Registered Nurse --- Night Shift

Description Apply, Night or Weekend Warrior shifts! $15,000 BONUS Summary The Registered Nurse is responsible for nursing care and maintaining a safe abuse free environment for all residents throughout all Orchards campuses. Essential Duties and Responsibilities Teamwork with the following and all other duties and responsibilities assigned. Assess reports and maintains accurate documentation regarding resident conditions. Must be able to recognize significant changes in the conditions of residents. Completes assessments as required based on level of care. Responsible for notification to physician and families/responsible party regarding changes. Responsible for oversight of care provided on the nursing units by licensed practical nurses, nursing assistants, and restorative aides. Immediately reports substandard care to Director of Nursing. Daily rounds on unit and with physician as needed to ensure coordination of resident care and timely completion of documentation. Completion and verification of monthly physician orders. Evaluates functions of unit to ensure resident care, staff relations and efficiency of service. Reports any and all concerns to the Director of Nursing. Assures nursing practice is in compliance with Nurse Practice Act, state and federal regulations and facilities policies and procedures. Communicates with staff, ancillary departments, Home Care Providers and family members to discuss issues related to the resident's condition of care. Other Responsibilities Initiates immediate intervention in abusive situations to protect the resident and report allegations according to facility policy. Will assist with the investigation process when needed. Receives and provides change of shift report regarding resident status and changes in condition via usage of 24 hours report and verbally. Responsible to assist with administration of medications and treatments as prescribed by the physician. Orders medications on a routine and as needed basis. Maintains accurate controlled substance count. Participates in Mandatory nursing in-services and committee meetings as required. Identifies areas of staff training required to provide quality care and notifies Director of Nursing immediately. Requirements Supervisory Responsibilities Directly supervises Care Supervisors. Responsibilities include planning, assigning, and directing work, participating in appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Education and/or Experience Graduate of an accredited school of nursing and successful passing of registered nursing licensure exam. Complete annual state mandated training requirements (Regular In-services as well as any external training). Language Skills Ability to read, analyze, and interpret nursing periodicals, scientific journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedures. Ability to effectively present information and respond to questions from individuals or groups of managers, residents, family members, physicians, therapists, employees, outside business contacts, and the general public. Mathematical Skills Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to apply these concepts in situations such as, but not limited to: measuring medications, taking temperatures and blood pressure, measuring wounds, using medical equipment, assessing changes in a resident's blood sugar level, ordering supplies, and measuring dietary intake and urine output. Ability to compute volume, rate, ratio, and percentage in the same situations. Reasoning Ability Ability to deal with several abstract and concrete variables to define problems, collect data, establish facts, and draw valid conclusions when assessing resident needs and conditions, prioritizing own work, making recommendations regarding resident care levels, communicating with family members, and investigating situations that arise from residents, family members, supervisors, and employees. Ability to interpret an extensive variety of written or verbal technical instructions from physicians and supervisors. Ability to interpret non-verbal gestures, body movements, and facial expressions as cues to determine residents' needs. Computer Skills Familiarity with keyboarding, word processing and software usage. Certificates, Licenses, Registrations Current Registered Nurse license in West Virginia required with 12 continuing education hours required annually; First Aid and CPR certification, IV certification preferred. Each requires periodic renewal through re-certification or continuing education. Other Skills and Abilities Nursing skills specific to geriatric residents are needed. May need additional skills with special-need geriatric residents such as those with dementia, Alzheimer's or those requiring advanced health care. Ability to use lift equipment. Mental Abilities

• The ability to get along with others and engage them in activities
• The ability to concentrate for extended periods of time
• The ability to remain calm in emergency situations
• The ability to shift focus from one task to another
• The ability to prioritize tasks effectively Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to talk or hear when communicating with residents, family members, The Orchards at Foxcrest staff, and outside business contacts. The employee is frequently required to stand while conversing with various individuals, preparing medications at the medicine cart, and administering medications to the residents; walk throughout the unit; sit at a desk; use hands to finger, handle, or feel when preparing medications, using syringes and the telephone or computer, and attending to the physical needs of the resident; and reach with hands and arms when obtaining supplies, dispensing medications, and attending to resident needs. The employee is occasionally required to climb stairs or balance when assisting C.A.'s with residents; stoop or crouch to communicate with residents and to place items in or get items from low drawers or shelves; pump a foot pedal to raise or lower a resident's bed; and use his/her sense of smell to detect odors within the unit and emanating from the residents. The employee must regularly move up to 50 pounds when pushing the medicine cart. The employee must occasionally lift or move up to 100 pounds when moving residents by wheelchair or assisting the Aides with the residents. The employee must occasionally lift up to 10 pounds, which is generally supplies such as reams of paper, files, medications, and forms. Specific vision abilities required by this job include: close vision, distance vision and peripheral vision in order to monitor resident behavior at close range and at a distance and to maneuver the medicine cart; close vision for computer and paper detail work; distance vision to see resident call lights down the hall; color vision to identify medications, assess changes in coloring of residents' skin or wounds, and to review color-coded spreadsheets or documents; and depth perception and ability to adjust focus from far residents to near residents and from computer to desk or unit hallways. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is occasionally exposed to moving mechanical parts with resident equipment and medicine carts, and to fumes from medicated creams and cleaning products. The employee is frequently exposed to airborne viruses and bacteria, as well as blood-borne, fecal-borne, and other bodily pathogens carried by residents. The noise level in the work environment can range from quiet while in a private office or resident's room to loud while in resident common areas or at the reception area where there are televisions and equipment operating, phones ringing, light to heavy traffic, and people talking.