5-7 years of nursing experience, preferably in long-term care
Strong understanding of physician orders and resident care protocols
Excellent communication skills for liaising with physicians and nursing staff
Ability to conduct thorough assessments and audits
Proficient in documentation and record-keeping standards
Responsibilities
Ensure accurate transcription of physician orders and follow up as needed
Alert physicians to changes in resident conditions and obtain necessary orders
Assist with the admission process and ensure readiness of rooms for new residents
Conduct rounds with physicians and maintain proper documentation
Inspect and document wound care, recommending treatment changes when necessary
Perform comprehensive unit rounds to ensure timely care and a clean environment
Conduct weekly chart audits to ensure compliance with care standards
Benefits
401(k) plan
Dental insurance coverage
Health insurance options
Paid time off for work-life balance
Vision insurance availability
Full Job Description
Job Description:
Ensure the appropriate transcription of physician order as per policy and provide follow through as appropriate.
Ensure that physicians are alerted to changes in resident condition, lab work, etc., and obtain orders as indicated.
Inform nursing personnel of new admissions, ensure that rooms are ready, greet new admissions and escort to rooms. Assist licensed nursing staff with the admission process. Review all admissions assessments for completion and accuracy.
Make rounds with physicians as necessary and ensures proper record keeping.
With Wound Doctor assist with wounds rounds weekly by visually inspecting each wound, obtaining accurate measurements and documenting on facility wound tracking log. Recommends treatment changes when appropriate and ensures all skin care interventions are carried out as care planned.
Perform comprehensive unit rounds at least three times a day to identify concerns and assure correction. These rounds will be performed to provide assurance that residents are receiving appropriate, timely care and services as well as to ensure the environment is maintained in an orderly, clean, and homelike manner.
Review nurse's notes to ensure documentation is maintained relating to resident's treatment, medications, and conditions.
Conduct weekly chart audits to ensure compliance with professional standards and quality of care.
Complete necessary reports as required by the Director of Nursing.
Report problem areas to the Director of Nursing and assist in developing and implementing corrective action.
