This position has 24-hour accountability and is responsible for the delivery of high-quality and cost-effective health care while achieving positive clinical outcomes, and patient/family and employee satisfaction. He/she is responsible for the overall operations, integration, coordination and direction of nursing and patient care for the assigned Unit. Additionally, he/she is responsible for ensuring that care delivery is consistent with the mission, vision, values and policies of Genesis HealthCare and in accordance with accepted standards of practice, state and federal regulations and licensing requirements. This includes mentoring and educating nurses, working with physicians and other medical professionals, and serving as a resource to all staff within the unit regarding the quality of services provided. This professional may also provide direct patient care along with the other unit nurses to maintain current skills.
1.1 Collaborates with the Director of Nursing in maintaining adequate nursing coverage to provide safe nursing care for 24 hours a day, 7 days a week;
1.2 Effectively utilizes existing manpower limiting use of overtime and agency personnel;
1.3 Participates in staff recruitment (i.e. Assist in the interviewing and selection of nursing personnel);
1.4 Assesses the work performance of nursing staff as it relates to their job description, unit standards of care and goals of the individual;
1.5 Implements the Individual Performance Improvement Plan for staff whose performance does not meet center expectations, and when necessary, recommends or initiates disciplinary action;
1.6 Conducts regular staff meetings on each shift and provides updates to DON;
1.7 Collaborates with other departments to provide timely effective care consistent with individuals' needs, choices and preferences;
1.8 Promotes a culture of safety to ensure a healthy practice and living environment;
1.9 Participates in Center's nursing committees as requested;
1.10 Participates in meetings to address patient care, survey and/or standards of care issues;
1.11 Participates in Center meetings such as Utilization Management, Customer at Risk, Care Planning, Quality Improvement, etc.;
1.12 Submits requests for the budget;
1.13 Assumes nursing administrative responsibilities of the Center for weekend and holiday coverage as requested;
1.14 Stays and works beyond scheduled shift if needed to meet state staffing requirements and/or needs of patients;
2. Clinical Leadership:
2.1 Plans, organizes, directs, supervises and evaluates nursing care provided on the unit to achieve clinical and financial outcomes;
2.2 Provides professional guidance and supervision to non-professional unit staff;
2.3 Ensures patient care assignments are consistent with staff competencies, scope of practice and the needs of the patients.
2.4 Ensures timely and accurate compliance of the MDS process and that it reflects the patient's plan of care;
2.5 Participates with the interdisciplinary team in developing, implementing and evaluating ways to achieve patient goals and minimize rehospitalizations;
2.6 Ensures Point Click Care (PCC) is utilized according to the Business Processes;
2.7 Contacts attending physician to obtain orders as indicated (i.e., admission, change in condition, etc.);
2.8 Ensures that Physician Orders are followed as prescribed;
2.9 Oversees medication management to ensure adequate supplies and that all medications are handled in accordance Genesis policy;
2.10 Ensures that patient's attending physician and family or responsible party are promptly notified of any significant change in the patient's health condition;
2.11 Creates an environment that is respectful, team oriented and responsive to the concerns of staff, patients and families;
2.12 Ensures communication between licensed nursing staff and CNAs during and between shifts;
2.13 Participates in shift-to-shift communication between incoming and outgoing nursing staff;
2.14 Serves as a role model in the delivery of direct patient care using the nursing process;
2.15 Provides patient care when required;
2.16 Ensures discharge planning process is in place and provides consultation as needed;
2.17 Ensures complete and prompt reporting of incidents, accidents, and adverse events to Administrator and Director of Nursing.
2.18 Investigates patient/family complaints and takes appropriate actions to bring to resolution.
3.1 Identifies educational needs of the staff and plans with the Nurse Practice Educator (NPE) a program to meet needs.
3.2 Evaluates and provides feedback to the NPE and to the individual staff member regarding effectiveness of the program;
3.3 Participates in the evaluation of staff competency;
3.4 Demonstrates, teaches and evaluates nursing skills utilized in direct patient care of the unit's specific patient population;
3.5 Promotes professional development and career opportunities for nursing staff;
4. Quality Improvement:
4.1 Participates in the development, implementation and evaluation of quality improvement activities for the Center and/or unit as requested;
4.2 Prepares written reports, reviews records and participates in needed data collection as indicated;
4.3 Reviews clinical records of patients with unplanned rehospitalizations to identify areas in need of improvement;
4.4 Ensures that patient's accident/incident, adverse event and grievances/concerns are fully documented, investigated, reported and addressed in accordance with Genesis policies and procedures and the Federal/State rules and regulations;
4.5. Maintains confidentiality and protects sensitive Protected Health Information (PHI) at all times;
4.6. Performs other related duties as required.
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