RN Supervisor

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
• 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.