Registered Nurse (RN) – Lafayette County Manor

Application Deadline: 2022-07-18
Job Type: County
Job Description:

Job Title: Registered Nurse (RN)
Hours: PRN, Part-time, or Full-time positions available
Reports to: Director of Nursing

• Registered Nurse currently licensed by the State of Wisconsin.
• Knowledgeable of nursing and medical practices and procedures, as well as laws, regulations and guidelines pertaining to nursing home operation.
• Evidence of basic leadership skills and supervision.

Job Objectives:
The primary purpose of this job is to be a supervisory nursing team leader under the supervision of the Director of Nursing, giving direct nursing care to residents who need skilled care in accordance with current applicable federal, state, county, and facility regulations, policies and procedures and as may be directed by the Administrator.

Physical / Mental Requirements:
• Lift and carry items such as resident charts, MAR’s and TAR’s, resident care treatment items, etc.  without assistance.
• Occasional transfers up to 75 pounds with assist while lifting, positioning, and transferring residents.
• Push/pull medication and treatment carts requiring force of 10-30 pounds on linoleum and carpeted floors.
• Push/pull residents weighing 50-300 pounds in wheelchairs and Geri-chairs.  
• Reposition residents weighing 50-300 pounds in bed for treatments, nursing procedures, and as needed.
• Manipulate carts through doorways and into close fitting areas.
• Stand, walk, up to 75% of eight hour day to provide resident assessments and care.
• Stoop, bend, and squat as required to reach lower drawers in med & treatment carts, and to adjust resident items, etc.
• Arm/hand steadiness necessary for taking blood pressures, temperatures, etc.
• Hand-eye coordination to administer injections and adjusting flow rates, etc.
• Able to wear gloves and other protective equipment.
• Occasional reaching overhead is required to obtain supplies or medications.
• Handling, fingering, and feeling are required continuously for palpation, operating and maintaining equipment, and providing medical treatments for abnormal conditions, i.e.:  wound care, resident care, and medication administration.
• Clear speech, reading, and hearing skills are required continuously to comprehend and communicate with residents and co-workers, to follow written plans of care and to respond to emergency alarms. 
• Far-sighted visual acuity with correction 20/40 Shellen chart for identification of residents, call lights, unusual occurrences on unit, for supervision of assigned staff, etc.
• Near-sighted visual acuity to read typed and written materials, thermometers, assess changes in resident’s condition, monitor equipment, etc.
• Hear and distinguish normal sounds with background noise ranging from conversational levels to high pitched sounding alarms.  Distinguish sound via stethoscopes, respiratory status of resident, and interpret low voice levels.
• Concentrate on moderate and/or fine detail with frequent interruptions necessary to perform variety of tasks related to nursing.
• Attention span ranging from 10-60 minutes to perform minimal to fine detailed tasks related to nursing functions.
• Understand and relate to multi-disciplinary theories.
• Remember multiple messages, information, and task assignments from eight hours to long periods of time given to self and others.

Environmental Conditions:
• Occasional exposure to blood/body fluids as required for invasive procedures and treatments.
• Frequent exposure to microbial bacteria and other infectious agents inherent to care of ill/dying residents.
• Continuous exposure to hazardous chemicals such as disinfectants, cleansers, soap, etc. as identified by departments’ MSDS manual.
• Continuous exposure to rubber, plastic and/or materials which are used for personal protective equipment.
• Occasional exposure to bodily injuries due to unpredictable behaviors of residents.
• Occasional exposure to loud and unpleasant noises due to unpredictable behaviors of residents.
• Seasonal exposure to high humidity due to resident’s option to control their environment.

Essential Job Functions:
• Provide and direct resident care in accordance with SNF/ICF guidelines, HSS-132 nursing Home Rules and Regulation, Resident Bill of Rights, Nursing Services Policies and Procedures and the organization’s Employee Personnel Policy Handbook.
• Observe, assess and report changes in resident’s condition to immediate supervisor, attending physician, family or designated contact person.
• Call or accept verbal orders from resident’s physician and transcribe them according to procedures and policies; co-sign Licensed Practical Nurse assessments as well as supervise the transcribing of any medical order taken by the Licensed Practical Nurse.
• Move medication cart on linoleum carpeted floor in nursing units to administer drugs and transfer treatment supplies from Med room bins to resident rooms according to physician orders.  Document appropriately and report any drug and/or treatment errors to supervisor and physician.
• Initiate and update total plans of care and problem list in resident’s chart and MAR’s /TAR’s at all times.
• Active participation in multi-disciplinary staffing of residents of assigned team.
• Serve as role model in the implementation of facility’s policy and OSHA standard on Standard Precautions ensuring staff’s compliance and follow-up with required retraining and disciplinary action.
• Documentation in resident’s charts relative to facility policy and maintain clinical records in prescribed manner.
• Review daily reports from assigned personnel and weekly team meetings relative to resident’s total plan of care.
• Operate equipment required for resident care and provide life saving care, i.e.: cardio-pulmonary resuscitation, Heimlich maneuver, knowledge of CPR technique.
• Assist physician during examination and/or treatment of residents; review orders with physician, suggest changes based on resident’s condition.
• Participate in development of policies and procedures to improve nursing care programs.
• Assist in training, supervising, counseling and evaluating assigned staff.
• Attend scheduled meetings and continuing education programs as an active participant of Nursing Service team to keep abreast of current trends in medical science with special emphasis in the area of gerontology.
• Maintain and safeguard entrusted confidential information.
• Support and be loyal to this organization and its Mission Statement at all times.
• Be flexible, receptive and adaptive to change.
• Assist with staffing, as needed.
• Understand and apply basic principles of good housekeeping and safety.
• Participate in customer relations with appropriate, professional behavior and attire.  Basic nursing scrubs in various colors and patterns with white shoes, socks or stockings, and other specifications according to the dress code policy.
• Attend department staff meetings and staff development programs.

NOTE:  This job description is not intended to be all inclusive.  The employee will also perform other related duties as requested by the Director of Nursing, Assistant Administrator, or Administrator.  This document is not intended to imply a written contract of employment.

Deadline Note:

WCA Pres. & CEO Mark O'Connell spoke as a member of the @WiHealthNews Panel Series discussion on “Tackling the Opioid Crisis” today, with Dr. Rhitu Bhatnagar of WI Society of Addiction Medicine; Paul Krupski, of @DHSWI & @RepJesseJames @NACoTweets

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