GENERAL PURPOSE This is lead professional nursing work overseeing all patient care activities on a shift of an assigned nursing unit in the County inpatient nursing home facility. A position in this class ensures patient care coverage, the provision of ancillary services and the coordination of medical, nursing, social and related services. Work includes making and reviewing work assignments for lower level nursing personnel, including some responsibility for ensuring effective provision of related functions. This class is differentiated from related classes by the responsibility for all unit activities on a given shift.     SUPERVISION RECEIVED A position in this class reports directly to higher-level supervisory nursing personnel/Nursing Supervisor.   SUPERVISION EXERCISED This position exercises supervision over the lower level nursing personnel.               ESSENTIAL DUTIES OF THE POSITION Determines daily work task assignments for nursing personnel according to physicians' orders, patients' needs, available staff and related factors; ensures coordination of unit needs with other departments' schedules such as therapy, planned social events, etc.; identifies unit staffing and/or resource needs including medicines, supplies, equipment, or laundry and secures same or refers to higher level personnel.   RN is also responsible for including but not limited to: timely documentation of assessments, admissions, discharges, transfers, returns, medication, post-fall assessments, untoward events, notifications to supervisors, physicians, families, etc.  RN will follow established procedures; utilize resources when needed, i.e. staff development, policies, adjust work assignments in response to unanticipated absences, changes in resident load or nursing needs, or similar situations.   Works with unit personnel to ensure effectiveness of treatments and general care provided, correct inappropriate or ineffective care, and determine overall patient status; carries out specific nursing functions restricted to performance by registered nurses. Administers and accurately records prescribed medications and treatments, observing resident's reactions to medications and treatments; reports to Supervisor any visible symptoms or adverse reactions.   Performs nursing duties and responsibilities relevant to routine bedside nursing, including but not limited to: care required to meet the physical, psychological, nutritional, religious, emotional and social needs of the residents.  These duties/responsibilities include but are not limited to bathing, feeding, making beds, ambulation of patients via wheelchair, geri chair, cane, walker, or assistance of nursing personnel, complete vital signs, intake and output, enemas, hot and cold applications, skin care, wound care, tracheostomy care, IV care, catheterization, tube feedings, perform CPR, etc.   Performs nursing duties and responsibilities relevant to the health and welfare of the patient including safety measures; i.e. restraints (all types), oxygen therapy, etc.

Maintains residents' clinical record by accurately and timely charting all pertinent data, untoward events, focused and comprehensive assessments and appropriate observations.  Documentation on the resident's clinical record to include but is not limited to; i.e. vital signs, clinic tests, intake and output, accurate and timely nurses notes, notifications to family and physicians, etc     Develops specific nursing care plans for patients according to individual medical records, status, and social, safety and therapeutic needs; identifies short- and long-term goals and assists patient in achieving same; coordinates implementation of nursing portion of interdisciplinary care plans; regularly reviews these plans for coordination of efforts and documentation of results; meets with medical staff and discusses patients' progress, conditions and other pertinent issues; ensures administration and implementa ion of written physicians' orders; works with other facility staff to coordinate provision of related services, such as therapy, social service, or recreation, for unit patients; ensures documentation of all such activities, including narrative descriptions of medical, behavioral, social or other-than-routine circumstances; writes reports and submits records on a regular basis.     Makes work assignments to individual unit staff members; review work through observation, checking back, and/or reviewing nurses' notes; demonstrates/mentors standard operations and practices to new unit personnel; answers questions and otherwise assists new unit staff in carrying out procedures and/or dealing with particular patients; discusses staffing situations with higher level personnel, recommending courses of action when appropriate.  RN will role-model appropriate, professional, respectful behaviors and communicate with all other disciplines, residents and families in all interactions.     Processes forms and miscellaneous documents as necessary.   Other job duties as necessary. Performs related work as may be required.   *An employee assigned to this title shall perform a majority, but may not perform all, of the duties listed in this job description.    Conversely, minor level duties performed on the job may not be listed.  The duties listed above are intended only as illustrations of the various types of work that may be performed.  The omission of specific statements of duties does not exclude them from the position if the work is similar, related or a logical assignment to the position.   *REQUIRED MINIMUM QUALIFICATIONS   EDUCATION AND EXPERIENCE -- *Completion of a High school or general equivalency diploma; **AND   Graduation from an accredited school of nursing; AND   Two (2) years of clinical nursing experience in a health care facility, preferably in long term care, including work experience with patient care regulatory requirements for documentation; AND   Possession of a current license as a Registered Nurse issued by the Commonwealth of Pennsylvania; AND   Current Basic Life Support (BLS) Certification.

OTHER REQUIREMENTS - Applicants must be fully vaccinated against COVID-19, and present valid proof of vaccinated status, in order to be eligible for hire at Gracedale Nursing Home. According to the Center for Disease Control (CDC), people are considered fully vaccinated two (2) weeks after their second dose in a 2-dose series (such as Pfizer or Moderna vaccines), or two (2) weeks after a single-dose vaccine (such as Johnson & Johnson's Janssen vaccine).

Upon hire employee must have a drug screening and COVID-19 testing. Employees may also be periodically tested for COVID-19 as required or recommended. In addition, Gracedale Nursing Home will follow The Centers for Medicare & Medicaid Services (CMS) requirements with regard to booster(s) needed for workers in health care settings.

*KNOWLEDGE, SKILLS, AND ABILITIES  * Thorough and comprehensive knowledge of professional nursing principles, Federal and State licensure regulations.   Ability to establish and maintain effect