Director Of Nursing Salary in San Diego, CA

General PurposeThe primary purpose of your job position is to provide direct nursing care to the residents, and to supervise the day-to-day nursing activities performed by nursing assistants. Such supervision must be in accordance with current federal, state, and local standards, guidelines, and regulations that govern our facility, and as may be required by the Director of Nursing Services or Nurse Supervisor to ensure that the highest degree of quality care is maintained at all times.Essential DutiesEvery effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position.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.• Agree not to disclose assigned user ID code and password for accessing resident/facility information and promptly report suspected or known violations of such disclosure to the Administrator.• Agree not to disclose resident's protected health information and promptly report suspected or known violations of such disclosure to the Administrator.• Report any known or suspected unauthorized attempt to access facility's information system.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 Food Services 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.• Report known or suspected incidents of fraud to the Administrator.• Ensure that departmental computer workstations left unattended are properly logged off or the password protected automatic screen-saver activates within established facility policy guidelines.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 facility in-service training programs as scheduled (e.g., OSHA, TB, HIPAA, Abuse Prevention, Safety, Infection Control, etc.).• 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 and hand hygiene technique 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 Supply Functions• 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.Budget and Planning Functions• Report suspected or known incidence of fraud relative to false billings, cost reports, kickbacks, etc.Miscellaneous• Provide data to the Quality Assurance & Assessment Committee as requested.Supervisory RequirementsAs LPN / LVN you are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties.QualificationEducation and/or Experience Must possess, as a minimum, a Nursing Degree from an accredited college or university, or be a graduate of an approved LPN/LVN program.Must possess a current, unencumbered, active license to practice as an LPN/LVN in this state.Language Skills Must be able to read, write, speak, and understand the English language. Ability to read technical procedures. Ability to read and comprehend policy and procedure manuals. Ability to effectively present information and respond to questions from managers and employees. Must be able to relate information concerning a resident's condition.Mathematical Skills Ability to apply concepts such as fractions, percentages, ratios and proportions to practical situations.Reasoning Ability Must demonstrate knowledge and skills necessary to provide care appropriate to the age-related needs of the residents served.Must be a supportive team member, contribute to and be an example of team work and team concept.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 nursing care facilities.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 not pose a direct threat to the health or safety of other individuals in the workplace.Certificates, Licenses, Registrations Must posess a current, unencumbered, active license to practice as an LPN/LVN in this state. Current CPR certification.Knowledge and experience with PCC preferred.Must maintain all required continuing education/licensing.Must remain in good standing with the State Board of Nursing at all times.Physical DemandsMust be able to move intermittently throughout the workday.Must be able to speak and write the English language in an understandable manner.Must be able to cope with the mental and emotional stress of the position.Must be able to see and hear or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully met.Must function independently and have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies.Must meet the general health 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 the ill, disabled, elderly, emotionally upset, and, at times, hostile people within the facility.Must be able to push, pull, move, and/or lift a minimum of 25 pounds to a minimum height of 5 feet and be able to push, pull, move, and/or carry such weight a minimum distance of 50 feet.May be necessary to assist in the evacuation of residents during emergency situations.Work EnvironmentThe work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.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 directors.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 workday, 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, COVID19May 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.

