Introduction:

We are seeking a compassionate and reliable Certified Nursing Assistant to join our team and provide high-quality care to our patients. The Certified Nursing Assistant will assist with activities of daily living, including bathing, dressing, grooming, and medication management, and provide ongoing support and monitoring to ensure that patients receive the best possible care. The successful candidate will have excellent communication skills and be able to work collaboratively with other healthcare professionals.

Responsibilities:

• Assist with personal care, including bathing, dressing, grooming, and hygiene assistance

• Assist with medication management and administration, as directed by a healthcare professional

• Monitor patients' vital signs and report any changes to the appropriate staff member

• Communicate with patients and families to provide education and support

• Collaborate with other healthcare professionals to coordinate care and ensure continuity of treatment

• Perform light housekeeping tasks, such as laundry and cleaning

• Other duties as assigned

Qualifications:

• Certified Nursing Assistant or Health Care Aid certification preferred

• Minimum of 1 year of experience as a Certified Nursing Assistant

• Compassionate and patient demeanor

• Excellent communication and interpersonal skills

• Ability to follow care plans and adhere to medication schedules

• Ability to lift and assist patients with mobility, as needed

Perks:

• Competitive salary

• Paid time off

• Medical, dental, and vision insurance

• 401(k) retirement plan (US only), Employer RRSP match (Canada only)

• Professional development opportunities

• Positive and supportive work environment

Introduction:

We are seeking a compassionate and reliable Certified Nursing Assistant to join our team and provide high-quality care to our patients. The Certified Nursing Assistant will assist with activities of daily living, including bathing, dressing, grooming, and medication management, and provide ongoing support and monitoring to ensure that patients receive the best possible care. The successful candidate will have excellent communication skills and be able to work collaboratively with other healthcare professionals.

Responsibilities:

• Assist with personal care, including bathing, dressing, grooming, and hygiene assistance

• Assist with medication management and administration, as directed by a healthcare professional

• Monitor patients' vital signs and report any changes to the appropriate staff member

• Communicate with patients and families to provide education and support

• Collaborate with other healthcare professionals to coordinate care and ensure continuity of treatment

• Perform light housekeeping tasks, such as laundry and cleaning

• Other duties as assigned

Qualifications:

• Certified Nursing Assistant or Health Care Aid certification preferred

• Minimum of 1 year of experience as a Certified Nursing Assistant

• Compassionate and patient demeanor

• Excellent communication and interpersonal skills

• Ability to follow care plans and adhere to medication schedules

• Ability to lift and assist patients with mobility, as needed

Perks:

• Competitive salary

• Paid time off

• Medical, dental, and vision insurance

• 401(k) retirement plan (US only), Employer RRSP match (Canada only)

• Professional development opportunities

• Positive and supportive work environment

Title: MDS Coordinator - RN   

Job Code: MDS001

Facility: 

Dept: Nursing

Supervisor: DON

FLSA Status:  Exempt

Name:

Date of Hire:

Signature:

Today’s Date:

JOB SUMMARY:

The primary purpose of the MDS Coordinator – RN position is to conduct and coordinate the development and completion of the Resident Assessment Instrument, initiate nursing care plans and ensure completion and transmission of the MDS within regulatory time frames and requirements.

JOB DUTIES & RESPONSIBILITIES: 

Administrative Functions

·        Conduct and coordinate the development and completion of the resident assessment (MDS) according to current rules, regulations and guidelines set forth in the RAI User manual, including the implementation of Care Area Triggers and Care Area Assessments.

·        Manage RAI process and Care Plans according to VHS standards.

·        Complete medical forms, reports, evaluations, and studies as directed.

·        Develop, implement and maintain an ongoing quality assurance program for the resident assessment/care plans.

·        Participate in facility surveys and the development of a plan of correction as it relates to deficiencies sited in the resident assessment/care plan areas.

·        Schedule resident assessment/care plan meetings and inform appropriate department supervisors accordingly.

·        Assist in contacting outside members of the care plan team, including resident’s representative/family members regarding participation in care plan meetings.

Assessment and Care Plan Functions

·        Conduct or coordinate the interviewing of each resident for the resident’s assessment. Ensure that appropriate health professionals are involved in the assessment.

·        Evaluate each resident’s condition and pertinent medical data to determine any need for special assessment activities or a need to amend the admission assessment.

·        Coordinate with the Director of Nursing to inform all assessment team members of the assessment date of newly admitted residents.

·        Ensure that all members of the assessment team are aware of the importance of completeness and accuracy in their assessment and that they are aware of penalties, including civil monetary penalties for false certification.

·        Coordinate the development of a written plan of care (interim and comprehensive) for each resident that identifies the problems/needs, indicates the care to be given, goals to be accomplished, and which professional service is responsible for each element of care.

·        Ensure that the care plan includes measurable objectives and timetables to meet the resident’s medical, nursing and mental and psychosocial needs.

·        Ensure that an initial resident assessment is completed within fourteen days of the resident’s admission.

·        Ensure that a comprehensive care plan is completed within twenty-one days of the resident’s admission.

·        Encourage the resident and family members to participate in the development and review of the plan of care.

·        Develop the schedule of activities required for the completion of the Resident’s assessment process.

·        Assist the Director of Nursing Services and relevant supervisors in ensuring that all personnel providing direct care to the resident are aware of the plan of care and that they refer to the care plan prior to administering daily care.

·        Ensure that quarterly and annual MDS and care plan reviews are completed per the schedule in the RAI Manual.

·        Ensure that a complete assessment is conducted within fourteen days of a significant change in the resident’s condition.

·        Coordinate the review and revision of the care plan by the interdisciplinary team (including hospice, if appropriate) after each quarterly review to ensure that the care plan is revised to reflect the change in status.

·        Assist the DON and other relevant supervisors in maintaining good rapport and morale between and within departments to ensure a team effort in providing consistent quality care.

·        Ensure that each portion of the assessment is signed and dated by the person completing that portion of the MDS.

·        Sign and date the MDS to certify its completion.

·        Transmits MDS per state and federal regulations.

Committee Functions

• Act as Chairperson of the Interdisciplinary Care Plan Team.
• Serve on other committees as required or requested by the Administrator or DON.
• Provide written or oral reports as requested by various committees as it relates to resident care planning.
• Evaluate and implement recommendations from established committees that pertain to assessment and/or care plan functions.

Personnel Functions

• Maintain an effective, friendly working relationship with health professionals, physicians, consultants and governmental agencies that may involve assessment and care plan functions.
• Meet with and solicit advice from department supervisors concerning the assessment and care plan functions.

Staff Development Functions

·        Assist in the development, planning, scheduling and conducting of timely in service training the IDT regarding assessment skills and techniques for completing the MDS. Such training would include but not be limited to interviewing residents, rehabilitation principles, psychotropic drugs, care plan documentation and functions, etc.

·        Attend continuing education programs designed to keep abreast of changes in your profession, as well as to maintain your license.

Resident Rights Responsibilities

·        Maintain the confidentiality of all resident care information.

·        Ensure that all residents are treated fairly, and with dignity, kindness and respect.

·        Ensure that resident interviews are conducted in private.

·        Ensure that all nursing service personnel are knowledgeable of and honor the residents’ rights including the right to refuse treatment. Ensure that such requests are in accordance with the facility’s policies governing advance directives.

·        Ensure that the facility’s policies and procedures governing advance directives are reviewed with the resident and/or representative.

·        Review complaints and grievances made by the resident and make a written/oral report to the DON indicating what action(s) were taken to resolve the complaint or grievance. Follow the facility’s established procedures.

·        Obtain a written record of the resident’s complaints and/or grievances that indicates the action taken to resolve the complaint or the current status of the complaint.  Give report to DON or Administrator.

·        Report and investigate all allegations of resident abuse and/or misappropriation of resident property.

Working Conditions

·        Works in office areas as well as throughout the nursing service area (drug rooms, nurses’ station, resident rooms, etc.)

·        Moves intermittently during work hours.

·        Is subject to frequent interruptions.

·        Is involved with residents, personnel, visitors, government agencies/personnel, under all conditions and circumstances.

·        Is subject to hostile and emotionally upset residents, family members, personnel and visitors.

·        Communicates with the medical staff, nursing personnel and other department supervisors.

