Registered Nurse, Long-Term Care, Evening Shift, Part-Time

Provides care to residents by coordinating all care for a 24-hour period. Ensures that the plan of care for the residents is reflective of their needs/abilities by collaborating with NACs, Nurses from other shifts, RCCs and other Disciplines. Coordinates resident care with their Physicians.

Conducts performance evaluations on licensed and certified staff. Participates in appropriate performance improvement and CQI activities.

Monitors wellbeing of residents by performing physical and/or cognitive assessments on residents with daily priority given to those with acute signs and symptoms of either a physical, cognitive or behavioral nature. Communicates with medical providers to inform/update providers on resident condition and arranging for appropriate provider intervention. Acts as resident advocate.

Takes and monitors vital signs and weights. Ensures that the residents’ short and long-term care plans are reflective of the residents’ needs and abilities by developing and updating plans of care in collaboration with the interdisciplinary team. Documents assessments, changes in residents’ conditions, and other incidents involving residents by following facility policies and procedures related to documentation system.

Demonstrates a basic knowledge of the MDS system. Oversees report to and from other shifts. Makes work assignments for day shift NAC’s taking into consideration their skill and ability.

Supervises and monitors all care and nursing personnel on all shifts. Spot checks 2 nd & 3 rd shifts at various times. Responsible for investigating any reported injury in the department, completion of all appropriate incident forms, and the counseling of the injured employee.

Demonstrates an understanding of the resident incident investigation system by reporting and investigating resident incidents, identifying safety hazards or other causes of incidents, documenting incidents, adjusting plans of care accordingly and notifying family, MD and hotline as required by state regulations. Recognizes life-threatening conditions, performs appropriate treatment and obtains appropriate medical care.

Responsible for delivery of medications and treatments on order of resident’s physician. Accountable for accuracy of dose, route and timing. Receives and transcribes orders from physicians.

Monitors tests and treatments for residents with other departments according to facility policies. Demonstrates understanding of the controlled narcotic system by ensuring that end of shift narcotics counts take place and that all controlled meds are accounted for according to policy. Supervises availability of prescription medications for resident use by ordering and receiving meds according to facility/pharmacy policies (including meds from e-kit).

Monitors nursing care by following facility policies and procedures and industry standards related to infection control. Demonstrates proficiency at managing residents with or at risk for skin breakdown. Gives treatments and assists physicians with procedures & rounds.

Updates residents and their families with any condition changes. Replaces or attempts to replace all staff calling in; whether it be for days, evenings, or nights; during supervisors’ absence, using facility guidelines. Provides input to DNS on staff performance.

Discharges residents and arranges for resident social leaves. Demonstrates an understanding of the state regulations related to resident abuse and neglect. Supports facility operations by ensuring that facility procedures for resident charges are followed by all shift staff Supervises and may provide assistance with the activities of daily living and health maintenance and monitoring tasks.

Performs other duties as assigned provided skill, abilities and qualifications are the same. Organization’s expectations of Employee: Represents North Valley Hospital and facilities positively and professionally by exemplifying the vision, mission, values, and goals of North Valley Hospital. Maintains attendance by working the hours of the position.

Follows policies and procedures regarding attendance, vacation, holidays, sick leave, and leaves of absence. Uses the timekeeping applications efficiently and accurately. Adheres to dress code; appearance is neat and clean; wears name badge while on duty Uses good customer service skills by relating to staff/healthcare providers, patients/residents, customers, and the general public courteously and diplomatically under all circumstances.

Compliance with all organizational policies and procedures. Participate in CQI/QAPI activities, NVHD Performance Improvement Initiatives, and Disaster Preparedness education/exercises, and complete duties as assigned in case of emergencies/ICS stand-up. Completes mandatory training timely.

Demonstrates the ability to make decisions, take appropriate action, and follow tasks through to completion. Effectively collaborates with peers and team members, using tactful, diplomatic communication techniques in potentially sensitive or emotionally charged situations. Demonstrates leadership responsibility and skills, including planning and completing duties with minimal directions from the supervisor when appropriate.

Performs other duties as assigned, provided skills, abilities, and qualifications are appropriate and sufficient training is provided. Physical Demands: The physical demands and work environment characteristics described here represent those that an employee must meet to perform the essential functions of this job successfully. Reasonable accommodations may be made to enable individuals with disabilities to perform

. Physical demands: While performing duties of the job, the employee is frequently required to stand, walk, sit, use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; must have speech, vision, smell, touch and hearing corrected to normal range. The employee must frequently lift/push/pull up to 25 pounds and up to 50 pounds occasionally.

Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. Mental

Must be able to apply common sense to carry out instructions furnished in written, oral, or diagrammatic form; must be able to add, subtract, multiply, and divide all units of measure; must be able to read, write, and speak clearly. Work environment: Works inside in close working quarters with co-workers. The noise level in the work environment is usually moderate.

Exposures: Muscular strain, body fluids, behavior of clients/patients/residents, infectious material, chemicals/cleaning solutions, potential allergens such as plants/flowers, and noxious odors. Requirements Rotating weekends required Graduation from an accredited school of nursing; Currently licensed in Washington State as a Registered Nurse; or has an WABON approved Compact RN License Current CPR Certification; ACLS or equivalent training.

Current WA DOH approved Suicide Prevention. Essential Skills and

Must be able to relate to patients, staff and public in a courteous and diplomatic manner under all circumstances. Demonstrated ability to be flexible, organized and function well in stressful situations and react calmly in emergency situations. Ability to communicate clearly and concisely both orally and in writing.

Exceptional customer service skills. Basic computer knowledge, training and/or experience. Demonstrates an appreciation of the heritage, values, and wisdom of the patients and an understanding of the aging process.

Demonstrates the ability to make decisions, take appropriate action and follow tasks through to completion. Valued but not required skills and

Ability to communicate effectively in Spanish and /or additional languages