Rn-Unit Manager

General Description

Under the supervision of the Assistant Director of Nursing or Director of Nursing

Services the Unit Manager has authority, responsibility and accountability for the overall

management of residents on a designated unit. The Unit Manager is responsible for

directing, coordinating, and supervising the activities of nursing staff engaged in specific

nursing practices and is responsible for transmitting each unit's staff concerns to the

appropriate department supervisor. Demonstrates ability to perform job functions of a

Certified Nursing Assistant, Licensed Practical Nurse and Registered Nurse, as needed.

Essential Duties

1. Perform various duties to provide quality nursing care to residents to maintain or

attain the highest practical level of functioning as illustrated by the following:

a. Plans effective administration of nursing care in cooperation with other health

related disciplines on each unit.

b. Responsible for assessment of resident needs, development and

implementation of comprehensive Care Plan. Consults with residents'

physician in planning resident care. Periodically reviews and updates

comprehensive Care Plan.

c. Evaluates incidents and determines emergency measures to be used. Assesses

and directs emergency treatment to residents and staff involved in accidents.

If necessary, notifies the physician and the appropriate persons. Completes

the incident report with causes investigated and corrective actions taken

and/or suitable recommendations made to avoid recurrence, for review by the

Facility Quality Assurance Committee. Updates the Care Plan with new

interventions.

d. Supervises planning of daily assignments for personnel on the unit.

e. Conforms to established policies and procedures and maintains staff

awareness of these in their daily work.

f. Schedules and leads staff conferences to promote initiative and solve resident

care oriented problems.

g. Works with interdisciplinary team members in developing a discharge plan for

individual residents and assists in achieving discharge planning.

h. Assists in orienting and directing new staff.

i. Maintains accurate records of resident care and related statistics as required.

j. Reviews and interprets work performance against accepted standards.

Responsible for completion of performance evaluations of nursing staff. May

review and provide input for performance evaluations for nursing staff on

alternate shifts. Completes proficiency audits for nurses and assigns and

reviews audits for Certified Nursing Assistants.

k. Directs requisitions of equipment and supplies and encourages proper

utilization of same.

l. May provide input to the appropriate staff in planning nursing in-service

programs and on-the-unit conferences based upon an assessment of staff's

learning needs and/or resident care problems.

m. Handles resident or staff grievances and/or refers them to the appropriate

department supervisor.

n. Is available for emergencies and assistance to nursing staff as needed.

o. Communicates and acts as a liaison among residents, family, physicians, and

staff.

p. Accompanies physicians on rounds, examinations and treatments, as needed.

q. Informs the Charge Nurse and Director of Nursing Services of pertinent

information concerning resident status, staff actions, employee attitudes and

suggestions.

r. Conducts resident rounds to assess and/or supervise nursing care, assess

condition of residents, and promotes a safe, clean, comfortable environment.

s. Receives reports from personnel on previous shift and verifies that the

continuity of care continues by staff on next shift.

t. Participates in Nursing Management Meetings, HART Team Meetings, and

Comprehensive Care Plan Conferences.

u. May provide input in formulating nursing policies and procedures.

v. Notifies the resident's physician, family and/or health care agent of any

change in the resident's condition.

2. Establishes and maintains resident care systems per standardized procedure that are

consistent throughout the Facility. These include:

a. Unit Management System for group assignments and nursing assistant

responsibilities.

b. Restraint Reduction System to verify restraints are at a minimum, and that

restraints are released at least every two hours, or per Care Plan. Restraint

releases are to occur on the unit at the same time or per Care Plan, and be

observed by a licensed staff member.

c. Turning and Positioning System to verify schedules are followed every two

hours or per Care Plan.

d. Resident Ambulation System to verify residents adhere to their ambulation

program.

e. Scheduling system to verify scheduling for nurses and CNAs is completed in a

fair and consistent manner.

f. Nourishment/Supplements System to verify nourishments/supplements are

passed according to developed schedule.

g. Cleanliness System to verify that environment is clean, orderly and organized.

Verifies cleaning schedules are in writing and audited daily.

h. Infection Control System to verify that appropriate infection control protocol

is followed.

i. Pharmacy System to verify correct meds are received timely, meds are

discarded timely and properly and costs are appropriate for resident payer

sources; and med room and med carts are monitored for policy compliance.

j. Lab System to verify labs are drawn timely, and in accordance with doctors

orders.

k. Reviews Change of Condition/24-Hour Report daily and deletes residents

from the report as needed.

Standard Requirements

1. Supports the Mission, Values and Vision of the Facility.

2. Is knowledgeable of resident rights and supports an atmosphere which allows for

the privacy, dignity and well-being of all residents in a safe, secure environment.

3. Supports, cooperates with, and implements specific procedures and programs for:

OSHA and safety, including standard precautions and safe work practices,

established fire/safety/disaster plans, risk management, and security, report and/or

correct unsafe working conditions, equipment repair and maintenance needs.

4. Adheres to:

a. Confidentiality of all data, including resident, employee and operations

data.

b. HIPAA regulations

c. Quality Assurance requirements and compliance with regulatory

requirements.

d. Compliance with current law and policy to provide a work environment

free from sexual harassment and illegal and discriminatory behavior.

e. Code of Conduct and Compliance Program when performing work

functions.

5. Supports and participates in common teamwork:

a. Cooperates and works together with all co-workers; plans and completes

job duties with minimal supervisory direction, including appropriate

judgment.

b. Uses tactful, appropriate communications in sensitive and emotional

situations.

c. Follows up as appropriate with supervisor, co-workers or residents

regarding reported complaints, problems and concerns.

d. Promotes positive public relations with residents, family members and

guests.

e. Completes requirements for in-service training, acceptable attendance,

uniform and dress codes including personal hygiene, and other work

duties as assigned.

f. Participates as assigned in the orientation of new staff and demonstrates a

positive, helpful, and enthusiastic attitude.

6. Immediately reports incidents of alleged resident abuse or neglect or alleged

violations of residents' rights to Director of Nursing or Executive Director.

7. Knowledgeable of age specific developmental factors specific to adult and

geriatric residents (i.e. physical, cognitive and socialization factors) in planning

delivery of care.

8. Maintains current practice standards or changes by participating in educational

opportunities provided by the Facility and outside resources.

Other Duties

Provides hands on nursing care to residents as needed as a registered professional nurse,

consistent with the state's Nurse Practice Act.

Perform tasks which are supportive in nature to the essential functions of the job, but

which may be altered or redesigned depending upon individual circumstances. Performs

other work duties as assigned.

Qualifications

Education/Training: Maintains a current, valid license as a registered professional

nurse in good standing. Must have current CPR certification.