RN

Northern Nevada State Veterans Home is seeking RN's. Days and Night Shift.

We offer 3-12 hour shifts. Night shift and weekend shift differential. Great benefits, Vacation and Sick time!

Come work with our Veterans!

JOB SUMMARY:

Responsible for the independent supervision of the delivery of care to a group of residents in a nursing unit. Assess resident needs, develop

individual care plans, administer nursing care, evaluate nursing care, and supervise Certified Nursing Assistants (CNAs) and other personnel

in the delivery of nursing care.

Minimum Qualifications:

Must hold and maintain a current license to practice as a Registered Nurse in practicing state.

Recent clinical experience, education, or specialty skills specific to geriatrics.

Demonstrate understanding that state and Federal rules and regulations govern the practices within the facility.

Demonstrate working knowledge of infection control principles and practices.

Ongoing pursuit of Continuing Education Credits in clinical subjects, management, personal growth and development.

Proven ability to communicate effectively and positively with staff, residents and family members.

Basic computer knowledge and ability with an aptitude to learn company software.

Must be capable of maintaining regular attendance.

Must meet all local health regulations and pass post-employment physical exam, if required. This requirement also includes drug

screening, criminal background investigation and reference inquiry.

Essential Job Functions

Resident Assessment

Adhere to state rules and regulations concerning delivery of care and assure that effective quality nursing care is delivered which is

outcome focused through utilization of the nursing process. Effectively interview the resident/responsible party to obtain information

required for developing and implementing a plan of care.

Demonstrate ability to perform physical assessment through observation, inspection, palpation, percussion and auscultation. If

applicable, is involved in and accurately complete the RAI process.

Identify needs and provide input for discharge planning and follow-up throughout length of stay.

Develops Plan of Care

Develop individualized plan of care in collaboration with the resident/responsible party and interdisciplinary care team by

documenting problems, statements, goals and approaches in collaboration with other members of the interdisciplinary care team.

Seek LPN and Certified Nursing Assistant input when developing plan of care.

Define realistic and obtainable long and short term goals for the residents. Initiate appropriate nursing interventions with time frames

for outcome evaluations and document appropriately in medical record.

Revise plan of care with input from resident/responsible party and interdisciplinary care team. Implement teaching with

resident/responsible party consistent with interdisciplinary plan of care.

Implements Plan of Care

Implement plan of care consistently, effectively and cost efficiently with focus on resident centered outcomes.

Identify rationale and anticipated outcomes for each nursing intervention.

Assume responsibility for care interventions consistent with skill level and professional standards of care.

Utilize time efficiently to assure completion of duties and responsibilities in allotted time frame.

Utilize professional and sound judgment in delivery of care which is cost efficient but does not jeopardize safe, effective care

delivery.

Utilize all appropriate, available resources for resident/family/responsible party counseling and discharge planning.

Follow company policies and procedures to ensure a safe, caring, comfortable and clean environment.

Keep physician and/or other health care professionals (Nurse Practitioner, Physician Assistant, podiatrist, dentist, etc.) informed of

resident's condition; and notify physician and/or other healthcare professionals immediately of significant changes of condition.

Work in collaboration with physician and/or other health care professionals by sharing information relevant to changing plan of care.

Question and seek clarification of unclear orders.

Evaluates Plan of Care

Evaluate team and make changes as needs are recognized. Critique and take responsibility for evaluating nursing care delivered.

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Utilize the expertise of Nursing colleagues to evaluate plan of care.

Elicit feedback from individual being served and/or family or responsible party to determine that their needs are being met.

Evaluate effectiveness of the plan of care in conjunction with the interdisciplinary care plan team.

Delivers Resident Care

Deliver and maintain optimum resident care and comfort by demonstrating knowledge and skills of current nursing practices.

Transcribe physician and/or other health care professionals' orders appropriately and accurately. Ask for clarification of

questionable orders from the ordering physician and/or other health care professionals. Notify physician and/or other health care

professionals if orders are not carried out and document event appropriately.

Perform only those activities which are within the scope of RN nursing practice.

Follow company, facility and departmental policies and procedures, and appropriately utilize nursing judgment.

Ensure accurate documentation of all medical records and reporting forms.

Promptly respond to call lights and other resident needs.

