The Dietary Aide performs a variety of tasks including maintenance of kitchen sanitation, food preparation and other duties as assigned.

The DIETARY AIDE is responsible to the Food Service Manager and/or Shift Cook.

EDUCATION

 Must be able to read, write and follow oral and written instructions.

QUALIFICATIONS

1.      Previous experience preferable but not essential.

2.      Worker receives on-the-job training with supervision.

3.      Must have an understanding of standard procedures used in nursing facility kitchen.

4.      Has an interest in learning, ability to cooperate, and is willing to work under supervision.

5.      Must work thirty-seven and one-half (37.5) hours per week (unless scheduled otherwise), be available to work weekends and holidays as scheduled.

6.      Must have pre-employment and annual Tuberculosis screening.

RESPONSIBILITIES

1.      To execute duties under the direction and supervision of the Dietary Department Supervisor, the Director of Nursing and/or the Administrator, according to assignment.

2.      Must have a genuine interest in working with geriatrics.

3.      Must sanitize kitchen equipment, utensils and work areas as assigned.

4.      Must perform repetitive tasks on a continuous basis.

5.      Has the ability to work well with co-workers.

6.      Assist with food preparation as assigned.

7.      Assist with tray assembly and service.

8.      Assist in the dishwashing operation.

9.      Attend in-services and training programs as scheduled.

10.  Works under close supervision, performing routine, standardized tasks.

PHYSICAL DEMANDS

Use the percentages range as follows:

 0%-Never             1-33% Occasional                 34-66% Frequent                     67-100% Continuous

 Requires full range of body motion including:

1.      Standing/walking: frequently -worker is on feet the majority of the day to perform direct or indirect duties related to dietary.

2.      Bending/stooping: frequently -required to retrieve food trays, store dishes, etc ..

3.      Lifting/handling: frequently -required to lift and handle boxes of food and dietary related products, etc. range of weight: 1-50 pounds.

4.      Carrying: frequently -employees must carry food laden trays, dishes, food items in packed containers of approximately 50 pounds. range of weight: 1-50 pounds.

5.      Push/pull: frequently -required to move large food catts, equipment on caster over concrete/tile floors throughout many periods of the day. range of weight: 1-250 pounds.

6.      Balancing: Occasionally -when placing or removing trays to and from food cart.

7.      Twisting/turning: Frequently -may twist when storing or retrieving stock, reaching from one piece of equipment to another. This may be done in conjunction with bending and stooping or lifting.

8.      Crouching/stooping: Occasionally -may be required when loading and unloading food catts, to underneath equipment, etc.

9.      Kneeling: Occasionally - required to perform various tasks throughout the day.

10.  Reaching: -Occasionally -required to perform various tasks throughout the day

A. Greater than shoulder height: frequently              B. Equal to shoulder height: Occasionally                                    C. Less than shoulder height: Frequently

11.   Handling/manual dexterity: Continuously -Gross motor skills are primary use. Fine motor skills are also necessary in many food preparation and sanitation activities.

12.   Speaking/hearing/seeing: Continuously -must be able to communicate with co-workers, residents and visitors.

Speaking: must be able to communicate verbally with co-workers.

Hearing: with or without correction: must be able to hear and understand verbal instructions, warning sounds of equipment.

Seeing: with or without correction. Must be able to see written instructions given such as the facility's menus, instructions for the operation of equipment, etc.

EQUIPMENT AND SUPPLIES

1.      Practice economy in use of supplies and equipment.

2.      Routine cleaning of all equipment. Keep kitchen clean.

3.      Maintain inventory of kitchen supplies, report any items needed.

4.      Report any broken or defective equipment promptly to supervisor or administrator.

5.      Do not overload the equipment. This impairs efficiency and quality.

REPORTING

1.      In the event of illness or other reasons for absenteeism, notify the Dietary Supervisor, Administrator or Charge Nurse in ample time to allow arrangements to be made for performance of duties.