·        Works beyond normal working hours and in other positions temporarily, when necessary.

·        Is subject to callback during emergency conditions.

·        Attends and participates in continuing educational programs.

·        Is subject to exposure to infectious waste, diseases, conditions, etc. including TB and the AIDS and Hepatitis B viruses.

·        Is subject to injury from falls, burns from equipment, odors, etc., throughout the workday, as well as to reactions from dust, plastics, synthetics, disinfectants, tobacco smoke, and other potential contaminants.

·        May be subject to the handling of and exposure to hazardous chemicals.

·        Maintains a liaison with the resident, their families, support departments, etc. to adequately plan for the residents’ needs.

JOB REQUIREMENTS: 

Education

• Must be a graduate from an accredited Nursing school, or possess a Nursing Degree from an accredited college or university.

Experience           

·        Must possess a current, unencumbered, active license to practice as a RN in this state.

·        At least one (1) year experience in rehabilitative and restorative nursing or as a staff nurse in a health care facility. Experience in long-term care required.

Specific Requirements

·        Must be able to read, write, speak and understand the English language.

·        Must possess computer skills and some understanding of documentation software programs.

·        Must display professionalism both in appearance and attitude.

·        Must possess the ability to solve problems and make independent decisions when circumstances warrant such action.

·        Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agency personnel and the general public.

·        Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to long-term care.

·        Must possess the ability and the willingness to work harmoniously with and to coach and/or supervise other personnel.

·        Must be able to plan, organize, develop, implement and interpret the programs, goals, objectives, policies and procedures that are necessary for providing quality care.

·        Must have patience, tact, a cheerful disposition and enthusiasm, as well as the willingness to handle difficult people.

·        Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices.

·        Must be able to relate information concerning a resident’s condition.

·        Must not pose a direct threat to the health or safety of other individuals in the workplace.

Physical and Sensory Requirements

·        Must be able to move intermittently throughout the workday.

·        Must be able to speak and write the English language in an understandable manner.

·        Must be able to cope with the mental and emotional stress of the position.

·        Must be able to see and hear or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully met.

·        Must function independently and have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies.

·        Must meet the general health requirement set forth by the policies of this facility, which include a medical and physical examination.

·        Must be able to relate to and work with the ill, disabled, elderly, emotionally upset, and at time hostile people within the facility.

·        Must meet the general health requirements set forth by the policies of this facility, which include a medical and physical examination.

·        Must be able to push, pull, move, and/or lift a minimum of five (5) pounds to a minimum height of three (3) feet and be able to push, pull, move, and/or carry such weight a minimum distance of five (5) feet.

·        Must be able to assist in the evacuation of residents during emergency situations.

·        Sitting:             1 hour per 8-hour shift.  Alternates frequently to standing or walking.

·        Standing:         1-2 hours per 8-hour shift.  Alternates frequently to walking and occasionally to sitting.

·        Walking:          5-6 hours per 8 hour shift.  Alternates frequently to standing and occasionally to sitting.

·        Lifting:             1-10 lbs.           Continuously

11-20 lbs.         Continuously

21-75 lbs.         Frequently

> 75 lbs.           Frequently

·        Carrying:         1-10 lbs.           Continuously

11-20 lbs.         Frequently

21-35 lbs.         Occasionally

·        Driving:                                    Rarely

·        Pushing:                                   Frequently

·        Bending:                                 Continuously

·        Squatting:                               Frequently

·        Kneeling:                                 Occasionally

·        Crawling:                                Rarely

·        Climbing:                                Rarely

·        Reaching:                               Continuously

·        Grasping:                                Frequently

·        Fine Manipulation:                  Frequently

(Frequency:  Never=0%; Rarely=1-10%; Occasionally=11=33%; Frequently = 34-66%; Continuously = 67%+)

Equal Employment Opportunity/Affirmative Action Employer and do not discriminate on the basis of race, color, age, sex, religion, veteran’s status, national origin, disability, marital status, or any other characteristic protected by law.

The primary purpose of the Certified Nursing Assistant position is to provide each assigned resident with excellent daily nursing care and services in accordance with the resident’s assessment and plan of care, and as may be directed by your supervisor.

JOB DUTIES & RESPONSIBILITIES:

Administrative Functions

· Identify residents before administering treatments, serving meals, etc. as necessary.

· Record all entries on flow sheets, notes, charts, etc. in an informative and descriptive manner.

· Use only authorized abbreviations established by this facility when recording information.

· Report all changes in the resident’s condition to the RN Team Leader as soon as possible.

· Report and provide statement for all events, accidents and incidents you observe on the shift as they occur.

Admission, Transfer, and Discharge Functions

· Ensure that the resident’s room is ready for receiving the resident (i.e., bed made, name tags up, admission kit available, etc.)

· Greet residents and escort them to their room.

· Introduce resident to his/her roommate, if any, and other residents and personnel as appropriate.

· Make resident comfortable (i.e., put to bed, get water, etc.)

· Inventory and mark the resident’s personal possessions as instructed.

· Store resident’s clothing.

· Assist residents with packing their personal belongings when they are being transferred or discharged.

· Transport residents to new rooms or to the receiving area.

· Assist with loading/unloading residents from vehicles as necessary.

Personnel Functions

· Perform all assigned tasks in accordance with our established policies and procedures, and as instructed by your supervisor.

· Follow work assignments, and/or work schedules in completing and performing your assigned tasks.

· Cooperate with inter-departmental personnel, as well as other facility personnel to ensure that nursing services can be adequately maintained to meet the needs of the residents.

· Create and maintain an atmosphere of warmth, personal interest and positive emphasis, as well as a calm environment throughout the unit and the shift.

· Meet with your shift’s nursing personnel, on a regularly scheduled basis, to assist in identifying and correcting problem areas, and/or the improvement of services and participate in Team Conference.

· Report all complaints and grievances made by the resident.

· Notify the facility when you will be late or absent from work.

· Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals to your supervisor.

Personal Nursing Care Functions

· Participate in and receive the nursing report upon reporting for duty.

· Follow established policies concerning exposure to blood/body fluids.

· Assist residents with hygiene needs to include:

· Daily dental and mouth care (i.e. brushing teeth/dentures, oral hygiene, special mouth care, etc.)

· Bathing (i.e. bed bath, tub or shower bath, etc.) as directed

· Dressing/undressing as necessary

· Hair care needs (i.e. combing, brushing, shampooing, etc.)

· Nail care (i.e. clipping, trimming and cleaning the finger/toe nails)

· Shaving male residents

· Controlling hair growth on female residents (i.e. facial hair, under arms, on legs, etc.) as instructed

· Keeping residents dry (i.e. change gown, clothing, linen, etc. when they become wet or soiled)

· Change bed linens. Keep linens tight to avoid wrinkles from forming under the resident.

· Make beds (occupied and unoccupied.)

· Put extra linens on bed as requested.

· Position bedfast residents in correct and comfortable position, utilizing positioning devices as indicated.

· Assist resident with bowel and bladder functions (i.e., take to bathroom, offer bedpan/urinal, portable commode, etc.)

· Maintain intake and output records as instructed.

· Keep incontinent residents clean and dry.

· Check and report bowel movements and character of stools as instructed.

· Assist residents in preparing for medical tests and appointments (i.e., lab work, x-ray, therapy, dental, physician dialysis, etc.)

· Assist residents in preparing for activity and social programs (i.e. church, parties, visitors, physician, dialysis).

· Assist in transporting residents to/from appointments, activity and social programs, etc. as necessary.

· Assist with lifting, turning, moving, positioning, and transporting residents into and out of beds, chairs, bathtubs, wheelchairs, lifts, etc.

· Assist residents to walk with or without self-help devices as instructed.

· Provide eye and ear care (i.e., warm/cold compresses, removing wax and hair, cleaning eyeglasses/hearing aids, dentures, etc.) as instructed.

· Assist in preparing the resident for a physical examination.

· Measure and record temperatures, pulse, and respirations, as instructed.

· Answer resident calls promptly.

· Check each resident routinely to ensure that his/her personal care needs are being met in accordance with his/her wishes.

· Assist with the care of the dying resident as directed.

· Provide post-mortem care as instructed.

Special Nursing Care Functions

· Observe and report the presence of red areas and skin breakdowns to prevent decubitus ulcers.

