San Francisco Health Care

Charge Nurse: Duties and Responsibilities

Administrative Functions

Direct the day-to-day functions of the nursing assistants in accordance with current rules, regulations, and guidelines that govern the long-term care facility.
Ensure that all nursing personnel assigned to you comply with the written policies and procedures established by this facility.
Periodically review the department’s policies, procedure manuals, job descriptions, etc. Make recommendations for revisions.
Meet with your assigned nursing staff, as well as support personnel, in planning the shifts’ services, programs, and activities.
Ensure that the Nursing Service Procedures Manual is current and reflects the day-to-day nursing procedures performed in this facility.
Ensure that all nursing service personnel comply with the procedures set forth in the Nursing Service Procedures Manual.
Make written and oral reports/recommendations concerning the activities of your shift as required.
Cooperate with other resident services when coordinating nursing services to ensure that the resident’s total regimen of care is maintained.
Ensure that all nursing service personnel are in compliance with their respective job descriptions.
Participate in the development, maintenance, and implementation of the facility’s quality assurance program for the nursing service department.
Participate in facility surveys (inspections) made by authorized government agencies as may be requested.
Periodically review the resident’s written discharge plan. Participate in the updating of the resident’s written discharge plan as required.
Assist in planning the nursing services portion of the resident’s discharge plan as necessary.
Interpret the department’s policies and procedures to personnel, residents, visitors, and government agencies as required.
Admit, transfer, and discharge residents as required.
Complete accident/incident reports as necessary.
Write resident charge slips and forward to the Business Office.
Maintain the Daily Census Report and submit to the Business Office as required.
Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., as necessary.

Charting and Documentation

Complete and file required recordkeeping forms/charts upon the resident’s admission, transfer, and/or discharge.
Encourage attending physicians to review treatment plans, record and sign their orders, progress notes, etc., in accordance with established policies.
Receive telephone orders from physicians and record on the Physicians’ Order Form.
Transcribe physician’s orders to resident charts, cardex, medication cards, treatment/care plans, as required.
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.
Fill out and complete accident/incident reports. Submit to Director as required.
Chart all reports of accidents/incidents involving residents. Follow established procedures.
Record new/changed diet orders. Forward information to the Dietary Department.
Report all discrepancies noted concerning physician’s orders, diet change, charting error, etc., to the Nurse Supervisor.
Fill out and complete transfer forms in accordance with established procedures.
Ensure that appropriate documentation concerning unauthorized discharges is entered in the resident’s medical record in accordance with established procedures.
Perform routine charting duties as required and in accordance with established charting and documentation policies and procedures.
Sign and date all entries made in the resident’s medical record.

Drug Administration Functions

Prepare and administer medications as ordered by the 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 is on hand to meet the nursing needs of the residents. Report needs to the Nurse Supervisor.
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 Nurse Supervisor of all drug and narcotic discrepancies noted on your shift.
Review medication cards for completeness of information, accuracy in the transcription of the physician’s order, and adherence to stop order policies.
Notify the attending physician of automatic stop orders prior to the last dosage being administered.
Dispose of drugs and narcotics as required, and in accordance with established procedures.

Personnel Functions

Participate in employee performance evaluations, determining your shift’s staffing requirements, and making recommendations to the Nurse Supervisor concerning employee dismissals, transfers, etc.
Inform the Nurse Supervisor of staffing needs when assigned personnel fail to report to work.
Report absentee call-ins to the Nurse Supervisor.
Review and evaluate your department’s work force and make recommendations to the Nurse Supervisor.
Develop work assignments and/or assist in completing and performing such assignments.
Provide leadership to nursing personnel assigned to your unit/shift.
Make daily rounds of your unit/shift to ensure that nursing service personnel are performing their work assignments in accordance with acceptable nursing standards. Report problem areas to the Nurse Supervisor.
Ensure that all nursing assistants are enrolled in or have graduated from an approved nursing assistant training program.
Ensure that all nurse aide trainees are under the direct supervision of a licensed nurse.
Meet with your shift’s nursing personnel, on a regularly scheduled basis, to assist in identifying and correcting problem areas, and/or to improve services.
Ensure that department personnel, residents, and visitors follow the department’s established policies and procedures at all times.
Develop and maintain a good working rapport with inter-departmental personnel, as well as other departments within the facility to ensure that nursing services and activities 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 shift.
Review complaints and grievances made or filed by your assigned personnel. Make appropriate reports to the Nurse Supervisor as required or as may be necessary. Follow facility’s established procedures.
Ensure that departmental disciplinary action is administered fairly and without regard to race, color, creed, national origin, age, sex, religion, handicap, or marital status.
Receive/give the nursing report upon reporting in and ending shift duty hours.
Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals in accordance with the facility’s policies and procedures governing accidents and incidents.

Nursing Care Functions

Inform nursing personnel of new admissions, their expected time of arrival, room assignment, etc.
Ensure that rooms are ready for new admissions.
Greet newly admitted residents upon admission. Escort them to their rooms as necessary.
Participate in the orientation of new residents/family members to the facility.
Make rounds with physicians as necessary.
Requisition and arrange for diagnostic and therapeutic services, as ordered by the physician, and in accordance with our established procedures.
Consult with the resident’s physician in providing the resident’s care, treatment, rehabilitation, etc., as necessary.
Review the resident’s chart for specific treatments, medication orders, diets, etc., as necessary.
Implement and maintain established nursing objectives and standards.
Make periodic checks to ensure that prescribed treatments are being properly administered by certified nursing assistants and to evaluate the resident’s physical and emotional status.
Ensure that direct nursing care be 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 attending physician when the resident is involved in an accident or incident.
Notify the resident’s attending physician and next-of-kin when there is a change in the resident’s condition.
Carry out restorative and rehabilitative programs, to include self-help and care.
Inspect the nursing service treatment areas daily to ensure that they are maintained in a clean and safe manner.
Administer professional services such as; catheterization, tube feedings, suction, applying and changing dressings/bandages, packs, colostomy, and drainage bags, taking blood, giving massages and range of motion exercises, care for the dead/dying, etc., as required.
Use restraints when necessary and in accordance with established policies and procedures.
Obtain sputum, urine and other specimens for lab tests as ordered.
Take and record TPRs, 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 that it is within the resident’s dietary allowances. Report problem areas to the Nurse Supervisor and Dietary Supervisor.
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 problem areas to the Nurse Supervisor.
Admit, transfer and discharge residents as necessary.
Assist in arranging transportation for discharged residents as necessary.
Ensure that discharged residents are escorted to the pick-up area.
Inform family members of the death of the resident.
Call funeral homes when requested by the family. Ensure that established post-mortem procedures are followed.

Staff Development

Participate in developing, planning, conducting, and scheduling in-service training classes that provide instructions on “how to do the job,” and ensure a well-educated nursing service department.
Implement and maintain an effective orientation program that orients the new employee to your shift, its policies and procedures, and to his/her job position and duties.
Assist in standardizing the methods in which work will be accomplished.
Assist in training department personnel in identifying tasks that involve potential exposure to blood/body fluids.
Assist the Director in planning clinical supervision for nurse aide trainees.
Attend and participate in outside training programs.
Attend and participate in annual OSHA and CDC in-service training programs for hazard communication, TB management, and bloodborne pathogens standard.
Attend and participate in advance directive in-service training programs for the staff and community.
Attend and participate in continuing education programs designed to keep you abreast of changes in your profession, as well as to maintain your license on a current status.

Safety and Sanitation

Monitor your assigned personnel to ensure that they are following established safety regulations in the use of equipment and supplies.
Ensure that established departmental policies and procedures, including dress codes, are followed by your assigned nursing personnel.
Assist the Director and/or Infection Control Coordinator in identifying, evaluating, and classifying routine and job-related functions to ensure that tasks in which there is potential exposure to blood/body fluids are properly identified and recorded.
Ensure that all personnel performing tasks that involve potential exposure to blood/body fluids participate in appropriate in-service training programs prior to performing such tasks.
Ensure that an adequate supply of personal protective equipment are on hand and are readily available to personnel who perform procedures that involve exposure to blood or body fluids.
Ensure that your assigned work areas (i.e., nurses’ stations, medicine preparation rooms, etc.) are maintained in a clean and sanitary manner.
Ensure that your unit’s resident care rooms, treatment areas, etc., are maintained in a clean, safe, and sanitary manner.
Ensure that your assigned personnel follow established handwashing techniques in the administering of nursing care procedures.
Ensure that your assigned personnel participate in and conduct all fire safety and disaster preparedness drills in a safe and professional manner.
Participate in the development, implementation, and maintenance of the infection control program for monitoring communicable and/or infectious diseases among the residents and personnel.
Ensure that your assigned personnel follow established infection control procedures when isolation precautions become necessary.
Ensure that nursing personnel follow established procedures in the use and disposal of personal protective equipment.
Participate in the development, implementation and maintenance of the procedures for reporting hazardous conditions or equipment.
Ensure that all personnel wear and/or use safety equipment and supplies (e.g., back brace, mechanical lifts, etc.) when lifting or moving residents.
Report missing/illegible labels and MSDSs to the safety officer or other designated person.

Equipment and Supplies

Recommend to the Nurse Supervisor the equipment and supply needs of your unit/shift.
Ensure that an adequate stock level of medications, medical supplies, equipment, etc., is maintained on your unit/shift at all times to meet the needs of the residents.
Participate in the development and implementation of the procedures for the safe operation of all nursing service equipment.
Ensure that only trained and authorized personnel operate your unit/shift’s equipment.
Ensure that all personnel operate nursing service equipment in a safe manner.
Monitor nursing procedures to ensure that nursing service supplies are used in an efficient manner to avoid waste.
Ensure that appropriate MSDSs are on file for hazardous chemicals used in the nursing service department.

Care Plan and Assessment Functions

Review care plans daily to ensure that appropriate care is being rendered.
Inform the Nurse Supervisor of any changes that need to be made on the care plan.
Ensure that your nurses’ notes reflect that the care plan is being followed when administering nursing care or treatment.
Review resident care plans for appropriate resident goals, problems, approaches, and revisions based on nursing needs.
Ensure that your assigned certified nursing assistants (CNAs) are aware of the resident care plans. Ensure that the CNAs refer to the resident’s care plan prior to administering daily care to the resident.
Assist the Resident Assessment/Care Plan Coordinator in planning, scheduling, and revising the MDS, including the implementation of RAPs and Triggers.

