Rehab

Nursing Supervisor

Directs nursing care of the patients and supervises the day-to-day nursing activities performed by nursing assistants. Such supervision should be in accordance with current federal, state, and local regulations governing our nursing center and as may be directed by the Administrator, the Medical Director, and/or the Director of Nursing Services to provide that appropriate care for our patients is maintained.

Accountability: Reports to Director of Nursing Services

Licensure/Certification/Education Requirements: A RN nursing degree from an accredited college or university as evidenced by primary source of verification. Current RN License in the State of Georgia. American Heart Association BLS CPR required. Preferred experience in nursing administration.

Essential Department Managerial Functions: Assists the Director of Nursing in planning, developing, organizing, and directing the day to day functions of the nursing assistants (personnel and administrative, etc.). Admits, discharges, and transfers patients as requested. Documentation and billing supplies used. Sends patients to the hospital as necessary. Knowledge of procedures to follow if unable to reach physician. Develops nursing assistant work assignments. Makes compliance rounds and reporting any pertinent issues. Maintains effective lines of communication with attending physicians. Assists the Director of Nursing Services to coordinate the care planning/MDS process and committee meetings as necessary. Participates in patient screening and selection process as requested. Assists the Director of Nursing to monitor physician services (documentation and visits, etc.) in accordance with current regulations. Assists the Director of Nursing Services in follow-up of consultant recommendations i.e. pharmacy, dietary, etc. Provides demonstration/education as necessary for CNA to perform job. Completes documentation procedures on patients (appropriate use of forms, timelines, and Medicare documentation, etc.). Communicates with physicians, arranges for transportation for doctor appointments, and contacts families. Demonstrates appropriate/effective supervisory skills that include fair and uniformly applied corrective actions administered without regard to race, color, creed, national origin, age, sex, religion, handicap, or marital status. Provides to the Director of Nursing Services appropriate reports/documentation to support departmental updates, corrective actions, and other as necessary. Assists as requested in the interviewing, screening, and selection of associates in accordance with established staffing budgets. Assists the Director of Nursing Services to maintain appropriate personnel file documentation including reference checks, screenings, corrective actions, evaluations, skills verification, and others as requested. Reviews and responds to complaints/grievances (associate and/or patient or family) that concern your department as requested by the Director of Nursing Services. Maintains efforts to establish effective inter-departmental communication to provide positive working relationships. Assists the Director of Nursing Services in monitoring nursing assistants for compliance with established procedural guidelines and protocols. Maintains a working knowledge of current licensure standards and the survey process. Monitors work of other nursing staff in unit for thoroughness. Makes rounds to provide proper care to and cleanliness of patients. Coordinates care of patients. Supervises nursing staff LPNs and CNAs. Assists nursing staff members according to needs. Implements Education Program Infection Control Program and/or Quality Assurance Program.

Essential Skill/Knowledge Functions: Operation of oxygen equipment including turning off and on, changing cylinder heads, cleaning/replacing humidifier, and other as necessary. Operation of suction machine (oral) including cleaning, selection of appropriate suction catheter, and storage. Operation and use of manual respirator. Location and use of emergency equipment supplies (box and/or crash cart, etc.). Operation of whirlpool. Operation of scales. Operation of glucose monitoring devices calibration and cleaning, etc. Use of electronic thermometers (oral, rectal, and ear). Delivery of medications (setting up, rotating, charting, ordering, giving to patient, etc.). Ordering and use of stock drugs. Administration and documentation of insulin. Use and delivery of PRN medications. Use and delivery of topical treatment application (eye, ear, nose, etc.). Use and delivery of narcotic medication. Receives drugs from pharmacy in accordance with established procedures. Application of sterile dressings. Operation and proper use of pressure reduction surfaces. Use of oral airway. Knowledge of isolation procedures (when to implement, etc.). Delivery of enemas (S&S and fleets). Insertion, irrigation, and routine care of male/female catheters. Delivery of tube feedings (insertion, flushing, proper amounts, etc.). Knowledge of procedures and ability to determine Advance Directive status for patients. Collection of lab specimens and interpreting results. IV implementation and administration. Knowledge of seizure precautions and administration of IV medication during a seizure. Takes and records temperature, blood pressure, pulse, and respiration rate. Charts information regarding patient progress, ailments, medication, symptoms, and observations. Administers medications. Discusses with supervising nursing staff the progress of patients and how to proceed with care. May be required to assist physician in patient rounds. Stocks and prepares medication carts for rounds. Provides various treatments as recommended by the physician. Transfers or assists in transferring patients from bed to wheelchair. Performs physical assessments of patients under the RN’s direction. Draws blood and obtains fluids to submit for lab work. Assists in passing out trays to patients and assists in feeding. Provides hands on assistance in department functions as necessary. Records and monitors progress of patients and communicates to physicians.

