You will be responsible for: 

• Supervision of the total nursing care on your wing, for your shift.
• Responsibility and accountability for all resident medication on your wing, including narcotics.
• Ensure all C.N.A. assignments are completed efficiently and in a timely manner.
• Delegation within C.N.A. scope of practice.
• Follow all physician’s orders, within your scope of practice
• Performing the following task/procedures for resident’s within the facility:
  • Inserting peripheral-short catheters for infusion (may draw blood immediately post-insertion for laboratory specimens).
  • Inserting peripheral-short catheters for collection of laboratory specimens
  • Routine flushes with saline or heparinized saline, and blood draws for peripherally inserted central catheters (PICC) and central lines. This includes routine flushes with the completion of medication administration.
  • Regulation of rates for medicated anti-infective IV fluids
  • Administer, monitor and discontinue anti-infective premixed/admixture medications into peripheral-short, peripheral-midline, and peripherally inserted central catheters.
  • Use ultrasound to gain peripheral access.
• Perform rounds for all residents ensuring that Care Plans are followed.
• Assist in writing and updating resident assessments and care plans and have understanding of the MDS and Quality Indicators.
• Note all physician orders received, whether verbal or written. Implement all orders received and transcribe them on the MAR/TAR.
• Round with physicians and note all orders received. Implement all orders and transcribe them on the MAR/TAR.
• Notify Medical Records for appointments that need to be made per physician orders received.
• Recognize and send home any N.A. or C.N.A. that is insubordinate or is failing to meet the standard of care at this facility.
• Ensure the accuracy of your work.
• Conduct complete, accurate, and truthful documentation including:
  • Initialing and signing all Medication Administration Records and Treatment Administration records when administering medications, treatments, or dietary supplements. Including documentation to indicate medications, treatments, supplements not administered during your shift.
  • All nurse charting including: Daily Scheduled, MDS, Medicare, Charting by Exception, and documentation of lab/diagnostic results.
  • Completion of all assigned MDS assessments.
• Scan out all central supply items used for each resident.
• Ensure an accurate and thorough report is given to the oncoming shift nurse.
• Report any errors made to ADON/DON immediately.
• Ensure all abuse, or suspected abuse, that is witnessed by you, or reported to you, is reported to the DON, ADON, or Administrator immediately.