· Report injuries of an unknown source, including skin tears.

· Provide daily indwelling catheter care.

· Provide daily perineal care.

· Perform non-sterile (clean) vaginal irrigation/douches.

· Assist with the application of slings, elastic bandages, binders, etc.

· Give tepid sponge baths.

· Provide daily range of motion exercises and record data as instructed.

· Turn bedfast residents at least every two (2) hours.

· Perform diabetic urine testing, as directed.

· Observe disoriented and comatose residents. Record and report data as instructed.

· Turn all medications found in the resident’s room over to the Medication Administration Manager.

· Watch for and report any change in room temperature, ventilation, lighting, etc. to the RN Team Leader.

Food Service Functions

· Prepare residents for meals (i.e., take to bathroom, wash hands, comb hair, raise bed, position tables, place clothing protectors, take to/from dining room, etc.)

· Serve food trays. Assist with feeding as indicated (i.e., cutting foods, feeding, assist in dining room supervision, etc.)

· Assist residents with identifying food arrangements (i.e. informing resident with sight problem of foods that are on his/her tray, where it is located, if it is hot/cold, etc.)

· Record the resident’s food intake. Report changes in the resident’s eating habits.

· Keep residents’ water pitchers clean and filled with fresh water and within easy reach of the resident.

· Serve between meal and bedtime snacks.

· Perform after meal care (i.e. remove trays, clean resident’s hands, face, clothing, take to bathroom, brush teeth, clean dentures, etc.)

· Check rooms for food articles (i.e. food in proper container, unauthorized food items, etc.)

· Maintain intake/output records as assigned.

Safety and Sanitation

· Apply restraining device to residents in chair/bed as ordered.

· Check residents with restraining device at least every thirty (30) minutes or as ordered.

· Release restraining device at least every two (2) hours for range of motion exercises, taking to bathroom, etc.

· Maintain a record of residents with a restraining device, the time devices were released, and how long the restraining device was released.

· Participate in appropriate in-service training programs prior to performing tasks that involve potential exposure to blood/body fluids.

· Wash hands before and after performing any service for the resident.

· Keep the nurses’ call system within easy reach of the resident.

· Immediately notify the RN Team Leader of any resident leaving/missing from the facility.

· Follow established safety precautions in the performance of all duties.

· Keep residents’ personal possessions off the floor and properly stored.

· Keep floors dry. Report spills immediately.

· Keep excess supplies and equipment off the floor. Store in designated areas.

· Clean, disinfect, and return all resident care equipment to its designated storage area after each use.

· Report all hazardous conditions and equipment to the RN Team Leader immediately.

· Report all safety violations.

· Follow established smoking regulations. Report all violations.

· Report any communicable or infectious disease to the DON and/or the Infection Control Coordinator.

· Follow established isolation precautions and procedures.

· Wash hands before entering and after leaving an isolation room/area.

· Follow established procedures in the use and disposal of personal protective equipment.

· Wear and/or use safety equipment and supplies (i.e. back brace, mechanical lifts, etc.) when lifting or moving residents.

· Report missing/illegible labels and MSDSs to your supervisor.

Equipment and Supply Functions

· Use only the equipment you have been trained to use.

· Operate all equipment in a safe manner.

· Report defective equipment to the RN Team Leader.

· Inform the RN Team Leader of your equipment and supply needs.

Care Plan Functions

· Review CNA care cards daily to determine if changes in the resident’s daily care routine have been made on the care plan.

· Inform the RN Team Leader of any changes in the resident’s condition so that appropriate information can be entered on the resident’s care plan.

· Ensure that your notes/documentation reflect that the care plan is being followed.

Resident Rights Responsibilities

· Maintain the confidentially of all resident care information.

· Ensure that you treat all residents fairly, and with kindness, dignity, and respect.

· Ensure that all nursing care is provided in privacy.

· Knock before entering the resident’s room.

· Report all complaints made by the resident and/or family member to the RN Team Leader.

· Report all allegations of resident abuse and/or misappropriation of resident property immediately.

· Honor the resident’s refusal of treatment request. Report such requests to the RN Team Leader.

Working Conditions

· Works throughout the nursing service areas.

· Moves intermittently during work hours.

· Is subject to frequent interruptions.

· Is involved with residents, personnel, visitors, government agency personnel, etc. under all conditions and circumstances.

· Is subject to hostile and emotionally upset residents, family members, personnel and visitors.

· Communicates with nursing personnel and other department personnel.

· Works beyond normal working hours, on weekends and holidays, and in other positions, temporarily, when necessary.

· Is subject to callback during emergency conditions.

· Attends and participates in continuing education programs.

· Is subject to injury from falls, burns from equipment, odors, etc., throughout the workday, as well as to reactions from dust, plastics, synthetics, disinfectants, tobacco smoke, and other potential contaminants.

· Is subject to exposure to infectious waste, disease, conditions, etc. including TB and the AIDS and Hepatitis B viruses.

· May be subject to the handling of and exposure to hazardous chemicals.

Staff Development Functions

· Attend and participate in scheduled training and educational classes to improve nursing skills and maintain current certification as a Nursing Assistant.

· Attend and participate in scheduled orientation programs and activities.

· Attend and participate in annual OSHA and CDC in-service training programs for hazard communication, TB management, and blood borne pathogens standards.

· Attend and participate in advance directive in-service training programs as scheduled.

JOB REQUIREMENTS:

Education

· Must possess a high school diploma or GED.

· Must be a Certified Nursing Assistant in accordance with the laws of this state.

· Possess some computer skills and understanding of documentation software program preferred.

Specific Requirements

· Must be able to read, write, speak, and understand the English language.

· Must possess the ability to make independent decisions when circumstances warrant such action.

· Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agency personnel, and the general public.

· Must possess the ability and willingness to work harmoniously with other personnel.

· Must have patience, tact, a positive attitude and enthusiasm, as well as the willingness to handle difficult residents.

· Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices.

· Must be able to relate information concerning a resident’s condition.

· Must not pose a direct threat to the health and safety of other individuals in the workplace.

Physical and Sensory Requirements (with or without the aid of mechanical devices)

· Must be able to move continuously throughout the workday.

· Must be able to cope with the mental and emotional stress of the position.

· Must be able to see and hear or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully met.

· Must function independently and have flexibility, personal integrity, and the ability to work effectively with residents, families, personnel, and support agencies.

· Must meet the general health requirements set forth by the policies of this facility, which may include a medical and physical examination.

· Must be able to relate to and work with the ill, disabled, elderly, emotionally upset, and at times, hostile people within the facility.

· Must be able to push, pull, move, and/or lift a minimum of 10 pounds to a minimum height of 5 feet and be able to push, pull, move, and/or carry such weight a minimum distance of 5 feet.

· May be necessary to assist in the evacuation of residents during emergency situations.

· Sitting: 1-2 hour per 8-hour shift. Alternates frequently to standing and walking.

· Standing: 4-5 hours per 8-hour shift. Alternates frequently to walking and occasionally to sitting.

· Walking: 2-3 hours per 8 hour shift. Alternates frequently to standing and occasionally to sitting.

· Lifting: 1-10 lbs. Continuously

11-20 lbs. Occasionally

21-35 lbs. Rarely

36-50 lbs. Rarely

51-75 lbs. Rarely

> 75 lbs. Rarely

· Carrying: 1-10 lbs. Continuously

11-20 lbs. Rarely

21-35 lbs. Rarely

· Driving: Rarely

· Pushing: Continuously

· Bending: Occasionally

· Squatting: Rarely

· Kneeling: Rarely

· Crawling: Rarely

· Climbing: Rarely

· Reaching: Occasionally

· Grasping: Occasionally

· Fine Manipulation: Continuously

(Frequency: Never=0%; Rarely=1-10%; Occasionally=11=33%; Frequently = 34-66%; Continuously = 67%+)

Equal Employment Opportunity/Affirmative Action Employer and do not discriminate on the basis of race, color, age, sex, religion, veteran’s status, national origin, disability, marital status, or any other characteristic protected by law.

The primary purpose of the Laundry Aide position is to perform the day-to-day activities of the Laundry Department and as may be directed by your supervisor.

