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Works with team members to develop, implement and update a written plan of care (service plan) and support plan for each resident in accordance with physicians’ orders and assessments.
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Consults frequently with team members to ensure that resident care is being accomplished as written in the service plan and support plan.
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Documents changes in residents’ conditions, open areas, doctor’s visits, special treatments, lab work, etc.
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Works closely with the Personal Care Clinical Coordinator in consultation regarding assessments, treatments, and other resident and family issues.
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Monitors behavior and changes in residents’ levels of care. Consults with supervisors, doctors, social worker, and family to deal with changes effectively.
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Responsible for medications and treatments as needed.
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Reviews all required records for completeness and accuracy.
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Supervises and provides support to medication techs and personal care aides.
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Works with team members to give general supervision, training, guidance and assistance to each resident in carrying out that individual’s health program and to ensure that preventive measures, treatments, diet and other prescribed services are implemented.
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Acts as a resource for med techs, including training and mentoring team members.
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Assists with direct care, such as bathing, assists in the dining room, and participates in resident activities as needed.
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Ensures completion of monthly Personal Care evaluations, admission and annual assessments, support plans, DPW medical evaluations and MA-51’s.
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Follows admission and discharge process.
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Ensures that physician orders are transcribed to the service plan, med record, physicians order book, drug order book, etc.
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Makes daily rounds of houses to assess status of residents and initiates any required nursing interventions.
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Serves as a member of the Interdisciplinary Team during rounds.
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Responds to resident call bells and alarms and supports the residents within their scope of practice.
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Maintains current CPR certification.
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Relates well with residents, clients, family members, staff and the community.
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Adheres to dress code required for role.
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Understands and models the Honoring Lives principles in leadership, relationships and customer service.
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Supervises, motivates, trains, and defines the organization's standards and communicates effectively with staff using team leadership concepts.
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Adheres to compliance policies regarding confidentiality, HIPAA regulations, and resident and client rights.
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Complies with regulatory agency standards and applicable policies and procedures.
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Complies with safety and infection control protocols in all aspects of the job.
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Demonstrates understanding of the Code of Conduct and abides by its guidelines in all aspects of the job.