Resident Rights

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 nursing service personnel knock before entering the resident’s room.
Ensure that all nursing service personnel are knowledgeable of 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 Nurse Supervisor 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.
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.

Miscellaneous

Provide data to the Quality Assurance & Assessment Committee as requested.

Working Conditions

Works in office area(s) as well as throughout the nursing service area (i.e., drug rooms, nurses’ stations, resident rooms, etc.).
Moves intermittently during working hours.
Is subject to frequent interruptions.
Is involved with residents, personnel, visitors, government agencies/personnel, etc., 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 call-back during emergency conditions (e.g., severe weather, evacuation, post-disaster, etc.).
Attends and participates in continuing educational programs.
Is subject to injury from falls, burns from equipment, odors, etc., throughout the work day, as well as to reactions from dust, disinfectants, tobacco smoke, and other air contaminants.
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 residents, their families, support departments, etc., to adequately plan for the residents’ needs.

Education

Must possess, as a minimum, a Nursing Degree from an accredited college or university, or be a graduate of an approved LPN/LVN program.

Experience

None. On-the-job training provided.

Specific Requirements

Must possess a current, unencumbered, active license to practice as an RN or LPN/LVN in this state.
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 agencies/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 leadership and supervisory ability and the willingness to work harmoniously with and supervise other personnel.
Must possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures, etc., that are necessary for providing quality care.
Must have patience, tact, a cheerful disposition 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 or safety of other individuals in the workplace.

Certified Nursing Assistant (CNA): Duties and Responsibilities

Administrative Functions

Use the wristband or photo card file to 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 Nurse Supervisor/Charge Nurse as soon as practical.
Report all accidents and incidents you observe on the shift that 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 possessions when they are being transferred to a new room, or when being 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 supervisors.
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 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.
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 daily dental and mouth care (i.e., brushing teeth/dentures, oral hygiene, special mouth care, etc.).
Assist residents with bath functions (i.e., bedbath, tub or shower bath, etc.) as directed.
Give backrubs as instructed.
Assist residents with dressing/undressing as necessary.
Assist residents with hair care functions (i.e., combing, brushing, shampooing, etc.).
Assist residents with nail care (i.e., clipping, trimming, and cleaning the finger/toenails). (Note: Does not include diabetic residents.)
Shave male residents.
Keep hair on female residents clean shaven (i.e., facial hair, under arms, on legs, etc.) as instructed.
Keep residents dry (i.e., change gown, clothing, linen, etc., when it becomes wet or soiled).
Change bed linens. Keep linens tight to avoid wrinkles from forming under the resident.
Make beds (occupied and unoccupied).
Put extra covers on beds as requested.
Position bedfast residents in correct and comfortable position.
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.
Prepare and give enemas. Report results as instructed.
Collect specimens as instructed (i.e., urine, sputum, stools, etc.).
Assist residents in preparing for medical tests (i.e., lab work, x-ray, therapy, dental, etc.).
Assist residents in preparing for activity and social programs (i.e., church services, parties, visitors, etc.).
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.
Perform restorative and rehabilitative procedures as instructed.
Change dressings, bandages, binders, etc., as instructed.
Provide eye and ear care (i.e., warm/cold compresses, eye/ear instillation, cleaning eyeglasses/hearing aides, etc.) as instructed.
Assist with the application of nonsterile (moist and dry) warm/cold compresses.
Assist in preparing the resident for a physical examination.
Weigh and measure residents as instructed.
Measure and record temperatures, pulse, and respirations (TPRs), as instructed.
Answer resident calls promptly.
Ensure that residents who are unable to call for help are checked frequently.
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.
Provide post-mortem care as instructed.

Special Nursing Care Functions

Observe and report the presence of pressure areas and skin breakdowns to prevent decubitus ulcers (bedsores).
Report injuries of an unknown source, including skin tears.
Provide daily indwelling catheter care.
Provide daily perineal care.
Perform nonsterile (clean) vaginal irrigation/douches.
Assist with the application of slings, elastic bandages, binders, etc.
Give tepid sponge baths.
Provide daily Range of Motion Exercises. Record data as instructed.
Turn bedfast residents at least every two (2) hours.
Perform diabetic urine testing (i.e., clinitest, acetest, etc.).
Provide physical and respiratory therapy as instructed.
Perform special treatments as instructed.
Observe disoriented and comatose residents. Record and report data as instructed.
Turn all medications found in the resident’s room/possession over to the Nurse Supervisor/Charge Nurse.
Provide residents with Reality Orientation as instructed.
Watch for and report any change in room temperature, ventilation, lighting, etc.

Food Service Functions

Prepare residents for meals (i.e., take to bathroom, wash hands, comb hair, raise bed, position tables, place bibs, 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/fluid intake. Report changes in the resident’s eating habits.
Keep residents’ water pitchers clean and filled with fresh water (on each shift), 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.).

Staff Development

Attend and participate in scheduled training and educational classes to 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 bloodborne pathogens standard.
Attend and participate in advance directive in-service training programs as scheduled.

Safety and Sanitation

Restrain residents in chair/bed as instructed.
Check restrained residents at least every thirty (30) minutes.
Release restraints at least every two (2) hours for range of motion exercises, taking to bathroom, etc.
Maintain a record of restrained residents, the times restraints were released, and how long the restraints were 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 Nurse Supervisor/Charge Nurse 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.
Wash wheelchairs, walkers, etc., as instructed.
Clean, disinfect, and return all resident care equipment to its designated storage area after each use.
Perform routine housekeeping duties (i.e., clean bedrails, overbed table, night stand, etc., that relate to nursing care procedures).
Before leaving work area for breaks, or at the end of the work day, store all tools, equipment, and supplies.
Report all hazardous conditions and equipment to the Nurse Supervisor/Charge Nurse immediately.
Report all safety violations.
Follow established smoking regulations. Report all violations.
Report any communicable or infectious disease to the Director of Nursing Services and/or to 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 (e.g., 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 used.
Operate all equipment in a safe manner.
Use only the equipment and supplies necessary to do the job. Do not be wasteful.
Report defective equipment to the Nurse Supervisor/Charge Nurse.
Inform the Nurse Supervisor/Charge Nurse of your equipment and supply needs.

Care Plan Functions

Review care plans daily to determine if changes in the resident’s daily care routine have been made on the care plan.
Inform the Nurse Supervisor/Charge Nurse 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 reflect that the care plan is being followed.

Resident Rights

Maintain the confidentiality 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 grievances and complaints made by the resident to the Nurse Supervisor/Charge Nurse.
Report all allegations of resident abuse and/or misappropriation of resident property.
Honor the resident’s refusal of treatment request. Report such requests to your supervisor.

Working Conditions

Works throughout the nursing service area (i.e., drug rooms, nurses’ stations, resident rooms, etc.).
Moves intermittently during working hours.
Is subject to frequent interruptions.
Is involved with residents, personnel, visitors, government agencies/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 call-back during emergency conditions (e.g., severe weather, evacuation, post-disaster, etc.).
Attends and participates in continuing educational programs.
Is subject to injury from falls, burns from equipment, odors, etc., throughout the work day, as well as to reactions from dust, disinfectants, tobacco smoke, and other air contaminants.
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.

Education

Must possess, as a minimum high school diploma and be a licensed Certified Nursing Assistant in accordance with the laws of California.

Specific Requirements

Must be able to read, write, speak, and understand the English language (knowledge of Chinese language is a plus).
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 agencies/personnel, and the general public.
Must possess the ability and willingness to work harmoniously with other personnel.
Must have patience, tact, a cheerful disposition 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.

Dietary Aide: Duties and Responsibilities

Administrative Functions

Work with the facility’s dietitian as necessary and implement recommended changes as required.
Ensure that all dietary procedures are followed in accordance with established policies.
Others as deemed necessary and appropriate, or as may be directed.

Personnel Functions

Develop and maintain a good working rapport with inter-department personnel, as well as with other departments within the facility to assure that food service can be properly 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 department.

Staff Development

Participate in and assist in departmental studies and projects as assigned or that may become necessary.
Attend and participate in workshops, seminars, in-service training programs, etc., as directed.

Dietary Service

Serve meals that are palatable and appetizing in appearance.
Assist in serving meals as necessary and on a timely basis.
Serve food in accordance with established portion control procedures.
Assist in daily or scheduled cleaning duties, in accordance with established policies and procedures.
Clean work tables, meat blocks, refrigerators/freezers, etc.
Sweep and mop floors as directed.
Carry soiled utensils, etc., to wash area.
Return clean utensils to proper storage areas.
Wash and clean utensils as directed.
Carry out garbage and keep work areas clean, dry and free of hazardous equipment, supplies, etc.
Set up meal trays, food carts, dining room, etc., as instructed.
Assist cook in preparing meals.
Distribute and collect menus as necessary.
Obtain food supplies for next meal.
Assist in checking diet trays before distribution.
Deliver food carts, trays, etc., to designated areas.
Serve food in dining room as instructed.
Perform dishwashing/cleaning procedures. Assure that utensils, etc., are readily available for next meal.
Remove food trays from carts, dining rooms, etc., and take to dishwashing area.
Prepare and deliver snacks, etc., as instructed.

Safety and Sanitation

Prepare food, etc., in accordance with sanitary regulations as well as with our established policies and procedures.
Follow safety regulations and precautions at all times.
Follow established Infection Control and Universal Precautions policies and procedures when performing daily tasks.
Ensure that the department is maintained in a clean and safe manner by assuring that necessary equipment and supplies are maintained.
Report all hazardous conditions/equipment to your supervisor immediately.
Report all accidents/incidents to your supervisor on the shift in which they occur.
Assist in maintaining food storage areas in a clean and properly arranged manner at all times.
Dispose of food and waste in accordance with established policies.
Wear protective clothing and equipment when handling infectious waste and/or blood/body fluids.
Report missing/illegible labels or MSDSs to your supervisor.