2.      Report to work in a timely manner to receive shift change report.

SUGGESTED ROUTINE DUTIES

1.      Report on duty at assigned time, clock in and report to work station.

2.      Check kitchen and dining room immediately and start preparing for next meal.

3.      Check supplies for adequate supply for the day, report necessary needed supplies.

4.      Perform any other assigned duties.

JOB LOCATION: Must work throughout all areas of facility. Works mainly in the kitchen. May be exposed to hazardous substances. May require working irregular hours. 

Skilled Nursing Facility.

The Assistant Director of Nursing is responsible for the daily clinical operations of resident care within the community. Administrative responsibilities include providing development of future health care delivery strategies and maintaining compliance with state and federal regulations.

MANAGEMENT RESPONSIBILITIES

• Coaches and provides career development to staff.
• Coordinates with Human Resources for appropriate staffing levels.
• Establishes employee goals and conduct employee performance reviews.
• Responsible for staff scheduling to include: work assignments, employee training, time off, breaks and overtime assignments.
• Schedules and conducts department meetings.
• Supervises staff in accordance with policies and procedures.

EDUCATION AND/OR EXPERIENCE

• Graduate of an accredited School of Nursing required.
• BSN from an accredited college or university desired.
• Three years nursing management experience in senior care preferred.
• Experience with current and emerging delivery systems with capability of implementing changes as needed.

CERTIFICATES, LICENSES, REGISTRATIONS

• Valid license as a registered nurse in the state in which employed required.
• CPR Certification required upon hire or obtain within thirty (30) days of employment.

KNOWLEDGE, SKILLS AND ABILITIES

• Must possess strong collaborative, interpersonal, organizational, multi-tasking, verbal and written communication skills, and a desire to create a high-performance, effective team that can produce consistent, demonstrated results.
• Must demonstrate on an ongoing basis the ability to develop and maintain good working relationships with co-workers and ministry leadership.
• Competencies needed for this position include strong interpersonal relationship skills, detail oriented, work in collaboration with others, demonstrate a high degree of integrity and personal commitment, possess strong analytical skills, be able to work independently and manage multiple deliverables at the same time.
• Ability to function in a matrix environment and demonstrate a passion to succeed be self- motivated, dependable, committed, and a willingness to see a project through to its conclusion.

Experience:

• Supervising experience: 1 year (Preferred)

License/Certification:

• RN

Job Summary

Employee is responsible for the care if the residents in a designated area of the facility. Employee communicates with off going and arriving shifts of personnel to assure the continuum of quality of care. Makes rounds, evaluating the physical, emotional and social needs of the residents making sure these are being met through the staff assigned to work with each group off residents. Assesses assigned staff’s ability to provide for each residents needs and provides intervention as indicated. Supervises the care provided by the Nursing Assistants assigned to the unit, providing intervention and education as indicated. Make adjustments in assignments as indicated. Prepares and administers medications and treatments according to procedures. Consults with physicians, receives records and transcribes orders as required. Makes rounds with physicians when necessary. Reviews resident’s care plans and assures these plans are followed. Documents on records as per policy and procedures of the facility. Participates in the evaluation of the employees working under his/her supervision. Participates in staff meetings and in-services as required.

The Registered Nurse, Licensed Practical Nurse or Licensed Vocational Nurse is responsible to the Director of Nursing and/or the Assistant Director of Nursing.

 Education

Employee must be a graduate of an accredited school of nursing currently registered with the state agency for nursing licensure and hold a valid nursing license in the state he/she is employed.

Qualifications

1.      Demonstrates leadership and managerial ability.

2.      Has the ability to organize, plan and supervise care and the Nursing Assistants assigned to work at a designated unit and shift.

3.      Maintains effective interpersonal relationships.

4.      Is of good emotional, mental and physical health, having sound judgement and high professional standards.

5.      Must be willing and capable of providing emergency assistance to residents as indicated.

6.      Is courteous in working with residents, families and employees.

7.      Maintains a net, well-groomed and professional appearance at all times.

8.      Has a desire to work with the geriatric residents and their current and prospective needs.

9.      Must be willing to be in the facility ready to begin assigned duties on time.

10.  Must be willing to be in the facility during weekdays as well as weekend hours.

11.  Must be willing to work preferred shifts as scheduled and assist on other shifts as needed to assure adequate staffing to meet the needs of each resident.

