Job Summary

 The Director of Activities delivers a quality of activities that is designed to meet the needs of the individuals and groups, and functions as a team member of the multidisciplinary team. The Director of activities also provides assistance to other departments if needed and available.

Education

A high school diploma is required. Must be able to communicate well verbally and in writing.

Qualifications

1.          Must be a qualified Therapeutic Recreation Specialist who is:

   A) licensed or registered, if applicable by the state in which practicing; and

          B) eligible for certification as a Therapeutic Recreation Specialist by a

              recognized accrediting body on August 1, 1989; or

          C) has two years of experience in a social or recreational program within

               the last five years, one of which was full-time in a patient activities

               program in a health care setting; or

          D) is a qualified Occupational Therapist or Occupational Therapy Assistant or

          E) has completed a training course by the State.

 Responsibilities

Restoring self- confidence, community reintegration, skill, improving physical condition, leisure education for residents, one-one programming for the room/bedbound, providing mental stimulation, and developing a plan for each resident that is designed for restoration of the quality of life experienced by the resident prior to admittance to the health care facility.

1.    Completes an interest Survey/Initial Assessment on all residents within seven days of admission,    prior to care plan conference. Make an introductory visit to residents within 48 hours of admission.

Based on information as a result of the Interest Survey/ Initial Assessment identifies problems, needs of the residents, and develops an activity plan designed to meet the individual needs of the residents.

2.       Participates in patient care plan conferences as scheduled by the Director of Nursing.

3.       Is familiar with Federal and State regulations regarding activity programming for long term care facilities and functions accordingly. Participating in survey exits and assisting in responding to the survey when appropriate.

4.        Has a working knowledge of Resident’s Rights and is an advocate for the resident.

5.       Is responsible for completion of all documentation required by the activity Department, in a timely and professional manner.

6.       Communicates with all department heads to ensure full implementation and understanding of the activity program.

7.       Is responsible for orienting all activity personnel to the facility’s policies and procedures.

8.       Provides training, supervision, and evaluation of all activity personnel.

9.       Keeps confidential all information about the residents' personal and clinical records.

10.   Presents at least two in-services annually, designed to educate/support staff in the facility's purpose and role.

11.   Evaluates the resident’s response to the activity plan as indicated.

12.   Provides assistance to the Resident Council as requested.

13.   Develops an ongoing program of meaningful activities, designed to meet the needs and interests of each resident, and is responsible for the implementation of programs.

14.   Keeps a current list of precautions noted on all residents available for reference in the activities office.

15.   Participates in community –oriented projects, and special marketing projects.

16.   Schedules all presentations of visiting groups and coordinates interdepartmental communications regarding special events.

17.   Coordinates and supervises the activity volunteer program. Recruits, trains, and orients volunteers.

18.   Plans, coordinates, and supervises the activity funds within the budget and keeps accurate records, money spent, and resident input into spending of funds.

19.   Transports residents on community outings.

20.   Adapts activities to meet resident capabilities.

21.   Is willing to work flexible hours to meet patient needs (some evenings and weekends).

22.   Performs cognitive orientation that may be related to impairment of daily living functions:

-          Orient to person, place, or time.

-          Reality orientation.

-          Memory recall, long and short term

23.   Maintains confidentiality, adhering to established policies on confidentiality regarding residents, employees, and family members.

24.   Attends required staff in-services, orientation, and continuing education activities as required.

25.   Is aware of fire and disaster plans and is prepared to function accordingly.

26.   Is aware of procedures directly related to patient care (infection control, record keeping and terminology).

27.   Aware of chain of command, and functions within role as a professional.

28.   Maintains acceptable degree of organization of activity supplies and keeps inventory of supplies and usage.

29.    Uses time management and supervises the time of Activity personnel.

30.    Coordinates fundraisers for the Activity Department.

31.    Produces monthly newsletter.

Physical Demands

Use the percentages range as follows;

          0%   Never

1 -    33%   Occasional

34 - 66% Frequent

67 - 100% Continuous

Requires full range of body motion including:

1.       Standing/Walking      Frequently      Worker will be spending considerable time up and about and in the facility doing various tasks as per job description.

       2.   Bending/Stooping       Frequently      Worker will be bending or stooping to work with                                                                                supplies, preparation of documents, filing, working with clinical records                             

       3.   Lifting/Handling           Occasionally    Worker will be lifting/handling supplies to do                                                                                               inventory restock, order, etc. as well as filing, auditing records, etc. Range of weight: 1-50 pounds.

