Provides 24/7 responsibility for managing human and material resources of nursing unit in
conformance policies and procedures of Iroquois Nursing Home. (This includes awareness of all
3 shifts activities on the unit, including weekends).
Assures quality of care by interpreting facility and nursing services standards of care, enforcing
adherence to the state board of nursing and NYS RN practice requirements, and the NYS
Department of Health regulations, to measure health outcomes against standards to address.
Maintains nursing operations by initiating, coordinating, and enforcing facility and governmental
program, operational, and policies and procedures.
Manages unit staff by recommending selection of, termination of, providing instruction and
direction to, teaching, mentoring, coaching, counseling and disciplining as necessary to meet the
ongoing human resource needs of the unit. Initiates and completes Performance Evaluations on all unit staff.
Establishes a compassionate environment by providing, and assuring all unit staff provide
emotional, psychological, and spiritual support to residents, their families and friends.
Promotes the resident's independence by establishing resident care goals, teaching, and
counseling the resident and family, and reinforcing their understanding of disease, medications,
and self-care skills.
Provides information to residents, the health care interdisciplinary team, the unit team, and other
health care professionals as necessary.
Monitors and protects resident's HIPPA information by monitoring confidential PHI on the unit,
and that used by unit staff.
Manages unit resources, by studying processes and supply useage, identifies trends, anticipates
needed supplies and resources, and provides for efficiencies on the unit.
Ensures operation of all medical and administrative equipment by completing maintenance
requirements, maintaining equipment, following all manufacturer's instructions, troubleshooting
malfunctions, calling for repairs, evaluating and educating staff on new equipment and
techniques.
Participates in, and actively contributes to Nursing Services daily meeting/reports (aka: Morning
Report).
Responsible to assure all unit resident EMR Progress Notes and Nursing Notes, are correct,
accurate, are not subjective or objective, and are factually based.
Participates in, and actively contributes to weekly skin rounds, as the RN for the unit's Wound
Care Program.
Actives participates in, contributes to, and provides on-going audits for Quality Assurance (QAPI) programs and implements appropriate interventions to improve delivery of care. This includes, but is not limited to:
• Infection Control Audits
• Restorative care resident recommendations
• Wound/Skin Care
• Re-hospitalization reduction.
• EMR Care Planning, primary diagnosis audits
• Resident necessary medication audits.
• Medication administration audits.
• Resident Care audits
• Plan of Corrections audits.
Participated in, and actively contributes to Plan of Corrections. Assists with coordination of, or
provides staff training or re-training as necessary.
May assist and/or provide residents assessments, or other information for the completion of
facility MDS documentation.
Resolves resident needs by utilizing multidisciplinary team strategies.
Unit Manager or designee sees each resident daily, adjusting nursing assessments as necessary for resident's nursing needs. Assigns & manages personnel to ensure quality delivery of care.
Schedules resident physician renewals and prepare paperwork for physician rounds.
Accountable for the delivery of nursing care through appropriate EMR documentation.
Accountable for ensuring resident assessments are completed and coordinating needed services.
Participates in Resident Care Conferences and Discharge Planning meetings with interdisciplinary Care Plan Team and resident's representative to coordinate and plan individualized quality care for residents.
Assures the physical, emotional, spiritual comfort, and environmental safety of residents.
Advocates for the resident, and assures all staff (from all departments) acts as resident advocates, addressing needs (within their scope) and provide for good customer service.
Participates in policy development and revision and interprets policies/procedures to staff.
Responsible for, and assures that all Resident Accident/Incident Reports are completed fully and timely, including RN Assessments and Accident Investigations. Follows up as necessary in EMR.
Assist with orientation, supervises, and evaluates each unit staff member through oral conferences and written documentation.
Utilizing the nursing process: plans, implements, evaluates and updates the comprehensive care plan, based upon resident outcomes and progress.
Assist the attending physicians to review treatment plans, record and sign their orders, progress notes, etc., in accordance with established policies.
Serves as a resource person for unit staff.
Assumes responsibility for maintaining professional competence through educational programs.
Works beyond normal working hours and on weekends and holidays when necessary, as well as in other positions as needed. Is subject to callback during emergency situations (e.g., severe weather, evacuation, post-disaster, etc.). It is expected that the Nurse Manager will respond to emergency requests within a "reasonable amount of time"(generally 2 hours or less).
May function as the RN Clinical Manager on off shifts, including weekends and holidays, as necessary.
Additional duties as needed to fulfill the needs of the department or facility.
