RN Supervisor

RN Supervisor

Responsible to Position Classifications

Unit Manager Hourly/Non-Exempt

Directly Supervises and Evaluates

Licensed Practical Nurses, Certified Nursing Assistants, and Unit Assistants

Is Back Up To: Charge RNs/LPNs

Is Backed Up By: Charge RNs/LPNs and RN Unit Manager

WOODLAND POND CONFORMANCE STATEMENT

In the performance of their respective duties and responsibilities all employees are expected to conform to the following:

• Performing quality work with or without direct supervision
• Interacting professionally with other employees, residents, guests, and all others
• Working effectively and in accordance with the Woodland Pond Communication Fundamentals
• Completing tasks independently while understanding the necessity for communicating and coordinating work efforts with other employees and organizations
• Complying with all federal, state and local standards, guidelines and regulations as well as Woodland Pond policy and procedure at all times

Position Summary
The RN Supervisor is responsible to maintain the nursing philosophy, objectives, and standards of quality nursing care; and ensure compliance with standards, codes, rules and regulations, and the policies set-forth by Woodland Pond

ESSENTIAL DUTIES AND RESPONSIBILITIES (*CF indicates Critical Function)

Administrative Functions:

• Participates actively with IDT and follows-through on actions determined by the Team
• Is responsible for every resident on the skilled nursing unit (*CF)
• Serves as a resident advocate and ensures resident rights are maintained
• Supports the medical staff
• Works collaboratively with all departments at Woodland Pond
• Works with staff in the planning of the units services, programs, and activities
• Ensures staff comply with polices and standards of care (*CF)
• Ensures completeness of Accident and Incident reports
• Serves as a leader and resource for nursing staff
• Assists with resident care as needed (*CF)
• Participates in investigations as assigned (*CF)
• Ensures safe quality care is provided to the residents daily, and essential information is communicated to provide appropriate continuity of care from admission to discharge (*CF)
• Is a liaison with residents, families, and other departments to adequately plan for and provide resident care
• Oversees the creation of assignments for the LPNs, CNAs, UAs (*CF)
• Ensures accurate, appropriate, and complete documentation by all nursing staff
• Reviews MD progress notes to ensure accuracy and completion, following in-house visits. (*CF)
• Ensures a full and thorough report is given to the Charge RN (Nights), including tasks that need to be carried over to the next shift, i.e. admission assessments, weekly RN assessments, etc. (*CF)

Care Plan, Kardex, MDS, and Assessment

• Ensures accuracy of each
• Completes timely as assigned
• Effectively communicates the plan of care
• Ensures that resident care plan is followed (*CF)
• Follows the Weekly RN assessment schedule

Communication

• Ensures appropriate and ongoing communication to the resident, family, staff, MD, IDT, etc. (*CF)
• Uses communication to enhance quality of resident care and staff working environment
• Communicates with unit manager regularly about the status of the unit, staff, and residents.

Personnel/Staff Development

• May be asked by the unit manager to assist with pc&ds and scheduled evaluations.
• Actively communicates with the unit manager and staff educator to coordinate educations for personnel.
• Promotes an environment of learning
• Ensures staff attends mandatory in-services and meets minimum continuing education requirements
• May be asked by UM or staff educator to assist with staff audits, to ensure care is being delivered per care plan and medical staff orders (*CF)
• Ensures work consistency among staff
• Promotes a positive, friendly work environment, leading by example.
• Provides staff with praise and also re-educations as necessary.

Equipment and Supplies

• Ensures appropriate are available and monitors that supplies are utilized appropriately to avoid waste
• Is cost-effective

Policy and Procedure Manuals

• Ensures staff awareness of manuals, including other departments (e.g. SDS, emergency protocols)
• Uses manual and assists other staff on using policies as necessary (*CF)

Quality Assurance

• Constantly strives to enhance the resident and staff experience
• Reports and completes necessary paperwork for each resident incident/accident/change in condition (*CF)

Safety/Infection Control

• Ensures staff compliance with standards and regulations
• Reports potential outbreaks and takes appropriate measures to control/eliminate infection control exposures
• Initiates and completes appropriate sections of employee I&As when they occur.

Staffing Coverage

• Works beyond normal working hours, or in other positions temporarily when necessary (e.g. administers medications) (*CF)
• Is subject to callback during emergency conditions
• Takes RN on-call as needed
• Accepts and records call outs on staffing call out forms. Communicates call out to staffing coordinator, UM, and DON. It may be necessary to provide return to work instructions per policies guided by the NYSDOH and CDC, depending on the reason for the call out.

