BT Registered Nurse

NOTE: Some descriptions may have more specific duties and/or goals and objectives attached to this form. Such attachments normally reflect unique aspects of specific locations, shifts, departments, etc.

JOB REQUIREMENTS:

A. Education. Current license to practice as a registered nurse or vocational nurse in the State of Texas; Registered nurse preferred. Certification in CPR preferred.

B. Experience. Two (2) years clinical experience; long term care experience preferred.

C. General Requirements. Must be capable of executing all terms and conditions set forth in the Brazos Presbyterian Homes Personnel Policy Handbook and Policies and Procedure Manual, including but not limited to:

1. Works in a safety conscious manner which ensures that safe work practices are used in order not to pose a risk to others in the work place.

2. Interacts in a tactful, diplomatic, and humanistic manner with residents, families, visitors, and co-workers to provide a safe, efficient, caring and therapeutic environment which ensures the self-respect, personal dignity, rights and physical safety of each resident and center guest.

3. Maintains a dependable attendance record and adheres to standards of cleanliness, grooming, hygiene, and dress code

4. Complies with Brazos Presbyterian Homes/Bayou Manor policies and procedures, and local, state, and federal regulations.

5. Adheres to policies on drug free and smoke free work place

6. Conducts self in professional manner.

D. Physical Demands. Lifting 50 pounds maximum and occasionally lifting and/or carrying objects weighing up to 25 pounds; reaching, handling, feeling, bending, stooping, and seeing. Extensive walking and standing.

E. Working Conditions. Inside in well-lighted, well-ventilated area.

F. Principal Contacts. Nursing staff, residents, and families.

JOB SPECIFIC RESPONSIBILITIES:

A. Delivery of Resident Care

1. Participates in assessing, planning, implementing, and evaluating resident care.

2. Completes initial and ongoing nursing assessments needed to plan care interventions.

3. Makes frequent rounds to ensure care delivery meets quality assurance standards and restorative protocols.

4. Uses appropriate infection control techniques to prevent spread of infection.

5. Administers prescribed medications and treatments in accordance with approved nursing protocols and within the scope of practice.

6. Monitors vital signs, hydration, and nutritional status to detect deviations from normal limits.

7. Can perform duties as outlined for nursing assistants; able to teach and correct nursing assistants’ daily duties as needed.

8. Assembles and utilizes resident care equipment and ancillary supplies.

9. Obtains specimens for laboratory exams, within scope if practice.

10. Takes, transcribes, and implements physician’s orders.

11. Requisitions and arranges for diagnostic and therapeutic services as ordered by resident’s physicians.

12. Orders prescribed medications and requisitions supplies and equipment from appropriate sources.

13. Assesses resident’s responses to treatments/medications, response or lack of progress toward care plan or restorative goal.

14 . Perform admission, give vaccination to residents.

15. Administer parenteral, intravenous, and intramuscular and subcutaneous injections; take and record vital signs and monitor vital signs for deviations from normal limits.

16. Order all new medications and refills; give initial dose of all new medications and document it timely and accurately.

17. Perform admissions, skin assessment.

18. Perform discharges, and do documentation, prepare medications for discharge.

B. Supervision of Staff

1. Participates in the assessment, planning and implementation of nursing staff efforts in providing quality resident care. Able to teach and correct techniques to maintain quality of resident care.

2. Participates in planning and implementing the coordination and involvement of nursing staff and other departments or services to teach family to participate in or manage resident care.

3. Coordinates activities between department and other services.

4. Monitors performance of nursing personnel against established standards and provides guidance to improve care delivery.

5. Assists with orientation, instruction, and supervision of other nursing personnel.

6. Motivates employee productivity; reinforces lines of communication and supervises employees.

7. Promotes employee productivity; reinforces lines of communication and supervises employees.

C. Coordination of Services

1. Assists physicians during rounds and examinations.

2. Coordinates and implements the physician services for each resident.

3. Coordinates and evaluates the supportive interventions provided by nursing and other services in a holistic approach to resident care.

4. Communicates well with nurse practitioner and other departments.

D. Reporting of Information

1. Monitors resident’s progress, lack of progress, or changes in condition describing findings in the medical record, to immediate supervisor, nurse practitioner and physician.