Overall management of the entire nursing department and staffing levels. • Develop and implement nursing policies and procedures and ensure compliance. • Responsible for ensuring resident safety and that all residents are treated with utmost respect. • Develop and conduct in-services for the clinical staff. • Responsible for the recruiting, hiring and training of nursing staff. • Coordinates pharmacy services and destruction of expired/discontinued medication. • Liaison between the facility, physicians and family members. • Being a witness at a trial in the event of litigation. • Work closely with all other departments to ensure excellent overall resident care. • Responsible for department budgeting and reporting. • Responsible for keeping current on any regulation changes and disseminating this information appropriately. • Participate in QA, Utilization Review and Patient Care conferences. • Actively participate in and assist with all state surveys and required follow-up activity. • Coordinate MDS and care planning. • Conduct employee appraisals and resolve problems including disciplinary actions and terminations. • Must maintain employee and resident/patient confidentiality at all times. • Provide direct/hands-on resident/patient care as needed.Supervisory Requirements The Director of Nursing is responsible for supervising and managing the ADON, and entire nursing staff either directly or indirectly. Qualifications Education and/or Experience Minimum requirements to perform this position include: Graduation from an Accredited School of Nursing with a Bachelor of Science Degree in Nursing, preferred (BSN). Must be in good standing with the State Board of Nursing and maintain all required continuing education/licensing requirements at all times. Minimum of 7 years nurse management experience preferred. Language Skills Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from managers and employees. Mathematical Skills Ability to apply concepts such as fractions, percentages, ratios and proportions to practical situations. Reasoning Ability Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. Certificates, Licenses, Registrations To perform this job successfully, an individual must be proficient in the Microsoft Suite products and Point Click Care (PCC). Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The employee must occasionally lift and/or move up to 75 pounds. Prolonged use of a desktop or laptop computer. While performing the duties of this job, the employee is regularly required to sit, stand, walk and talk, read or hear. Frequent use of all office related equipment to include: copier/scanner/fax, telephone, calculator. Travel by auto or airline may be required. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually low to moderate. Additional Information Note: Nothing in this job specification restricts management's right to assign or reassign duties and responsibilities to this job at any time. Critical features of this job are described under various headings above. They may be subject to change at any time due to reasonable accommodation or other reasons. The above statements are strictly intended to describe the general nature and level of the work being performed. They are not intended to be construed as a complete list of all responsibilities, duties, and skills required of employees in this position.

Assistant Professor: NursingSDSU - Imperial ValleyLocation: Calexico, CAOpen Date: Feb 02, 2024 DescriptionOne full-time tenure-track faculty position, at an Assistant Professor level with academic and practice expertise within the General Nursing field is available to begin Fall 2024. The position is a joint appointment to the San Diego State University Imperial Valley and the School of Nursing on the San Diego campus. The Imperial Valley campus is located in Calexico, within seven blocks of the United States-Mexico border across from Mexicali, Baja California, and 120 miles east of San Diego, California. This position reports to the Director of the School of Nursing.QualificationsQualified applicants must hold an earned doctorate [PhD or DNP] in nursing or in a related field with a Master’s degree in Nursing and be eligible for or currently licensed to practice nursing in California. The successful candidate will possess strong research interest and capability as evidenced by an appropriate history of, or potential for research and publication in top-tier refereed journals and clinical practice. Teaching experience at the undergraduate and graduate levels is preferred.The SON has dynamic educational programs, uses creative and innovative teaching methods and offers research opportunities and support in acquiring funding. The SON offers BSN, RN-BSN, and Master’s degrees. Graduate programs offer concentrations in Advanced Practice Nursing of Adults and Elderly (NP/CNS) and Nursing Leadership in Health Care Systems. Please see http://nursing.sdsu.edu for further information regarding our programs.We are seeking applicants with demonstrated experience in and/or commitment to teaching and working effectively with individuals from diverse backgrounds and members of underrepresented groups. Candidates must satisfy two or more of the eight Building on Inclusive Excellence (BIE) criteria. Candidates that meet BIE criteria: (a) are committed to engaging in service with underrepresented populations within the discipline, (b) have demonstrated knowledge of barriers for underrepresented students and faculty within the discipline, (c) have experience or have demonstrated commitment to teaching and mentoring underrepresented students, (d) have experience or have demonstrated commitment to integrating understanding of underrepresented