Equipment and Supply Functions

Ensure that food and supplies for the next meal are readily available.
Assist in inventorying and storing in-coming food, supplies, etc., as necessary.

Resident Rights

Maintain confidentiality of all pertinent resident care information.
Knock before entering a resident’s room.
Report complaints to the Director of Food Services.

Miscellaneous

Make only authorized food substitutions.
Assist in food preparation for special meals for parties, etc.

Working Conditions

Works in well-lighted/ventilated areas. Atmosphere is warm for cooking.
Moves intermittently during working hours.
Is subject to frequent interruptions.
Is involved with residents, personnel, visitors, government agencies/personnel, etc., under all conditions and circumstances.
Is subject to hostile and emotionally upset residents, family members, etc.
Communicates with the medical staff, nursing staff, and other department supervisors.
Works beyond normal duty hours, on weekends, and in other positions temporarily, when necessary.
Is subject to call-back during emergency conditions(e.g., severe weather, evacuation, post-disaster, etc.).
Attends and participates in continuing educational programs.
Is subject to injury from falls, burns from equipment, odors, etc., throughout the work day, as well as to reactions from dust, disinfectants, tobacco smoke, and other air contaminants.
Is subject to sudden temperature changes when entering refrigerator.
May be exposed to heat/cold temperatures in kitchen/storage area.
Is subject to exposure to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses.
Maintains a liaison with other department supervisors to adequately plan for dietary services/activities.
May be subject to the handling of and exposure to hazardous chemicals.

Education

Must possess, as a minimum, a high school diploma

Experience

None. 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 when circumstances warrant such action.
Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel and the general public.
Must be able to follow oral and written instructions.
Must maintain the care and use of supplies, equipment, the appearance of work areas, and perform regular inspections of food service areas for sanitation, order, safety and proper performance of assigned duties.
Must have patience, tact, cheerful disposition and enthusiasm as well as be willing to handle residents based on whatever maturity level they are currently functioning.
Must possess the ability to seek out new methods and principles and be willing to incorporate them into existing dietary practices.
Must not pose a direct threat to the health or safety of other individuals in the workplace.

Dietary – Cook: Duties and Responsibilities

Administrative Functions

Review menus prior to preparation of food.
Inspect special diet trays to assure that the correct diet is served to the resident.
Perform administrative requirements such as completing necessary forms, reports, etc., and submit to the Director of Food Services.
Coordinate dietary service with other departments as necessary.
Work with the facility’s dietitian as necessary and implement recommended changes as required.
Ensure that all dietary procedures are followed in accordance with established policies.
Assist in standardizing the methods in which work will be accomplished.
Assume the authority, responsibility and accountability of Cook.
Ensure that menus are maintained and filed in accordance with established policies and procedures.
Assist in establishing food service production line, etc., to assure that meals are prepared on time.
Process diet changes and new diets as received from Nursing Services.
Others as deemed necessary and appropriate, or as may be directed.

Personnel Functions

Develop and maintain a good working rapport with inter-department personnel as well as with other departments within the facility to assure that food service can be properly 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 department.
Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals to the Director of Food Services.

Staff Development

Participate and assist in departmental studies and projects as assigned or that may become necessary.
Attend and participate in workshops, seminars, etc., as directed.
Attend and participate in annual HazCom, bloodborne pathogens, and TB in-service training programs.

Dietary Service

Prepare meals in accordance with planned menus.
Prepare and serve meals that are palatable and appetizing in appearance.
Serve food in accordance with established portion control procedures.
Prepare food for therapeutic diets in accordance with planned menus.
Prepare food in accordance with standardized recipes and special diet orders.
Prepare and serve bedtime snacks.
Be sure that appropriate equipment and utensils are provided with the resident’s meal tray.
Review care plans to assure that current dietary information is consistent with foods served.
Prepare and serve substitute foods to residents who refuse foods served.

Safety and Sanitation

Prepare food in accordance with sanitary regulations as well as our established policies and procedures.
Ensure that safety regulations and precautions are followed at all times by all personnel.
Follow established Infection Control and Universal Precautions policies and procedures when performing daily tasks.
Assist/direct daily or scheduled cleaning duties in accordance with established policies and procedures.
Ensure that the department is maintained in a clean and safe manner by assuring that necessary equipment and supplies are maintained.
Report all hazardous conditions/equipment to the Director of Food Services immediately.
Report all accidents/incidents as established by department policies. Fill out and file reports as directed.
Assist in maintaining food storage areas in a clean and properly arranged manner at all times.
Dispose of food and waste in accordance with established policies.
Wear protective clothing and equipment when handling infectious waste and/or blood/body fluids.
Report missing/illegible labels or MDSs to the Director of Food Services.

Equipment and Supply Functions

Ensure that food and supplies for the next meal are readily available.
Assist in inventorying and storing in-coming food, supplies, etc., as necessary.
Recommend to the Director of Food Services the equipment and supply needs of the department.

Resident Rights

Maintain confidentiality of all pertinent resident care information.
Knock before entering a resident’s room.
Review complaints and grievances and make necessary oral/written reports to the Director of Food Services. Follow facility’s established procedures.

Miscellaneous

Assist in serving meals as necessary and on a timely basis.
Make only authorized food substitutions.
Assist in food preparation for special meals, for parties, etc.

Working Conditions

Works in well-lighted/ventilated areas. Atmosphere is warm for cooking.
Moves intermittently during working hours.
Is subject to frequent interruptions.
Is involved with residents, personnel, visitors, government agencies/personnel, etc., under all conditions and circumstances.
Is subject to hostile and emotionally upset residents, family members, etc.
Communicates with the medical staff, nursing staff, and other department supervisors.
Works beyond normal duty hours, on weekends, and in other positions temporarily, when necessary.
Is subject to call-back during emergency conditions (e.g., severe weather, evacuation, post-disaster, etc.).
Attends and participates in continuing educational programs.
Is subject to injury from falls, burns from equipment, odors, etc., throughout the work day, as well as to reactions from dust, disinfectants, tobacco smoke, and other air contaminants.
Is subject to sudden temperature changes when entering refrigerator.
May be exposed to heat/cold temperatures in kitchen/storage area.
Is subject to exposure to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses.
Maintains a liaison with other department supervisors to adequately plan for dietary services/activities.
May be subject to the handling of and exposure to hazardous chemicals.

Education

Must possess, as a minimum, a high school diploma and a valid California Food Handler’s and or SERVSAFE Card.

Experience

One (1) year dietary experience in a hospital, skilled nursing care facility, or other related medical facility preferred (but not necessary).

Specific Requirements

Must be able to cook a variety of foods in large quantities.
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 agencies/personnel and the general public.
Must be knowledgeable of dietary procedures.
Must possess leadership ability and willingness to work harmoniously with other personnel.
Must be able to follow oral and written instructions.
Must maintain the care and use of supplies, equipment, the appearance of work areas, and perform regular inspections of food service areas for sanitation, order, safety and proper performance of assigned duties.
Must have patience, tact, cheerful disposition and enthusiasm, as well as be willing to handle residents based on whatever maturity level they are currently functioning.
Must possess the ability to seek out new methods and principles and be willing to incorporate them into existing dietary practices.
Must not pose a direct threat to the health or safety of other individuals in the workplace.

Director of Staff Development: Duties and Responsibilities

Administrative Functions

Plan, develop, direct, evaluate, and coordinate educational and on-the-job training programs.
Incorporate commercially produced instruction material and training aids into existing in-service programs as deemed necessary.
Provide leadership in formulating the goals and objectives of the in-service educational programs of this facility.
Develop, evaluate and control the quality of in-service educational programs in accordance with established policies and procedures.
Secure, develop and maintain records, reports, instructional manuals, reference materials, etc., pertinent to in-service educational programs.
Perform administrative requirements such as completing necessary forms, reports, class attendance and subject records, etc.
Make written and oral reports/recommendations to the administrator concerning in-service training programs.
Assume the authority, responsibility and accountability of directing the in-service educational programs.
Work with the facility’s consultants as necessary and implement recommended changes as required.
Assist department directors in obtaining and scheduling of speakers to present in-service training programs.
Ensure that in-service training classrooms or areas are properly prepared before training classes begin.
Delegate authority, responsibility, and accountability to other personnel.
Assist in standardizing the methods in which work will be accomplished.
Assist the Quality Assessment and Assurance Coordinator in developing and implementing a quality assurance program for in-service training.
Develop, direct and schedule refresher training, as necessary, for assigned staff and licensed professional personnel.
Remain current on new developments by attending professional institutions, reading professional journals and attending professional seminars.
Attend and participate in your professional associations activities and programs, etc., to assure that you keep abreast of current regulations and guidelines, as well as professional standards, and make recommendations on changes in policies and procedures to the administrator.
Develop and participate in the planning, conducting, and scheduling of orientation programs that orient newly hired personnel to their position, the facility’s policies and procedures, resident rights and responsibilities, etc.
Assist licensed nursing personnel (i.e., RNs, LPNs, and Nurse Aides) in obtaining in-service training to keep their license current in accordance with state law. Provide in-service training as necessary/required.
Assist the administrator in developing the Nurse Aide Training curriculum used by the facility. Submit to state agency as required.
Ensure that all personnel attend and participate in annual OSHA and CDC in-service training programs for hazard communication, TB management, and bloodborne pathogens standard.
Participate and assist in departmental studies and projects as assigned or that may become necessary.
Assist in the development of the in-service training budget.
Ensure that copies of lesson plans, instructor’s qualifications, etc., are filed in accordance with the facility’s policies and procedures.
Others as deemed necessary and appropriate, or as may be directed by the administrator.

Committee Functions

Serve on various committees of the facility as required by existing regulations and as appointed by the administrator.
Represent the department at and participate in top level meetings.
Meet with department supervisors, on a regularly scheduled basis, and solicit advice concerning their training needs, and assist in identifying and correcting problem areas, and/or the improvement of services.
Implement recommendations from the Quality Assessment and Assurance Committee as they relate to the educational needs of the facility.

