Registered Nurse - Santa Rosa, United States - Front Porch

Description

The Staff Registered Nurse (RN) functions independently in performing nursing care through assessment, planning, intervention and evaluation of safe therapeutic care for patients' overt and covert needs and/or complications of treatment during his or her assigned shift.

• Completes appropriate written history/assessment on residents' clinical record within 4 hours of admission, including details from interviews with family, responsible parties and other nurses and physicians.
• Legibly documents symptoms that indicate risk on the clinical record; incorporates nursing diagnostic data into written assessments.
• Documents information from family, other nurses and physicians in the written assessment.
• Prepares documents reflecting knowledge of expectations included in the Minimum Data Set (MDS); contributes in an appropriate and timely manner to the MDS.
• Documents identified problems; develops and contributes to the care plan using nursing diagnosis; adds resident teaching needs and discharge planning to clinical records.
• Uses resources and involves resident and/or family when formulating a written plan of care.
• Incorporates the medical plan into the interdisciplinary plan for care.
• Updates the Kardex and care plans using nursing diagnosis and outcome criteria.
• Follows time frames when carrying out medical/nursing plan of care.
• Communicates changes and responses to care in shift report.
• Documents and sets priorities for care of residents based on need and resident preference.
• Safely performs and documents nursing interventions required by the resident assignment and consistent with scientific principles and facility policy.
• Carries out and documents medical and nursing care plans for residents; coordinates resident care activities with other members of the healthcare team.
• Responds to information or data indicating acute risk to resident; initiates and documents action to reduce or correct the risk.
• Explains tests, procedures and disease progression to resident and/or family. Instructing and informs resident or family of skills essential to understand and cope with illness and to promote optimal health or, if indicated, the discharge process; assesses and records family level of understanding on the clinical record.
• Ensures that resident is reassessed as status requires. Documents resident response to care in clinical record.
• Regularly evaluates effectiveness of nursing intervention per the intended goals; revises care plans accordingly.
• Participates in resident care conferences.
• Provides formal and informal teaching activities to promote staff education and knowledge.
• Communicates identified learning needs of others to resources able to meet learners' needs.
• Assists in orientation of new staff; shares knowledge, experiences and acts as a preceptor or mentor. Assists others in choosing nursing intervention, developing skills and applying knowledge.
• Assists in employee performance evaluation as needed.
• Is knowledgeable of, follows and directs others to follow facility policies and department procedures and nursing unit protocols.
• Administers medications safely and accurately, following existing department procedures.
• Follows infection control policies, procedures and standard precautions.
• Recognizes and communicates to proper authority any ethical and legal issues relative to patient care.
• Completes notification forms according to protocol and notifies appropriate personnel.
• Models prevention and safety principles for residents and staff. Uses mechanical equipment correctly and appropriately per the procedure manual. Detects faulty equipment and notifies appropriate person for repairs.
• Supervises delegated care based on patient acuity and abilities or limitations of health care personnel.
• Notes changing resident status that affects nursing unit staffing needs and adjusts assignments accordingly.
• Responds cooperatively to immediate staffing and/or resident care needs; assists other staff when necessary and available.
• Utilizes the steps of problems solving to resolve identified resident related problems. Acts as a staff resource to in problem identification and resolution.
• Reports unit related problems using the supervisory communications structure.
• Listens to and respects the ideas, opinions and feelings of others.
• Completes clinical assignment in a timely fashion including maintenance of equipment and supplies necessary for the provision of resident care through the next shift.
• Completes non-clinical assignments, tasks and projects within a pre-established agreed upon time frame.
• Prioritizes own workload relative to resident care needs.
• Participates in staff meetings; obtains information presented in staff meetings when unable to attend.
• Participates in nursing unit goal-setting.
• Attends all mandatory in-service programs and performs committee work as requested.
• Performs other duties within capabilities as assigned by Supervisor.
• Participates in setting measurable, individual professional goals; acquires knowledge and experience to meet goals; achieves change and growth based on evaluation and feedback
• Treats all guests, resident contacts, employees and staff with respect and courtesy. Receives, places and transfers calls using appropriate telephone etiquette.
• Handles information requests with courtesy, accuracy and respect for confidentiality.
• Respects attendance, time-off and sick call policies. Arrives to work on time and prepared to start assignment.
• Understands department and facility policies and procedures, as well as safety and security policies and performs to those standards.
• Completes mandatory safety and security education.
• Maintains Universal Precautions (Standard Precautions).
• Attends annual fire/safety and hazardous materials review.

• Understanding of and compliance with HIPAA standards of practice and the California Nurse Practice Act.
• Utilize an Electronic Health Records system like Point Click Care (PCC)
• Able to work patients from ages 55 to 120.
• Able to work well with others and to perform a variety of assigned duties.

• Current license to practice as a Registered Nurse in the state of California.
• One year of experience in either acute care or long-term care preferred.
• Current CPR certification.
• Must complete and pass a physical examination with tuberculosis (TB) screen prior to employment.

We support all aspects of diversity and provide equal employment opportunity to all employees and applicants without regard to race, color, religion, sex, marital status, national origin, age, sexual orientation, disability or status as a veteran in accordance with the applicable nondiscrimination laws.

Final candidates must successfully complete a pre-employment physical, physical abilities test, drug screen and Department of Justice Criminal background clearance.