12.  Must demonstrate ability to evaluate the geriatric resident’s needs and provide intervention timely to assure each resident’s needs are met.

13.  Must demonstrate ability to evaluate nursing staff needs and provide staff education timely to provide quality care.

14.  Must demonstrate ability to function as a cooperative team member with each member of the Nursing Department and other departments.

15.  Must demonstrate the ability to follow and supervise assigned staff to assure the facilities policies and procedures are followed and upheld.

16.  Must demonstrate the ability to manage and supervise the assigned unit in a productive, timely manner.

17.  Must have a pre-employment and an annual Tuberculosis screening examination.

Responsibilities

1.      Receives report from the off going shift.

2.      Reviews communication systems to be knowledgeable of any unusual occurrences during the previous shifts.

3.      Assigns Nursing Assistants and other designated personnel assuring each resident’s needs will be met during the assigned shifts.

4.      Gives report to Nursing Assistants.

5.      Makes rounds of the assigned unit frequently during the shift providing intervention as needed. During the entire shift, will be attune to needs of unit while doing other nursing tasks.

6.      Prepares and administers medications as ordered. Reorders medications as needed in preparation for future shifts. Assesses and documents medication issues as per policy.

7.      Provides special procedures as ordered.

8.      Completes the treatment as ordered. Assesses and documents new and old areas of treatment describing in detail the results of staff action and the of the treatment.  Prepares a weekly skin report for the Director of Nursing. Contacts the physician for any areas not responding positively and timely.

9.      Supervises the meal service for each resident on the unit. Works with the staff to sure each resident is provided adequate nutrition for each meal.

10.  Continually assesses and reassesses residents for risk of complications as a result of being in the facility. (i.e., skin breakdown, incontinence, contractures, reduced mobility, reduced involvement in bathing, dressing, or eating, weight loss, behaviors due to change in lifestyle, etc.)

11.  Continually observes progress and quality of work of the Nursing Assistants to assure the residents are turned, repositioned, toileted, walked, exercised, provided foods, and fluids, well groomed, involved in their specific restorative program, provides intervention as indicated, etc. Also observes the resident’s environment to assure a clean and safe environment is provided for each resident.

12.  Document on nurse’s notes as per policy. Assures there is accurate and timely documentation of any unusual observation, incident, or happening.

13.  Reviews information, reassess residents, interviews staff, reviews documentation of each shift and writes monthly nurse progress notes using the Interdisciplinary Care Plan documenting progress or lack of progress toward the resident’s goals. Writes suggestions for changes to be made to the plan of care on the “Working Copy” of the Interdisciplinary Care Plan

14.  Admits residents as required.

15.  Assists in the ordering and reviewing of results of laboratory tests as indicated. Notifies the physician of results.

16.  Notifies the physician of unusual findings as indicated.

17.  Assists with auditing charts.

18.  Assists with answering and correcting consultant reports.

19.  Reviews, signs and provides intervention as indicated for Nursing Assistants documentation.

20.  Counts required medications with oncoming and off going shifts.

21.  Makes appropriate notes in Communication Books to assure adequate communication is maintained for nursing.

22.  Assists in keeping other departments informed of resident’s change of condition as indicated.

23.  Assists in providing in-services for assigned staff.

24.  Keeps nurse’s station, medication room clean. Assigns Nursing Assistants to keep each ancillary room clean and orderly. Assigns staff to keep equipment clean and proper condition for use.

25.  Reviews and updates Medication Administration Record, Treatment Administration Record, and Nursing Care Flow Records for the upcoming month.

26.  Makes rounds toward end of shift to assure area is in order for on coming shift.

27.  Gives report to oncoming shift.

28.  Review and assures there is adequate staffing for the oncoming shift. Replaces known absences in a timely manner.

29.  Performs any other tasks as assigned by the Director of Nursing or Assistant Director of Nursing.

Physical Demands

Use the percentages range as follows:

0% Never

1    -     33% Occasional

34  -    66% Frequent

67  -   100% Continuous

Require full range of body motion including:

1.      Standing/Walking: Continuously.   Worker will be walking or standing almost consistently during each tour of duty as they supervise, assist an access care being provided.

