Registered Nurse - Meadows
Company: Summit LTC
Posted on: August 7, 2022
POSITION SUMMARYWe are looking for a skilled Registered Nurse to
become a part of our facility's compassionate care-giving team. The
successful candidate will be responsible for managing all aspects
of nursing responsibilities during each shift, from processing
patients in and out to delegating nursing rounds and drug
administration. We're looking for a highly competent and
well-organized professional who values safety, security and patient
wellness above all else. We focus on providing the best care
possible while ensuring patient satisfaction in every interaction.
The Registered Nurse is responsible for making sure those values
are reflected in his or her staff at all times.ESSENTIAL DUTIES AND
RESPONSIBILITIES include the following. Other duties may be
- Works under direct supervision using the state-specific Nurse
Practice Act, Standards, Policies and Procedures, and nursing
- Delivers nursing care to patients/residents requiring long-term
or rehabilitative care.
- Directs and supervises care given by other nursing
- Collects patient/resident data, makes observations and reports
pertinent information related to the care of the
- According to state-specific regulations, implements the
patient/resident plan of care and evaluates the patient/resident
- In accordance with state-specific regulations, directs and
supervises care given by other nursing personnel in selected
- Maintains knowledge of necessary documentation
- Maintains knowledge of equipment set-up, maintenance and use,
i.e., monitors, infusion devices, drain devices, etc.
- Maintains confidentiality and patient/resident rights,
regarding all patient personnel information.
- Provides patient/resident/family/caregiver education as
- Conducts self in a professional manner in compliance with unit
and facility policies.
- Works rotating shifts, holidays and weekends as scheduled.
- Initiates emergency support measures (i.e., CPR, protects
patients from injury).
- Participates in the identification of staff educational
- Serves as a preceptor, as delegated, for new staff
- Maintains patient care supplies, equipment and
- Participates in the development of unit objectives.
- Provides input in the formulation and evaluation of standards.
- Admission and routine patient observations/transfer notes are
complete and accurately reflect the patients/residents status.
- Documentation of observations is complete and reflects
knowledge of unit documentation policies and procedures.
- Nursing history is present in the medical record for all
- Changes in patient's/resident's physical/psychological
condition (i.e., changes in lab data, vital signs, mental status)
are reported appropriately.
- Observations related to the effectiveness of nursing
interventions, medications. etc., are reported as appropriate and
documented in the progress notes.
- Nursing care plans are initiated/reviewed/individualized on
assigned residents monthly and PRN.
- Pertinent nursing problems are identified.
- Goals are stated.
- Appropriate nursing orders are formulated.
- Tests and procedures are marked off when completed.
- The effectiveness of nursing interventions, medications, etc.,
are evaluated and documented in the progress notes.
- Contributions to care plan revision are made as indicated by
the patient's status.
- Patient/Resident is approached in a kind, gentle and friendly
manner. Respect for the patient's/resident's dignity and privacy is
- Interventions are performed in a timely manner. Explanations
for delays in answers/ responses are provided.
- Independence by the patient/resident in activities of daily
living is encouraged to the fullest extent possible.
- Treatments are completed as indicated.
- Safety concerns are identified and appropriate actions are
taken to maintain a safe environment.
- Side rails and height of bed are adjusted.
- Patient/resident call light and equipment is within reach.
- Restraints, when used, are maintained properly.
- Rooms are neat and orderly.
- Patient identification bands and allergy bands (if applicable)
- Functional assignments are completed.
- Emergency situations are recognized and appropriate action is
- All emergency equipment can be readily located and operated
(emergency oxygen supply, drug box, fire extinguishers, etc.).
- Patient/Resident/Family teaching is conducted according to the
nursing care plan.
- Explanations are given to the patient prior to
- Discharge/death summaries are complete and accurate.
- Transfer forms are complete and accurate.
- Active participation in patient/resident care management is
- Facility Standards of Practice Manual or reference materials
are utilized as needed.
