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RegNurse Supervisor- Part Time in LaPlace, LA at Acadia Healthcare

Date Posted: 12/12/2018

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    LaPlace, LA
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:
    12/12/2018

Job Description

WORK SCHEDULE

Variable days and hours, including holidays, and on-call availability for staff coverage and emergencies.

POSITION SUMMARY

•        Provides oversight for the provision of care during assigned shift.

•        Serves as a resource to the direct care staff.

•        Coordinates on-site response to incidents, errors and sentinel events.

•        Provides support to the DON with hiring, orientation, staffing, staff education, performance improvement and other activities as assigned.

•        Provides direct patient care under the Registered Nurse job description when necessary and/or assigned.

OTHER DUTIES:

This job description reflects management’s assignment of essential functions.  It does not prescribe or restrict the tasks that may be assigned.  Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time.

 

QUALIFICATIONS

EDUCATION

Graduate of an accredited nursing program.

CERTIFICATION/

LICENSES

Current state licensure.  CPI/CPR Certified per policy.

EXPERIENCE:

3 years of nursing experience, with minimum of 1 year consisting of psychiatric nursing experience with one year management experience preferred.

ERGONOMICS / WORKING CONDITIONS

% TIME SITTING

25% (medical record documentation and review, treatment team, facilitating groups, written reports, telephone coverage).

% TIME STANDING

25% (medication administration, direct patient care, patient observations).

% TIME WALKING

50% (direct patient care, patient observations, environmental/safety rounds).

% TIME BENDING

Up to 50% (patient care, access files and supplies).

WEIGHT LIFTED/CARRIED

65 pounds (patient care, supplies, equipment).

HANDS

Ability to: administer medications; provide direct patient care; assist with activities of daily living including  ambulation, transfers, grooming and toileting; use medical equipment; perform physical interventions; document clearly in the medical record; use the fax, telephone, computer keyboard and security door key pad or keys.

VISION

Ability to: effectively read, write and process information accurately; input/retrieve information to/from the computer, fax, phone, patient records and from regulatory and licensing materials; see objects and persons near and at a distance.

HEARING

Ability to: communicate effectively with others; give, take and process information; use the telephone extensively; hear patients and staff on the unit so response can be timely and appropriate to needs; hear alarms or other sounds that may indicate a safety concern.

 

 

WORKING CONDITIONS

Exposure to: infection from disease-bearing specimens; blood-borne pathogens, body fluids and wastes; chemotherapeutic agents; occasional exposure to unpleasant patient or departmental elements; occasionally subjected to irregular or prolonged hours; occasional exposure to high risk behaviors from patients or visitors that may result in agitation, aggression or violence; exposure to critical incidents and sentinel events. 

ESSENTIAL JOB FUNCTIONS-Nursing Supervisor

 

 

 

 

 

NURSING SUPERVISION

 

 

 

 

 

 

 

 

 

 

•        Monitor unit functioning through direct observation of patient care and review of medical record documentation.

•        Observe staff and visitor interactions with patients to ensure they remain appropriate and respectful of the interests, strengths and needs of each patient. Address patient/family/agency concerns when they arise. 

•        Demonstrate thorough knowledge of requirements related to medication management, seclusion and restraint, infection control, risk management, critical incidents, sentinel events, patient rights and ethical code of conduct.

•        Serve as a role model and leader, offering education and mentoring to the staff by maintaining an overall understanding of the programs and population specific treatment.

•        Ensure the treatment provided supports the treatment plan and physician orders. 

•        Intervene in crisis situations and investigate incidents/events/process variances.

•        Establish and reinforce performance expectations.

•        Assess training needs and provide ongoing mentoring and staff training as needs identified and/or assigned.

•        Evaluate and document staff performance and address issues in a timely, objective and constructive manner. 

•        Oversee nursing services documentation to ensure it meets hospital policy.

ADMINISTRATIVE MANAGEMENT

•        Participate in the recruitment, interview and hiring of new staff.

•        Provide departmental orientation that is specific to the functions of the department and the job responsibilities of the staff member.

•        Assist with orientation of new staff and agency staff to facility policies, procedures and standards.  Ensures all required orientation paperwork is completed.

•        Facilitate development of effective and collaborative teams through role modeling and establishing performance and communication expectations.

•        Support facility leadership through verbal and non-verbal communication.

•        Maintain and adjust appropriate staffing patterns using patient acuity and unit variables including transfers and admissions.  Maintain accurate records of call-offs and changes in staffing.  

•        Assure acuity sheets, staffing sheets, environmental rounds and concurrent medical record audits are completed accurately and timely by each unit. 

•        Coordinate response to incidents including codes and seclusion and restraint incidents, per facility protocols. Ensure Incident Reports and additional related paperwork are accurate and completely prior to the end of the shift. Notify the Risk Manager of reportable incidents. 

•        Communicate verbally or in writing with the DON to ensure all pertinent issues are “handed-off” for follow up/resolution.

•        Complete and file state reports timely, in absence of the Director of Nursing, in collaboration with the facility Risk Manager. 

•        Ensure compliance with the Grievance policy by responding to complaints timely and in writing when indicated.

•        Maintain current knowledge of licensure, accreditation, contractual and facility requirements. 

•        Assist with preparation for accreditation surveys, licensure surveys and payor reviews.

•        Attend all meetings and participate in regulatory surveys as assigned.

