BETHESDA EVENING RN SUPERVISOR JOB DESCRIPTION Job Summary: The Evening RN Supervisor is responsible for supporting and leading all neighborhoods in providing quality care, while ensuring the safety and well-being of residents. This leadership positions provides support, coaching, and direction to evening team members and plays a significant role in contributing to a positive culture for individuals to live and work. Provides quality, efficient, and loving care to each resident in a personalized way. Administrates medications and performs treatments as ordered by physicians. Informs physicians and families of changes in physical or mental conditions. Job Relationships: • Reports to: Director of Nursing • Interrelationships with: Case Managers, Social Workers, Dietary Manager, and Activity Director • External Contacts: Resident family members, visitors, volunteers, physicians, hospital, or clinic personnel, other health care personnel, clergy, nursing staff at Ridgewater College, or Hospice staff • Internal Contacts: All other staff and residents. • Supervisory Responsibilities: RN/LPN Med Admin, TMAs, and Nursing Assistants. Hours of Work: Evening Supervisor - 2:00 pm-10:30 pm, Monday - Friday, no holiday rotation but must work Christmas Eve and New Years Eve if it falls on scheduled days of week. This position is also included in the on-call rotation for weekend rotation. Dress Code: Clean, fitted scrubs in solid colors or simple patterns. Bethesda shirts. Footwear: Closed-toe, comfortable, slip-resistant shoes. Hair and Hygiene: Maintain a high standard of cleanliness, oral hygiene and deodorant. Neatly tied back if long. Identification: Visible name badge, worn on chest area. PPE: Compliance with facility guidelines for masks, gloves, goggles, etc. if applicable. Piercings: Covered or removed if posing infection or safety risk. Tattoos: Covered or removed if posing infection or safety risk. General Appearance: Clean, unwrinkled scrubs. Minimal jewelry/accessories. Nails must be kept clean and neatly trimmed or filed. Jeans with no holes or rips on Fridays. Essential Requirements of Work: (Minimum qualifications necessary to function at full productivity.) • Education: • Graduate from approved school for nursing and currently licensed in the State of Minnesota as a Registered Nurse • Maintaining 24 continuing education credits every two-years • Attending in-services and workshops to update knowledge of geriatric care. • Experience • Long-term care experience preferred, with a strong interest in geriatric nursing • Supervisory or management skills • Preferred proficiency in all nursing skills • Basic computer skills • Experience in the proper administration of medication • Knowledge and ability to perform CPR when needed • Medication administration including PO, IM, Subq, Intradermal, and IV • Dressing changes • Catheterization-male and female • Tube feedings • Trachea care • IV administration and site care • Vital signs • Personal: • Ability to speak, read, and write in English • Ability to follow, clear, written and oral instructions • Ability to deliver clear, written, and oral instructions • Possess an honest, respectful attitude toward people • Have a professional image • Ability to be calm and level headed • Have common sense, moral integrity • Ability to insure confidentiality • Ability to communicate difficult issues in a tactful manner • Ability to learn from mistakes • Provide a pleasant attitude and cheerful disposition towards staff, family, and residents • Arrive to work and depart from work on a timely basis • Job Knowledge • Well-developed organizational skills • Well-developed and practiced time management skills • Excellent physical assessment skills with ability to decide, direct, prioritize resident needs • Excellent oral and written communication skills • Supervisory knowledge and abilities • Knowledge of disaster plans • Maintain professional conduct and provide a leadership role • Knowledge of nursing policies and procedures • Ability to understand and support residents in differing phases of health, life, and death • Ability to understand and support residents in differing phases of health, life, and death • Possess good understanding of nursing processes and techniques • Support confidentiality, dignity, and trust among residents and staff • Insure the promotion and protection of resident’s rights • Knowledge of aseptic technique and infection control practices • Ability to evaluate resident’s condition with knowledge of which warrant quick action and to whom it should be reported • Thorough knowledge of medications and the proper administration of them including time, dose, route, frequency, and side effects. • Thorough knowledge of State and Federal regulations as related to the administration of medication treatments • Ability to read and understand all physician’s orders and other orders given • Possess an alertness and awareness of signs and symptoms of changes in resident’s conditions • Knowledge of assessments that help complete the MDS. Physical Demands of the Job: • Ability to bend, stoop, work from knees for short periods • Patient handlers must sign & comply with the Skilled Nursing Facility Safe Handling Policy • Occasional pushing/pulling of medication cart Mental Demands of the Job: • Working in an environment with many residents who exhibit a wide range of emotions and needs, including occasional aggressive behavior. • Ability to work within time restraints • Ability to work in an environment with frequent interruptions, having skills to prioritize job duties • Ability mutual respect change work assignments with short notice. Principle Job Responsibilities Responsibility: Provide clinical care to residents. • Monitor health changes of all residents • Receive report from nurses at start of shift and assess residents as needed and direct care. • Perform other required assessments per Bethesda policies • Restraint and side rail assessments • Pain Assessments • Fall Risk assessment • MDS assessments • Skin assessments • Latex allergy assessments • 24-hour assessments • Communicate changes in resident’s health to their primary doctor, charge nurses, and resident families • Make rounds with doctors and be responsible for the interpretation of orders and follow through • Support the terminal resident to a dignified death • Support resident family members during the dying process • Be familiar with and obey all laws regarding resident rights and vulnerability including reporting any incidents of known or suspected resident abuse or neglect. Participate in investigation as requested • Assure Mantouxs are administered to new residents and staff as needed. • Assist in daily, weekly, and monthly charting on each resident. • Hold regular staff meetings • Respond to and oversee any emergencies in the building. • Perform Heimlich Maneuver and/or CPR when needed • Assess any resident with incident involving injuries • Set-up emergency medical care if needed • Coordinate discharge planning for medical and nursing care to assure continuity of care after discharge. Responsibility: Provide staff supervision with focus on teamwork and team process. Tasks: • Supervise RNs, LPNs, NA/Rs in the implementation of quality resident care. • Assist LPNs and NA/Rs with resident cares as needed. • Fill in for Director of Nursing as needed in her absence. • Fill in for LPN/RN as medication nurse as needed. • Actively enforce all policies and procedures. • Maintain confidentiality at all times. • Encourage teamwork and develop trusting relationships with all employees to provide the best care possible for all residents. • Encourage the implementation or proper nursing process. • Promote resident and staff safety at all times. Follow up on all Employee Injury and Investigation reports under “Supervisor’s Report of Injury”. • Assist with staff evaluations as requested. • Communicate all pertinent information to Director of Nursing and other co-workers. • Replace employees who are unable to work as needed and help with staffing challenges. • Complete audits and education as assigned. Responsibility: Perform all charting with accuracy and timeliness Tasks: • Complete necessary paperwork for residents, admissions, transfers, deaths, and discharges. • Develop and write a care plan for residents. • Enter care plans into computer and update care plans as needed. • Weekly charting on residents. • Complete necessary paperwork for doctor appointments, transfers, and hospital admissions. Responsibility: Promote and participate in professional and personal growth. Tasks: • Attend nursing in-services. • Attend professional staff meetings. • Use available resources. • Maintain professional conduct and provide leadership. • Attend outside workshop to enhance on the job performance and maintain professional license. • Support confidentiality, dignity, and resident rights at all times. • Accept constructive criticism and suggestions gracefully. • Maintain pleasant attitude and cheerful disposition towards staff, family and residents. • Assist in orientation of new team members as needed. • Provide support to other staff, recognizing the extreme stresses in this job.