2.      Bending/Stooping: Continuously.   Worker will be bending and stooping to assist residents, co-workers, etc. Almost consistently during each tour of duty.

3.      Lift/Handling:         Continuously.    Worker will be assisting or totally lifting residents as each resident needs, some residents needing to be totally lifted or limbs may be lifted. Worker will be lifting various equipment for resident’s needs, etc. Worker would be expected to lift, with assistance, up to 300 pounds using equipment or other personnel to assist in the lifting.

4.      Carrying:               Continuously.  Worker will be carrying equipment, etc. Range of weight:    1-50 pounds.

5.      Push/Pull:               Frequently.   Worker will be pushing or pulling medication carts, equipment, etc. to provide care. Range of weight: 1-50 pounds.

6.      Balancing:                 Frequently.  Worker will be balancing when assisting residents to transfer or transport, giving medication, doing treatment, providing care, etc.

7.      Twisting/Turning:     Frequently.  Worker will be twisting or turning when providing medication and treatment systems, when assisting residents to transfer or transport, assisting staff to provide for Activities or Daily Living.

8.      Crouching/Stooping: Frequently. Worker will be crouching and stooping when providing medication and treatment systems, when assisting staff to provide for A.D.L.s, gather equipment, provide care for the residents, etc.

9.      Kneeling:                  Occasionally. Worker will be kneeling when providing medication and treatment systems, when assisting residents to do A.D.L.s, etc.

10.  Reaching:              Worker will be reaching when providing medication and treatment systems, when assisting residents to do A.D.L.s, gathering equipment, providing care for the residents, etc.

A.      Greater than shoulder height: Occasionally

B.      Equal to shoulder height:         Occasionally

C.      Less than shoulder height:       Frequently

11.  Handling/Manual     Continuously.  Both fine and gross motor skills are needed for all tasks throughout the working day.

12.  Speaking/Hearing:    Continuously.  Must communicate with residents, co-workers, families, visitors and physicians continuously throughout tour of duty.

JOB LOCATION   Must work throughout the nursing areas of the facility, May require working irregular hours and may be exposed to communicable diseases and/or body fluids, medical preparations, toxic substances and occasionally ionizing radiation. 

JOB SUMMARY

He/She is responsible for the care of the residents in a designated area of the facility. He/She is knowledgeable of the information as outlined on the Interdisciplinary Care Plan and follows the plan. He/She provides information to keep the care plan current with the resident's needs. He/She provides restorative care for each resident in the assigned group keeping the resident well-groomed, clean and assists to meet the psychosocial needs. He/She assists to keep the resident care areas clean, in good working order, and a home like atmosphere for the resident. He/She communicates with the Licensed Staff and other department heads of the resident's needs. He/She reports all relevant observations to the Licensed Staff assigned to the unit in a timely manner. He/She documents information timely and daily on the Nursing Flow Record and other records as indicated. He/she attends in-services and staff meetings as required.

The Nursing Assistant is responsible to the Licensed Staff assigned to the specific unit.

EDUCATION

Must be able to read, write, and follow oral instructions. High school education or equivalent is preferred. Must be at least enrolled in a certification program before employment begins and completion of the certification process is preferred prior to employment. Certification process must be completed within state designated deadlines. If the program has not been successfully completed, the Nursing Assistant can only perform those tasks he/she has demonstrated proficiency in completing.

QUALIFICATIONS

1.       Has the ability to organize, plan and supervise care of a group of residents assuring quality is provided at all time for this group as well as other in the facility.

2.       Maintains effective interpersonal relationships.

3.       Is of good emotional, mental, and physical health having sound judgement and high standards.

4.       Is willing and capable of providing emergency care as needed for any resident in the facility.

5.       Is courteous in working with residents, families, and employees.

6.       Maintains a neat, well-groomed appearance at all times. Keeps personal appearance appropriate for resident care.