Personnel Functions

Develop and direct orientation programs for all personnel, in accordance with our established policies and procedures.
Conduct regular or special in-service training sessions for staff to ensure they remain current on new procedures, changes in policies, etc.
Coordinate in-service activities and programs with all departments in accordance with established policies and procedures.
Encourage personnel to get involved in planning programs, trying new ideas, etc., to enhance our educational in-service programs.
Maintain a productive working relationship with the medical profession and other health related facilities and organizations.
Create and maintain an atmosphere of warmth, personal interest and positive emphasis, as well as a calm environment throughout the department.
Promote the morale of all personnel and maintain a spirit of cooperation.
Assist in setting standards for department personnel.
Conduct departmental performance evaluations in accordance with the facility’s policies and procedures.
Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals in accordance with the facility’s policies and procedures governing accidents and incidents.
Ensure that individual employee training records are maintained and filed in the employee’s personnel record.
Schedule in-service training programs according to the needs of each department.
Post notices of in-service training classes in accordance with the facility’s policies and procedures.

Equipment and Supply Functions

Direct the preparation, scheduling and selection of instructional material, equipment and training aids, to ensure that a modern, meaningful in-service program is provided.
Ensure that required serviceable equipment and knowledgeable operators are available to present special in-service material as directed.
Recommend to the administrator the equipment and supply needs of the department.

Resident Rights

Maintain confidentiality of all pertinent resident care information to assure resident rights are protected, including the right of refusal.
Knock before entering a resident’s room.

Working Conditions

Works in office areas, training rooms, resident rooms, exam rooms, etc., as necessary.
Moves intermittently during working hours.
May work flexible hours.
Is subject to frequent interruptions.
Works beyond normal working hours and on weekends and holidays when necessary, as well as in other positions as needed.
Is subject to call-back during emergency conditions (e.g., severe weather, evacuation, post-disaster, etc.).
Attends and participates in continuing educational programs designed to keep you abreast of changes in your profession, as well as to maintain your license on a current status.
Is subject to exposure to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses.
Position may require out-of-town travel.
Is subject to injury from falls, burns from equipment, odors, etc., throughout the workday, as well as to reactions from dust, disinfectants, tobacco smoke, and other air contaminants.
Communicates with department supervisors to determine departmental training needs.
May be subject to the handling of and exposure to hazardous chemicals.

Education

Must possess, as a minimum BS or MS diploma in nursing or related field.

Experience

Must have, as a minimum, 5 year(s) experience in a health related facility.
Must have experience in supervision and principles, practice of teaching, etc.
Must possess skills in leadership and communication.
Must possess creativity, integrity, and initiative.

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 agencies/personnel, and the general public.
Must possess leadership and supervisory ability and the willingness to work harmoniously with other personnel.
Must be willing to seek out new methods and principles and be willing to incorporate them into existing training practices.
Must possess the ability to plan and develop new programs.
Must have patience, tact, a cheerful disposition and enthusiasm as well as the willingness to handle difficult residents and staff.
Must be able to relate information concerning a resident’s condition.
Must not pose a direct threat to the health or safety to other individuals in the workplace.

Assistant Director of Nursing Services: Duties and Responsibilities

Administrative Functions

Assist the Director of Nursing Services in planning, developing, organizing, implementing, evaluating, and directing the day-to-day functions of the nursing service department, in accordance with current rules, regulations, and guidelines that govern the long-term care facility.
Participate in developing, maintaining, and updating our written policies and procedures that govern the day-to-day functions of the nursing service department.
Ensure that reference material (i.e., PDR’S, Federal and State Regulations, etc.) maintained at the nurses’ stations is current. Recommend to the Director written material that will assist the nursing service department in meeting the day-to-day needs of residents.
Ensure that the Nursing Service Procedures Manual is current at all times and reflects the day-to-day nursing care procedures used by this facility.
Develop and periodically update nursing service objectives and statements of philosophy.
Assist in developing and implementing a nursing service organization structure.
Make written and oral reports/recommendations to the Director as necessary/ required, concerning the operation of the nursing service department.
Periodically review the department’s policies, procedure manuals, job descriptions, etc. Make recommendations for revisions of policies, procedures, etc., to the Director of Nursing Services.
Assist in developing methods for coordinating nursing services with other resident services to ensure the continuity of the residents’ total regimen of care.
Ensure that all nursing service personnel are following their respective job descriptions. Participate in developing, maintaining, and periodically updating the written job descriptions for each level of nursing personnel in accordance with the Americans with Disabilities Act, OSHA, and other pertinent laws and regulations.
Participate in the development, maintenance, and implementation of the facility’s quality assurance program for the nursing service department.
Participate in facility surveys (inspections) made by authorized government agencies as requested by the Administrator or Director of Nursing Services.
Participate in developing, implementing, and periodically updating the resident’s written discharge plan.
Assist the resident and Discharge Planning Coordinator in planning the nursing services portion of the resident’s discharge plan.
Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., as necessary.

Committee Functions

In the absence of the Director, serve on, participate in, and attend various committees of the facility (i.e., Infection Control, Policy Advisory, Pharmaceutical, Budget, Quality Assurance & Assessment, etc.).
Serve on the Quality Assurance and Assessment Committee as directed.
Assist the Director in preparing written and/or oral reports of the nursing service programs and activities to submit to such committee(s).
Participate in the development, maintenance, implementation, and updating of the written policies and procedures for the administration, storage, and control of medications and supplies.
Schedule, attend, and participate in developing the agenda for the Care Plan Committee meetings as necessary.
Participate in regularly scheduled reviews of the discharge plans and make such plans available to the Care Plan Committee as required or as may be necessary.
Evaluate and implement recommendations from established committees as they may pertain to nursing services.

Personnel Functions

Assist the Director in determining the staffing needs of the nursing service department.
Recommend to the Director the number and level of nursing personnel to be employed.
Assist the Director in the recruitment and selection of nursing service personnel.
Ensure that a sufficient number of licensed practical and/or registered nurses are available for each tour of duty to ensure that quality care is maintained.
Ensure that a sufficient number of certified nursing assistants are available for each tour of duty to ensure that routine nursing care is provided to meet the daily nursing care needs of each resident.
Ensure that all nursing assistants are enrolled in or have graduated from an approved nursing assistant training program.
Develop work assignments and schedule duty hours, and/or assist nursing supervisory staff in completing and performing such tasks.
Ensure that all nurse aide trainees are under the direct supervision of a licensed nurse.
Schedule work assignments and duty hours.
Delegate to the Charge Nurses and Nurse Supervisors the administrative authority, responsibility, and accountability necessary to perform their assigned duties.
Assist the Director in preparing performance evaluations as directed.
Participate in the development and implementation of performance evaluations for the nursing service department.
Make daily rounds of the nursing service department to ensure that all nursing service personnel are performing their work assignments in accordance with acceptable nursing standards. Report findings to the Director.
Monitor absenteeism to ensure that an adequate number of nursing care personnel are on duty at all times. Report problem areas to the Director.
Monitor the professional nurses’ licensing status to ensure that they remain current. Inform nurses at least 30 days in advance of their license expiration date.
Review complaints and grievances made or filed by department personnel. Make appropriate reports to the Director as required or as may be necessary.
Ensure that departmental disciplinary action is administered fairly and without regard to race, color, creed, national origin, age, sex, religion, handicap, or marital status.
Interpret the department’s policies and procedures to personnel, residents, visitors, and government agencies as necessary.
Ensure that all nursing personnel participate in the facility’s TB testing program.
Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals in accordance with the facility’s policies and procedures governing accident and incidents.

Nursing Care Functions

Participate in the interviewing and selection of residents for admission to the facility, including the PASARR screenings.
Provide the Director with information relative to the nursing needs of the resident and to the nursing service department’s ability to meet those needs.
Inform nursing service personnel of new admissions, their expected time of arrival, room assignment, etc.
Ensure that rooms are ready for new admissions.
Greet newly admitted residents upon admission. Escort them to their rooms as necessary.
Make rounds with physicians as necessary.
Inform the Director when physician visits are not made in a timely manner.
Encourage attending physicians to record and sign progress notes, physicians’ orders, etc., on a timely basis and in accordance with current regulations.
Ensure that direct nursing care be provided by a licensed nurse, a certified nursing assistant, and/or a nurse aide trainee qualified to perform the procedure.
Review nurses’ notes to ensure that they are informative and descriptive of the nursing care being provided, that they reflect the resident’s response to the care, and that such care is provided in accordance with the resident’s wishes.
Schedule daily rounds to observe residents and to determine if nursing needs are being met.
Monitor medication passes and treatment schedules to ensure that medications are being administered as ordered and that treatments are provided as scheduled.
Report medication errors to the Director.
Provide direct nursing care as necessary.
Report problem areas to the Director. Assist in developing and implementing corrective action.
Authorize the use of restraints when necessary and in accordance with our established policies and procedures.
Ensure that residents who are unable to call for help are checked frequently.

Staff Development

Participate in developing, planning, conducting, and scheduling in-service training classes that provide instructions on “how to do the job,” and ensure a well-educated nursing service department.
Develop, implement, and maintain an effective orientation program that orients the new employee to the facility, its policies and procedures, and to his/her job position and duties.
Provide leadership training that includes the administrative and supervisory principles essential for Nurse Supervisors/Charge Nurses.
Encourage Nurse Supervisors/Charge Nurses to attend and participate in outside training programs. Schedule times as appropriate.
Assist the Director in developing and revising the nursing assistant training curriculum used by the facility.
Assist the Director in planning and conducting universal precautions in-service training.
Assist the In-service Director/Educator in developing annual OSHA and CDC in-service training programs for hazard communication, TB management, and bloodborne pathogens standard.
Assist the In-service Director/Educator in developing advance directive in-service training programs for the staff and community.
Assist support services in developing, implementing, and conducting in-service training programs that relate to the nursing service department.
Assist the In-service Director/Educator in the development of in-service training programs for the nursing staff. Ensure that these programs meet the continuing education requirements which allow licensed personnel (e.g., RNs, LPNs, CNAs, etc.) to keep their license on an active status.
Attend and participate in continuing education programs designed to keep you abreast of changes in your profession, as well as to maintain your license on a current status.

