Accountable to: Administrator/D.O.N. (Program Director in the absence of the
Administrator)
Qualifications: General – Certified by a Nevada licensed physician within 6
months prior to employment to be in good health including freedom from communicable
disease, including tuberculosis in the communicable form, according to acceptable
screening methods of the Department of Health and Human Services and BHCQC.
Education/Profession/Experience – Must have an active Nevada
RN or LPN license with at least 1 year experience in a licensed health care facility
(preferably a Geriatric Health Care Facility and Intellectual Disabilities).
Abilities – In addition the responsibilities detailed in this job
description, the RN or LPN must:
1. understand the needs of the elderly and, in particular, the needs of those affected
by cognitive impairments and intellectual disabilities;
2. be sensitive to the needs of family caregivers;
3. demonstrate good communication skills;
4. be available to work unscheduled days and hours;
5. make a commitment to cooperative performance to attain care, organization and
programmatic objectives which may entail performing duties not included in this
job description.
Responsibilities of the RN or LPN regarding participant health care:
1. Work closely with Director of Marketing/Intake Coordinator/Service
Coordinators (DRC) in processing new client admissions;
2. Upon receipt of a current PEF, develop an Individual Plan of Care for each client
and quarterly thereafter based on the information on the PEF and Intake
Questionnaire;
3. Send reminders to clients/families/Social Workers when annual renewals &
authorizations are due. i.e. PEF, TB skin tests, CHIP/Clark County/VA Home
Assist authorizations
4. Generate a Referral Form (Medicaid clients only) for new admissions and submit
all other required documents for enrollment to Medicaid. Repeat this process
timely on an annual basis prior to the expiration date of authorizations, if needed;
5. Provide nursing care based upon physician’s orders and IPC’s, as well as
performing assessments of each participant’s health status whenever there’s a
change of condition;
6. Within the first hour of admission, 30 days after admission and quarterly
thereafter, perform timely Nursing assessments on all clients. If a client is unable
to give accurate history, information may be obtained from a family member via
phone. Performing an assessment during the intake process will be acceptable
provided the start date is no later than 30 days after. A more current assessment
will be required if the start date has been delayed of more than 30 days since
performed;
7. Provide observation, monitoring and intervention for unstable medical conditions
or any changes in condition;
8 Act as a liaison between the client and the participant’s attending physician and
consulting physicians, notifying them of any changes in the health status of a
participant;
9. Record daily attendance, treatments, vital signs, medication administration, etc.
on the Nursing Flowsheets and Progress Notes, and DRC forms if applicable.
10. Communicate with the family caregiver regarding problems related to care of the
participant at the center or at home ranging from changes in the participant’s
condition or physician’s orders to concerns regarding the participant’s hygiene or
dietary/fluid intake;
11. Provide health education and counseling including nutritional advice regarding
the participant to family caregivers.
12. Administer, or supervise, as prescribed by the participant’s attending physician,
the pharmaceutical regime for each participant, document same and observe for
adverse reactions;
13. Provide emergency care including notification of ambulance, physician,
emergency care facility and participant’s emergency contact;
14. Supervise the provision of meals and the participant’s dietary and fluid intake;
15. Coordinate the provision of other ancillary health services (Podiatry, Audiology,
Optometry, PT/OT/ST, Home Health, Pharmacy, Mental Health, etc.) provided
within and outside of the center, if needed
16. Make periodic follow up phone calls to families whenever hospitalization or
illnesses occur causing absences for more than 3 consecutive days and document
17. Supervise CNA/Program Aides/Direct Support Staff in obtaining routine vital
signs & prn (trained PA's only otherwise RN/LPN) and obtaining monthly
weights, if authorized by client or responsible party. Vital Signs are to be taken
daily during the first 2 weeks of admission, then minimum of 3 days per week and
as needed on clients with diagnosis of HTN, CAD, MI, CVA, CRF. Other clients'
VS may be taken a minimum of 1x/wk if stable. JDT clients may be taken 1x/mo,
unless has diagnosis of any of the above;
18. Supervise CNA/Program Aides/Direct Support Staff in the provision of
restorative or rehabilitative therapy with regards to assisting with the Activities of
Daily Living
19. Supervise CNA/Program Aides/DSS in the provision of prophylactic skin care to
avoid breakdown;
20. Supervise CNA/Program Aides/DSS in the provision of direction in assisting with
personal care; incontinency care and maintenance of supplies related to same;
21. Train nursing staff and supervise all staff in the use of standard protocols for
communicable disease and infection control (including OSHA regulations);
22. Document all nursing services in the participant’s medical record, including all
communications with family members, Social Workers & Physicians;
23. Manage participant medical records including periodic review for content and
completeness;
24. Periodically inspect drug storage area, treatment supplies, emergency equipment
and personal care supplies & discard ALL expired items;
25. Assist in the development of participant care and health service policies and
procedures;
26. Participate in the quality assurance for nursing service.