Night Shift RN

Mahoning Post Acute Nursing & Rehabilitation; Lehighton (Carbon County); On-site; USD 70,000 - 90,000; Full time

Job summary

Mahoning Post Acute Nursing & Rehabilitation is seeking an experienced Unit Manager to oversee a care unit, supervise nursing staff, and ensure accurate clinical documentation.

The role focuses on assessments, medication distribution, and interdisciplinary coordination, with responsibility for residents' care plans and regulatory adherence.

Qualifications

• Graduate of an accredited school of nursing with PA RN license.
• Current CPR certification or within 90 days of hire.
• Additional organization certifications may be required.

Responsibilities

• Assumes responsibility for unit including assessment, med distribution, treatment and supervision of nursing and other staff.
• Performs immunization audits and admission chart audits on a weekly basis.
• Completes nursing documentation, ensures regulatory compliance, and coordinates care plans.

Skills

RN Licensure (PA)

CPR Certification

Education

PA RN License

Job description

Mahoning Post Acute Nursing & Rehabilitation -

Rate based experience and schedule.

QUALIFICATIONS:

• Graduated of an accredited school of nursing and licensed by the state of PA as a RN.
• Current CPR or certified within 90 days of hire
• Other certifications may be required for other areas of the organization

POSITION SUMMARY:

The Unit Manager assumes responsibility for a specific unit or area within the organization to include assessment, medication, distribution, treatment clinical documentation, and supervision of Nursing Staff and other staff as needed.

PART I: JOB RESPONSIBILITIES AND STANDARDS

• 1. Audits immunization weekly on all guests.
• 2. Completes admission chart audit on all admissions.
• 3. Submits high cost meds report- ex: Lovenox, ARixtra, Epogen, Procrit and Aranes.
• 4. Ensures narcotic Med Refill and Back up med are refilled and maintenance.
• 5. Reviews admission order for accuracy.
• 6. Monitors clinical issues or any staffing issues and all other assigned project as needed.
• 7. Inputs the 24 hour report electronically on unit. Set up the discharge instructions on all the floors : (11-7 shift only)
• 8. In-services nursing staff as needed.
• 9. Completes nursing acuity report daily.
• 10. Responsible for weekly med room maintenance-returnables expired item,over the counter and monitors refrigerator items.
• 11. Completes psychotropic summary every 1st Weekend of the month. Follow up with the nurses as needed.
• 12. Sends wound report in a timely manner. Ensures that follow up documentation is completed and accurate.
• 13. Performs skin assessment weekly. Ensure that follow up on all documentation and all intervention are in place.
• 14. Completes infection control report as required.
• 15. Develops care plan on all guests with facility acquired infection and nosocomial infection.
• 16. Prepare reports for quarterly meeting as needed.
• 17. Completes fall incident reports. Follows up with proper documentation and care plan.
• 18. Prepares investigation report for falls with injury and ensure all documentation is in place as per regulatory agency (State and Ombudsman Standards).
• 19. Review and corrects all hot files /folder were reviewed by the unit clerk for medical records.
• 20. Audits High Cost Med list –example Lovenox-duration and submits report.
• 21. Monitors high cost med usage-Therapeutic Interchange and Per Diem Exclusion List.

I. PERFORMS ASSESSMENTS RELATED TO:

• 1. Skin
• 2. Cardiac
• 3. Respiratory
• 4. GI
• 5. Neurological
• 6. Muscular Skeletal
• 7. Renal
• 8. Pain

II. ACCURATELY DOCUMENTS ON THE FOLLOWING FORMS:

• 1. Ambulation/Restorative care
• 2. Pyschotropic Monitoring
• 3. Pain Management
• 4. Pressure Ulcer Management/skin assessment
• 5. Fall Prevention Strategies
• 6. Antibiotic documentation
• 7. Incidents/accident
• 8. Nurses Note day 1-5 and day 6 -Discharge Documentation.

III. ACCURATELYAND TIMELY COMPLETION OF NURSING ASSESSMENT AND DATA COLLECTION UPON ADMISSION:

• 1. Fall Risk assessment
• 2. Side Rail screen
• 3. Braden Scale
• 4. Bowel and Bladder
• 5. Elopement Risk Profile
• 6. Pain Evaluation
• 7. Smoking Evaluation
• 8. Data collection
• 9. Immunization Record Sheet

IV. CONTACTS PHYSICIAN FOR ADMISSION ORDERS:

• 1. Reconciles medications
• 2. Documents legibly onto POS
• 3. Read back and verifies Telephone Orders
• 4. Make appropriate referrals
• 5. Transcribes all orders.
• 6. Fax back (new admissions)

V. RESPONDS TO EMERGENCY CODES:

• 1. Amber
• 2. Blue
• 3. Grey
• 4. Red
• 5. Silver
• 6. Orange
• 7. Yellow
• 8. Triage
• 9. Clear

PART II. FACILITY –WIDE RESPONSIBILITIES & STANDARDS

EMPLOYEE IS REQUIRED TO:

• 1. Speak English in patient care areas.
• 2. Attend mandatory and scheduled In-services/meetings.
• 3. Arrive to work on time as scheduled
• 4. Demonstrate ability to work with others cooperatively.
• 5. Demonstrate flexibility in assignment to meet resident/family needs.
• 6. Wear ID appropriately at all times.

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