Safety and Sanitation

Assist the Safety Officer in developing safety standards for the nursing service department.
Assist the Director and/or Infection Control Coordinator in identifying, evaluating, and classifying routine and job-related functions to ensure that tasks in which there is potential exposure to blood/body fluids are properly identified and recorded.
Ensure that all personnel performing tasks that involve potential exposure to blood/body fluids participate in appropriate in-service training programs prior to performing such tasks.
Ensure that an adequate supply of personal protective equipment is on hand and readily available to personnel who perform procedures that involve exposure to blood or body fluids.
Monitor nursing service personnel to ensure that they are following established safety regulations in the use of equipment and supplies.
Ensure that nursing service work areas (i.e., nurses’ stations, medicine preparation rooms, etc.) 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 codes.
Ensure that nursing service 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.
Participate in the development, implementation, and maintenance of the infection control program for monitoring communicable and/or infectious diseases among the residents and personnel.
Ensure that nursing service personnel follow established infection control procedures when isolation precautions become necessary.
Participate in the development, implementation and maintenance of the procedures for reporting hazardous conditions or equipment.
Ensure that all personnel wear and/or use safety equipment and supplies (e.g., back brace, mechanical lifts, etc.) when moving or lifting a resident.
Report missing/illegible labels and MSDSs to the safety officer or other designated person.

Equipment and Supply Functions

Recommend to the Director the equipment and supply needs of the department.
Ensure that an adequate stock level of medications, medical supplies, equipment, etc., is maintained on premises at all times to adequately meet the needs of the resident.
Assist the Maintenance Director in developing a preventive maintenance program for maintaining the nursing department’s equipment and supplies in a safe and operable manner.
Participate in the development and implementation of the procedures for the safe operation of all nursing service equipment.
Ensure that only trained and authorized personnel operate the department’s equipment.
Ensure that all personnel operate nursing service equipment in a safe manner.
Monitor nursing procedures to ensure that nursing service supplies are used in an efficient manner to avoid waste.
Ensure that appropriate MDSs are on file for hazardous chemicals used in the nursing service department.

Care Plan and Assessment Functions

Participate in the development of written preliminary and comprehensive assessments of the nursing needs of each resident.
Assist the Resident Assessment/Care Plan Coordinator in planning, scheduling, and revising the MDS, including the implementation of RAPs and Triggers.
Participate in the development of a written care plan (preliminary and comprehensive) for each resident that identifies the problems/needs of the resident, indicates the care to be given, goals to be accomplished, and which professional service is responsible for each element of care.
Encourage the resident and his/her family to participate in the development and review of the resident’s plan of care.
Assist in the scheduling of care plans and assessments to be presented and discussed at each committee meeting.
Ensure that all personnel involved in providing care to the resident are aware of the resident’s care plan. Ensure that nursing personnel refer to the resident’s care plan prior to administering daily care to the resident.
Review nurses’ notes to determine if the care plan is being followed.
Review and revise care plans and assessments as necessary, but at least quarterly.
Develop and maintain a good rapport with all services involved with the care plan to ensure that a team effort is achieved in developing the resident’s comprehensive care plan.
Be sure that staff members are providing care that reflects the wishes of the resident.

Budget and Planning Functions

Participate in the preparation of and planning of the nursing service department’s budget and submit to the Director for his/her review, recommendations, and/or approval.
Keep abreast of economic conditions/situations, and recommend to the Director adjustments in nursing services that ensure the continued ability to provide quality care.
Recommend to the Director the equipment needs of the nursing service department.

Resident Rights

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 nursing service personnel knock before entering the resident’s room.
Ensure that all nursing service personnel are knowledgeable of 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 Director indicating what action(s) were taken to resolve the complaint or grievance. Follow 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.
Ensure that appropriate notices are received by the resident before his/her room or roommate is changed.
Report and investigate 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 area(s) as well as throughout the nursing service area (i.e., drug rooms, nurses’ stations, resident rooms, etc.).
Moves intermittently during working hours.
Is subject to frequent interruptions.
Is involved with residents, personnel, visitors, government agencies/personnel, etc., 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 on weekends and holidays when necessary.
Is subject to call-back during emergency conditions (e.g., severe weather, evacuation, post-disaster, etc.).
Is involved in community/civic health matters/projects as appropriate.
Attends and participates in continuing educational programs.
Is subject to injury from falls, burns from equipment, odors, etc., throughout the work day, as well as to reactions from dust, disinfectants, tobacco smoke, and other air contaminants.
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 residents, their families, support departments, etc., to adequately plan for the residents’ needs.

Education
Must possess, as a minimum, a Nursing Degree (RN) from an accredited college or university.

Specific Requirements

Must possess a current, unencumbered, active license to practice as a Registered Nurse in this state.
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 agencies/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 leadership and supervisory ability and the willingness to work harmoniously with and supervise other personnel.
Must possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures, etc., that are necessary for providing quality care.
Must have patience, tact, a cheerful disposition 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 or safety of other individuals in the workplace.

Housekeeper: Duties and Responsibilities

Administrative Functions

Ensure that work/cleaning schedules are followed as closely as practical.
Report all accidents/incidents to your supervisor no matter how minor they may be. (NOTE: Such occurrences must be reported on the shift in which they occur.)
Coordinate daily housekeeping services with nursing services when performing routine cleaning assignments in resident living and/or recreational areas.

Personnel Functions

Attend departmental and staff meetings as directed or called.
Perform specific tasks in accordance with daily work assignments.
File complaints/grievances with your supervisor.

Staff Development

Participate and assist in department studies and projects as directed.
Attend and participate in in-service educational classes, on-the-job training programs, etc., as scheduled or as directed.
Attend and participate in annual OSHA and CDC in-service training programs for hazard communication, TB management, and bloodborne pathogens standard.

Safety and Sanitation

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 (e.g., back brace, mechanical lifts, etc.) when lifting or moving heavy objects.
Ensure that assigned work areas are maintained in a clean, safe, comfortable, and attractive manner.
Keep work/assignment areas free of hazardous objects such as protruding mop/broom handles, unnecessary equipment, supplies, etc.
Follow proper techniques when mixing chemicals, disinfectants, and solutions used for cleaning. Refer to manufacturer’s instructions when necessary.
Follow established policies governing the use of labels and MSDSs.
Report all hazardous conditions or equipment to your supervisor.
Ensure that established infection control and universal precautions practices are maintained when performing housekeeping procedures.
Participate in appropriate in-service training program prior to performing tasks that involve potential exposure to blood, body fluids, or hazardous chemicals.
Report missing or improperly labeled containers of hazardous chemicals to your supervision.
Use appropriate personal protective equipment and supplies when handling infectious materials and/or hazardous wastes or chemicals.
Follow established handwashing procedures.
Dispose of refuse daily in accordance with our established sanitation procedures.
Follow established policies governing the use/disposal of personal protective equipment and disposal of infectious wastes.
Coordinate routine/terminal isolation procedures with nursing service.
Other(s) that may become necessary/appropriate to assure that our facility is maintained in a clean, safe, and comfortable manner.

Equipment and Supply Functions

Ensure that an adequate supply of housekeeping supplies to perform daily tasks is maintained in utility/janitorial closets.
Keep supervisor informed of supply needs.
Report burned out light bulbs, exit lights, overhead lights, fluorescent lights, room call lights, etc., to your supervisor as soon as practical.
Assist others in lifting heavy equipment, supplies, etc., as directed or requested.
Clean work/supply carts, equipment, etc., as necessary or directed.
Ensure that equipment is cleaned and properly stored at the end of the shift.

Housekeeping Services

Perform day-to-day housekeeping functions as assigned.
Perform specific tasks in accordance with daily work assignments.
Empty and sanitize ash trays daily. (NOTE: Ash trays must be emptied into appropriate metal containers with self-closing cover devices.)
Clean/polish furnishings, fixtures, ledges, room heating/cooling units, etc., in resident rooms, recreational areas, etc., daily as instructed.
Clean, wash, sanitize, and/or polish bathroom fixtures. Ensure that water marks are removed from fixtures.
Clean windows/mirrors in resident rooms, recreational areas, bathrooms, and entrance/exit ways.
Clean floors, to include sweeping, dusting, damp/wet mopping, stripping, waxing, buffing, disinfecting, etc. (NOTE: Ensure that appropriate caution/safety signs are properly set up prior to performing such duties.)
Clean carpets, to include vacuuming, shampooing, deodorizing, and disinfecting.
Clean walls and ceilings by washing, wiping, dusting, spot cleaning, disinfecting, deodorizing, etc.
Remove dirt, dust, grease, film, etc., from surfaces using proper cleaning/disinfecting solutions.
Clean hallways, stairways, and elevators.
Discard waste/trash into proper containers and reline trash receptacle with plastic liner.
Clean vacant rooms as assigned.
Ensure that work/assignment areas are clean and that equipment, tools, supplies, etc., are properly stored at all times, as well as before leaving such areas for breaks, meal times, and end of the work day.
Perform isolation cleaning procedures in accordance with established infection control procedures.
Discard infectious wastes into appropriate containers.

Resident Rights

Maintain the confidentiality of resident information.
Knock before entering a resident’s room.
Honor the residents’ personal and property rights.
Inform resident when it is necessary to move his/her personal possessions during cleaning procedures.

Miscellaneous

Turn in all found articles to your supervisor.

Working Conditions

Works in all areas of the facility.
Moves intermittently during working hours.
Is subject to frequent interruptions and may need to reschedule cleaning activities.
Is involved with residents, personnel, visitors, government agencies/personnel, etc., under all conditions and circumstances.
Is subject to hostile and emotionally upset residents, family members, personnel, and visitors.
Communicates with housekeeping personnel and other department personnel.
Works beyond normal working hours and on weekends and holidays when necessary, as well as in other positions as needed.
Is subject to call-back during emergency conditions (e.g., severe weather, evacuation, post-disaster, etc.).
May be required to work on shifts other than the one for which hired.
Attends and participates in continuing educational programs.
Is subject to injury from falls, burns from equipment, odors, etc., throughout the work day, as well as reactions from dust, disinfectants, tobacco smoke, and other air contaminants.
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.