Other Specific Requirements

• Must have patience, tact, a cheerful disposition, and be enthusiastic
• Must work harmoniously with others
• Seeks out new methods and principles to incorporate into the nursing practice
• Creates and maintains an atmosphere of warmth, personal interest, positive emphasis, as well as a calm environment (*CF)
• Able to make independent decisions
• Able to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures necessary to provide quality care
• Promotes teamwork and collaboration among Woodland Pond staff members

Ongoing Education

• Must continually strive to enhance knowledge, and ensure evidenced-based nursing is being practiced
• Encouraged to attend an out-of-facility continuing education seminars

• Completes all required training and in-services

Enhanced Responsibilities of the RN Clinical Care Coordinator

• Addresses the high volume of family, visitor and resident companion questions and concerns during high visitation times.
• Works closely with medical staff for in house visits, during medical staff rounding, several days each week.
• Provides assessment, data and insight to medical staff both in house and on call for any change in resident condition that may require order changes in medication, treatment etc. **The majority of nurse to medical staff communication occurs on the day shift.
• Performs and/or ensures the completion of in-depth and thorough admissions and discharges to include.

Admissions:

• Order Entry-Medications, Treatments, Dietary, Therapy, Advance Directives. (per hospital discharge instructions)
• Ensures advanced directives are in place or are completed via a MOLST at the time of admission.
• Completes and/or ensures a MOLST form is done in the absence of social work.
• Assures communication of all follow up consult appointments to Medical Services Assistant
• Completes all Clinical Assessment forms for each admission at the time of admission.
• Responsible for relaying incomplete admission tasks to the Charge RN (Nights).
• Conducts a full Physical Assessment of Skin and every body system (i.e.) Neurologic, Cardiovascular, GI, Urinary, etc. and documents such.
• Completes an in-depth interview with new resident and family, as well as review of medical record to ensure an accurate, complete admission.
• Educates resident and family to the facility policies and procedures. (i.e.) visitation, smoking policy, etc.
• Completes all nursing instructions for CNAs and Unit Assistants.
• Communicates with medical staff re: the new admission orders and diagnoses.

Discharges:

• Completes Discharge Summary with all orders-Medications, Treatments, Therapy orders and Equipment needed).
• Provides any needed discharge teaching and document each instance in the medical record. (i.e.)Insulin administration, wound treatments, g-tube or foley catheter care.
• Writes all scripts for discharge.
• Completes Form 3122 for all discharges to the Enhanced units.
• Completes an O2 necessity form if necessary for discharge.

• Attends Daily IDT meeting each morning to review each residents progress.
• Reviews of all resident outgoing appointments that day. Coordinate with CNAs and Medical Services Assistant to ensure residents make each appointment and that appropriate documentation goes with the resident to their appointment. Upon return the day charge nurse must review the consult recommendations, communicates those needs to the provider and enter any needed order or care related changes in the EMR.
• Ensures all residents get to in house and out-of-house appointments. Daily review of appointment calendar.
• Ensures all residents get to planned activities.
• Ensures all residents get to therapy appointments in house.
• Assists with completion of all Investigations and Analyses (I&As) not completed on the prior shift.
• Attends weekly Wound Care Rounds as part of that team.
• Performs daily follow up and documentation in the EMR for any resident requiring Bowel Protocol intervention and medications with an RN assessment.
• Reviews all labs and diagnostic testing reports performed on shift and all pending labs from previous shifts/days. Communicates those results with medical staff and enters any needed order changes in the EMR as well as a progress note about the visit and changes.
• Communicates with Family/Health Care Proxys ANY changes in medications, resident conditions, consult results from appointments, and incident especially those resulting in an I&A (skin injuries, fall, behaviors, etc.)**The majority of family communication occurs on the day shift.
• Attends care plan meetings as needed.
• Assists with all meals to ensure that appropriate assistance is provided to all residents and nursing coverage is as care planned.

GENERAL SKILLS AND ABILITIES

• Maintains high standards for work areas, attitude and appearance
• Understands that honesty and ethics are essential in the performance of duties
• Willing to learn and grow
• Demonstrates maturity in judgment and behaviors
• Demonstrated knowledge and skills necessary to provide care to and communicate with primarily the geriatric population
• Demonstrated knowledge of the principles of growth and development over the life span
• Able to assess data reflecting the residents status and interpret the appropriate information needed to identify each residents requirements relative to their age-specific needs
• Able to work a flexible schedule
• Maintains predictable and reliable attendance

Qualifications

1. RN graduate of an accredited school of nursing
2. Minimum two years of clinical nursing experience preferred
3. Holds a current, unencumbered RN license to practice in the State of New York
4. Proficiency with computers and standard office software
5. Valid CPR certification

Degree of Travel

Travel required for occasional off-site meetings

Disruption to Routine

Must be able to adapt to resident status and needs, as directed. Schedule changes daily due to staffing, resident condition, new residents, etc. Must be on-call

Safety Hazards in Job

High stress, exposure to potentially hazardous secretions or environments. May be required occasionally to lift equipment

Occasionally = 1% to 33% of the time Frequently = 34% to 66% of the time

Continually = 67% to 100% of the time

EMployers DIsclaimer

• All requirements are subject to possible modification to reasonably accommodate individuals with disabilities
• This job description in no way states or implies that these are the only duties to be performed by the employee occupying this position. Employees will be required to follow any other job-related instructions and to perform any other job-related duties requested by their supervisor
• This document does not create an employment contract, implied or otherwise, other than an at will employment relationship

ACKNOWLEDGMENT

I have read and understand the responsibilities of my position at Woodland Pond as outlined in this job description.

_________________________________________ ____________________