- Procedures are performed according to method outlined in
- Body substance precautions and other appropriate infection
control practices are utilized with all nursing interventions.
- Safety guidelines established by the facility (i.e. proper
needle disposal) are followed.
- The patient's/resident's full name and room number are present
on all chart forms. Allergies are noted on chart cover.
- Only approved abbreviations are utilized.
- Vital signs are properly and timely recorded
- I&O summaries are recorded and added correctly.
- Progress notes are timed, dated and signed with full signature
- Unit flow sheets are completed properly (i.e., wound care
records, treatment records, weight sheets, etc.).
- Adheres to state-specific Nurse Practice Act for administration
of medication and parenteral therapy.
- Dates that medications are started or discontinued are
- Medications are charted correctly with name, dose, route, site,
time, and initials of nurse administering.
- Pulse and blood pressure are obtained and recorded when
- Medications not given are circled, reason noted and physician
notified if applicable.
- Appropriate notes are written for medications not given and
- Name and title of nurse administering medication are
- Patient's/resident's medication record is labeled with the
name, room number, date, and allergies.
- The procedure for administration and counting of narcotics is
- All parenteral fluids, including additives, are charted with
time and date started, time infusion completed, site of infusion
and signature of nurse.
- Parenteral intake is accurately recorded on the unit flow sheet
or I & 0 record.
- IV sites are monitored and catheters changed according to unit
- IV bags and tubings are changed according to unit policy.
- Appropriate actions are taken related to identified IV infusion
problems (infiltration, phlebitis, poor infusion, etc.)
- Supplies are used appropriately.
- Charge stickers (or charge system) are utilized
- Minimal supplies are stored in the patient's/resident's
- Discharge medications are returned to the pharmacy or destroyed
in a timely manner.
- Floor-stock medications are charged and re-stocked.
- Tests are scheduled and preps are completed as indicated.
- Co-workers are informed of changes in patient/resident
condition or of any other changes occurring on the unit.
- Information is relayed to other members of the health care team
(i.e., physicians, respiratory therapy, physical therapy, social
- Unit activities are coordinated (i.e, changing
patients/residents rooms for admissions, coordinating
transfer/discharge forms, etc.).
- Equitable care assignments are made prior to shift that are
appropriate to patient needs.
- Staffing needs are communicated to the nursing supervisor.
- Assistance, direction and education are provided to unit
personnel and families.
- Problems are identified, data are gathered, solutions are
suggested and communications regarding the problem are
- Transcription of all orders is checked.
- All work areas are neat and clean.
- Change of shift report is complete, accurate and concise.
- Incident Reports are completed accurately and in a timely
- Staff meetings are attended.
- Decisions are made that reflect knowledge and good judgment and
demonstrate an awareness of patient/resident needs.
- Awareness of own limitations is evident and assistance is
sought when necessary.
- Dress code is adhered to.
- Responsibility is taken for own professional growth.
- Organizational ability and time management is
- Confidentiality of patient/resident is respected at all times
(i.e., when answering telephone and/or speaking to coworkers).
- Professional behavior is demonstrated.
- Authority is acknowledged and response to the direction of
supervisors is appropriate.
- Time is spent with residents rather than other personnel.
- Co-workers are readily assisted as needed.PM21
QUALIFICATIONSTo 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 EXPERIENCEHigh school diploma
or relevant qualification.
- Must possess, as a minimum, a Nursing Degree from an accredited
college or university, or be a graduate of an approved RN
- Possession of a current valid Texas driver's license or regular
means of transportation to and from work.
- One (1) year of experience as a nursing assistant in a skilled
rehabilitation, skilled nursing or Long-Term Care (LTC) environment
- Experience with electronic medical records preferred.KNOWLEDGE,
SKILLS AND ABILITIES
- Must be capable of operating a personal computer to enter
resident data as required by regulation and facility policy.