Education

Must possess, as a minimum, a 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, to follow instructions, and to accept constructive criticism.
Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public.
Must maintain the care and use of supplies, equipment, etc., and maintain the appearance of housekeeping areas, must perform regular inspections of resident rooms/units for sanitation, order, safety and proper performance of assigned duties.
Must be willing to work harmoniously with other personnel as well as be willing to handle residents based on whatever maturity level at which they are currently functioning.
Must possess the ability 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 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 intermittently throughout the work day.
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 possess sight/hearing senses or use prosthetics that will enable these senses to function adequately so 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 the residents, personnel.
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 relate to and work with ill, disabled, elderly, emotionally upset, and, at times, hostile people within the facility.
Must be able to lift up to 20 pounds. Occasional carrying of cleaning supplies. Requires frequent pushing and pulling of housekeeping carts.
May be necessary to assist in the evacuation of residents during emergency situations.

Laundry Worker: Duties and Responsibilities

Administrative Functions

Ensure that work/cleaning schedules are followed as closely as practical.
Report all accidents/incidents to your supervisor no matter how minor they may be. (NOTE: Such occurrences must be reported on the shift in which they occur.)
Coordinate daily laundry services with nursing services when performing routine assignments in resident living areas.

Personnel Functions

Attend departmental and staff meetings as directed or called.
Perform specific tasks in accordance with daily work assignments.
File complaints/grievances with your supervisor.

Staff Development

Participate and assist in department studies and projects as directed.
Attend and participate in in-service educational classes, on-the-job training programs, etc., as scheduled or as directed.
Attend and participate in annual OSHA and CDC in-service training programs for hazard communication, TB management, and bloodborne pathogens standard.

Safety and Sanitation

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 (e.g., back brace, mechanical lifts, etc.) when lifting or moving heavy objects.
Ensure that assigned work areas are maintained in a clean, safe, and sanitary manner.
Keep work/assignment areas free of hazardous objects, unnecessary equipment, supplies, etc.
Follow proper techniques when mixing chemicals, disinfectants, and solutions used in the work area. Refer to material safety data sheets (MSDSs) when necessary.
Follow established policies governing the use of labels and MSDSs.
Report all hazardous conditions or equipment to your supervisor.
Ensure that established infection control and universal precautions practices are maintained when performing laundry procedures.
Participate in an in-service training program prior to performing tasks that involve potential exposure to blood, body fluids, or hazardous chemicals.
Use appropriate personal protective equipment and supplies when handling infectious materials.
Discard sharps into designated container.
Follow established hand washing procedures.
Dispose of refuse daily in accordance with our established sanitation procedures.
Follow established policies governing the use/disposal of personal protective equipment and disposal of infectious wastes.
Coordinate isolation procedures with nursing service.
Other(s) that may become necessary/appropriate to assure that our laundry department is maintained in a clean, safe, and sanitary manner.

Equipment and Supply Functions

Ensure that an adequate supply of laundry/linen supplies is maintained in laundry/linen closets to meet the daily needs of the residents.
Keep supervisor informed of supply needs.
Keep work area(s) free of hazardous conditions, i.e., spills, excess laundry carts, baskets, supplies, equipment, etc.
Report all hazardous conditions or equipment to the Director of Laundry Services.
Report all equipment malfunctions or breakdowns to your supervisor as soon as practical.
Assist others in lifting heavy equipment, supplies, etc., as directed or requested.
Clean work/supply carts, equipment, etc., as necessary/directed.
Ensure that equipment is cleaned and properly stored at the end of the shift.

Laundry Services

Perform day-to-day laundry functions as assigned.
Perform specific tasks in accordance with daily work assignments.
Perform assigned tasks in accordance with established laundry procedures.
Collect, sort, and weigh soiled laundry, linen, garments, etc., and place in appropriate containers or assigned areas.
Sort soiled laundry, linen, garments, etc., and separate those items that require special stain removal/treatment.
Sort, count, and wash soiled laundry, linen, garments, etc., in accordance with established procedures.
Press/iron garments as instructed.
Fold, count, stack, hang, and distribute clean laundry, linen, garments, etc., to residents daily and/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 damp/wet mopping. (NOTE: Assure that appropriate caution/safety signs are properly set up prior to performing such duties.)
Keep walls and ceilings clean by washing, wiping, dusting, spot cleaning, disinfecting, deodorizing, etc.
Remove dirt dust, grease, film, etc., from equipment or floor surfaces, using proper cleaning/disinfecting solutions.
Discard waste/trash into proper containers and reline trash receptacle with plastic liner.

Resident Rights

Maintain the confidentiality of resident information.
Knock before entering a resident’s room.
Honor the residents’ personal and property rights.
Report complaints of missing property to your supervisor.

Miscellaneous

Turn in all found articles to your supervisor.

Working Conditions

Works in all areas of the facility.
Moves intermittently during working hours.
Is subject to frequent interruptions and may need to reschedule laundry activities.
Is involved with residents, personnel, visitors, government agencies/personnel, etc., under all conditions and circumstances.
Is subject to hostile and emotionally upset residents, family members, personnel, and visitors.
Communicates with laundry personnel and other department personnel.
Works beyond normal working hours and on weekends and holidays when necessary, as well as in other positions as needed.
Is subject to call-back during emergency conditions (e.g., severe weather, evacuation, post-disaster, etc.).
May be required to work on shifts other than the one for which hired.
Attends and participates in continuing educational programs.
Is subject to injury from falls, burns from equipment, odors, etc., throughout the work day, as well as to reactions from dust, disinfectants, tobacco smoke, and other air contaminants.
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.

Education

Must possess, as a minimum, a 10th grade education or its equivalent.

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, to follow instructions, and to accept constructive criticism.
Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel and the general public.
Must maintain the care and use of supplies, equipment, etc., and maintain the appearance of laundry areas, for sanitation, order, and safety.
Must be willing to work harmoniously with other personnel as well as be willing to handle residents based on whatever maturity level at which they are currently functioning.
Must possess the ability to seek out new methods and principles and be willing to incorporate them into existing laundry practices.
Must be able to follow written and oral instructions concerning the mixture of cleaning compounds, liquids, cleaning instructions, etc.
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 intermittently throughout the work day.
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 possess sight/hearing senses or use prosthetics that will enable these senses to function adequately so that the requirements of this position can be fully met.
Must function independently, have flexibility, personal integrity, and the ability to work effectively with the residents, personnel.
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 relate to and work with ill, disabled, elderly, emotionally upset, and, at times, hostile people within the facility.
Must be able to lift up to 25 pounds. Requires infrequent, heavier lifting of wet laundry, (weight varies). Constant carrying of laundry in and out of washer and dryer. Requires constant pushing and pulling of linen barrels and racks.
May be necessary to assist in the evacuation of residents during emergency situations.

Nurse Supervisor: Duties and Responsibilities

Administrative Functions

Assist the Assistant Director of Nursing Services in directing the day-to-day functions of the nursing activities in accordance with current rules, regulations, and guidelines that govern the long-term care facility.
Participate in developing, maintaining, and updating written policies and procedures that govern the day-to-day functions of the nursing service department.
Ensure that reference material (i.e., PDR’S, Federal and State Regulations, etc.) maintained at the nurses’ stations is current. Recommend written material that will assist the nursing service department in meeting the day-to-day needs of the resident.
Ensure that the Nursing Service Procedures Manual is current and reflects the day to day nursing procedures performed in this facility.
Ensure that all nursing service personnel comply with the procedures set forth in the Nursing Service Procedures Manual.
Make written and oral reports/recommendations to the Director as necessary/required, concerning the operation of the nursing service department.
Periodically review the department’s policies, procedure manuals, job descriptions, etc. Make recommendations for revisions to the Director.
Assist in developing methods for coordinating nursing services with other resident services to ensure the continuity of the residents’ total regimen of care.
Ensure that all nursing service personnel are in compliance with their respective job descriptions.
Participate in the development, maintenance and implementation of the facility’s quality assurance program for the nursing service department.
Participate in facility surveys (inspections) made by authorized government agencies as requested by the Administrator or Director of Nursing Services.
Periodically review the resident’s written discharge plan. Participate in the updating of the resident’s written discharge plan as required.
Assist the Director in planning the nursing services portion of the resident’s discharge plan as necessary.
Meet with the nursing staff, as well as support personnel, in planning the department’s services, programs, and activities.
Admit, transfer, and discharge residents as required.
Complete accident/incident reports as necessary.
Interpret the department’s policies and procedures to personnel, residents, visitors, and government agencies as required.
Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., as necessary.

Committee Functions

Attend various committee meetings of the facility (i.e., Infection Control, Policy Advisory, Pharmaceutical, Quality Assessment, etc.) as required.
Assist in preparing written and/or oral reports of the nursing service programs and activities to submit to such committee(s) as directed.
Provide information to the Quality Assurance and Assessment Committee as requested.
Participate in developing the agenda for the Care Plan Committee meetings as necessary.
Participate in regularly scheduled reviews of the discharge plans and make such plans available to the Care Plan Committee as required or as may be necessary.
Implement recommendations from established committees as instructed by the Director.

Personnel Functions

Ensure that a sufficient number of licensed practical and/or registered nurses are available for your tour of duty to ensure that quality care is maintained.
Ensure that a sufficient number of certified nursing assistants are available for your tour of duty to ensure that routine nursing care is provided to meet the daily nursing care needs of each resident.
Develop work assignments, and/or assist in completing and performing such tasks.
Delegate to each Charge Nurse the administrative authority, responsibility, and accountability necessary to perform his/her assigned duties.
Ensure that all nursing assistants are enrolled in or have graduated from an approved nursing assistant training program.
Ensure that all nurse aide trainees are under the direct supervision of a licensed nurse.
Make daily rounds of the nursing service department to ensure that all nursing service personnel are performing their work assignments in accordance with acceptable nursing standards. Report findings to the Director.
Monitor absenteeism to ensure that an adequate number of nursing care personnel are on duty at all times. Report problem areas to the Director.
Ensure that established policies and procedures, including dress codes, are followed by all departmental personnel.
Review complaints and grievances made or filed by department personnel. Make appropriate reports to the Director as required or as may be necessary.
Develop and maintain a good working rapport with inter-department personnel, as well as other departments within the facility to ensure that nursing services and activities 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 shift.
Meet with your shift on a regularly scheduled basis to assist in identifying and correcting problem areas and/or to assist in the improvement of services.
Review and evaluate your department’s work force and make recommendations to the Director.
Participate in employee performance evaluations, determining your shift’s staffing requirements, and making recommendations to the Director concerning employee dismissals, transfers, etc.
Ensure that departmental disciplinary action is administered fairly and without regard to race, color, creed, national origin, age, sex, religion, handicap, or marital status.
Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals in accordance with the facility’s policies and procedures governing accidents and incidents.