7.       Has a desire to work with the geriatric residents and their current and prospective needs.

8.       Must be in the facility ready to begin assigned duties on time and as scheduled.

9.       Must be willing to work preferred shifts as scheduled and assist on other shifts as needed to assure adequate staffing to meet the needs of each resident.

10.   Must has the ability to provide the care as outlines on the Interdisciplinary Care Plan and other assignments for each resident in assigned group.

11.   Must demonstrate ability to function as a cooperative team member with each member of the Nursing Department and other departments.

12.   Must have ability to provide related bedside resident care services as per facility policy and procedures.

13.   Must display ability to adapt to on-the-job training and adhere to standards of the facility providing personal care services, assisting residents, caring for equipment and supplies and developing good understanding of basis of aseptic and sterile techniques.

14.   Must be able and willing to function appropriately in disaster or evacuation of the facility.

15.   Must demonstrate ability to follow direction of supervising staff.

16.   Must have a pre-employment and an annual Tuberculosis screening examination. 

RESPONSIBILITIES

It is to be understood that the Nursing Assistant works by general, consistent, pre-arranged “Primary” group assignments as the basis of the activity for the shift, but must be able to accept changes and adapt to added assignments as the need arises. Also, each Nursing Assistant must work with each other to assure safe practices for each resident and staff are followed.

1.       Signs in on Unit Assignment Sheet.

2.       Reviews any changes on Group Assignment Sheet. Receives report from Licensed staff assigned to the unit updating Group Assignment Sheet as indicated.

3.       Checks residents and makes rounds on assigned group noting significant issues for intervention. Begin planning time to assure all resident’s needs are met throughout the shift.

4.       Assists residents as indicated to provide A.M., P.M. and daily care to assure residents are clean, dry, toileted, continent, well-groomed and cared for in the manner they deserve. Follows restorative plan as outlines on the Interdisciplinary Care Plan. Provides for privacy and dignity at all times.

5.       Asssits residents to meals. Assists residents to toilet prior to meals. Assists resident to wash hands and face, brush teeth, put on the glasses, get to dining room and in good position prior to meal.

6.       Provides assistance and restorative eating as indicated. For those residents who are the most debilitated, consider their weakness in planning time for the whole group of residents.

7.       After meal, assists resident to wash hands and face, return to their room and toilet as needed.

8.       Assists in dining areas as assigned. Offers assistance to residents as needed. Offers substitution for items not eaten well by any resident. Promotes atmosphere conductive to increased nutritional intake for each resident in the dining room.

9.       For those residents unable to go to the dining room, assists in service, assisting and supervising meal service as assigned.

10.   Assists in transporting used trays to the kitchen following appropriate infection control policies and procedures.

11.   Assists residents to plan their time to enable them to be well cared for as well as attend their desired functions during the shift. (i.e. activities, visits, with each other and their families, outings, meals, quiet times, etc.)

12.   Answers call lights timely assisting with care as indicated. Keeps call lights available for the residents.

13.   Encourages and motivates residents to participate in recreational activity of body and mind.

14.   Provides and keeps fresh water and fluids available for the residents at all times. Offers fluid at least every 2 hours or each time in the room when appropriate.

15.   Timely serves and provides assistance with between meal nourishments as indicated.

16.   Follows bath and whirlpool schedules as outlines for each resident.

17.   Checks all residents frequently and at least every 2 hours assuring the resident is repositioned, turned, toileted, clean, safe, etc. Provides intervention as needed to provide a safe clean environment.

18.   Checks each resident who is being physically restrained releasing the restraint and assisting the resident to toilet at least every 2 hours.

19.   Checks all residents daily for condition of skin, reporting findings to Licensed Staff assigned to unit.

20.   Assists licensed staff when needed to position residents in need of treatments.

21.   Keeps hand rolls and positioning devices in place as needed and as indicated for each resident.

22.   Assist residents to bed for naps or night sleep as needed. Provides a quiet, restful, and safe atmosphere when residents are resting.

23.   Takes and records vital parameters as assigned. Assists with weekly and monthly weights as assigned.

24.   Cleans and properly arranges all bedroom furniture to include keeping the resident’s orderly, clean, and following infection control guidelines.

