# of Openings
$28 per hour
The primary purpose is the 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 the 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 JOB DUTIES:
Direct the day-to-day functions of the nursing assistants in accordance with currently 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
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
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. Admin, transfer, and discharge residents as required
Fill out and complete accident/incident reports, chart all accident/incident reports involving residents and submit to Director as required
Maintain the Daily Census Report and submit to the Business Office as required
Charting and Documentation:
Complete and file required recordkeeping forms/charts upon the resident’s admission, transfer, and/or discharge
Receive telephone orders from physicians and record on the Physician’s Order Form. Transcribe telephone orders from 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 residents, as well as the residents response to care
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
Drug Administrative Functions:
Prepare and administer medications as ordered by the physicians. Verify the identity of the resident before administering the medication/treatment. Ensure that prescribed medication of one resident is not administered to another. Review medication cards for completeness of information, accuracy in the transcription of the physician’s orders. Notify the attending physician of automatic stop orders prior to the last dosage being administered
Ensure that the adequate supply of floor stock medications, supplies, and equipment is on hand to meet the nursing needs of residents. Report needs to the Nurse Supervisor. Order prescribed medications, supplies, and equipment necessary
Ensure that narcotics records are accurate for your shift. Dispose of drugs and narcotics as required
Participate in employee performance evaluations, determine your shift’s staffing requirements, and making recommendations to the Nurse Supervisor concerning employee dismissals, transfers, etc. Review and evaluated department’s workforce 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 Nurse Supervisor as required.
Receive/give the nursing report upon reporting in and ending shift duty hours
Report occupational exposure to blood, body fluids, infectious materials, and hazardous chemicals
Nurse Care Functions:
Inform nursing personnel of new admissions, their expected time of arrival, room assignments, etc. Ensure rooms are ready for new admissions. Greet newly admitted residents upon admission and escort them to their rooms as necessary. Participate in the orientation of new residents/family members to the facility
Requisition and arrange for diagnostic and therapeutic services, as ordered by the physician. Consult with the resident’s physician in providing the residents’ care, treatment, rehabilitation, etc. Review the resident’s cart for specific treatments, medication orders, diets, etc. Make periodic checks to ensure that prescribed treatments are being properly administered by certified nursing assistants and to evaluate the residents physical and emotional status
Notify the resident’s attending physician and next-of-kin when there is a change in the resident’s condition
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. Use restraints when necessary. Obtain sputum, urine and other specimens for lab tests as ordered. Take and record TPRs, blood pressures, etc. Monitor seriously ill residents
Admit, transfer, and discharge residents as necessary. Assist in arranging transportation for discharged residents. Ensure that discharged residents are escorted to the pick-up area
Inform family members of the death of residents. Call funeral homes when requested by the family. Ensure that established post-mortem procedures are followed
Participate in developing, planning, conducting and scheduling in-service training classes including new hire orientations and “how to do the job” trainings
Attend and participate in outside trainings including, but not limited to: OSHA, TB, HIPAA, Abuse Prevention, Safety, Infection Control, continued education to maintain license
Safety and Sansation:
Assist the Director and/or Infection Control Coordinator 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 all personnel performing tasking involving exposure to blood/body fluids participate in appropriate training programs in advance.
Ensure that an adequate supply of PPE are on hand and are readily available. Ensure all work areas and resident’s areas are maintained in a clean and sanitary manner
Participate in the development, implementation, and maintenance of the infection control program for monitoring communicable and/or infectious diseases among personnel and residents
Care Plan and Assestment Funstions:
Review care plans daily, inform Nurse Supervisor of any needed changes, ensure Certified Nursing Assistants are aware of the care plans.
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.
Maintain the confidentiality of all resident care information. Report known or suspected incidents of unauthorized disclosure of such information
Monitor nursing care to ensure all residents are treated fairly, and with kindness, dignity, and respect. Ensure all nursing care is provided in privacy and that nursing service personnel knock before entering resident’s room
Ensure that all nursing service personnel are knowledgeable of the resident’s responsibilities and rights including the right to refuse treatment. 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
Review complaints and grievances made by the residents and make a written/oral report to the Nurse Supervisor indicating what action(s) were taken to resolve the complaint or grievance. Maintain written record of the resident’s complaints and/or grievances that indicate 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
Skills Learned During On-Job Training:
All skills and responsibilities listed under Administrative Functions
All skills and responsibilities listed under Charting and Documentation
All skills and responsibilities listed under Drug Administration Functions
All skills and responsibilities listed under Personnel Functions
All skills and responsibilities listed under Nursing Functions
All skills and responsibilities listed under Staff Development
All skills and responsibilities listed under Safety and Sanitation
All skills and responsibilities listed under Care Plan and Assessment Functions
All skills and responsibilities listed under Budget and Planning Functions
All skills and responsibilities listed under Resident Rights
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 RN or LPN/LVN in California
Knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to nursing care facilities
This opportunity is available to WIOA participants only. To enroll in the program or inquire about services please email us at email@example.com
This WIOA Title I financially assisted program or activity is an equal opportunity employer/program. Auxiliary aids and services are available upon request to individuals with disabilities. If you need special assistance to participate in this program, please call (714) 480-6500. TDD/TTY users, please call the California Relay Service at (800) 735-2922 or 711. Please call 72 hours in advance to allow the OC Workforce Solutions Center to make reasonable arrangements to ensure accessibility to this program.
The views, information, or opinions expressed by the organization(s) mentioned are solely those of the individuals involved and do not necessarily represent those of the County of Orange and its employees.