Nursing Care Functions

Inform nursing service personnel of new admissions, their expected time of arrival, room assignment, etc.
Ensure that rooms are ready for new admissions.
Greet newly admitted residents upon admission. Escort them to their rooms as necessary.
Make rounds with physicians as necessary.
Encourage attending physicians to record and sign progress notes, physicians’ orders, etc., on a timely basis and in accordance with current regulations.
Inform the Director when physician visits are not made in a timely manner.
Consult with the resident, his/her family, and the resident’s physician in planning the resident’s care, treatment, rehabilitation, etc., as necessary.
Notify the resident’s attending physician and next-of-kin when there is a change in the resident’s condition.
Visit residents on a daily basis in order to observe and evaluate each resident’s physical and emotional status.
Ensure that direct nursing care be provided by a licensed nurse, a certified nursing assistant, and/or a nurse aide trainee qualified to perform the procedure.
Review nurses’ notes to ensure that they are informative and descriptive of the nursing care being provided, that they reflect the resident’s response to the care, and that such care is provided in accordance with the resident’s wishes.
Provide direct nursing care as necessary.
Start IVs, obtain sputum, urine and other specimens for lab tests as ordered.
Take TPRs, blood pressures, etc., as necessary.
Admit, transfer and discharge residents as necessary.
Report problem areas to the Director. Assist in developing and implementing corrective action.
Keep the Director informed of the status of residents and other related matters through written/oral reports.
Assist the Charge Nurse in monitoring seriously ill residents.
Authorize the use of restraints when necessary and in accordance with our facilities policies and procedures.
Ensure that all RNs and LPNs on your shift comply with written procedures for the administration, storage, and control of medications and supplies.
Monitor medication passes and treatment schedules to ensure that medications are being administered as ordered and that treatments are provided as scheduled.
Review medication cards for completeness of information, accuracy in the transcription of physician orders, and adherence to stop order policies.
Inspect the nursing service treatment areas daily to ensure that they are maintained in a clean and safe manner.
Ensure that residents who are unable to call for help are checked frequently.
Meet with residents, and/or family members, as necessary. Report problems to the Director.
Assist in arranging transportation for discharged residents as necessary.
Inform family members of the death of the resident.
Call funeral homes when requested by the family.<

Staff Development

Participate in developing, planning, conducting, and scheduling in-service training classes that provide instructions on “how to do the job,” and ensure a well-educated nursing service department.
Develop, implement, and maintain an effective orientation program that orients the new employee to your shift, its policies and procedures, and to his/her job position and duties.
Provide leadership training that includes the administrative and supervisory principles essential for your Charge Nurses.
Encourage your Charge Nurses to attend and participate in outside training programs. Schedule times as appropriate.
Assist the Director in developing and revising the nursing assistant training curriculum used by the facility.
Assist the Director in planning clinical supervision for nurse aide trainees.
Assist the In-service Director/Educator in developing annual OSHA and CDC in-service training programs for hazard communication, TB management, and bloodborne pathogens standard.
Assist the In-service Director/Educator in developing advance directive in-service training programs for the staff and community.
Assist support services in developing, implementing, and conducting in-service training programs that relate to the nursing service department.
Assist the In-service Director/Educator in the development of in-service training programs for the nursing staff. Ensure that these programs meet the continuing education requirements which allow licensed personnel (e.g., RNs, LPNs, CNAs, etc.) to keep their license on an active status.
Attend and participate in continuing education programs designed to keep you abreast of changes in your profession, as well as to maintain your license on a current status.

Safety and Sanitation

Assist the Safety Officer in developing safety standards for the nursing service department as necessary.
Assist the Director and/or Infection Control Coordinator in identifying, evaluating, and classifying routine and job-related functions to ensure that tasks in which there is potential exposure to blood/body fluids are properly identified and recorded.
Ensure that all personnel performing tasks that involve potential exposure to blood/body fluids participate in appropriate in-service training programs prior to performing such tasks.
Ensure that an adequate supply of personal protective equipment is on hand and readily available to personnel who perform procedures that involve exposure to blood or body fluids.
Ensure that personnel follow established procedures for the use and disposal of personal protective equipment.
Monitor your shift’s personnel to ensure that they are following established safety regulations in the use of equipment and supplies.
Ensure that all nursing service personnel comply with established departmental policies and procedures.
Ensure that nursing service work areas (i.e., nurses’ stations, medicine preparation rooms, etc.) 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 nursing service personnel follow established handwashing procedures.
Ensure that nursing service personnel participate in and conduct all fire safety and disaster preparedness drills in a safe and professional manner.
Participate in the development, implementation, and maintenance of the infection control program for monitoring communicable and/or infectious diseases among the residents and personnel.
Ensure that nursing service personnel follow established infection control procedures when isolation precautions become necessary.
Participate in the development, implementation and maintenance of the procedures for reporting hazardous conditions or equipment.
Ensure that all personnel wear and/or use safety equipment and supplies (e.g., back brace, mechanical lifts, etc.) when lifting or moving residents.
Report missing/illegible labels and MSDSs to the safety officer or other designated person.

Equipment and Supply Functions

Recommend to the Director the equipment and supply needs of the department.
Ensure that an adequate stock level of medications, medical supplies, equipment, etc., is maintained on premises at all times to meet the needs of the resident.
Assist the Maintenance Director in developing a preventive maintenance program for maintaining the nursing service department’s equipment and supplies in a safe and operable manner.
Participate in the development and implementation of the procedures for the safe operation of all nursing service equipment.
Ensure that only trained and authorized personnel operate the nursing service department’s equipment.
Ensure that all personnel operate nursing service equipment in a safe manner.
Monitor nursing procedures to ensure that nursing service supplies are used in an efficient manner to avoid waste.
Ensure that appropriate MSDSs are on file for hazardous chemicals used in the nursing service department.

Care Plan and Assessment Functions

Participate in the development of written preliminary and comprehensive assessments of the nursing needs of each resident as necessary.
Participate in the development of a written plan of care (preliminary and comprehensive) for each resident that identifies the problems/needs of the resident, indicates the care to be given, goals to be accomplished, and which professional service is responsible for each element of care.
Encourage the resident to participate in the development and review of his/her care plan.
Review resident care plans for appropriate resident goals, problems, approaches, and revisions based on nursing needs.
Ensure that all personnel involved in providing care to the resident are aware of the resident’s care plan. Ensure that nursing personnel refer to the resident’s care plan prior to administering daily care to the resident.
Review nurses’ notes to determine if the care plan is being followed.
Assist the Resident Assessment/Care Plan Coordinator in planning, scheduling, and revising the MDS, including the implementation of RAPs and Triggers.
Review resident’s medical and nursing treatments to ensure that they are provided in accordance with the resident’s care plan and wishes.

Budget and Planning Functions

Keep abreast of economic conditions/situations, and recommend to the Director adjustments in nursing services that ensure the continued ability to provide quality care.
Recommend to the Director the equipment needs of the nursing service department.

Resident Rights

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 nursing service personnel knock before entering the resident’s room.
Ensure that all nursing service personnel are knowledgeable of 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 Director indicating what action(s) were taken to resolve the complaint or grievance. Follow 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.
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.

Working Conditions

Works in office area(s) as well as throughout the nursing service area (i.e., drug rooms, nurses’ stations, resident rooms, etc.).
Moves intermittently during working hours.
Is subject to frequent interruptions.
Is involved with residents, personnel, visitors, government agencies/personnel, etc., 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 on weekends and holidays when necessary.
Is subject to call-back during emergency conditions (e.g., severe weather, evacuation, post-disaster, etc.).
Is involved in community/civic health matters/projects as appropriate.
Attends and participates in continuing educational programs.
Is subject to injury from falls, burns from equipment, odors, etc., throughout the work day, as well as reactions from dust, disinfectants, tobacco smoke, and other air contaminants.
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 residents, their families, support departments, etc., to adequately plan for the residents’ needs.

Education

Must possess, as a minimum, a Nursing Degree from an accredited college or university, or be a graduate of an approved LPN/LVN program.

Experience

Must have, as a minimum, 2 year(s) of experience as a supervisor in a hospital, long-term care facility, or other related health care facility.
Must have training in rehabilitative and restorative nursing practices.

Specific Requirements

Must possess a current, unencumbered, active license to practice as an RN or LPN/LVN in this state.
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 agencies/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 leadership and supervisory ability and the willingness to work harmoniously with and supervise other personnel.
Must possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures, etc., that are necessary for providing quality care.
Must have patience, tact, a cheerful disposition 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 or safety of other individuals in the workplace.

Physical Therapist: Duties and Responsibilities

Administrative and Surveillance Functions

Plan, develop, organize, implement, evaluate, and direct physical therapy, as well as its programs and activities, in accordance with current rules, regulations, and guidelines that govern the long-term care facility.
Meet with administration, medical and nursing staff, as well as other related departments in planning therapy services.
Represent the facility at and participate in meetings as directed.
Develop and maintain physical therapy standards.
Assist in standardizing the methods in which physical therapy will be accomplished.
Maintain a reference library of written therapy material, laws, etc., necessary for complying with current standards and regulations, and that will provide assistance in maintaining quality resident care.
Assist in developing, implementing and coordinating policies and procedures, resident care plans, physical therapy procedure manuals, job descriptions, etc.
Review physical therapy policies, procedures, manuals, job descriptions, etc., at least annually, and participate in making recommended changes.
Interpret physical therapy policies and procedures to personnel, residents, family members, etc., as necessary.
Participate in discharge planning, development and implementation of resident care plans, resident assessments, etc., as necessary.
Assist the Quality Assessment and Assurance Coordinator in developing, implementing, and maintaining an ongoing quality assurance program for physical therapy services.
Assist the Quality Assessment & Assurance Committee in developing and implementing appropriate plans of action to correct identified deficiencies.
Assume the authority, responsibility and accountability of directing the physical therapy department.
Maintain treatment records, resident files, and progress notes as required.
Work with the facility’s consultants as necessary and implement recommended changes as required.
Assist in arranging transportation to other facilities when necessary.
Ensure business office receives charges for physical therapy rendered to residents.
Make written and oral reports/recommendations to the administrator, as necessary/required, concerning the operation of the physical therapy department.
Maintain an adequate liaison with families and residents.
Interview residents, or family members, as necessary.
Perform administrative requirements such as completing necessary forms, reports, etc., and submitting to the administrator as required.
Others as deemed necessary and appropriate, or as may be directed by the administrator.

