Providence Health & Services RN - Skilled Nursing Care I in Spokane, Washington
Providence is calling a Registered Nurse (RN) (Skilled Nursing Care I, Night Shift, 1.0 FTE) to Providence St. Joseph Care Center in Spokane, Washington . We are a community of caregivers delivering every day on our Mission to provide compassionate care that is accessible for all – especially those who are poor and vulnerable.
In this position you will:
• 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.
• 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.
• Interpret the department’s policies and procedures to personnel, residents, visitors, and government agencies as required.
• Admit, transfer, and discharge residents as required.
• Complete accident/incident reports as necessary.
• Write resident charge slips and forward to the Business Office.
• Maintain the Daily Census Report and submit to the Business Office as required.
• Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., as necessary.
• CHARTING AND DOCUMENTATION:
• Complete and file required record keeping 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 form physicians and record on the Physicians Order form.
• Transcribe physician’s orders to resident charts, kardex, medication cards, treatment/care plans, as required.
• Chart nurses’ notes in an informative and descriptive manner that reflects the care provided to the resident, as well as the resident’s response to the care.
• Fill out and complete accident/incident reports. Submit to Director as required.
• Chart all reports of accidents/incidents involving residents. Follow established procedures.
• Record new/changed diet orders. Forward information to the Dietary Department.
• Report all discrepancies noted concerning physician’s orders, diet change, charting error, etc., to the Nurse Supervisor.
esident’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 Manager / 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.
• 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.
• Review complaints and grievances made or filed by your assigned personnel.
• Make appropriate reports to the Supervisor/DNS as required or as may be necessary. Follow facility’s established procedures.
• Ensure that departmental disciplinary action is administered fairly and without regard to race, color, creed, national origin, age, sex, religion, handicap, or marital status.
• Receive/give the nursing report upon reporting in and ending shift duty hours.
• Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals in accordance with the facility’s policies and procedures governing accidents and incidents.
• NURSING CARE FUNCTIONS:
• Inform nursing personnel of new admissions, their expected time of arrival, room assignment, etc.
• Ensure that rooms are ready for new admissions.
• Greet newly admitted residents upon admission. Escort them to their room 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.
change in the resident’s conditions.
• 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.
• Inform family members of the death of the resident.
• Call funeral homes. 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.
• Assist in standardizing the methods in which work will be accomplished.
• Assist in training department personnel in identifying tasks that involve potential exposure to blood/body fluids.
• Assist the Director in planning clinical supervision for nurse aide trainees.
• Attend and participate in outside training programs.
• Attend and participate in annual OSHA and CDC in-service training programs for hazard communication, TB management, and blood borne pathogens standard.
• Attend and participate in advance directive in-service training programs for the staff and community.
• Attend and participate in continuing education programs designed to keep you abreast of changes in your profession, as well as to maintain your license on a current status.
• SAFETY AND SANITATION:
• Monitor your assigned personnel to ensure that they are following established safety regulations in the use of equipment and supplies.
• Ensure that established departmental policies and procedures, including dress codes, are followed by your assigned nursing personnel.
• Assist the Director and/or Infection Control Coordinator in identifying, evaluating, and classifying routine and job-related functions to ensure that tasks in which there is potential exposure to blood/body fluids are properly identified and recorded.
• Ensure that all personnel performing tasks that involve potential exposure to blood/body fluids participate in appropriate in-service training programs prior to performing such tasks.
• Ensure that an adequate supply of personal protective equipment are on hand and are readily available to personnel who perform procedures that involve exposure to blood or body fluids.
• Ensure that your assigned work areas (i.e., nurses stations, medicine preparation rooms, etc.) are maintained in a clean and sanitary manner.
• Ensure that your unit’s resident care rooms, treatment areas, etc., are maintained in a clean, safe, and sanitary manner.
• Ensure that your assigned personnel follow established hand washing techniques in the administering of nursing care procedures.
• 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 implementation and maintenance of the procedures for reporting hazardous conditions or equipment.
• Ensure that all personnel wear and/or use safety equipment and supplies (e.g., back brace, mechanical lifts, etc.) When lifting or moving residents.
• Report missing/illegible labels and MSDSs to the safety officer or other designated person.
• EQUIPMENT AND SUPPLIES:
• Recommend to the Nurse Supervisor the equipment and supply needs of your unit/shift.
• Ensure that an adequate stock level of medications, medical supplies, equipment, etc., is maintained on your unit/shift at all times to meet the needs of the residents.
• 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 nursing assistants certified (NACs) are aware of the resident care plans. Ensure that the NACs refer to the resident’s care plan (kardex) prior to administering daily care to the resident.
• Assist the Resident Care Manager in planning, scheduling, and revising the MDS, including the implementation of RAPs, and Triggers.
• RESIDENT RIGHTS:
• Maintain the confidentiality of all resident care information.
• Monitor nursing care to ensure that all residents are treated fairly, and with kindness, dignity, and respect.
• Review complaints and grievances made by the resident and make a written/oral report to the Director indicating what action(s) were taken to resolve the complaint or grievance. Follow the facility’s established procedures.
• Maintain a written record of the resident’s complaints and/or grievances that indicates the action taken to resolve the complaint and the current status of the complaint.
• Report and investigate all allegations of resident abuse and/or misappropriation of resident property.
• Ensure that nursing staff personnel honor the resident’s refusal of treatment request. Ensure that such requests are in accordance with the facility’s policies governing advance directives.
• Provide data to the Quality Assurance & Assessment Committees as requested.
• Uses appropriate safety guidelines and precautions.
• Demonstrates safe handling skills and use of equipment.
• Observes principles of good body mechanics in resident care activities.
• Demonstrates pro-active approach to resident and facility safety needs.
• Knows purpose and location of MSDS information.
• Consistently prompt to resident treatments and meetings.
• Begins work on time.
• Writes legibly
• INTERPERSONAL SKILLS:
• Informs appropriate team members of resident’s condition changes, falls, and other problems.
• Communicates goals and plans for care to team members to enhance continuity and coordination of resident care as needed.
• Requests days off/vacation days in accordance with the facility’s policy and considers overall department operations when submitting requests.
Required qualifications for this position include:
Nursing Degree from an accredited college or university, or be a graduate of an approved LPN program.
Must possess a current, unencumbered, active license to practice as a Registered Nurse or LPN in this state.
Preferred qualifications for this position include:
- On-the-job training provided.
About the skilled nursing facility you will serve.
Providence St. Joseph Care Center in Spokane, Washington is located on the campus of Providence Sacred Heart Medical Center & Children's Hospital. Our Transitional Care Unit is designed for patients coming out of the hospital who need skilled nursing care, end of life care, or rehabilitation for those recovering from surgery or who have a functional loss from illness, disease, or an accident. Our Long Term Care unit provides skilled nursing in a residential setting, addressing the needs of our residents through creating a sense of community and home and providing a model of care that is resident-centered.
We offer a full comprehensive range of benefits - see our website for details
As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.
Providence Health & Services is a not-for-profit Catholic network of hospitals, care centers, health plans, physicians, clinics, home health care and services guided by a Mission of caring the Sisters of Providence began over 160 years ago. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
Job Category: Long Term/Transitional Care Nursing
Req ID: 242544