RN Long Term Care (Days)

**Job Summary** Coordinates and delivers, on an age and developmentally appropriate basis, direct clinical care per nursing process for adult and geriatric residents/patients. Delivers resident/patient care according to the Scope of Service for the Living Center. Assumes weekend charge nurse responsibilities as follows: acts as a clinical and administrative role model and resource for the Living Center. Contact person for the physicians and other department managers. Manages the care of the residents/patients. Adheres to and practices the SJH Corporate Compliance Program and participates in Performance Improvement activities. **Essential Functions** **Resident Care** · Obtains data from resident and/or family using observational, interviewing, interpretation and critical thinking skills for valid assessment of condition upon admission and daily. Data to include: condition of the skin, mobility, sensory impairments, cardiovascular status, respiratory status, nutritional status, reaction to medication, psychosocial and mental status. · Utilizes resident data for problem identification, particularly rehabilitation and restoration of all functions where possible and good supportive care to prevent further deterioration when not possible. · Initiates appropriate nursing interventions that are population specific/developmentally appropriate and allows for resident choice whenever possible. · Identifies changes in resident status and responds appropriately using safe nursing judgment in the notification of a physician and follows chain of command. · Assures all pertinent resident data is communicated through oral and written means appropriately using the change of condition log. · Uses SBAR when communicating resident information. **Resident Safety and Plan of Care** · Formulates a plan of care that is resident centered and is based on the 10 Eden principles. · Attends care conferences as schedule allows. · Responsible for following resident care plan guidelines as outlined by the Care Coordinators. · Identifies risk factors and provides for resident safety. · Implements measures to prevent injury and provide a safe environment. · Keeps department and hallways clean and orderly. · Demonstrates knowledge and awareness of medication action, side effects and protocols for use. · Gives medications safely and accurately according to policy and procedure. · Completes event reports for all adverse drug reactions. · Consistently implements the current National Patient Safety Goals. · Uses two patient identifiers · Provides clear and concise reports when "handing off" to another provider · Completes medication reconciliation on admission and at discharge · Implements correct hand washing according to the CDC guidelines · Implements interventions to reduce falls and pressure ulcers **Resident and Family Education** · Addresses resident and family's spiritual needs utilizing a holistic, resident centered approach. · Incorporates teaching/education into all aspects of resident care and nursing practice. · Provides clear information to assist the resident and family to make informed decisions. · Notifies families appropriately regarding resident's needs and/or change in condition. · Documents all resident and family education and pertinent communications. **Job Requirements** **Minimum Education** **Required:** ASN **Preferred:** BSN **Minimum Work Experience** **Required:** Good communication and customer service skills. Excellent organizational skills. Demonstrated leadership and decision making skills. Basic computer skills. **Required Licenses:** Current RN license with the authority to practice in the State of Wyoming and current BLS required at time of hire. **Functional Demands** **Working Conditions** Long term care clinical setting, frequent stressful situations, irregular hours, and care of patients/residents with complicated medical/psychosocial conditions. May be required to take call shifts and must be able to work shifts. Must be o…