populations and communities into research, (e) have experience in or have demonstrated commitment to extending knowledge of opportunities and challenges in achieving artistic/scholarly success to members of an underrepresented group, (f) have experience in or have demonstrated commitment to research that engages underrepresented communities, (g) have expertise or demonstrated commitment to developing expertise in cross-cultural communication and collaboration, and/or (h) have research interests that contribute to diversity and equal opportunity in higher education. Please indicate in a separate diversity statement how you meet at least two (2) of these criteria. Additional guidance on our BIE program for applicants can be found here (https://sacd.sdsu.edu/cie/guidance-candidates).SDSU is the oldest institution of higher education in the San Diego region, with a campus in San Diego serving 36,000 undergraduate and graduate students and additional locations in Southern California’s Imperial Valley and Tbilisi in the Republic of Georgia. SDSU is included in the Carnegie Foundation’s Doctoral Universities: High Research Activity category. Established in 1897, SDSU offers bachelor degrees in 97 areas, masters in 84 and doctorates in 23. See http://www.sdsu.edu for more information. SDSU is a large, diverse, urban university, an Asian-Native American-Pacific Islander -Serving Institution and a Hispanic-Serving Institution with a commitment to diversity, equity, and inclusive excellence. Our campus community is diverse in many ways, including race, religion, color, sex, age, disability, marital status, sexual orientation, gender identity and expression, national origin, pregnancy, medical condition, and covered veteran status. We strive to build and sustain a welcoming environment for all.Application InstructionsTo apply, visit https://apply.interfolio.com/139880Apply via Interfolio at http://apply.interfolio.com/139880. Candidates should submit a cover letter, curriculum vitae, diversity statement, copies of transcripts, and names and contact information of three (3) references. For questions, please contact the search committee chair, Dr. Michael Gates at [email protected]. We anticipate beginning applicant review in February 2024. The position will remain open until it is filled.The minimum salary for this position is based on the current CSU salary schedule for Assistant Professors and may be revised based on contract collective bargaining. The anticipated salary range is from $84,000-$88,000. Salary placement will be based on the selected candidate’s qualifications and experience, and salaries higher than the published maximums may be offered in limited circumstances. San Diego State University offers a rich benefits package that constitutes a major portion of total compensation. For benefits information, click here.As part of its commitment to a safe and equitable “OneSDSU” community, SDSU requires that individuals seeking faculty employment provide at the time of application authorization to conduct background checks if they become a finalist for the position; applications without this authorization will be considered incomplete and not considered. A background check (including a criminal records check) must be completed before any candidate can be offered a position with the CSU. Failure to satisfactorily complete the background check may affect the application status of applicants or continued employment of current CSU employees who apply for the position. The person holding this position is considered a “mandated reporter” under the California Child Abuse and Neglect Reporting Act and is required to comply with the requirements set forth in CSU Executive Order 1083 as a condition of employment.We thank you for your interest and appreciate you taking the time to apply to our open position. The School of Nursing Search Committee.SDSU is a Title IX, equal opportunity employer and does not discriminate against persons on the basis of race, religion, national origin, sexual orientation, gender, gender identity and expression, marital status, age, disability, pregnancy, medical condition, or covered veteran status.Copyright ©2024 Jobelephant.com Inc. All rights reserved.Posted by the FREE value-added recruitment advertising agency jeid-06f094b180a53340a250d8e5376b8d9e

Nationally recognized, 600+bed acute care Magnet hospital is looking for an Operating Room Manager to join their team! Flagship hospital system. They just installed one of the most advanced robots for surgery on the market. Lots of longevity on the leadership team, The organization's "experience" is how they treat each other, respect and collaboration, Inclusive and mutual respect, this all allows for a joyful work environment where everyone is heard, recognized, and has a voice,Reports to Director of Surgical Services. The OR Manager has 4 leads that report directly to this role, and then the staff and RN educator report to those leads. The department in total has 200 FTE and they run 12 ORs - inpatient only for this role.Looking for: strong leader able to maintain a fast pace and who is good with staff. Team Steps and Just Culture, they are an HRO (High-Reliability Organization) and all team members are certified in this. Must be good at working with the docs but also backing up the staff. Required Qualifications:Bachelor's degree in nursing.2 years of management experience. 3 years of clinical experience.3 years of leadership experience in surgical services. California Registered Nurse (RN) - CA Board of Registered Nursing AHA Basic Life Support for Healthcare Professionals (AHA BLS Healthcare) - American Heart Association.Preferred Qualifications: Master's degree. Inpatient experience.

