RN Supervisor - The Rehabilitation Center of Independence

 License Qualification: Registered Nurse

Job Title Variation: Weekend Supervisor; Unit Manager

Reports to: Director of Nursing and/or ADON

Supervises: Nursing Personnel on Shift

Classification: Non-Exempt Hourly

Position Description

Responsible for ensuring that care delivery is consistent with the missions and policies of the company and in accordance with accepted standards of practice, state and federal regulations and licensing requirements. Responsible for the overall operations, integration, coordination and direction of nursing care during assigned shift; includes mentoring and educating nursing personnel, working with physicians and other medical professionals.

Principal Responsibilities

• Ensures delivery of high-quality, positive clinical outcomes, and resident/family satisfaction during supervisory shift.
• Serves as a resource to all staff within the facility regarding the quality of services provided.
• Provide direct resident care when required; Demonstrates the ability to administer medications and treatment timely and according to facility policy; Demonstrates ability to receive, transcribe, and carry out physician orders, if allowed by Nurse Practice Act.
• Effectively manages nursing personnel on shift to limit use of overtime and agency personnel.
• Assesses the work performance of nursing staff as it relates to unit standards of care and goals.
• Conducts regular staff meetings on each shift and provides updates to DON.
• Collaborates with other departments to provide timely effective care consistent with individual’s needs, choices, and preferences.
• Assumes nursing administrative responsibilities of the center for weekend and holiday coverage as requested.
• Stays and works beyond scheduled shift if needed to meet state staffing requirements and/or needs of residents.
• Ensures resident care assignments are consistent with staff competencies, scope of practice and the needs of the residents.
• Ensures timely and accurate compliance of the MDS process and that it reflects the resident’s plan of care.
• Ensures Point Click Care (PCC) is utilized according the company process.
• Ensures that physician orders are followed as prescribed.
• Oversees medication management to ensure adequate supplies and that all medications are handled in accordance with company policy.
• Ensures that resident's attending physician and family or responsible party are promptly notified of any significant change in the resident's health condition.
• Ensures communication between licensed nursing staff and CNAs during and between shifts.
• Participates in shift-to-shift communication between incoming and outgoing nursing staff.
• Ensures complete and prompt reporting of incidents, accidents, and adverse events to Administrator and Director of Nursing. Ensures that resident's accident/incident, adverse event and grievances/concerns are fully documented, investigated, reported and addressed in accordance with company policies and procedures and the Federal/State rules and regulations.
• Investigates resident/family complaints and takes appropriate actions to bring to resolution.
• Demonstrates knowledge and appropriate use of the Company Infection Control Manual.
• Notifies other Departments of resident changes, i.e., room changes, LOA, new admits, discharge, etc.
• Conducts frequent rounds to evaluate effectiveness of care delivery.
• Assures that an adequate supply of personal protective equipment is on hand and are available for staff to perform procedures that involve exposure to body/blood fluids.
• Evaluates the effectiveness of the care interventions, identifies problems and trends and develops alternative interventions.
• Other duties, responsibilities and activities may change or assigned at any time with or without notice. 

Direct Care Responsibilities

• Conduct the daily nursing functions in accordance with current rules, regulations, and guidelines that govern the longterm care facility; Provide direct resident care when required.
• Charts progress notes in an informative, factual manner that reflects the care administered as well as the resident’s response to care.
• Follows established procedure for charting and reporting all reports of incident/accidents (residents & employees).
• Identifies and reports changes in condition to supervisor, physician and family.
• Accurately identifies skin changes and follows the Company skin management protocols.
• Orders and reports diagnostic tests timely.
• Counts narcotics at the beginning and completion of each shift with the nurse leaving and coming on to the shift.
• Follows Pharmacy policy and procedures for ordering and delivering medications.
• Follows established procedures for restraint reduction.
• Assists with meal service; Identifies residents at risk for nutritional problems and implements preventative measures; Checks items and food that is brought in by family members to assure it complies with resident’s orders, dietary needs, and safety; Monitors residents with significant weight loss and gain and reports this to the physician and dietary.
• Documents in progress notes any exceptions to resident’s condition, including daily charting on ill residents, 24, 48, or 72-hour follow up charting on residents with infections, incidents or new admits.
• Completes documentation to reflect progress or lack of progress of residents participating in Quality of Life programs.
• Accurately completes and is familiar with the forms used throughout the resident’s chart.
• Participates and conducts (as appropriate) investigations related to any alleged abuse.
• Ensures that the progress notes are reflective of the care plan and that the approaches on the care plan are being followed.

