Job Location : Great Neck,NY, USA
Registered Nurse (RN) Responsibilities:
Charting Complete and file required record keepingforms/chart upon resident's admission, transfer, and/or discharge.
Encourage attending physicians to review treatment plans, record and sign their orders, progress notes, etc., in accordance with established policies.
Receive telephone order from physical and record on the physician' order form. transcribe physician'sorder to residents chart medex treatment/care plan as required.
Chart nurses' in an informative and descriptive manner that reflects the care provided to the resident, as well as the resident's response to the care.
Fill out complete accident/incident reports. Submit to the director as required. Chart all reports of accidents/incidents involving residents.
Follow established procedures.
Record new/changed diet orders.
Forward information to the Dietary Department.
Report all discrepancies noted concerning physician's orders, diet change, charting error, etc., to the Nurse Supervisor.
Fill out and complete the transfer form in accordance with established procedures.
Ensure that appropriate documentation concerning unauthorized discharges is entered in the resident's medical record in accordance with established procedures.
Perform routine charting duties as required and in accordance with established charting and documentation policies and procedures.
Registered Nurse (RN) Drug Administration Functions:
Prepare and administer medication as ordered by the physician.
Verify the identity of the resident before administering the medication/treatment
Ensure that prescribe medication for one resident is not administered to another
Ensure that an adequate supply of floor stock medications, supplies, and equipment is on hand to meet the nursing needs of the residents.
Report needs to the Nurse Supervisor.
Order prescribed medications, supplies, and equipment as necessary, and in accordance with established policies.
Ensure that narcotic records are accurate for your shift.
Notify the Nurse Supervisor of all drug and narcotic discrepancies noted on your shift.
Review medication cards for completeness of information, accuracy in the transcription of the physician's order, and adherence to stop order policies.
Notify the attending physician's of automatic stop order prior to the last dosage being administered.
Dispose of drugs and narcotics as required, and in accordance with established procedures
Registered Nurse (RN) Administrative Functions:
Confer with the nursing Supervisor/or other licensed nursing personnel regarding dermatologic disorders of residents in the facility.
Consult with the car Planning Team concerning assessment evaluation and assist in planning and developing the skin care treatment to be performed for the resident. Initiate requests for consultation or referral.
Respond to requests from the resident, physician, or nursing staff
Examine the resident and his/her records and charts, and discriminate between normal and abnormal findings, in order to recognize when to refer the resident to a physician for evaluation, supervision, or direction.
Perform administrative duties such as completing medical form, reports, evaluation, studies, charting, etc.
Implement and maintain established policies and procedures relative to skin care treatments.
Interpret these to the physician, resident family members and public as appropriate.
Make a written and oral report/recommendations to the attending physician, Medical Director, or nursing supervisor the status and care of the resident.
Identify, manage, and treat specific skin disorders and secondary lesions, abrasions, foot problems such as corns and calluses, decubitus ulcers, bacterial, parasitic and viral skin infections, scaling popular diseases, and benign tumors.
Provide assessment and diagnostic service to resident.
Perform an assessment evaluation using technique including observation, inspection, and palpation
Complete weekly physical dermatologic examination on the resident and record the results with the assessment.
Provide therapeutic services confer with the Care Planning Team in the development of the care plan.
Provide, within established protocols and under the supervision of the physician, treatment for uncompleted dermatologic disorder as directed by the attending physician or Medical Director
Ensure that resident with decubitus ulcer receive appropriate prophylaxis and treatment, such as daily inspection, turning and activity, a well-planned diet, and maintain a clean and dry bed.
Give direct physical and psychological nursing care in emergencies, as well as in the presence of illness or disability in order to maintain life, provide comfort, reduce stress, and enhance the resident's ability to cope.
Work with other health agencies and family members in the physical and emotional transitions of admission, care, and discharge of residents as necessary.
Assist in resident rehabilitation activities.
Where required, perform range of motion, assist in ambulation, provide emotional support.
Monitor the results of physical therapy activities.
Provide preventive health care services.