Matrix Providers - Caring for America's military family. Not just leading the way, but leading the industry. Your success is our business.Matrix Providers is hiring a Registered Nurse (RN) - Primary/Ambulatory care clinics for the Director of Medical Servicesto join our team of talented professionals who provide healthcare services to our Military Service Members and their families in San Diego, CA. Employment Status: Full Time Compensation: This is an hourly position at $30.50 to $51.95 Schedule: Monday through Friday, hours of 7:00 am - 8:00 pm. Shifts will generally be scheduled for 9 hours, including an uncompensated 60-minute lunch break. Schedule directed by unit supervisor. Benefits: Competitive financial package with a comprehensive insurance package including health, dental, vision, and life coverage. Accrued Paid Time Off (PTO) Paid Holidays (Outlined in Handbook) 401(k) Plan Requirements: The Registered Nurse (RN)must have and meet the following: Degree: Associate's Degree in Nursing. Education: Graduated from an accredited registered nurse program. Possess and maintain a current unrestricted license to practice as a Registered Nurse in any 50 States, the District of Columbia, the Commonwealth of Puerto Rico, Guam, or the U.S Virgin Islands. This position is subject to credentialing. Certifications: American Heart Association Basic Life Support (BLS) or American Red Cross Basic Life Support (BLS) for Healthcare Providers or American Heart Association or American Red Cross Healthcare Provider Course. Experience: Minimum three years of clinical registered nurse experience within the last five years. Licensure: Possess and maintain a current unrestricted license to practice as a Registered Nurse in any 50 States, the District of Columbia, the Commonwealth of Puerto Rico, Guam, or the U.S Virgin Islands. Job Summary: Coordinate patient care in collaboration with a wide array of healthcare professionals. Facilitate the achievement of optimal outcomes regarding clinical care, quality, and cost-effectiveness Ensure compliance with standards of care and practice by all established policies, procedures, and guidelines used in the Medical Treatment Facility (MTF). Perform physical exams and health histories. Provide health promotions, counseling, and education. Administer medications, wound care, and numerous other personalized interventions. Direct and supervise the care provided by other healthcare professionals. Accountable for making patient care assignments based on the scope of practice and skill level of assigned personnel. Recognize adverse signs and symptoms and quickly react in emergencies. Communicate and collaborate with a diverse group of people to inform the healthcare team of plans/actions for teaching/education to benefit the patient/family and organization. Make referral appointments and arrange specialty care as appropriate. Perform nursing services as identified in the official Task Order. Conduct research in support of improved practice and patient outcomes. Position-Specific Duties: Provide comprehensive nursing care for all ages and families in their Medical Home Port Team utilizing evidence-based clinical practice guidelines and engaging patients actively in their health care. Demonstrate clinical expertise in the execution of the nursing process and clinically direct staff in its application. May administer routine intravenous fluids and medications. Monitor and administer diagnostic and therapeutic agents. Initiate and maintain patients' medical history, recording observations and stated symptoms for use by the Medical Home Port Team. Observe and record pertinent vital signs, determine and order laboratory procedures on patients that the provider may require to diagnose and treat the patient, per command and department policies. Perform triage through the screening of patient problems. Take appropriate action such as practitioner referral and evaluation, health care advice, initiation of medical protocols, or referral based on medical staff protocols. Matrix Providers is an equal-opportunity employer. Qualified applicants will receive consideration for employment regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. For our EEO Policy Statement, please see https://matrixproviders.com/accessibility-eeo-disclaimer. To learn more about our Benefits Packages, please see https://matrixproviders.com/benefits. Matrix Providers endeavors to make www.matrixproviders.com accessible to all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please get in touch with our Recruiting Hotline Number, 1-877-807-8277, TTY LINE, 385-722-8109. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. #INDN

Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position. Administrative Functions Assist the 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, regulations, professional standards of practice, 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., asnecessary. Agree not to disclose assigned user ID code and password for accessing resident/facility information and promptly report suspected or known violations of such disclosure to the Administrator. Agree not to disclose resident's protected health information and promptly report suspected or known violations of such disclosure to the Administrator. Report any known or suspected unauthorized attempt to access facility's information system. 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. Report known or suspected incidents of fraud to the Administrator. Ensure that departmental computer workstations left unattended are properly logged off or the password protected automatic screen saver activates within established facility policy guidelines. 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. Assist the In service Director/Educator in developing annual facility in service training programs (e.g., OSHA, TB, HIPAA, Abuse Prevention, Safety, Infection Control, etc.). Assist the Director in planning clinical supervision for nurse aide trainees. 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 jobrelated 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 and hand hygiene 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. Report suspected or known incidence of fraud relative to false billings, cost reports, kickbacks, etc. Supervisory Requirements Assist with the overall supervision of and management of the nursing staff. As RN, you are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties. Qualification Education and/or Experience Must posess, as a minimum, a Nursing Degree an accredited college or university. Must have training in rehabilitative and restorative nursing practices. 2 years or more experience preferably in a long term care facility. Language Skills Must be able to read, write, speak, and understand the English language. Ability to read technical procedures. Ability to read and comprehend policy and procedure manuals. Ability to effectively present information and respond to questions from managers and employees. Mathematical Skills Ability to apply concepts such as fractions, percentages, ratios and proportions to practical situations. Reasoning Ability Must possess the ability to make independent decisions when circumstances warrant such action with the ability to solve practical problems. the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public. leadership and supervisory ability and the willingness to work harmoniously with and supervise other personnel. 