2. Initiates and coordinates appropriate communication concerning residents to and from family and significant other.

3. Communicates evaluation of findings and proposes adjustments in the interventions to all care team members.

4. Participates in planning and conducting training for other nursing personnel.

5. Observes residents, records significant changes in condition, abnormal lab values, responses to treatments/medications, and significant incidents and notifies nursing supervisor, physician, and family of change, when indicated.

6. Gives and receives comprehensive report of resident’s condition.

7. Coordinates telephone inquiries.

8. Reviews, according to standards, the resident care plans with resident, supervisor, resident’s physician, certified nursing assistants, and the resident’s family, when available.

9. Maintains unit records and performs charting duties.

10. Maintains narcotic records; completes required forms.

11. Reports immediately to Director of Nursing or Assistant Director of Nursing any verbal or physical abuse heard, seen or suspected for immediate investigation.

BRAZOS PRESBYTERIAN HOMES/BAYOU MANOR RESPONSIBILITIES:

1. Participates in departmental quality assurance activities.

2. Reports observations concerning structural, equipment and furniture defects and malfunctions to appropriate personnel.

3. Attends and participates in scheduled in-service programs and monthly staff meetings with Director of Nursing.

4. Maintains confidentiality of necessary information.

5. Utilizes supplies and equipment properly and without waste.

6. Thinks and acts calmly and logically to meet unusual occurrences of the job.

7. Performs any miscellaneous work assignments as may be required.

8. Attends monthly staff meetings with Director of Nursing.

9. Responsible for keeping current license and required CEU’s.

Other Tasks:

1. Respond to questions from facility personnel accurately and timely.
2. Accurately prepare and proofread memos, letters, spreadsheets and other documents and correspondence as required. Complete accurate and timely documentation. Review and accurately process mail, faxes, emails, and other correspondence in a timely manner.
3. Answer phones, take messages, and respond to requests timely.
4. Maintain compliance with all BPHI policies, procedures and requirements. Maintain compliance with all federal and state laws. Maintain compliance with all agency regulatory guidelines and requirements.
5. Attend and participate in trainings and staff meetings as required. Conduct staff meetings as required.
6. Develop emerging leadership through professional growth and development.
7. Responsible for supporting and representing BPHI at special events, activities and other assigned functions.
8. Work successfully as a part of a team and responsible for developing then maintaining strong working relationships with co-workers.
9. Perform general office tasks as required.
10. Perform special assignments, projects, and other duties as required.

1. Requires in-depth understanding of a comprehensive and current field of knowledge in Nursing. Bachelor’s Degree
2. Minimum of 5 years of clinical experience, including two (2) years in gerontological nursing and two (2) years in a nursing management position.
3. Current license to practice as a registered nurse or vocational nurse in the State of Texas; Certification in CPR preferred.
4. Requires proficient ability to speak, read and write English professionally.
5. Requires ability to work with frequent interruptions; ability to work under pressure and remain flexible as priorities change.
6. Requires proficient ability to exhibit detail-oriented skills necessary to understand and manage a wide-range of information; ability to maintain a routine. Requires excellent organizational skills.
7. Requires ability to establish and maintain effective professional working relationships with co-workers, employees, and outside representatives.
8. Requires excellent interpersonal skills; excellent public professional presentation skills required.
9. Requires ability to relate positively, influentially, and sensitively to a broad spectrum of persons in a variety of multi-tiered relationships and settings.
10. Requires ability to speak clearly and make self understood effectively in face to face interactions; articulate with accuracy to speak on the phone.
11. Requires ability to hear and receive verbal instructions, answer phones, communicate with people in situations with some background noise.
12. Requires excellent communication and presentation skills. Requires ability to effectively interact with all levels of internal and external constituents.
13. Requires ability to communicate effectively both orally and in writing and speak in front of groups.
14. Requires ability to work under minimal supervision; ability to exercise independent professional judgment.
15. Requires ability to maintain confidentiality.
16. Requires proficient working knowledge and ability to accurately and timely operate and perform computer related tasks with specific equipment and software applications required, including Microsoft Word, Excel, and Publisher. Requires advanced skills in Excel and database applications for report generation.
17. Requires ability to travel to various geographic locations and some overnight stays.
18. Requires job holder to work nights and weekends as requested.
19. Requires the ability to grasp, push, pull, carry and otherwise manipulate objects; ability to perform tasks requiring action of muscles or groups and foot and/or eye-hand coordination.
20. Requires ability to use up to 50 pounds of force occasionally and/or up to 20 pounds of force frequently and/or 10 pounds continuously to move objects.
21. Requires ability to walk, stand and sit, sometimes for prolonged periods of time.
22. Requires sufficient good health to properly discharge duties. Employees shall not be permitted to work who have infectious disease or skin lesion for the duration of the communicability.