25.   Assists the residents in keeping closets clean, clothing clean and in good repair, marked with their name, etc.

26.   Assists residents to keep bathrooms clean, following infection control and privacy practices.

27.   Changes residents bed clothing to assure the bedding is clean, not wrinkled, and promotes good hygiene and care practices.

28.   Follows appropriate infection control practices in working with the residents and equipment.

29.   Keeps accurate records of intake and outputs and procedures throughout the shift for those residents who require such.

30.   Records information on the Nursing Care Records timely.

31.   Keeps Licensed Staff informed of pertinent information timely. Writes pertinent information on the Group Assignment Sheet and Communication Books.

32.   Provides information accurately and timely for information to be added to the residents Interdisciplinary Care Plan.

33.   Cleans ancillary rooms and equipment as assigned. Assists other members of the staff to keep each area of the facility clean, orderly, safe, and homelike atmosphere for the residents. 

34.   Assists other staff members as needed throughout the shift. Cooperates with other personnel to be sure residents are of prime importance to all members of the staff.

35.   Assists new staff members in orientation as needed throughout the shift.

36.   Maintains safe environment at all times, wiping up spills, working with housekeeping staff when available picking up articles as noted, etc.

37.   Gives report to Licensed Staff and turn in completed Group Assignment sheets prior to leaving the unit to go off duty.

38.   Performs any other tasks as assigned by the Licensed Staff, Director of Nursing or Assistant Director of Nursing.

PHYSICAL DEMANDS

Use the percentages range as follows:

0% Never

1    -     33% Occasional

34  -    66% Frequent

67  -   100% Continuous

Require full range of body motion including:

1.       Standing/Walking: Continuously.   Worker will be walking or standing almost consistently during each tour of duty

2.       Bending/Stooping: Continuously.   Worker will be bending and stooping to assist residents, co-workers, etc. Almost consistently during each tour of duty.

3.       Lift/Handling:         Continuously.    Worker will be lifting residents as each resident needs, some residents needing to be totally lifted or limbs may be lifted. Worker will be lifting various equipment for resident’s needs, etc. Worker would be expected to lift, with assistance, up to 300 pounds using equipment or other personnel to assist in the lifting.

4.       Carrying:                  Continuously.  Worker will be carrying linens, equipment, etc., almost consistently during each tour of duty. Range of weight: 1-50 pounds.

5.       Push/Pull:                Frequently.   Worker will be pushing or pulling to transport residents about their rooms or facility assisting with Activities of Daily living changing bed linens, transporting linen barrels and other equipment. Range of weight: 1-50 pounds.

6.       Balancing:                 Frequently.  Worker will be balancing when assisting residents to transfer or transport, when changing bed linens, etc.

7.       Twisting/Turning:     Frequently.  Worker will be twisting or turning when assisting residents to transfer or transport, assisting with Activities or Daily Living (A.D.Ls), using various equipment, etc.

8.       Crouching/Stooping: Frequently. Worker will be crouching and stooping when assisting residents to do A.D.L.s, gather equipment, provide care for the residents, etc.

9.       Kneeling:                     Occasionally. Worker will be kneeling when assisting residents to do A.D.L.s, etc.

10.   Reaching:                     Worker will be reaching when assisting residents to do A.D.L.s, gathering equipment, providing care for the residents, etc.

A.      Greater than shoulder height: Occasionally

B.      Equal to shoulder height:         Occasionally

C.      Less than shoulder height:       Frequently

11.   Handling/Manual     Continuously.  Both fine and gross motor skills are needed for all tasks throughout the working day.

12.   Speaking/Hearing:    Continuously.  Must communicate with residents, co-workers, families, etc. continuously throughout tour of duty.

JOB LOCATION   Must work throughout the nursing areas of the facility, May require working irregular hours and may be exposed to communicable diseases and/or body fluids, medical preparations, toxic substances and occasionally ionizing radiation. 

