriately to multiple interruptions. Working conditions may be noisy and crowded and expose employee to fluctuating indoor temperatures, and humidity around showers/bathrooms.
Full time 40