Special Nursing Care Responsibilities

• Demonstrates knowledge and ability to work with: NG/tube: insertion, placement, irrigation; Colostomy care: irrigation; Foley catheter care: insertion, Irrigation; Catheter application; Straight catheterization;
• Demonstrates knowledge and ability to work with: Tube feeding: hanging and labeling, operation of pump, calculating intake and output, assuring dietary, recommended feeding allowances are maintained, monitoring the weights of residents, assessing for abdominal distention, feeding tube placement, residual.
• Demonstrates knowledge and ability to implement: Positioning techniques; Transfer techniques; ROM exercises.
• Demonstrates knowledge and ability to implement: Emergency procedures: properly administer s O2, suctions, performs CPR, and uses the ambu bag; glucometer checks.
• Demonstrates knowledge and ability to work with: IVs: conducts IV site care, applies and monitors a Heparin Lock, mixes, hangs and administers IV solutions to residents, can compute rate of IV fluid administration, operates the infusion pump.
• Demonstrates knowledge and ability to work with: Suctioning: tracheotomy, nasotracheal; Tracheotomy care; Gastrostomy care: irrigation, placement check; Sterile technique.
• Demonstrates knowledge and ability to work with: mechanical ventilation, indication of ventilation; understand the difference between oxygenation and ventilation, identifying initial parameters, settings and special issues associated with ventilator setup, trouble shoot and recognizing alarms; and evaluate patient response to the ventilator; recognize the cause of low pressure and high pressure on ventilation care; basic and advance airway; pulmonary assessment; and maintaining patient airway and devices.
• Demonstrates knowledge and ability to implement: Collection of lab specimens; Isolation techniques.

Human Resource Responsibility

• Accomplishes human resources strategies by determining accountabilities during shift supervision; communicating and enforcing policy and procedures; implementing coaching, counseling, disciplinary, and communication programs.
• Conducts continuing education programs and special in-service training to direct reports on shift.
• Promotes and maintains pro-active, positive employee relations programs. 
• Maintains frequent, daily, informal interaction and provides positive feedback to staff while they are working; Maintains open door policy in dealing with staff.
• Communicates and enforces company standards on counseling, disciplinary action, transferring employees to cover staffing, assigning employees to specific work tasks, employees who violate policies, appropriately responding to complaints, and other supervisory duties as required.

General Responsibilities

• Attends and participates in scheduled training, educational classes, and meetings to maintain current certification as applicable; Attends and participates in in-service training as mandated by regulatory agencies and company policy.
• Adheres to work schedules in completing and performing assigned tasks; completes all assigned tasks in a timely manner as instructed by the direct supervisor.
• Meets acceptable center attendance requirements; notifies facility before late arrival to or absence from work according to established center policy.
• Cooperates with other facility personnel to ensure that services can be adequately maintained to meet the needs of residents; creates and maintains an atmosphere of warmth, personal interest, and positive emphasis, as well as a calm environment.
• Adheres to established employee policies.
• Adheres to established dress code.

Customer Service Responsibilities

• Models customer service principals throughout the center and promotes appreciation of our customer’s needs.
• Treats residents, residents’ family members, visitors and fellow employees with courtesy, respect, and dignity.
• Presents professional image through appearance, behavior and speech.
• Explains procedures to residents before administering services.

Residents Rights

• Understands, upholds and promotes the rights of the residents.
• Ensures residents can exercise rights without interference, coercion, discrimination, or reprisal from the facility.
• Ensures protected health information is kept confidential.
• Ensures resident concerns/complaints are responded to with tact and urgency.
• Reports allegations of resident abuse, neglect and/or misappropriation of resident property.
• Coordinates effective communication with Residents and Companions by assuring all arrangements for providing interpreters and/or other auxiliary aids and services needed by Residents and Responsible Party are made, including scheduling interpreters through outside agencies and scheduling staff interpreters, if any; and ensuring appropriate maintenance, repair, replacement and distribution of auxiliary aids.

Safety and Sanitation

• Follows established safety policies and procedures.
• Identifies and corrects safety hazards; reports safety concerns as required.
• Observes safety needs of residents as indicated in care plan.
• Wears and/or uses safety equipment and supplies when indicated and properly trained to use.
• Demonstrates job-specific knowledge of fire and disaster preparedness during drills or actual situations.

Staff Development

• Attends and participates in scheduled in-service training, educational classes and meetings to maintain current certification as applicable and as managed by regulatory agencies and company policies.
• Ensures that small group meetings are held per company policy.
• Communicates new Policy & Procedures and regulations to staff to ensure compliance. 

Qualifications

• Graduate of an approved Registered Nurse program and licensed in the state of practice, required.
• Minimum of 2 years of nursing experience in a Skilled Nursing Facility preferred.
• Current BLS/CPR certification (All SNFs; ALFs as required by state).

Travel

• Local travel to attend company trainings and/or workshops.

Principal Contacts

• Works closely with Nursing staff, residents, families, physician and department heads.

The Rehabilitation Center of Independence provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.