JOB DUTIES & RESPONSIBILITIES: 

Administrative Functions

• Ensure that work/cleaning schedules are followed as closely as practical.
• Assist in coordinating daily laundry services with nursing and activity services when performing routine assignments in resident living areas.
• Attend department and staff meetings as directed.
• File complaints/grievances with your supervisor.
• Turn in all lost and found articles to your supervisor.
• Maintain a lost and found area in the laundry department.

Laundry Services Functions

• Perform day-to-day laundry functions as assigned.
• Perform specific tasks according to daily work assignments.
• Perform assigned tasks according to established laundry procedures.
• Collect, sort, count and/or weigh soiled laundry, linen, garments, etc. and place in appropriate containers or assigned areas.
• Separate items that require special stain removal/treatment.
• Press/iron garments as instructed.
• Fold, count, stack, hang, label and distribute clean laundry to residents daily or as instructed.
• During emergency conditions, assure that clean laundry, linen, garments, etc., are distributed to designated areas as instructed.
• Clean floors, including sweeping, dusting, and mopping as requested.
• Keep laundry area clean and sanitary.
• Remove dust, dirt, grease, etc. from equipment and/or floor surfaces as necessary.
• Discard waste/trash into proper containers and reline receptacle with plastic liner.

Staff Development Functions

• Participate in department projects as directed.
• Attend in-service programs and on-the-job training classes as directed.
• Attend annual OSHA and CDC in-service programs for hazard communication, TB management and blood borne pathogens standards.

Safety and Sanitation Functions

• Follow established fire safety policies and procedures.
• Follow established safety precautions when performing tasks and when using equipment and supplies.
• Wear and/or use safety equipment and supplies when lifting or moving heavy objects.
• Ensure that assigned work areas are kept in a clean and sanitary manner.
• Keep work areas free of hazardous objects, unnecessary equipment, supplies, etc.
• Follow proper techniques when mixing chemicals, disinfectants, and solutions used in the work area. Always refer to MSDSs when necessary.
• Follow established procedures for product labeling and MSDSs.
• Report all hazardous conditions or equipment to your supervisor.
• Report any and all accidents/incidents to your supervisor during the shift in which they occur.
• Ensure that established infection control and universal precautions are followed.
• Use appropriate personal protective clothing and equipment when handling infectious materials.
• Discard sharps into designated container.
• Follow established hand washing procedures.
• Dispose of refuse daily according to proper sanitation procedures. 
• Coordinate isolation procedures with nursing services.
• Participate in in-service training prior to performing tasks that involve potential exposure to blood, body fluids or hazardous chemicals.

Equipment and Supply Functions

• Ensure that an adequate supply of laundry products is maintained to meet the daily needs of the residents.
• Keep supervisor informed of supply needs.
• Report all broken or malfunctioning equipment to your supervisor.
• Ensure that equipment is cleaned and properly stored at the end of your shift.

Resident Rights Responsibilities

• Maintain the confidentially of all resident information.
• Knock before entering the resident’s room.
• Honor the resident’s personal and property rights.
• Report all allegations of resident abuse and/or misappropriation of resident property.
• Inform resident when it is necessary to move his/her personal possessions.
• Report complaints of missing or mislabeled property to your supervisor.

Working Conditions

• Works primarily in the laundry area as well as in all areas of the facility.
• Moves intermittently during work hours.
• Is subject to frequent interruptions and may need to reschedule laundry activities.
• Is involved with residents, personnel, visitors, government agency personnel, etc. under all conditions and circumstances.
• Is subject to hostile and emotionally upset residents, family members, personnel and visitors.
• Communicates with other laundry personnel, nursing personnel and other department personnel.
• Works beyond normal working hours, on weekends and holidays, and in other positions, temporarily, when necessary.
• Is subject to callback during emergency conditions.
• May be required to work on shifts other than the one for which hired.
• Attends and participates in continuing education programs.
• Is subject to injury from falls, burns from equipment, odors, etc., throughout the workday, as well as to reactions from dust, plastics, synthetics, disinfectants, tobacco smoke, and other potential contaminants.
• Is subject to exposure to infectious waste, disease, conditions, etc. including TB and the AIDS and Hepatitis B viruses.
• May be subject to the handling of and exposure to hazardous chemicals.

JOB REQUIREMENTS: 

Education

• Must possess a minimum, a tenth (10th) grade education.

Experience           

• None required. On-the-job training provided.

Specific Requirements

·        Must be able to read, write, speak, and understand the English language.

·        Must possess the ability to make independent decisions, follow instructions and accept constructive feedback.

·        Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agency personnel, and the general public.

·        Must possess the ability and willingness to work harmoniously with other personnel.

·        Must have patience, tact, a positive attitude and enthusiasm, as well as the willingness to handle difficult residents.

·        Must be willing to seek out new methods and principles and be willing to incorporate them into existing housekeeping practices.

·        Must be able to follow written and oral instructions concerning the mixing of cleaning compounds, liquids, disinfecting solutions, etc.

·        Must be able to distinguish between cotton, wool and synthetics.

·        Must be familiar with proper heat to apply to particular fabrics to prevent damage.

·        Must not pose a direct threat to the health and safety of other individuals in the workplace.

Physical and Sensory Requirements

·        Must be able to move intermittently throughout the workday.

·        Must be able to speak and write the English language in an understandable manner.

·        Must be able to cope with the mental and emotional stress of the position.

·        Must be able to see and hear or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully met.

·        Must function independently and have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies.

·        Must meet the general health requirement set forth by the policies of this facility, which include a medical and physical examination.

·        Must be able to relate to and work with the ill, disabled, elderly, emotionally upset, and at time hostile people within the facility.

·        Must meet the general health requirements set forth by the policies of this facility, which include a medical and physical examination.

·        Must be able to push, pull, move, and/or lift a minimum of five (5) pounds to a minimum height of three (3) feet and be able to push, pull, move, and/or carry such weight a minimum distance of five (5) feet.

·        Must be able to assist in the evacuation of residents during emergency situations.

·        Sitting:            1 hour per 8-hour shift.  Alternates frequently to standing or walking.

·        Standing:       1-2 hours per 8-hour shift.  Alternates frequently to walking and occasionally to sitting.

·        Walking:         5-6 hours per 8 hour shift.  Alternates frequently to standing and occasionally to sitting.

·        Lifting:             1-10 lbs.          Continuously

11-20 lbs.        Continuously

21-75 lbs.        Frequently

> 75 lbs.          Frequently

·        Carrying:        1-10 lbs.          Continuously

11-20 lbs.        Frequently

21-35 lbs.        Occasionally

·        Driving:                                               Rarely

·        Pushing:                                  Frequently

·        Bending:                                 Continuously

·        Squatting:                              Frequently

·        Kneeling:                                Occasionally

·        Crawling:                                Rarely

·        Climbing:                               Rarely

·        Reaching:                              Continuously

·        Grasping:                               Frequently

·        Fine Manipulation:                Frequently

(Frequency:  Never=0%; Rarely=1-10%; Occasionally=11=33%; Frequently = 34-66%; Continuously = 67%+)

Equal Employment Opportunity/Affirmative Action Employer and do not discriminate on the basis of race, color, age, sex, religion, veteran’s status, national origin, disability, marital status, or any other characteristic protected by law.

The primary purpose of your job position is to provide direct nursing care to the residents, and to supervise the day-to-day nursing activities performed by licensed practical nurses and nursing assistants. 

JOB DUTIES & RESPONSIBILITIES: 

Administrative Functions

·        Organize and assign all jobs to be done on tour of duty so that workload is evenly distributed among nursing personnel on the basis of staff qualifications, size and physical layout of the facility.

·        Periodically review department policies, procedures and job descriptions and make recommendations for revisions.

·        Implement established policies and procedures.

·        Ensure that all nursing personnel assigned to you comply with the written policies and procedures established by this facility.

·        Meet with your assigned nursing staff and support personnel to plan appropriate services, programs and activities for your shift.

·        Cooperate with other resident services when coordinating nursing services to ensure that the resident’s individual care plans are being followed.

·        Participate in the development, maintenance, and implementation of the facility’s quality assurance program.

·        Request conferences with the Director of Nursing as needed to discuss resident, personnel and facility related business.

·        Participate in facility surveys made by authorized regulatory agencies as requested.

·        Periodically review the resident’s written discharge plan and participate in updating that plan as required.