Committee Functions

Serve on, participate in, and/or attend various committees of the facility as required.
Provide written and/or oral reports of the physical therapy programs and activities as required.
Evaluate and implement recommendations from established committees as they may pertain to physical therapy services.

Personnel Functions

Determine the staffing needs of the physical therapy department necessary to meet the needs of the residents.
Recommend the number and level of physical therapy personnel to be employed.
Assist the administrator and/or the personnel director in the recruitment and selection of competent physical therapy personnel.
Provide guidance and training for new and/or less experienced personnel.
Develop work assignments and schedule duty hours.
Develop, maintain, and periodically update the written procedure for ensuring that professional physical personnel have valid and current licenses as required by this state.
Review complaints and grievances made or filed by department personnel.
Make written and oral reports/recommendations to the administrator concerning the operation of the physical therapy department.
Maintain an excellent working relationship with the medical profession and other health related facilities and organizations.
Create and maintain an atmosphere of warmth, personal interest and positive emphasis, as well as a calm environment throughout the department.
Develop and maintain a good working rapport with inter-department personnel, as well as other departments within the facility to assure that services and activities can be properly maintained to meet the needs of the residents.
Meet with and solicit advice from other department supervisors concerning physical therapy; assist in identifying and correcting problem areas and/or the improvement of services.
Coordinate physical therapy with other departments.
Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals in accordance with the facility’s policies and procedures governing accidents and incidents.
Conduct departmental performance evaluations in accordance with established policies and procedures.

Therapy and Consultation Functions

Review request for physical therapy and physicians’ orders.
Interview resident to determine type of treatment and schedule therapy.
Evaluate type of therapy most desirable after consulting with physician.
Participate in the development and implementation or resident assessments (MDS) and care plans, including quarterly reviews.
Brief resident of procedures involved in physical therapy and prepare necessary equipment.
Assist in transporting resident to and from physical therapy room/area.
Demonstrate to residents and staff personnel, as necessary, the use of medical appliances involved in physical therapy (e.g., wheelchairs, crutches, canes, braces, and prosthetic appliances and devices).
Perform physical therapy in resident’s room as necessary.
Reassure resident before and during therapy treatment.
Prepare resident for treatment by dress/position and administer physical therapy in accordance with established policies and procedures.
Determine proper equipment usage, application and body position, and make adjustments as necessary in the administration of physical therapy treatments (e.g., gait training, traction, whirlpool, etc.).
Apply agents such as diathermy, ultrasound, infrared, massage, therapeutic exercise, etc., as required.
Recommend modifications or changes in the resident’s therapy program based on own evaluation of progress.
Ensure that all therapist notes are informative and descriptive of the care provided and of the resident’s response to the care.
Make rounds with attending physician/medical director, etc., as necessary.
Encourage attending physician(s) to record and sign progress notes, as well as review treatment plans, etc.

Staff Development

Develop and participate in programs designed for in-service education, on the job training and orientation classes for newly assigned personnel. (Includes maintaining appropriate recordkeeping requirements of when classes were held, subject matter, attendance, etc.)
Develop, implement, and maintain an effective orientation program that orients the new employee to the facility, its policies and procedures, and to his/her job position and duties.
Participate and assist in departmental studies and projects as assigned or that may become necessary.
Attend and participate in workshops, seminars, etc., to keep abreast of current changes in the health care field, as well as to maintain a professional status.
Ensure that therapy personnel attend and participate in annual OSHA and CDC in-service training programs for hazard communication, TB management, and bloodborne pathogens standard.

Safety and Sanitation

Assist in developing safety standards for the physical therapy department.
Ensure that physical therapy personnel, residents, visitors, etc., follow established policies and procedures at all times, including appropriate dress codes.
Be alert for resident safety during any/all therapy.
Ensure that therapy personnel wear and/or use safety equipment and supplies (e.g., back brace, mechanical lifts, etc.) when lifting or moving residents.
Assist the Infection Control Coordinator in the development, implementation, and revision of written aseptic and isolation techniques.
Assist in identifying and classifying departmental procedures that involve exposure to blood or body fluids. Update as necessary.
Ensure that therapy personnel performing tasks that involve potential exposure to blood/body fluids participate in appropriate in-service training programs prior to performing such tasks.
Ensure that adequate supplies of personal protective equipment are on hand and are readily available to personnel who perform procedures that involve exposure to blood or body fluids.
Ensure that therapy personnel follow established infection control procedures when performing duties.
Inspect physical therapy areas and practices for compliance with current applicable regulations at least monthly.
Ensure that the therapy area is maintained in a clean and safe manner for resident comfort and convenience by assuring that necessary equipment and supplies are maintained to perform such duties/services.
Develop, implement, and maintain a procedure for reporting hazardous conditions or equipment.
Report missing/illegible labels or MSDSs to the safety officer or other designated person.

Equipment and Supply Functions

Recommend to the administrator the equipment and supply needs of the department.
Provide necessary material/equipment for resident to perform required therapy.
Develop and implement procedures that ensure physical therapy supplies are used in an efficient manner to avoid waste.
Ensure that MDSs are on file for hazardous chemicals used in the therapy department.

Care Plan Functions

Assist in developing physical therapy plans for individual residents in coordination and conjunction with the resident assessment (MDS).
Review the physical therapy requirements of each resident admitted to the facility and assist the attending physician in planning for the resident’s care.
Involve the resident/family in planning objectives and goals for the resident.
Ensure that physical therapy treatments are indicated on the care plan.
Participate in the development and implementation of care plans, including quarterly reviews.
Prepare and plan the physical therapy budget and submit to the administrator for his/her review, recommendation, and/or approval.
Keep abreast of economic conditions/situations, and recommend to the administrator adjustments in physical therapy that ensure the continued ability to provide quality care.

Resident Rights

Maintain the confidentiality of all resident care information.
Ensure that resident’s rights to fair and equitable treatment, self determination, individuality, privacy, property and civil rights, including the right to wage a complaint, are well established and maintained at all times.
Ensure that therapy personnel knock before entering the resident’s room.
Ensure that all physical therapy personnel are knowledgeable of the residents’ responsibilities and rights including the right to refuse treatment.
Ensure that therapy personnel honor the resident’s refusal of treatment request. Report such requests to the Director of Nursing Services..
Abide by the resident’s participation in treatment decision.
Inform the resident of consequences of not participating in prescribed therapy and document such action in the resident’s clinical record.
Review complaints and grievances made by the resident, families, and/or visitors and make oral/written reports to the administrator indicating what action(s) were taken to resolve the complaint or grievance.
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.
Allow the resident to participate in the planning and scheduling of his or her treatment.

Working Conditions

Works in office areas, therapy rooms, resident rooms, etc.
Moves intermittently during working hours.
Is subject to frequent interruptions.
Is involved with physicians, residents, personnel, visitors, government agencies/personnel, etc., 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 on weekends and holidays when necessary, as well as in other positions as needed.
Is subject to call-back during emergency conditions (e.g., severe weather, evacuation, post-disaster, etc.).
Is subject to exercising and massaging residents.
Must be constantly alert for resident safety.
Attends and participates in continuing educational programs as may be required by current regulations.
Is subject to injury from falls, burns from equipment, odors, assaults from hostile residents, etc., throughout the work day, as well as reactions from dust, disinfectants, tobacco smoke, and other air contaminants.
Is subject to exposure to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses.
Is subject to the handling of and exposure to hazardous chemicals.
Is subject to lifting, carrying and supporting residents.
Maintains a liaison with the residents, their families, other departments, etc., to adequately plan for the resident’s physical therapy needs.

Education

Must possess, as a minimum, a Bachelor’s Degree in Physical Therapy from an accredited college or university.

Experience

Must have, as a minimum, 3 year(s) experience in a therapist capacity in a hospital, skilled nursing care facility, or other related medical facility.
Must have training in rehabilitative and restorative therapy practices.

Specific Requirements

Must possess a current, unencumbered license to practice as a Physical Therapist in this state.
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 in a timely fashion.
Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public.
Must be knowledgeable of physical therapy procedures.
Must possess leadership and supervisory ability and the willingness to work harmoniously with and supervise other personnel.
Must possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies, procedures, etc., of the physical therapy service.
Must maintain the care and use of supplies, equipment, etc., and maintain the appearance of therapy areas.
Must have patience, tact, a cheerful disposition and enthusiasm as well as be willing to handle residents on whatever maturity level in which they are currently functioning.
Must be willing to seek out new methods and principles and be willing to incorporate them into existing therapy services.
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.

Healthcare Business Manager: Duties and Responsibilities

This position reports to Administrator.

The job duties include:

1) Responsible for day-to-day financial functioning of the
skilled nursing facility, balancing quality patient
care and financial goals and performance objectives;

2) Plan, develop and implement financial policies and
procedures for providing quality care and
maintaining a sound business operation;

3) Supervise Accounts Payable and Accounts Receivable function, including
complex health services billing to Medicare and Medicaid and generating aging reports,
ensure timeliness and accuracy of the monthly close;

4) Prepare financial reports, create proposals for budgeting,
cost management, strategic planning, and internal controls;

5) Work closely with manager of nursing department, external
medical providers, Social Security Administration, healthcare insurance companies
and patients case workers to keep the business running smoothly;

6) Oversee the facilitys compliance with reimbursement
regulations.

Qualified candidate must have Master Degree in Business Administration and minimum 1-year experience working as the Business Office Accountant.

Proficiency in Orcas and Add-On software and knowledge of CPT and ICD-9 is required.