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 demonstrate the knowledge and skills necessary to provide care appropriate to the age related needs of the residents served. Be a supportive team member, contribute to and be an example of team work and team concept. Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to nursing care facilities. 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. Certificates, Licenses, Registrations Must posess a current, unencumbered, active license to practice as an RN in this state. Current CPR certification. Knowledge and experience with PCC preferred. Must maintain all required continuing education/licensing. Must remain in good standing with the State Board of Nursing at all times. Physical Demands Must be able to move intermittently throughout the workday. Must be able to speak and write the English language in an understandable manner. Must be able to cope with the mental and emotional stress of the position. Must be able to see and hear or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully met. Must function independently, and have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies. Must meet the general health 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 the ill, disabled, elderly, emotionally upset, and, at times, hostile people within the facility. Must be able to push, pull, move, and/or lift a minimum of 25 pounds to a minimum height of 5 feet and be able to push, pull, move, and/or carry such weight a minimum distance of 50 feet. May be necessary to assist in the evacuation of residents during emergency situations. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 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 directors. 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 workday, 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. Additional Information Note: Nothing in this job specification restricts management's right to assign or reassign duties and responsibilities to this job at any time. Critical features of this job are described under various headings above. They may be subject to change at any time due to reasonable accommodation or other reasons. The above statements are strictly intended to describe the general nature and level of the work being performed. They are not intended to be construed as a complete list of all responsibilities, duties, and skills required of employees in this position.

Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position. 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. • Agree not to disclose assigned user ID code and password for accessing resident/facility information and promptly report suspected or known violations of such disclosure to the Administrator.• Agree not to disclose resident's protected health information and promptly report suspected or known violations of such disclosure to the Administrator. • Report any known or suspected unauthorized attempt to access facility's information system. 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 Food Services 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. • Report known or suspected incidents of fraud to the Administrator. • Ensure that departmental computer workstations left unattended are properly logged off or the password protected automatic screen-saver activates within established facility policy guidelines. 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 facility in-service training programs as scheduled (e.g., OSHA, TB, HIPAA, Abuse Prevention, Safety, Infection Control, etc.). • 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 and hand hygiene technique 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 Supply Functions • 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. Budget and Planning Functions • Report suspected or known incidence of fraud relative to false billings, cost reports, kickbacks, etc. Miscellaneous • Provide data to the Quality Assurance & Assessment Committee as requested. Supervisory Requirements As LPN / LVN you are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties. Qualification Education and/or Experience Must possess, as a minimum, a Nursing Degree from an accredited college or university, or be a graduate of an approved LPN/LVN program. Must possess a current, unencumbered, active license to practice as an LPN/LVN in this state. Language Skills Must be able to read, write, speak, and understand the English language. Ability to read technical procedures. Ability to read and comprehend policy and procedure manuals. Ability to effectively present information and respond to questions from managers and employees. Must be able to relate information concerning a resident's condition. Mathematical Skills Ability to apply concepts such as fractions, percentages, ratios and proportions to practical situations. Reasoning Ability Must demonstrate knowledge and skills necessary to provide care appropriate to the agerelated needs of the residents served. Must be a supportive team member, contribute to and be an example of team work and team concept. 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 nursing care facilities. 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 not pose a direct threat to the health or safety of other individuals in the workplace. Certificates, Licenses, Registrations Must posess a current, unencumbered, active license to practice as an LPN/LVN in this state. Current CPR certification. Knowledge and experience with PCC preferred. Must maintain all required continuing education/licensing. Must remain in good standing with the State Board of Nursing at all times. Physical Demands Must be able to move intermittently throughout the workday. Must be able to speak and write the English language in an understandable manner. Must be able to cope with the mental and emotional stress of the position. Must be able to see and hear or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully met. Must function independently and have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies. Must meet the general health 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 the ill, disabled, elderly, emotionally upset, and, at times, hostile people within the facility. Must be able to push, pull, move, and/or lift a minimum of 25 pounds to a minimum height of 5 feet and be able to push, pull, move, and/or carry such weight a minimum distance of 50 feet. May be necessary to assist in the evacuation of residents during emergency situations. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 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 directors. 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 workday, 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. Additional Information Note: Nothing in this job specification restricts management's right to assign or reassign duties and responsibilities to this job at any time. Critical features of this job are described under various headings above. They may be subject to change at any time due to reasonable accommodation or other reasons. The above statements are strictly intended to describe the general nature and level of the work being performed. They are not intended to be construed as a complete list of all responsibilities, duties, and skills required of employees in this position.

Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position. 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. • Agree not to disclose assigned user ID code and password for accessing resident/facility information and promptly report suspected or known violations of such disclosure to the Administrator.• Agree not to disclose resident's protected health information and promptly report suspected or known violations of such disclosure to the Administrator. • Report any known or suspected unauthorized attempt to access facility's information system. 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 Food Services 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. • Report known or suspected incidents of fraud to the Administrator. • Ensure that departmental computer workstations left unattended are properly logged off or the password protected automatic screen-saver activates within established facility policy guidelines. 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 facility in-service training programs as scheduled (e.g., OSHA, TB, HIPAA, Abuse Prevention, Safety, Infection Control, etc.). • 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 and hand hygiene technique 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 Supply Functions • 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. Budget and Planning Functions • Report suspected or known incidence of fraud relative to false billings, cost reports, kickbacks, etc. Miscellaneous • Provide data to the Quality Assurance & Assessment Committee as requested. Supervisory Requirements As LPN / LVN you are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties. Qualification Education and/or Experience Must possess, as a minimum, a Nursing Degree from an accredited college or university, or be a graduate of an approved LPN/LVN program. Must possess a current, unencumbered, active license to practice as an LPN/LVN in this state. Language Skills Must be able to read, write, speak, and understand the English language. Ability to read technical procedures. Ability to read and comprehend policy and procedure manuals. Ability to effectively present information and respond to questions from managers and employees. Must be able to relate information concerning a resident's condition. Mathematical Skills Ability to apply concepts such as fractions, percentages, ratios and proportions to practical situations. Reasoning Ability Must demonstrate knowledge and skills necessary to provide care appropriate to the agerelated needs of the residents served. Must be a supportive team member, contribute to and be an example of team work and team concept. 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 nursing care facilities. 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 not pose a direct threat to the health or safety of other individuals in the workplace. Certificates, Licenses, Registrations Must posess a current, unencumbered, active license to practice as an LPN/LVN in this state. Current CPR certification. Knowledge and experience with PCC preferred. Must maintain all required continuing education/licensing. Must remain in good standing with the State Board of Nursing at all times. Physical Demands Must be able to move intermittently throughout the workday. Must be able to speak and write the English language in an understandable manner. Must be able to cope with the mental and emotional stress of the position. Must be able to see and hear or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully met. Must function independently and have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies. Must meet the general health 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 the ill, disabled, elderly, emotionally upset, and, at times, hostile people within the facility. Must be able to push, pull, move, and/or lift a minimum of 25 pounds to a minimum height of 5 feet and be able to push, pull, move, and/or carry such weight a minimum distance of 50 feet. May be necessary to assist in the evacuation of residents during emergency situations. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 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 directors. 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 workday, 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. Additional Information Note: Nothing in this job specification restricts management's right to assign or reassign duties and responsibilities to this job at any time. Critical features of this job are described under various headings above. They may be subject to change at any time due to reasonable accommodation or other reasons. The above statements are strictly intended to describe the general nature and level of the work being performed. They are not intended to be construed as a complete list of all responsibilities, duties, and skills required of employees in this position.

Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position. 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. • Agree not to disclose assigned user ID code and password for accessing resident/facility information and promptly report suspected or known violations of such disclosure to the Administrator.• Agree not to disclose resident's protected health information and promptly report suspected or known violations of such disclosure to the Administrator. • Report any known or suspected unauthorized attempt to access facility's information system. 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 Food Services 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. • Report known or suspected incidents of fraud to the Administrator. • Ensure that departmental computer workstations left unattended are properly logged off or the password protected automatic screen-saver activates within established facility policy guidelines. 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 facility in-service training programs as scheduled (e.g., OSHA, TB, HIPAA, Abuse Prevention, Safety, Infection Control, etc.). • 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 and hand hygiene technique 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 Supply Functions • 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. Budget and Planning Functions • Report suspected or known incidence of fraud relative to false billings, cost reports, kickbacks, etc. Miscellaneous • Provide data to the Quality Assurance & Assessment Committee as requested. Supervisory Requirements As LPN / LVN you are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties. Qualification Education and/or Experience Must possess, as a minimum, a Nursing Degree from an accredited college or university, or be a graduate of an approved LPN/LVN program. Must possess a current, unencumbered, active license to practice as an LPN/LVN in this state. Language Skills Must be able to read, write, speak, and understand the English language. Ability to read technical procedures. Ability to read and comprehend policy and procedure manuals. Ability to effectively present information and respond to questions from managers and employees. Must be able to relate information concerning a resident's condition. Mathematical Skills Ability to apply concepts such as fractions, percentages, ratios and proportions to practical situations. Reasoning Ability Must demonstrate knowledge and skills necessary to provide care appropriate to the agerelated needs of the residents served. Must be a supportive team member, contribute to and be an example of team work and team concept. 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 nursing care facilities. 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 not pose a direct threat to the health or safety of other individuals in the workplace. Certificates, Licenses, Registrations Must posess a current, unencumbered, active license to practice as an LPN/LVN in this state. Current CPR certification. Knowledge and experience with PCC preferred. Must maintain all required continuing education/licensing. Must remain in good standing with the State Board of Nursing at all times. Physical Demands Must be able to move intermittently throughout the workday. Must be able to speak and write the English language in an understandable manner. Must be able to cope with the mental and emotional stress of the position. Must be able to see and hear or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully met. Must function independently and have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies. Must meet the general health 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 the ill, disabled, elderly, emotionally upset, and, at times, hostile people within the facility. Must be able to push, pull, move, and/or lift a minimum of 25 pounds to a minimum height of 5 feet and be able to push, pull, move, and/or carry such weight a minimum distance of 50 feet. May be necessary to assist in the evacuation of residents during emergency situations. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 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 directors. 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 workday, 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. Additional Information Note: Nothing in this job specification restricts management's right to assign or reassign duties and responsibilities to this job at any time. Critical features of this job are described under various headings above. They may be subject to change at any time due to reasonable accommodation or other reasons. The above statements are strictly intended to describe the general nature and level of the work being performed. They are not intended to be construed as a complete list of all responsibilities, duties, and skills required of employees in this position.

BASIC FUNCTION: The primary purpose of the position is to direct the day-to-day functions of the nursing unit and to plan, organize, develop and direct the overall operation of the Department in accordance with current Federal, State, and local standards, guidelines, and regulations to assure that the highest degree of quality care is provided to the residents at all times. Provide professional assistance to all residents and staff of St. Paul's Senior Homes and Services when not precluded by other duties.  ESSENTIAL DUTIES AND RESPONSIBILITIES:Assumes responsibility and accountability of directing the activities and programs of the facility, in consultation with the Administrator, COO, or CEO as necessary, in the absence of the AdministratorEvaluates and implements recommendations from the facility's committees and/or consultants.Plans, develops, organizes implements, evaluates, and directs the Nursing Department, as well as its programs and activities, in accordance with current State and Federal regulations and guidelines that govern Nursing Facilities, maintaining regulatory compliance at all times.Interprets and implements the facility's policies and procedures to employees, residents, families, visitors, government agencies, etc.Participates in the development of a plan of correction for deficiencies noted during survey inspections in co-operation with the Administrator.Coordinates the Annual Patient Care Policy Committee meeting.Monitors the Infection Control, Safety and Quality Assurance programs of the Department.Assists the MDS Nurse., Charge Nurses and Director of Staff Development to ensure compliance with all Federal, State and Local regulations.Directs and supervises the Unit Clerk ensuring the appropriate cordial response to residents, visitors, physicians and staff and the employee’s productive work performance.Coordinates personnel development and staff mentoring.MINIMUM QUALIFICATIONS: Must be able to communicate with, be interested in, and have compassion for the aged. Must have good communication skills, both verbal and written. Must have excellent organizational skills to meet deadlines and goals. 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 in nursing and medical practices and procedures, as well as the laws, regulations, and guidelines that pertain to skilled nursing care and personnel administration. Must possess the ability to work harmoniously with, and supervise both professional and non-professional personnel. Must possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies, and procedures that are necessary for providing quality care and maintaining a socially, morally and fiscally responsible operation. Must be able to cope with multiple responsibilities in a changing and evolving environment. EDUCATION AND/OR EXPERIENCE: Graduate of an accredited school of nursing. A minimum of 3 years management experience in a skilled nursing facility. Recommended background would be five years as a Director of Nursing or a combination of three years as Director of Nursing and two years as Director of Staff Development. Must possess a current license to practice as a Registered Nurse in the state of California, and must possess a current CPR card.