•        Demonstrate flexibility by working as a staff nurse as needed, including working the unit or providing assessments (see Registered Nurse Essential Job Functions)

PERFORMANCE IMPROVEMENT

•        Actively participate in the Performance Improvement Plan through direct observation, medical record review and data entry.

•        Manage data collection, analysis, and performance improvement activities related to nursing services as assigned.

ESSENTIAL JOB FUNCTIONS-Registered Nurse

PATIENT ASSESSMENT

•        Complete admission nursing assessment per policy and as assigned.

•        Complete nursing reassessments per policy, as assigned, and any time a change in status is observed or reported by team members.

•        Identify the need for additional assessments and/or specialized treatment, including but not limited to:  dietary, rehabilitation services, and/or infectious disease through the initial and ongoing assessment process.  Communicate the identified need to the attending practitioner or the consultant, per policy.

•        Assess patients for risk of danger to self or others at time of admission and ongoing through hospitalization.  Document assessments and communicate concerns to the attending practitioner and team members through verbal and written methods.

DIRECT

PATIENT CARE

•        Conduct patient rounds on assigned patients at the beginning of the shift to ensure all patients are present and to identify if there are any immediate needs that need addressed.

•        Oversee all aspects of patient care and complete assignments as assigned by the Charge Nurse. 

•        Perform ongoing observation of the patients and milieu to ensure active treatment is provided and patients are participating. 

•        Respond appropriately and timely to patient requests.

•        Intervene appropriately with patients experiencing a behavioral crisis situation, i.e., suicidal, threatening behavior, elopement and/or other situations.  Exhibit leadership by providing clear direction to the team and communication of the patient’s status to the practitioner.

•        Initiate emergency medical care when indicated. Exhibit leadership by providing clear direction to the team and communication of the patient’s status to the practitioner.

•        Provide support and direct assistance to patients who are unable to attend to their activities of daily living by assisting them with meals, daily grooming, ambulation and toileting as needed. 

•        Participate with the treatment team in implementation of the individualized plan of care.  Report factors that may impede successful accomplishment of the treatment plan to the Charge Nurse. 

•        Provide patient educational information for identified learning needs.

•        Facilitate educational/activity groups as assigned or when indicated using approved materials. Recommend alternative activities based on patient functioning level and treatment plan.

•        Attend and actively participate in treatment team meetings as assigned.

•        Ensure compliance with infection control protocols and/or policies by patients, visitors, and staff.


SHIFT ADMINISTRATION

 

•        Review assignment sheet, Kardex, and facility designated communication tools each shift, i.e. communication log, bulletin boards, etc.

•        Review practitioner orders, MAR, laboratory and test results, and treatment team documentation daily to ensure the treatment plan is current and fully implemented.

•        Review all laboratory and test reports and transfer records from hospitals and other providers. 

•        Establish and maintain therapeutic and safe environment through role modeling, supervision and feedback.

•        Remain on-duty until nursing coverage for subsequent shift arrives on unit, receives verbal report and conducts rounds on assigned patients.

•        Ensure all patient valuables retained at the hospital during inpatient stay are recorded and stored per policy.

•        Ensure patients are discharged with all personal belongings, medication, prescriptions, discharge and referral information. 

•        Comply with all National Patient Safety Goals and provide immediate feedback if non-compliance is identified.

•        Complete Charge Nurse duties when assigned including assignment sheet, verification that staff assignments are completed and providing ongoing supervision as needed to the assigned nursing staff.

MEDICATION ADMINISTRATION

•        Ensure a First Dose Review has been completed prior to the administration of any new medication. 

•        Obtain clarification on medication orders that are unclear, do not include all the required elements or include DNU abbreviations.

•        Read Back and receive confirmation on all telephone orders.

•        Provide medication education on all new medications and respond to additional questions or concerns the patient may have regarding medications.

•        Document medication variances and/or adverse drug reactions on the appropriate form and notify the patient, practitioner and facility leadership as directed per policy. 

•        Control access to the medication rooms and/or medication dispensing machines in accordance with facility policy. 

•        Ensure medication room and equipment is clean, including no personal belongings in the medication room.

CUSTOMER INTERACTION

•        Interact with patients, family members, external entities and internal staff professionally and respectfully. 

•        Work collaboratively with all treatment team members to create a treatment environment that supports the facility’s mission to provide exemplary patient care and customer service. 

•        Act to preserve patient and family dignity and safety. 

DOCUMENTATION

•        Documentation for medical records and reports is timely, legible, thorough, and in required format.

•        Document as required including assessments, treatment plan, nursing notes, medication administration, education, discharge planning, incident reports and medication variances. 

•        Update and revise treatment plan as assigned and per policy. 

SUPERVISORY CORE COMPETENCIES (SKILLS)

Decision-Making:  

Ability to make good decisions within assigned scope of authority.

Staff Management:  

Ability to effectively supervise staff.

Fiscal Accountability:  

Ability to control expenses.

Coordination With Other Departments:  

Ability to support and effectively collaborate with other departments to achieve results.

Planning/Organizing/
Coordinating:
 

Ability to plan ahead, and to prioritize and coordinate activities, services, schedules or programs.

Performance Management:  

Ability to plan, assess, communicate, and develop employee performance. 

NON-SUPERVISORY CORE COMPETENCIES (SKILLS)

Customer Service:

Ability to provide excellent service to internal and external customers.

Communication:  

Ability to effectively listen, process received information, and express ideas both orally and in writing. 

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