·        Admit, transfer and discharge residents as required.

·        Place and receive, personally, all calls to and from physicians.

Charting and Documentation

·        Assist in updating the resident care plans as instructed by the MDS/Care Plan Coordinator and/or Director of Nursing.

·        Chart nurses’ notes in an informative and descriptive manner that reflects the care provided to the resident, as well as the resident’s response to the care.

·        Document status of each resident on the chart at least weekly, more often if significant change occurs or as directed. Follow up with monthly and quarterly summaries as instructed.

·        Make rounds with physician, as directed, and record visits in resident’s chart.

·        Transcribe, accurately and promptly, all physician’s orders.

·        Direct documentation and make weekly detailed evaluation of all resident documentation so that chart reflects progress and condition of resident at all times.

·        Approve and sign charts when observations are made.

·        Insure that all medications and treatments are charted and signed following administration of the medication/treatment, by the administering person.

·        Report all discrepancies noted concerning physician’s orders, diet change, charting error, etc. to the ADON or DON.

·        Complete accurate accident/incident reports as necessary.

·        Fill out and complete transfer forms in accordance with established procedures.

Drug Administration Functions

·        Prepare and administer medications as ordered by physician.

·        Verify the identity of the resident before administering the medication/treatment.

·        Ensure that prescribed medication for one resident is not administered to another.

·        Ensure that an adequate supply of floor stock medications, supplies, and equipment are on hand to meet the nursing needs of the residents. 

·        Order prescribed medications, supplies, and equipment as necessary and in accordance with established policies.

·        Ensure that narcotic records are accurate for your shift.

·        Notify the ADON or DON of all drug and narcotic discrepancies noted on your shift.

·        Prepare, administer and record all parenteral, intramuscular, sub-cutaneous injections.

·        Administer I.V. fluid therapy in accordance with policy and procedure.

·        Administer or supervise all treatments prescribed by physician.

·        Dispose of drugs and narcotics as required and in accordance with established procedures.

Nursing Care Functions

·        Implement and maintain established nursing objectives and standards.

·        Make rounds at least every two (2) hours to ensure that certified nursing assistants are properly administering prescribed care assignments.

·        Make general observation and evaluation of the resident’s physical and emotional status. Make note of any significant changes and communicate those changes to the ADON/DON according to facility policy and protocol.

·        Ensure that direct nursing care is provided by a licensed nurse, a certified nursing assistant, and/or a nurse aide trainee qualified to perform the procedure.

·        Cooperate with and coordinate social and activity programs with nursing service schedules.

·        Notify the resident’s physician and/or next of kin when the resident is involved in an accident/incident or if there is a significant change in the resident’s condition.

·        Cooperate with restorative and rehabilitative programs as requested.

·        Inspect the treatment areas to ensure they are maintained in a clean and safe manner.

·        Administer professional services such as: catheterization, tube feedings, suction, applying and changing dressings, packs colostomy and drainage bags, taking blood, giving massages and range of motion exercises, care for the dead/dying, etc. as required.

·        Administer restraints for residents in accordance with physician’s orders, established policies and procedures.

·        Obtain sputum, urine and other specimens for lab tests as ordered.

·        Take and record TPR’s, blood pressures, etc. as necessary.

·        Monitor seriously ill residents as necessary.

·        Check foods brought into the facility by the resident’s family/visitors to ensure it is within the resident’s dietary allowances.  Report problems to the ADON/DON.

·        Ensure that personnel providing direct care to residents are providing such care in accordance with the resident’s care plan and wishes.

·        Ensure that residents who are unable to call for help are checked frequently.

·        Meet with residents, and/or family members, as necessary.  Report problems/complaints promptly to the ADON/DON.

·        Admit, transfer and discharge residents as necessary.

·        Ensure that discharged residents are escorted to the pick-up area.

·        Inform family members of the death of the resident.

·        Ensure that established postmortem procedures are followed.

·        Conduct week skin checks as assigned.

Human Resource Functions

·        Assist the SDC in developing, planning, conducting and scheduling in-service training classes that meet the skill development and knowledge acquisition needs of your assigned staff.

·        Implement and maintain an effective “unit/shift/floor” orientation for new associates.

·        Assist in standardizing the methods in which work will be accomplished.

·        Respond to need for staffing shortages by arranging replacement staff, as directed.

·        Conduct performance evaluations for your assigned staff according to facility policy i.e., following orientation and annually.

·        Review and evaluate your department’s work force and make recommendations to the ADON/DON.

·        Develop work assignments for nursing staff on your shift.

·        Provide leadership to nursing personnel assigned to your shift.

·        Make daily rounds of your unit to ensure that nursing service personnel are performing their work assignments in accordance with acceptable nursing standards.

·        Meet with your shift’s nursing personnel, on a regularly scheduled basis, to assist in identifying and correcting problem areas and/or improve services.

·        Develop and maintain a good working rapport with inter-departmental personnel to ensure that nursing services can be adequately maintained to meet the needs of the residents.

·        Create and maintain an atmosphere of warmth, personal interest and positive emphasis, as well as a calm, quiet environment throughout the unit and shift.

·        Review complaints made by your assigned personnel.

·        Ensure that disciplinary action is administered fairly and in accordance with established facility disciplinary procedures.

·        Receive/give the nursing reports during shift change.

·        Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals in accordance with the facility’s policies and procedures.

·        Attend monthly in-service education programs in order to stay current in your profession and meet facility educational requirements.

Safety and Sanitation Functions

·        Monitor your assigned personnel to ensure that they are following established safety regulations.

·        Assist the Infection Control Coordinator in identifying, evaluating and classifying routine and job-related functions to ensure that tasks in which there are potential exposure to blood/body fluids are properly identified and recorded.

·        Ensure that all personnel participate in appropriate in-service training programs prior to performing any tasks that involve exposure to blood/body fluids.

·        Ensure that your assigned work areas are maintained in a clean and sanitary manner.

·        Ensure that your assigned personnel follow established Universal Precautions and infection control procedures.

·        Ensure that your assigned personnel participate in and conduct all fire safety and disaster preparedness drills in a safe and professional manner.

·        Ensure that an MSDS Manual is properly labeled and readily available at the nurses’ station and that all your assigned personnel are oriented to the location and use of the manual.

·        Ensure that all personnel operate nursing service equipment in a safe manner.

Care Plan and Assessment Functions

·        Review care plans daily to ensure appropriate care is being given.

·        Ensure that your nurses’ notes reflect that the care plan is being followed as written.

·        Review resident care plans for appropriate resident goals, problems, approaches, and revisions based on nursing needs.

·        Ensure that your assigned CNAs are aware of the resident care plans and refer to the plan prior to administering daily care to the residents.

·        Assist the Resident Assessment/Care Plan Coordinator in planning, scheduling, and revising the MDS, including the implementation of RAPs and Triggers.

Miscellaneous

·        Provide data to the Quality Assurance and Assessment Committee as requested.

Resident Rights Responsibilities

·        Maintain the confidentiality of all resident care information.

·        Monitor nursing care to ensure that all residents are treated fairly, and with dignity, kindness and respect.

·        Ensure that all nursing care is provided in privacy and that nursing service personnel knock before entering the resident’s room.

·        Ensure that all nursing service personnel are knowledgeable of and honor the residents’ responsibilities and rights including the right to refuse treatment.

·        Review complaints and grievances made by the resident and make a written/oral report to the Charge Nurse indicating what action(s) were taken to resolve the complaint or grievance. Follow the facility’s established procedures.

·        Maintain a written record of the resident’s complaints and/or grievances that indicates the action taken to resolve the complaint and the current status of the complaint.

·        Report and investigate all allegations of resident abuse and/or misappropriation of resident property.

Working Conditions

·        Works in office areas as well as throughout the nursing service area (drug rooms, nurses’ station, resident rooms, etc.)

·        Moves intermittently during work hours.

·        Is subject to frequent interruptions.

·        Is involved with residents, personnel, visitors, government agencies/personnel, under all conditions and circumstances.

·        Is subject to hostile and emotionally upset residents, family members, personnel and visitors.

·        Communicates with the medical staff, nursing personnel and other department supervisors.

·        Works beyond normal working hours and in other positions temporarily, when necessary.

·        Is subject to callback during emergency conditions.