Employee is responsible for the care if the residents in a designated area of the facility. Employee communicates with off going and arriving shifts of personnel to assure the continuum of quality of care. Makes rounds, evaluating the physical, emotional and social needs of the residents making sure these are being met through the staff assigned to work with each group off residents. Assesses assigned staff’s ability to provide for each residents needs and provides intervention as indicated. Supervises the care provided by the Nursing Assistants assigned to the unit, providing intervention and education as indicated. Make adjustments in assignments as indicated. Prepares and administers medications and treatments according to procedures. Consults with physicians, receives records and transcribes orders as required. Makes rounds with physicians when necessary. Reviews resident’s care plans and assures these plans are followed. Documents on records as per policy and procedures of the facility. Participates in the evaluation of the employees working under his/her supervision. Participates in staff meetings and in-services as required.

The Registered Nurse, Licensed Practical Nurse or Licensed Vocational Nurse is responsible to the Director of Nursing and/or the Assistant Director of Nursing.

 Education

Employee must be a graduate of an accredited school of nursing currently registered with the state agency for nursing licensure and hold a valid nursing license in the state he/she is employed.

Qualifications

1.      Demonstrates leadership and managerial ability.

2.      Has the ability to organize, plan and supervise care and the Nursing Assistants assigned to work at a designated unit and shift.

3.      Maintains effective interpersonal relationships.

4.      Is of good emotional, mental and physical health, having sound judgement and high professional standards.

5.      Must be willing and capable of providing emergency assistance to residents as indicated.

6.      Is courteous in working with residents, families and employees.

7.      Maintains a net, well-groomed and professional appearance at all times.

8.      Has a desire to work with the geriatric residents and their current and prospective needs.

9.      Must be willing to be in the facility ready to begin assigned duties on time.

10.  Must be willing to be in the facility during weekdays as well as weekend hours.

11.  Must be willing to work preferred shifts as scheduled and assist on other shifts as needed to assure adequate staffing to meet the needs of each resident.

12.  Must demonstrate ability to evaluate the geriatric resident’s needs and provide intervention timely to assure each resident’s needs are met.

13.  Must demonstrate ability to evaluate nursing staff needs and provide staff education timely to provide quality care.

14.  Must demonstrate ability to function as a cooperative team member with each member of the Nursing Department and other departments.

15.  Must demonstrate the ability to follow and supervise assigned staff to assure the facilities policies and procedures are followed and upheld.

16.  Must demonstrate the ability to manage and supervise the assigned unit in a productive, timely manner.

17.  Must have a pre-employment and an annual Tuberculosis screening examination.

Responsibilities

1.      Receives report from the off going shift.

2.      Reviews communication systems to be knowledgeable of any unusual occurrences during the previous shifts.

3.      Assigns Nursing Assistants and other designated personnel assuring each resident’s needs will be met during the assigned shifts.

4.      Gives report to Nursing Assistants.

5.      Makes rounds of the assigned unit frequently during the shift providing intervention as needed. During the entire shift, will be attune to needs of unit while doing other nursing tasks.

6.      Prepares and administers medications as ordered. Reorders medications as needed in preparation for future shifts. Assesses and documents medication issues as per policy.

7.      Provides special procedures as ordered.

8.      Completes the treatment as ordered. Assesses and documents new and old areas of treatment describing in detail the results of staff action and the of the treatment.  Prepares a weekly skin report for the Director of Nursing. Contacts the physician for any areas not responding positively and timely.

9.      Supervises the meal service for each resident on the unit. Works with the staff to sure each resident is provided adequate nutrition for each meal.

10.  Continually assesses and reassesses residents for risk of complications as a result of being in the facility. (i.e., skin breakdown, incontinence, contractures, reduced mobility, reduced involvement in bathing, dressing, or eating, weight loss, behaviors due to change in lifestyle, etc.)

11.  Continually observes progress and quality of work of the Nursing Assistants to assure the residents are turned, repositioned, toileted, walked, exercised, provided foods, and fluids, well groomed, involved in their specific restorative program, provides intervention as indicated, etc. Also observes the resident’s environment to assure a clean and safe environment is provided for each resident.

12.  Document on nurse’s notes as per policy. Assures there is accurate and timely documentation of any unusual observation, incident, or happening.

