Registered Nurse (RN) Full-Time PM Shift - $2 shift diff / $2 weekend premium / $10 crisis premium

Position Summary

This position is responsible for performing professional nursing activities in the care of residents as well as delegating aspects of care delivery to nursing assistants as appropriate and assisting in the completing of performance evaluations for Certified Nursing Assistants (CNA) and Certified Medication Assistants (CMA).

SUPERVISION 

Directly supervises CNAs, CMAs and Licensed Practical Nurses (LPNs) while carrying out supervisory responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include training employees; planning, assigning, and directing work; addressing complaints and resolving problems.

SCHEDULE 
Work Hours: 2:30 p.m. - 11:00 p.m.
Days: Varies - every other weekend required
Hours Per Shift: 8
Shifts Per Pay Period: 10
Position FTE: 1.0

Applications are being accepted from current Walworth County employees and members of the public. 

Essential Duties and Responsibilities

This job description reflects management's assignment of essential functions; it does not prescribe or restrict the tasks that may be assigned. 

• Utilize the nursing process:  collect and record data, participate in developing, implementing and evaluating the resident’s plan of care and inform Unit Manager of updates needed for CNA care cards and flow sheets.
• Monitor the direct care staff to ensure that resident's rights are maintained.
• Assure the continuity of care through shift-to-shift report for the entire direct care team in the assigned neighborhood.
• Interact directly with residents, their significant others and the representatives of other agencies on an ongoing basis.
• Provide resident education as appropriate.
• Assume responsibility for the whereabouts of all residents in the assigned area.
• Direct the staff's response during fire drills or other emergency situations.
• Maintain a safe environment for residents and staff in assigned area.
• Consult with other members of the interdisciplinary team, collaborate in the development of interdisciplinary goals for residents, assure agreed upon actions are carried out and attend multi-disciplinary staff meetings.
• Assign duties and resident assignments to the CNAs and CMAs each day as well as follow up to ensure the work has been completed and review CNA documentation for accuracy on a daily basis.
• Complete and submit the Minimum Data Set (MDS).
• Participate in counseling and formal job evaluations of CNAs & CMAs when necessary and consult with the appropriate Nurse Manager for assistance with this process.
• Participate in the orientation of licensed staff, CNAs and CMAs.
• Act as preceptors for new staff.
• Participate in the evaluation of supplies and monitor staff for cost effective supply utilization.
• Request that all equipment receives maintenance as required.
• Communicate problems/concerns to appropriate Lakeland Health Care Center (LHCC) employees to ensure that issues which may affect care delivery or general operation of the facility are dealt with in an effective manner.
• Coordinate the implementation of physician orders, call and accept verbal or telephone orders from physicians and transcribe according to LHCC policies and procedures.
• Administer medications, assess resident response to medications, drug interactions, the need to withhold medication and the need for “as needed” medications.
• Assume the responsibility for bringing to the attention of the physician any behavioral or physical changes in the resident and response to treatment.
• Review physician orders and monthly medication and treatment records every thirty days.
• Assume charge nurse duties, as appropriate.
• Maintain personal professional competence through participation in nursing and management continuing education opportunities.
• Attend and participate in all in-service educational opportunities, as appropriate to the job classification.
• Participate in quality improvement activities.
• Participate on committees as well as attend and participate in nursing meetings.
• Be an active member of the Nursing Innovation Council or one of its subcommittees.
• Demonstrate a commitment to county safety and risk management efforts.

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education and/or Experience

Associate’s degree in nursing with zero to six months of relevant prior experience.  Experience in restorative nursing, long-term care, psychiatric nursing, medical nursing or geriatric nursing preferred.  Proven experience in ability to work with mathematical concepts such as probability and statistical inference, and fundamentals of plane and solid geometry and trigonometry as well as ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.  Proven experience with medical terminology.

Certificates, Licenses, Registrations 

Wisconsin Registered Nurse license through WI Department of Safety and Professional Services.

Current BLS CPR certification required within 30 days of start date.

Criminal background check free of convictions of abuse of individuals or misappropriation of property while in a formal caretaking setting.

All staff of Lakeland Health Care Center may be called upon to respond to emergency situations assisting residents in their physical positioning.

All employees may be required to work overtime as determined by the department head.

Interactions & Communication

Required to actively persuade and/or direct others toward the achievement of expected outcomes.

Decision Making 

This position has authority to make decisions that are consistent with policies and precedents; supervision and managerial direction is available as requested.  These decisions directly impact performance in the job and/or work unit within a department and information is provided with additional research and observations which contributes to the decision making process.

Thinking & Problem Solving

In relation to established procedures, protocols and policies of the County, challenges and problems occurring in this position must be addressed within broader, department-wide procedures and practices.

Tools and Equipment Used

Telephone

FAX Machine

Calculator

Personal Computer/Printer

Copy Machine

Various Medical-Related Devices

WORK ENVIRONMENT

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.While performing the duties of this job, the employee is regularly exposed to moving mechanical parts and fumes or airborne particles.  The employee is frequently exposed to toxic or caustic chemicals.  The employee is occasionally exposed to wet and/or humid conditions, risk of electrical shock, and risk of radiation.  The noise level in the work environment is usually moderate.

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Ability to constantly use bilateral upper extremities, above/below waist and above/below shoulder height.
• Ability to constantly walk and stand
• Ability to constantly use hands and fingers to manipulate objects or to tend to resident needs.
• Ability to constantly lift and move up to 25 pounds.
• Ability to frequently lift and move up to 75 pounds with aid of provided equipment, or a second person assist.
• Ability to frequently lift, push or pull 50 pounds unassisted with bending and twisting of trunk.
• Ability to communicate to residents using talking and hearing.
• Ability to identify resident care needs through hearing and seeing.
• Must be free from communicable disease.

"Constant" means at least 2/3's of the shift.

"Frequent" means at least 1/3 of the shift.

Selection Process

TO INCLUDE:
Formal Walworth County Electronic Application
Education & Experience Review

Verification of Registered Nurse License
Oral Department Interview

Reference Check
Background Check
Post Offer Physical Exam
Drug Screen

Other job related tests may be required.

A final candidate for this position may request consideration for additional Scheduled Time Off (STO) based on five years or more of continuous related experience per Ord. Sec. 15-515 (e).

An Equal Opportunity Employer