·        Attends and participates in continuing educational programs.

·        Is subject to exposure to infectious waste, diseases, conditions, etc. including TB and the AIDS and Hepatitis B viruses.

·        Is subject to injury from falls, burns from equipment, odors, etc., throughout the workday, as well as to reactions from dust, plastics, synthetics, disinfectants, tobacco smoke, and other potential contaminants.

·        May be subject to the handling of and exposure to hazardous chemicals.

·        Maintains a liaison with the resident, their families, support departments, etc. to adequately plan for the residents’ needs.

JOB REQUIREMENTS: 

Education

·        Must possess a Nursing Degree from an accredited college or university, or be a graduate of an approved school of professional nursing.

Experience           

·        A minimum of one year nursing experience required.

·        Supervisory experience with Nursing Assistants.

·        Long Term Care and MDS/RAI experience strongly desired.

Specific Requirements

·        Must possess a current, unencumbered, active license to practice as an RN in this state.

·        At least six (6) months as a staff nurse in a long-term care facility.

·        Must be able to read, write, speak and understand the English language.

·        Must display professionalism both in appearance and attitude.

·        Must possess the ability to solve problems and make independent decisions when circumstances warrant such action.

·        Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agency personnel and the general public.

·        Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to long-term care.

·        Must possess the ability and the willingness to work harmoniously with and to coach and supervise other personnel.

·        Must be able to plan, organize, develop, implement and interpret the programs, goals, objectives, policies and procedures that are necessary for providing quality care.

·        Must have patience, tact, a cheerful disposition and enthusiasm, as well as the willingness to handle difficult personnel.

·        Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices.

·        Must be able to relate information concerning a resident’s condition.

·        Must not pose a direct threat to the health or safety of other individuals in the workplace.

Physical and Sensory Requirements

·        Must be able to move intermittently throughout the workday.

·        Must be able to speak and write the English language in an understandable manner.

·        Must be able to cope with the mental and emotional stress of the position.

·        Must be able to see and hear or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully met.

·        Must function independently and have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies.

·        Must meet the general health requirement set forth by the policies of this facility, which include a medical and physical examination.

·        Must be able to relate to and work with the ill, disabled, elderly, emotionally upset, and at time hostile people within the facility.

·        Must meet the general health requirements set forth by the policies of this facility, which include a medical and physical examination.

·        Must be able to push, pull, move, and/or lift a minimum of five (5) pounds to a minimum height of three (3) feet and be able to push, pull, move, and/or carry such weight a minimum distance of five (5) feet.

·        Must be able to assist in the evacuation of residents during emergency situations.

·        Sitting:             1 hour per 8-hour shift.  Alternates frequently to standing or walking.

·        Standing:         1-2 hours per 8-hour shift.  Alternates frequently to walking and occasionally to sitting.

·        Walking:          5-6 hours per 8 hour shift.  Alternates frequently to standing and occasionally to sitting.

·        Lifting:             1-10 lbs.           Continuously

11-20 lbs.         Continuously

21-75 lbs.         Frequently

> 75 lbs.           Frequently

·        Carrying:         1-10 lbs.           Continuously

11-20 lbs.         Frequently

21-35 lbs.         Occasionally

·        Driving:                                    Rarely

·        Pushing:                                   Frequently

·        Bending:                                 Continuously

·        Squatting:                               Frequently

·        Kneeling:                                 Occasionally

·        Crawling:                                Rarely

·        Climbing:                                Rarely

·        Reaching:                               Continuously

·        Grasping:                                Frequently

·        Fine Manipulation:                  Frequently

(Frequency:  Never=0%; Rarely=1-10%; Occasionally=11=33%; Frequently = 34-66%; Continuously = 67%+)

Equal Employment Opportunity/Affirmative Action Employer and do not discriminate on the basis of race, color, age, sex, religion, veteran’s status, national origin, disability, marital status, or any other characteristic protected by law.

The primary purpose of your job position is to assist the Director of Nursing in planning, organizing, developing, and directing the day-to-day functions of the Nursing Department.

JOB DUTIES & RESPONSIBILITIES: 

Administrative Functions

·        Assist the Director of Nursing and the RN Team Leaders in planning, developing, organizing, implementing, directing, and evaluating the functions of the nursing department, in accordance with current rules, regulations, and guidelines that govern the facility.

·        Participate in reviewing and recommending changes to updating the policies and procedures that govern the needs of residents and functions of the nursing department.

·        Ensure that current reference materials (i.e. PDRs, Perry & Potter, Federal and State Regulations, etc.) maintained at the nurses’ stations are current. Recommend to the DON written material that will guide the nursing department in meeting the needs of residents.

·        Participate in facility surveys made by authorized regulatory agencies as requested by the Administrator or Director of Nursing.

·        Perform administrative duties such as accurate completion and review of clinical data, medical record audits, etc.

Committee Functions

·        Actively participate and attend in various Quality Improvement committee meetings (i.e. Safety Committee, high-risk meetings).

·        Serve on the Quality Assurance Performance Improvement (QAPI) Committee.

·        Assist the DON in documentation discussion and outcome for the various clinical committee meetings.

·        Evaluate and implement recommendations from established committees as they may pertain to clinical services.

Personnel Functions

·        Assist the DON in determining appropriate staffing needs for nursing, based on resident care needs.

·        Assist the DON and RN Team Leaders in the recruitment, selection, orientation, training, and supervision of nursing personnel.

·        Assist the DON and RN Team Leaders in conducting performance evaluations, as directed.

·        Make daily rounds to ensure that all nursing service personnel are performing their work assignments in accordance with acceptable nursing standards and consistent with VHS policies.

·        Monitor the professional nurses’ licensing status to ensure that they remain current.  Inform nurses at least 30days in advance of their license expiration date.

·        Review complaints and grievances made by nursing personnel and submit reports to the DON, as necessary.

·        Interpret the department’s policies and procedures to personnel, residents, visitors, and government agency personnel as necessary.

·        Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals in accordance with the facility’s policies and procedures.

Nursing Care Functions

·        Participate in daily nursing management meetings with assigned staff to review resident care issues, nursing department concerns, etc.

·        Participate in the selection of residents for admission to the facility.

·        Provide the DON with information relative to the nursing needs of the resident and to the nursing department’s ability to meet those needs.

·        Make rounds with physicians as requested.

·        Inform the DON when physician visits are not made in a timely manner.

·        Make rounds on all residents and ensure the 24-hour report is complete and reflective of resident conditions.

·        Periodically monitor medication passes and treatments to ensure that administration is timely, correct and consistent with policy and protocols.

·        Report medication errors to the DON.

·        Provide direct nursing care as necessary.

·        Report issues and concerns to the DON and assist in developing and implementing corrective action and monitor as needed.

Staff Development

·        Provide assistance to the Nurse Educator in developing, implementing and conducting in-service training programs that relate to the educational needs of nursing associates.

·        Attend continuing education programs designed to keep you abreast of changes in your profession, as well as maintain your license on a current status.

·        Conduct education session as identified and/or assigned.

Safety and Sanitation

·        Ensure that nursing service work areas are maintained in a clean and sanitary manner.

·        Ensure that all resident care rooms, treatment areas, etc. are maintained in a clean, safe, and sanitary manner.

·        Ensure that all nursing service personnel follow established departmental policies and procedures, including appropriate dress.

Budget and Planning Functions

·        Participate with the DON in the preparation of and planning of the nursing department budget.

·        Recommend to the DON the equipment and supply needs of the nursing department.

Resident Rights Responsibilities

·        Maintain the confidentiality of all resident care information.

·        Monitor nursing care to ensure that all residents are treated fairly, and with kindness, dignity, and respect.

·        Ensure that all nursing care is provided in privacy and that all personnel knock before entering the resident’s room.

·        Ensure that all nursing personnel are knowledgeable of the residents’ responsibilities and rights including the right to refuse treatment.

·        Assist DON with investigation of complaints made by the residents and/or family members indicating what action/s were taken to resolve the complaint.

·        Report and assist in the investigation of all allegations of resident abuse and/or misappropriation of resident property.

·        Ensure that nursing staff personnel honor the resident’s refusal of treatment request. Ensure that such requests are in accordance with the facility’s policies governing advance directives.

·        Review the facility’s advance directive policies and procedures with resident and/or family members as necessary.