Essential Administrative Functions: Participates in Nursing Center surveys (Licensure/JCAHO) and any subsequently required reports. Conducts performance improvement/quality assurance activities as required/requested. Attends and participates in continuing educational programs to keep abreast on changes in your field as well as to maintain current licensure/certification as required. Attends and participates in mandatory in-services. Honors patients’ rights to fair and equitable treatment, self-administration, individuality, privacy, property, and civil rights including the right to wage complaints. Complies with Corporate Compliance Program. Reports job-related functions/tasks that involve occupational hazards including exposure to blood and body fluids and others as necessary. Follows established safety procedures when performing job tasks and/or working with equipment. Follows established safety regulations to include fire protection/prevention, smoking regulations, infection control, etc. Performs other related duties as necessary and as directed by supervisor. Complies with all Privacy & Security programs.

Essential General Functions: Attendance, Punctuality, Professional Appearance, Communicates well with patients and family members providing warm and friendly greeting and an approachable attitude to family/visitors/patients and responds to expressed concerns while displaying a helpful, caring demeanor answers questions when appropriate in a professional manner.

Primary Activity Requirements: Primary Physical Requirements: Lift up to 10 lbs.: Rarely required when lifting patient medical files weighing approximately 5 to 10 pounds. Lift 11 to 25 lbs.: Rarely may occur during course of work when stocking medical supplies or stocking medical cart. Lift 26 to 40 lbs.: Not required. Lift over 40 lbs.: Frequently lifting over 40 pounds when assisting patient transfer. Occasionally may utilize the Hoyer lift when dealing with large or awkward-sized patients. Carry up to 10 lbs.: Rarely required when carrying patient medical files weighing approximately 5 to 10 pounds. Carry 11 to 25 lbs.: Rarely may occur during course of work when stocking medical supplies or stocking medical cart. Carry 26 to 40 lbs.: Not required. Carry over 40 lbs.: Not required. Reach above shoulder height: 4 feet. Reach at shoulder height: Constantly required when administering medication taking vital signs and providing care for the elderly. Reach below shoulder height: Occasionally may occur when administering medication to patients who are bedridden. Push/Pull: 20 feet. Hand Manipulation: Grasping: Frequently grasping pen/pencil when documenting information into medical charts. Handling: Constantly handling pen/pencil when documenting information into medical charts. Torquing: Not required. Fingering: If facility implements the use of a computer may occasionally be required to use computer. Occasionally required to use a telephone. Controls & Equipment: Blood pressure gauge, thermometer, stethoscope, hydroxulator, Hoyer lift (hydraulic system), splints, trap wheelchair exercise wheel, parallel bars, transfer belt, walkers, canes, free weights, Restor Bikes, suction machine, IV pumps, tube feeding equipment, TENS unit, specialty beds. May need to move Clinitron bed (300 pounds). Other Physical Considerations: Twisting: Occasionally may occur when providing medical care to bedridden patients or assisting in transfer. Bending: Frequently required when providing medical care to bedridden patients or assisting in transfer. Crawling: Not required. Squatting: Occasionally required. Kneeling: Not required. Crouching: Not required. Climbing: Not required. Balancing: Not required. During an 8-hour day Associate is required to: Sit 2 hours, Stand 2 hours, Walk 2 hours, Work Surface: Varies from carpeting, linoleum, and tile. Cognitive and Sensory Requirements: Talking: Necessary for communicating with patients and other aides. Hearing: Necessary for taking instructions from others and while performing physical assessments. Sight: Necessary for doing job correctly and effectively. Tasting & Smelling: Smelling is required for accurate maintenance and detection of wounds, urinary tract problems, etc.

Summary of Occupational Exposures: Tasks assigned to this position may involve potential and/or direct exposure to blood, body fluids, infectious disease, air contaminants, and hazardous chemicals. May be subject to hostile and emotionally upset patients, family members, associates, and visitors. Other Considerations and Requirements: The associate must be able to tolerate a high pace that is typical for a nursing facility. Must be