1. POSITION CRITICAL SKILLS:

2. NOTE: These requirements represent minimum levels in order to perform the job on a satisfactory basis. Candidates must have the ability to satisfactorily perform the essential functions of the job.

3. Planning and Organizing. Establish a course of action for oneself and/or others to accomplish specific goals. Plan proper assignments for personnel and appropriately allocate resources.
4. Leadership. Create and communicate a clear a vision/ goal, gain alignment with appropriate stakeholders, and foster a supportive climate that will achieve the desired results.
5. Project/Program Management: Effectively direct and integrate all aspects of a project or program, ensure that work progresses toward achieving goals and objectives.
6. Self management. Demonstrate self-control and an ability to manage time and priorities. Make sound decisions even under pressure.
7. Communication. Clearly express ideas, either verbally or in writing, to include but not limited to grammar, organization, and structure.
8. Research. Effectively identify, collect, organize, and document data and information in ways that make the information most useful for subsequent assessment, analysis, and investigation.
9. Willingness to Learn. Assimilate and apply new job-related information promptly.
10. Creative & Innovative Thinking. Develop innovative ideas that provide solutions to all types of workplace challenges. Involves adapting traditional or devising new approaches, concepts, methods, models, designs, processes, technologies, and/or systems. Includes a willingness to take fresh perspectives and risks in his/her thinking and seeking out fresh ideas from a wide variety of sources.
11. Ethics & Integrity. Consistently earn the trust, respect, and confidence of coworkers and customers through consistent honesty, forthrightness and professionalism in all interactions. Includes meeting commitments and promises.

POSITION CRITICAL BEHAVIORS:

1. NOTE: These requirements represent minimum levels in order to perform the job on a satisfactory basis. Candidates must have the ability to satisfactorily perform the essential functions of the job.

2. Team Player. Work effectively with others in the organization and outside the formal lines of authority (i.e., peers, other units, senior management, and the like) to accomplish organizational goals and to identify and resolve problems. Includes considering the impact of your decisions on others.
3. Critical Thinking. The ability to actively and skillfully conceptualize, apply, analyze, synthesize, and/or evaluate information as a guide to belief and action.
4. Bias for Action. The propensity to act or decide without customary analysis or sufficient information to achieve critical goals or objectives. Includes responsible risk-taking.
5. Self-Starter. Demonstrate initiative to take action to achieve goals beyond what is necessarily called for. Includes the ability to work in a less structured environment.
6. Customer Service Orientation. Make efforts to listen to and understand the customer (both internal and external), anticipate customer needs and give high priority to customer satisfaction.
7. Self-Confidence. Demonstrate initiative, confidence in oneself, resiliency and a willingness to take responsibility for personal actions. Have the courage to voice views that are unpopular
8. Thoroughness. The ability to balance an attention to detail with the cost and benefit of doing so.
9. Adaptability. Maintain effectiveness in varying environments, tasks and responsibilities, or with various types of people. Stay agile in the face of change.

10. NOTE: Brazos Presbyterian Homes, Inc. complies with all the employment provisions of the Americans with Disabilities Act.

    The purpose of Brazos Presbyterian Homes, Inc.’s job description is to describe the basic function, major responsibilities/tasks and essential functions of each job so that employees can better know what is expected of them. The descriptions also provide information useful for recruiting, training, and performance appraisal. This document does not create an employment contract, nor does it modify the at-will employment status of all employees.

    A job description is not meant to inhibit employee creativity or innovation. The description will be revised as job responsibilities change materially.