Working Conditions

·        Works in office areas as well as throughout the nursing service area.

·        Moves intermittently during work hours.

·        Is subject to frequent interruptions.

·        Is involved with residents, personnel, visitors, government agencies/personnel, under all conditions and circumstances.

·        Is subject to hostile and emotionally upset residents, family members, personnel and visitors.

·        Communicates with the medical staff, nursing personnel and other department managers.

·        Works beyond normal working hours and in other positions temporarily, when necessary. Works on weekends and holidays when necessary.

·        Is subject to callback during emergency conditions.

·        Is subject to exposure to infectious waste, diseases, conditions, etc. including TB and the AIDS and Hepatitis B viruses.

·        Is subject to injury from falls, burns from equipment, odors, etc., throughout the workday, as well as to reactions from dust, plastics, synthetics, disinfectants, tobacco smoke, and other potential contaminants.

·        May be subject to the handling of and exposure to hazardous chemicals.

·        Maintains a liaison with the resident, their families, support departments, etc. to adequately plan for the residents’ needs.

JOB REQUIREMENTS: 

Education

• Must possess a Nursing Degree from an accredited college or university, or be a graduate of an approved RN School of Professional Nursing.

Experience           

·        Must have a minimum of two (2) years of experience as a supervisor in a hospital, long-term care facility or other related health care facility.

·        Training and experience in rehabilitative and restorative nursing practices preferred.

Specific Requirements

·        Must possess a current, unencumbered, active license to practice as an RN in this state.

·        Must be able to read, write, speak and understand the English language.

·        Must display professionalism both in appearance and attitude.

·        Must have excellent technical, assessment, documentation and communication skills.

·        Must possess the ability to solve problems and make independent decisions when circumstances warrant such action.

·        Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agency personnel and the general public.

·        Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to long-term care.

·        Must possess computer skills and some understanding of documentation software programs.

·        Must possess the ability and the willingness to work harmoniously with and to coach and supervise other personnel.

·        Must be able to plan, organize, develop, implement and interpret the programs, goals, objectives, policies and procedures that are necessary for providing quality care.

·        Must have patience, tact, a positive disposition and enthusiasm, as well as the willingness to handle difficult people.

·        Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices.

·        Must be able to relate information concerning a resident’s condition.

·        Must not pose a direct threat to the health or safety of other individuals in the workplace.

Physical and Sensory Requirements

·        Must be able to move intermittently throughout the workday.

·        Must be able to speak and write the English language in an understandable manner.

·        Must be able to cope with the mental and emotional stress of the position.

·        Must be able to see and hear or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully met.

·        Must function independently and have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies.

·        Must meet the general health requirement set forth by the policies of this facility, which include a medical and physical examination.

·        Must be able to relate to and work with the ill, disabled, elderly, emotionally upset, and at time hostile people within the facility.

·        Must meet the general health requirements set forth by the policies of this facility, which include a medical and physical examination.

·        Must be able to push, pull, move, and/or lift a minimum of five (5) pounds to a minimum height of three (3) feet and be able to push, pull, move, and/or carry such weight a minimum distance of five (5) feet.

·        Must be able to assist in the evacuation of residents during emergency situations.

·        Sitting:             1 hour per 8-hour shift.  Alternates frequently to standing or walking.

·        Standing:         1-2 hours per 8-hour shift.  Alternates frequently to walking and occasionally to sitting.

·        Walking:          5-6 hours per 8 hour shift.  Alternates frequently to standing and occasionally to sitting.

·        Lifting:             1-10 lbs.           Continuously

·        11-20 lbs.         Continuously

·        21-75 lbs.         Frequently

·        > 75 lbs.           Frequently

·        Carrying:         1-10 lbs.           Continuously

·        11-20 lbs.         Frequently

·        21-35 lbs.         Occasionally

·        Driving:                                    Rarely

·        Pushing:                                   Frequently

·        Bending:                                 Continuously

·        Squatting:                               Frequently

·        Kneeling:                                 Occasionally

·        Crawling:                                Rarely

·        Climbing:                                Rarely

·        Reaching:                               Continuously

·        Grasping:                                Frequently

·        Fine Manipulation:                  Frequently

(Frequency:  Never=0%; Rarely=1-10%; Occasionally=11=33%; Frequently = 34-66%; Continuously = 67%+)

Equal Employment Opportunity/Affirmative Action Employer and do not discriminate on the basis of race, color, age, sex, religion, veteran’s status, national origin, disability, marital status, or any other characteristic protected by law.

The primary purpose of the Activity Director position is to plan, organize, develop and direct the overall operation of the Activity Department.

 JOB DUTIES & RESPONSIBILITIES: 

Administrative Functions

·        Plan, develop, organize, implement, evaluate, and direct the activity programs of this facility.

·        Assist in the development, administering, and coordinating of department policies and procedures.

·        Keep abreast of current federal and state regulations, as well as professional standards, and make recommendations on changes in policies and procedures to the Administrator.

·        Review department policies and procedures, at least annually, and participate in making recommended changes.

·        Develop and maintain policies and procedures for the identification of medically related activity needs of the resident.

·        Refer resident/family to appropriate social service personnel when necessary.

·        Refer resident/families to appropriate business office personnel as to Medicare/Medicaid, and other financial assistance programs when necessary.

·        Give assistance or help in locating and arranging for services of other professionals or agencies to solve problems and needs of residents.

·        Participate in community planning related to the interests of the facility and the services needs of the residents and families.

·        Prepare and present monthly report on progress of activity program.

·        Develop, implement and maintain an ongoing quality assurance program for the activity department.

Activity Functions

·        Organize programs for group and individual activities based on residents’ individualized needs as identified in residents’ health care plans.

·        Maintain a balance of recreational activities including physical, social, religious, diversional, spiritual, intellectual, and creative arts and crafts.

·        Communicate residents’ programs to residents, residents’ families, volunteers, and facility staff.  Communication may occur through posting of a large monthly calendar in centralized locations within the building and circulation of copies of the monthly calendar.

·        Offer activities at hours convenient to the residents and that reflect the overall demographics of the resident population.

·        Provide motivation for participation in Residents’ Council and scheduled a time and place for meetings.

·        Ensure group activities are scheduled to provide for maximum involvement by interested residents.

·        Select residents for activity participation according to each resident’s activity interest, needs and potential.

·        Involve residents and families in planning facility activity programs.

·        Coordinate scheduled activities with other departments.

·        Assist in arranging transportation to outside activities when necessary.

·        Help read incoming mail, and address and post outgoing mail upon the residents’ requests.

·        Responsible for transportation of residents within the facility from one area to another where activities are occurring.

·        Recruit, orientate, and supervise volunteers and maintain records of volunteer programs.

·        Communicate the facility’s volunteer needs to the community.

·        Participate in community planning related to the interests of the facility and arrange for the use of community facilities by residents.

Care Plan and Assessment Functions

·        Interview residents/families on admission and involve them in determining appropriate activities for the resident.

·        Formulate written plans of care for each admitted resident.

·        Review and update plan of care according to established policies.

·        Record continuing progress notes on resident’s activities and response of resident to activity program.

·        Record resident’s activity participation in resident’s individual medical record. Keep group records of participation on scheduled activities.

·        Record Section I of the MDS, activity pursuits portion and resident’s activity interest and activity needs assessment. After completing the MDS, record resident’s initial activities-health-care plan.

·        Identify and evaluate personal, emotional, and environmental concerns that prevent or limit the resident’s full use of medical, nursing, and restorative care.

·        Recognize abnormal signs and symptoms, which may signify a physical change in the resident’s condition that could require nursing intervention.  Report changes to the charge nurse.

·        Participate in discharge planning; development and implementation of activity care plans and resident assessments.

Committee Functions

·        Serve on, participate in, and attend various committees of the facility as required or appointed by the Administrator.

·        Provide written and/or oral reports of the activities programs as directed by such committees.

·        Participate in regularly scheduled reviews of resident discharge plans.

·        Evaluate and implement recommendations from established committees as they may pertain to activity services.

·        Meet with activity personnel, on a regularly scheduled basis and solicit advice from inter-department supervisors concerning the operation of the department, assist in identify and correcting problem areas, and/or the improvement of services.

·        Attend department head meetings as scheduled.

