| Assesses residents on admission and on a shift to shift basis, as well as when conditions change. Documents according to changes in condition, management of the acute or chronic condition and reports significant changes in the post-acute care population. |
| Assessed and reassesses pain. Utilizes appropriate pain management techniques. Educates the resident, family and CNA regarding pain management. Evaluates the need for alternative pain management. |
| Assesses the resident's condition and nursing needs; sets goals; prescribes appropriate nursing action. |
| Documents changes in resident's condition and nursing care on progress notes and plan of care. |
| Performs waived testing (point-of-care testing) per Clinical Laboratory's and the resident care unit's policies and procedures |
| Ability to interpret results of waived tests; takes appropriate action on waived tests results. |
| Performs all aspects of resident care in an environment that optimizes resident safety and reduces the likelihood of medical/health care errors. |
| Submits documentation in timely, clear, concise and pertinent manner. |
| Notifies physician of changes in resident's condition and follows through until appropriate action is taken. |
| Notes and carries out physician's orders in a timely manner. |
| Gives a thorough report to oncoming shift by participating in walking rounds and huddles and documents appropriately on calendar for upcoming needs. |
| Follows through, as needed, on information given by shift repor/huddlet, Provider, resident or family regarding resident concerns. |
| Implements plan of care for the resident based on assessments and goals as established by the interdisciplinary care team. |
| Treats residents, their families, visitors and co-workers with respect and dignity. Identifies and addresses psychosocial, cultural, ethnic and religious/spiritual needs of residents and their families. |
| Supervises other members of the healthcare team, as needed, to accomplish the plan of care which has been developed. |
| Demonstrates competence in technical and manual skills, according to the scope of practice for RNs. |
| Functions as a resident advocate by protecting the resident's rights. |
| Administers medications, following the five (5) medication rights and reduces the potential for medication errors. |
| Demonstrates creativity in solving problems and looking at situations in new and innovative ways. |
| Interacts with residents, families, co-workers, managers and other departmental personnel in a kind, knowledgeable and friendly manner. |
| Consistently involves resident and family in planning for care, treatment, teaching needs and discharge plans. |
| Initiates and updates plan of care, as appropriate. |
| Participates in resident care conference and/or interdisciplinary team meeting as needed. |
| Functions as a leader for the CNAs, RCA, LPNs and support staff by delegating in a manner that contributes to the excellence of the nursing unit to which RN is assigned. |
| Participates in orientation of new personnel and performance evaluations of nursing staff. |
| Follows proper infection control procedures and supervises supportive staff in infection control procedures. |
| Demonstrates ability to remain calm in emergency and/or stressful situations and gives everyone a feeling of confidence that the situation is under control. |
| Demonstrates the ability to deal with pressure to meet deadlines, to be accurate, and to handle constantly changing situations. |
| Demonstrates the ability to deal with a variety of people, deal with stressful situations, and handle conflict. |
| Consistently follows the policies and procedures of the facility. |
| Exhibits genuine interest in and appreciation of adults in later years of life. |
| Is a motivated, independent individual who can organize workload so that all functions are completed appropriately and timely. |
| Adheres to dress code. |
| Completes annual educational requirements. |
| Maintains regulatory requirements. |
| Wears identification while on duty. |
| Maintains confidentiality at all times. |
| Attends department staff meetings as required within the department. |
| Reports to work on time and as scheduled; completes work in designated time. |
| Represents the organization in a positive and professional manner. |
| Actively participates in performance improvement and continuous quality improvement (CQI) activities. |
| Coordinates efforts in meeting regulatory compliance, federal, state and local regulations and standards |
| Communicates and complies with the Benefis Health System Mission, Vision and Values as well as the focus statement of the department. |
| Complies with Benefis Health System Organization Policies and Procedures. |
| Complies with Health and Safety Standards and Guidelines. |