Supervision

Supervise Certified Nursing Assistants and other personnel. May supervise other Nurses, including other RNs. Coach, counsel and

assign Certified Nursing Assistants and other Nurses to provide quality resident care.

Independently evaluate the job skills and work performance of the Certified Nursing Assistants and other Nurses through the formal

performance evaluation process. Appropriately discipline or participate in the discipline of Certified Nursing Assistants and other

Nurses for violations of work rules, policies or poor performance, including the recommendation of suspensions and terminations.

Recognize Certified Nursing Assistants and other Nurses for exceptional care and job performance on a regular basis and as part of

their formal performance evaluation.

Assign Certified Nursing Assistants and other Nurses specific duties for resident care and direct their work. Assign hours, breaks

and meal periods to Certified Nursing Assistants and other Nurses. Ensure proper staffing by calling in replacement employees for

Certified Nursing Assistants and other Nurses not reporting for work and by transferring or reassigning Certified Nursing Assistants

and other Nurses to ensure adequate staffing levels. Revise work schedules of Certified Nursing Assistants and other Nurses as

necessary. Train and/or assist in the orientation of new employees.

Attempt to effectively resolve Certified Nursing Assistant and other Nurses' problems/complaints and grievances. Incorporate

Certified Nursing Assistants and other Nurses in a work team to meet resident needs.

Attend and participate in supervisory meetings. Support and follow through with management team goals.

Perform other management duties as assigned.

Customer Service

Provide compassionate resident care services. Establish and maintain positive interactions with internal and external customers,

including co-workers and direct reports.

Take responsibility for resolving Certified Nursing Assistant, Nurse, and other customers' issues and concerns striving for a win-win

outcome. Customers include residents, families, vendors and other employees.

Residents' Rights

Demonstrate strong ethical practices regarding individual/resident rights as stated in company policy. Support resident autonomy

and choice. Demonstrate both sensitivity and appropriate responsiveness to each resident's "end of life" wishes.

Resident Comfort and Safety

Demonstrate safe practices in regard to resident's comfort and safety by applying knowledge of proper body alignment for self and

resident. Practice and promote adherence to institutional safety codes. Promote a restraint-free environment.

Pharmacy Knowledge

Maintain an updated knowledge base in pharmacology. Demonstrate knowledge of policies governing medication administration

and documentation. Demonstrate a knowledge of drug reactions and sensitivities and nursing interventions.

Assure that narcotics are accounted for properly.

Apply adult learning principles when educating individuals, family members or responsible party regarding the resident's medication

regimen.

Lab Values

Recognize normal and abnormal lab values and communicate same in appropriate manner to physician and other interdisciplinary

team members as appropriate.

Infection Control

Demonstrate working knowledge of infection control practices.

Continuing Education

Recognize self-evaluation and self-development as important tools in maintaining high standards of care and professionalism. Seek

and provide peer support and consultation.

Participate in facility/department in-services. Attend continuing education programs. Attend facility/department/staff meetings as

required.

Safety

Comply with, support and enforce Company policies involving all safety and infection control procedures to include the proper use

of mechanical lifts, gait belts and personal protective back supports.

Residents' Rights and Positive Relationships

Understand, comply with and promote all rules and regulations regarding residents' rights; promote positive relationships with

residents, visitors, and regulators, to include presenting a professional appearance.

Other Functions and Responsibilities

Must perform duties inside the state nurse practice act

Must adhere to Avalon's Code of conduct and Business Ethics policy, including documentation and reporting responsibilities

Attend and participate in educational activities, in-service training, and staff meetings; assist in orientation and training of other

staff.

Participate in Quality Assurance activities, as assigned.

Other duties as assigned or needed.

Facility Specific Job Duties and Responsibilities

Physical and Sensory Requirements (With or Without Aid of Mechanical Devices):

Walking/mobility, reaching, bending, grasping, pushing, lifting, transferring and repositioning residents, pulling, fine hand coordination;

ability to read and write; ability to understand and follow written and oral instructions; ability to verbally communicate with residents and

others; ability to distinguish smells, tastes and temperatures; ability to hear and respond to pages; ability to understand and apply training and

in-service education; ability to instruct personnel during training education and staff meetings; and ability to remain calm in emergency

situations and when handling multiple tasks.