Personnel Functions

·        Assist in the recruitment, interviewing and selection of personnel for the activity department.

·        Determine departmental staffing needs necessary to meet the activity programming needs and assign activity personnel and/or volunteers for each scheduled activity.

·        Schedule department work hours, personnel, work assignments, etc. to expedite work.

·        Delegate responsibility and accountability to other activity personnel as deemed necessary to perform their assigned duties.

·        Counsel/discipline activity personnel as necessary.

·        Recommend termination of employment to the Administrator if necessary.

·        Review and check competence of activity personnel and make adjustments as necessary.

·        Make daily rounds to assure that activity personnel are performing required duties as assigned.

·        Conduct individual performance evaluations in accordance with the facility’s policies and procedures.

Staff Development Functions

·        Develop, implement and maintain an effective orientation program that orients new associates to the activities department and its programs.

·        Develop and participate in the planning, scheduling and conducting of timely in-service training classes that ensures a well-educated activity department.

·        Assist the Staff Development Coordinator in developing and conducting inservice training programs that relate to resident activities and the activity department.

Safety and Sanitation Functions

·        Assist in developing safety standards for the activity department.

·        Follow established safety regulations, to include fire protection/prevention, smoking regulations, infection control, etc.

·        Monitor department personnel to assure they are following established safety regulations in the use of equipment and supplies.

·        Ensure that department work and activity areas are maintained in a clean, sanitary and safe manner.

·        Ensure that departmental personnel participate in and conduct all fire safety and disaster preparedness drills in a safe and professional manner.

·        Assist the Infection Control Committee in the development, implementation, and revising of written aseptic and isolation techniques relative to activities.

·        Implement and maintain a program for monitoring communicable and/or infectious diseases among residents and personnel as it relates to activity programming.

·        Ensure that all procedures governing reporting hazardous conditions, exposure to blood/body fluids, use of labels and MSDS sheets, and blood borne pathogens are followed.

Equipment and Supply Functions

·        Recommend to the Administrator the equipment and supply needs of the activity department.

·        Maintain adequate activity supplies and equipment to meet needs and interests of residents, ensure materials are available to residents.

·        Place orders for equipment and supplies as necessary.

·        Make periodic rounds to check equipment to assure that it is in proper working condition.

·        Check supply rooms to assure that needed activity supplies and on hand to conduct scheduled activities.

·        Develop and implement procedures that ensure activity supplies are used in an efficient manner to avoid waste.

·        Ensure that appropriate cleaning supplies are on hand to perform necessary departmental cleaning functions.

·        Budget and Planning Functions

·        Forecast needs of the department

·        Assist in preparing and planning the activity department’s budget for food, equipment, supplies, and labor and submit to the Administrator for review.

·        Maintain current written records of department expenditures and assure that adequate financial records and cost reports are submitted to the Administrator upon request.

·        Make departmental adjustments in order to conform to approved budget, and or as dictated by an analysis of the monthly operating statement.

Resident Rights Responsibilities

·        Maintain the confidentiality of all resident care information.

·        Knock before entering a resident’s room.

·        Ensure that all activity personnel are knowledgeable of the resident’s rights and responsibilities, including the right of refusal.

·        Review complaints and grievances made by the resident and make a written/oral report to the Administrator indicating what actions were taken to resolve the complaint and the current status of the complaint following established facility procedures.

·        Participate in resident council meetings as requested and provide support services to such council.

Working Conditions

·        Works in office areas as well as throughout the facility.

·        Moves intermittently during work hours.

·        Is subject to frequent interruptions.

·        Is involved with residents, personnel, visitors, government agencies/personnel, under all conditions and circumstances.

·        Is subject to hostile and emotionally upset residents, family members, personnel and visitors.

·        Communicates with the medical staff, nursing personnel and other department supervisors.

·        Works beyond normal working hours and in other positions temporarily, when necessary. Works on weekends and holidays when necessary.

·        Is subject to callback during emergency conditions.

·        Is subject to injury from falls, burns from equipment, odors, etc., throughout the workday, as well as to reactions from dust, plastics, synthetics, disinfectants, tobacco smoke, and other potential contaminants.

·        Attends and participates in continuing educational programs.

·        Is subject to exposure to infectious waste, diseases, conditions, etc. including TB and the AIDS and Hepatitis B viruses.

·        May be subject to the handling of and exposure to hazardous chemicals.

·        Maintains a liaison with the resident, their families, support departments, etc. to adequately plan for the residents’ needs.

JOB REQUIREMENTS: 

Education

·        Must possess, as a minimum, a High School Diploma or GED.

·        A two-year or higher degree in therapeutic recreation, social work, or related degree is preferred.

Experience

·        Must be directed by a qualified professional who is a qualified therapeutic recreation specialist or an activities professional who-

·        Must be licensed or registered, if applicable by the state which practicing; and

·        Must be Eligible for certification as a therapeutic recreation specialist or as an activities professional by a recognized accrediting body on or after October 1 1990;  or

·        Has (2) years of experience in a social or recreational program within the last (5) years, one of which was full-time in a therapeutic activities program;  or

·        Must be a qualified occupational therapist or occupational therapy assistant; or

·        Must have completed a training course approved by the state.

Specific Requirements

·        Must be a member in good standing in the National Association of Social Workers.

·        Must be able to read, write, speak and understand the English language.

·        Must display professionalism both in appearance and attitude.

·        Must possess the ability to solve problems and make independent decisions when circumstances warrant such action.

·        Must genuinely care for and understand the elderly and disabled.

·        Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agency personnel and the general public.

·        Must possess the ability and the willingness to work harmoniously with and to coach and supervise other personnel.

·        Must be able to plan, organize, develop, implement and interpret the programs, goals, objectives, policies and procedures that are necessary for providing social services.

·        Must have patience, tact, a positive disposition and enthusiasm, as well as the willingness to handle difficult people.

·        Must be willing to seek out new methods and principles and be willing to incorporate them into existing activities practices.

·        Must be able to relate information concerning a resident’s condition.

·        Must not pose a direct threat to the health or safety of other individuals in the workplace.

Physical and Sensory Requirements (with or without the aid of mechanical devices)

·        Must be able to move continuously throughout the workday.

·        Must be able to cope with the mental and emotional stress of the position.

·        Must be able to see and hear or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully met.

·        Must function independently and have flexibility, personal integrity, and the ability to work effectively with residents, families, personnel, and support agencies.

·        Must meet the general health requirements set forth by the policies of this facility, which may include a medical and physical examination.

·        Must be able to relate to and work with the ill, disabled, elderly, emotionally upset, and at times, hostile people within the facility.

·        Must be able to push, pull, move, and/or lift a minimum of 10 pounds to a minimum height of 5 feet and be able to push, pull, move, and/or carry such weight a minimum distance of 5 feet.

·        May be necessary to assist in the evacuation of residents during emergency situations.

·        Sitting:  1-2 hour per 8-hour shift.  Alternates frequently to standing and walking.

·        Standing:  4-5 hours per 8-hour shift.  Alternates frequently to walking and occasionally to sitting.

·        Walking:  2-3 hours per 8 hour shift.  Alternates frequently to standing and occasionally to sitting.

·        Lifting:             1-10 lbs.                       Continuously

11-20 lbs.                     Occasionally

21-35 lbs.                     Rarely

36-50 lbs.                     Rarely

51-75 lbs.                     Rarely

·        > 75 lbs.                       Rarely

·        Carrying:         1-10 lbs.                       Continuously

·        11-20 lbs.                     Rarely

·        21-35 lbs.                     Rarely

·        Driving:                                                Rarely

·        Pushing:                                               Continuously

·        Bending:                                             Occasionally

·        Squatting:                                           Rarely

·        Kneeling:                                             Rarely

·        Crawling:                                            Rarely

·        Climbing:                                            Rarely

·        Reaching:                                           Occasionally

·        Grasping:                                            Occasionally

·        Fine Manipulation:                              Continuously

(Frequency:  Never=0%; Rarely=1-10%; Occasionally=11=33%; Frequently = 34-66%; Continuously = 67%+)

  Equal Employment Opportunity/Affirmative Action Employer and do not discriminate on the basis of race, color, age, sex, religion, veteran’s status, national origin, disability, marital status, or any other characteristic protected by law.