- Ability to read and comprehend simple instructions, short
correspondence, and memos.
- Ability to apply common sense understanding to carry out
instructions furnished in written, oral, or diagram form.
- Ability to communicate orally and in written form effectively
with all levels of employees, patients, families, and vendors.
- Ability to present information in one-on-one and small group
situations to employees, patients, families, and vendors.
- Must be knowledgeable of nursing and medical practices and
procedures, as well as laws, regulations, and guidelines that
pertain to long-term care.
- Good understanding of medical and pharmacological
- Ability to add and subtract two digit numbers and to multiply
and divide with 10's and 100's. Ability to perform these operations
using weight measurement, volume, and distance.
- Excellent problem solving/analysis/judgment skills and high
level of attention to detail and accuracy
- Builds and maintains cooperative working relationships
- Must possess leadership and supervisory ability and the
willingness to work harmoniously with professional and
- Establish and maintain effective working relationships with
clients, supervisors, County employees, elected officials, law
enforcement, other agencies, and the public.
- Resourceful, dependable and accountable
- Able to work a flexible schedule including evenings, weekends,
and holidays.CERTIFICATES, LICENSES, REGISTRATIONSMust possess a
current and active license to practice as a RN in this
state.PHYSICAL DEMANDS/ WORK ENVIRONMENTThe 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.Physical
- Work requires physical activity including extended periods of
walking and standing with occasional climbing, reaching, carrying,
balancing, kneeling, crouching and bending.
- Must have the ability to frequently lift and/or carry
equipment, files, and other materials weighing up to 50 pounds as
well as push/pull up to 50 pounds of force with grip strength of 65
- Ability to transfer, and reposition a resident to or from a
bed, wheelchair, and use a mechanical lift, toilet, tub, shower,
occasionally varying degrees of pushing, pulling and lifting due to
the differences in resident weights.
- Must be able to assist in the evacuation of residents during
- Must be able to continuously perform simple manipulative
dexterity tasks such as the equipment listed above as well as
safety pin buckles and tie strings. Occasionally perform difficult
- Must be able to detect the smell of smoke, spoiled food, soiled
- The employee must be able to continuously hear normal sounds
and voice patterns with some background noise. Must have adequate
verbal instructions. Must be able to hear audible emergency
signals, alarms, call, light indicators and to be able to answer
- Specific vision abilities required by this job include: Must be
able to continuously notice a change in the resident (breathing,
color, skin breakdown, etc.) Ability to focus and read a
- Visual abilities, correctable to normal ranges, include close,
distance and color vision, depth perception, and the ability to
adjust focus.The work environment characteristics described here
are representative of those employee encounters while performing
functions of this job. Reasonable accommodations may be made to
enable individuals with disabilities to perform the essential
- Work is performed indoors in a health care facility.
- Work is performed during assigned shift; however, hours will
occasionally include varied days, hours, holidays, weekends, and
overtime as needed.
- The noise level in the work environment is usually moderate,
but can occasionally be loud. Subject to frequent
- Incumbents in this position may be exposed to
infectious/communicable diseases, blood borne pathogens, and
potential risk of injury from distraught individuals.
- Frequent exposure to chemical compounds of medication and
- Frequent exposure to microbial bacteria and other infectious
agents inherent to care of ill residents.
- Continuous exposure to latex, Tyvex, plastic and/or materials
which are used for personal protective equipment.
- Stress of working with sick residents and their families,
combined with the resident who may be confused, irrational, highly
agitate mood swings. (Frequently)
- Subject to involvement with personnel, visitors, state and
federal agency personnel and residents.Summit LTC is an equal
opportunity employer. All applicants will be considered for
employment without attention to race, color, religion, sex, sexual
orientation, gender identity, national origin, veteran or
Keywords: Summit LTC, Dallas , Registered Nurse - Meadows, Other , Dallas, Texas
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