13.  Reviews information, reassess residents, interviews staff, reviews documentation of each shift and writes monthly nurse progress notes using the Interdisciplinary Care Plan documenting progress or lack of progress toward the resident’s goals. Writes suggestions for changes to be made to the plan of care on the “Working Copy” of the Interdisciplinary Care Plan

14.  Admits residents as required.

15.  Assists in the ordering and reviewing of results of laboratory tests as indicated. Notifies the physician of results.

16.  Notifies the physician of unusual findings as indicated.

17.  Assists with auditing charts.

18.  Assists with answering and correcting consultant reports.

19.  Reviews, signs and provides intervention as indicated for Nursing Assistants documentation.

20.  Counts required medications with oncoming and off going shifts.

21.  Makes appropriate notes in Communication Books to assure adequate communication is maintained for nursing.

22.  Assists in keeping other departments informed of resident’s change of condition as indicated.

23.  Assists in providing in-services for assigned staff.

24.  Keeps nurse’s station, medication room clean. Assigns Nursing Assistants to keep each ancillary room clean and orderly. Assigns staff to keep equipment clean and proper condition for use.

25.  Reviews and updates Medication Administration Record, Treatment Administration Record, and Nursing Care Flow Records for the upcoming month.

26.  Makes rounds toward end of shift to assure area is in order for on coming shift.

27.  Gives report to oncoming shift.

28.  Review and assures there is adequate staffing for the oncoming shift. Replaces known absences in a timely manner.

29.  Performs any other tasks as assigned by the Director of Nursing or Assistant Director of Nursing.

Physical Demands

Use the percentages range as follows:

0% Never

1    -     33% Occasional

34  -    66% Frequent

67  -   100% Continuous

Require full range of body motion including:

1.      Standing/Walking: Continuously.   Worker will be walking or standing almost consistently during each tour of duty as they supervise, assist an access care being provided.

2.      Bending/Stooping: Continuously.   Worker will be bending and stooping to assist residents, co-workers, etc. Almost consistently during each tour of duty.

3.      Lift/Handling:         Continuously.    Worker will be assisting or totally lifting residents as each resident needs, some residents needing to be totally lifted or limbs may be lifted. Worker will be lifting various equipment for resident’s needs, etc. Worker would be expected to lift, with assistance, up to 300 pounds using equipment or other personnel to assist in the lifting.

4.      Carrying:               Continuously.  Worker will be carrying equipment, etc. Range of weight:    1-50 pounds.

5.      Push/Pull:               Frequently.   Worker will be pushing or pulling medication carts, equipment, etc. to provide care. Range of weight: 1-50 pounds.

6.      Balancing:                 Frequently.  Worker will be balancing when assisting residents to transfer or transport, giving medication, doing treatment, providing care, etc.

7.      Twisting/Turning:     Frequently.  Worker will be twisting or turning when providing medication and treatment systems, when assisting residents to transfer or transport, assisting staff to provide for Activities or Daily Living.

8.      Crouching/Stooping: Frequently. Worker will be crouching and stooping when providing medication and treatment systems, when assisting staff to provide for A.D.L.s, gather equipment, provide care for the residents, etc.

9.      Kneeling:                  Occasionally. Worker will be kneeling when providing medication and treatment systems, when assisting residents to do A.D.L.s, etc.

10.  Reaching:              Worker will be reaching when providing medication and treatment systems, when assisting residents to do A.D.L.s, gathering equipment, providing care for the residents, etc.

A.      Greater than shoulder height: Occasionally

B.      Equal to shoulder height:         Occasionally

C.      Less than shoulder height:       Frequently

11.  Handling/Manual     Continuously.  Both fine and gross motor skills are needed for all tasks throughout the working day.

12.  Speaking/Hearing:    Continuously.  Must communicate with residents, co-workers, families, visitors and physicians continuously throughout tour of duty.

JOB LOCATION   Must work throughout the nursing areas of the facility, May require working irregular hours and may be exposed to communicable diseases and/or body fluids, medical preparations, toxic substances and occasionally ionizing radiation.