        4.  Carrying:                      Occasionally      Worker will be carrying clinical records, manuals, supplies,                                                                      etc. Range of weight: 1-50 pounds.

        5.  Pushing/Pulling:         Occasionally       Worker will be pushing/pulling on various supplie                                  storing, moving and inventory of supplies, as well as with clinical records, filing, auditing, preparing for each month etc. Range of weight: 1-50 pounds.

        6. Balancing:                    Occasionally       Worker will be balancing supplies to be stored,                                                                                  moved from storage to using area, etc. When moving                                                                                 records from active to inactive status or during auditing                                                                           periods worker will be balancing legal documents that are                                                                                 not secured.

         7. Pivoting/Turning:        Frequently         Worker will be pivoting and turning to stock supplies                                                                                  handle records, etc.

         8. Crouching/Stooping    Frequently         Worker will be crouching, stooping to file records,                                                                                    working with supplies to restock and inventory of                                                                    9.  Kneeling                               Occasionally        Worker will be kneeling to file records, stock,                                                                                            and inventory supplies.

       10. Reaching:                                                           Worker will be reaching to file records, stock,                                                                                            and inventory supplies, etc.

                                                                            A. Greater than shoulder height:  Occasionally

                                                                            B. Equal to shoulder height:           Occasionally

                                                                            C. Less than shoulder height:         Occasionally

         11. Handling/Manual            Continuous             Worker will be using fine and gross                                                                                             Motor Dexterity skills in all the job                                                                                                                                                                                   requirements supplies, etc.

         12. Speaking/ Hearing          Continuous              Worker must be able to communicate with                                                                                                            co-workers, residents, families, public etc. Face                                                                                              to face as well in telephone communication.

Responsible for the coordination of the Resident Assessment Instrument (RAI) process to ensure accurate and timely completion of resident assessments, in accordance with Medicare, Medicaid, OBRA and other payer program requirements. Ensures MDS assessments accurately reflect the physical, mental and psychosocial status of each resident; ensures appropriate documentation to support services provided.

PRINCIPAL DUTIES AND RESPONSIBILITIES

• Have a thorough understanding of all regulations and standards related to the RAI process (Federal/State regulations and MDS RAI User Manual).
• Completion of the RAI process and management of the MDS department.
• Work in collaboration with the IDT to ensure accurate and timely completion of all Medicare documents in order to maintain regulatory compliance within the community. To include but not limited to: Physician certification/ recertification, NOMNC, SNF ABNs, ABNs, and Letter of medical predictability.
• Work in collaboration with the facility Director of Rehab to ensure the most appropriate assessment reference date (ARD) and assessment type/combination are utilized for Medicare/Managed Care PPS Assessments.
• Work in collaboration with the Director of Nursing to ensure necessary nursing documentation and risk assessments are completed in order to code nursing services delivered on the MDS.
• Chair the weekly utilization review meeting in accordance with any Paramount guidance, policy and procedures, in absence of Director of MDS.
• Demonstrate an understanding and assisting in the preparation of clinical, quality and reimbursement reports.
• Participate in the pre-admission process to ensure essential information needed for MDS/Case Mix coding is obtained from the referral source(s) and meets Medicaid eligibility requirements when applicable.
• Participate in month end Triple Check, daily PPS meeting and other meetings per ASL policy.
• Participate in the preparation and timely submission of any Additional Documentation Requests (ADRs).
• Participate in the community orientation.
• Participate in the training of new associates on the RAI process.
• Provide ongoing training/education to staff regarding RAI process to included but not limited to: ADL training, interview techniques, skilled services and documentation guidelines.
• Ensures timely, accurate, and complete assessment of the residents’ health and functional status during the entire assessment period.
• Accurately code MDS to reflect services delivered per RAI guidelines. Ensures the accurate and timely completion of all MDS assessments.
• Ensures individualized plans of care with interdisciplinary approach in accordance with federal, state and local regulations and the established policies and procedures of Paramount.
• Reviews the validation reports and ensures that appropriate follow-up action is taken.
• Analyzes Quality Measure reports as a mechanism of quality assurance.
• Functions as an RAI and Clinical Reimbursement resource to the community staff.
• Attends and participates in education, such as but not limited to: ASL webinars, ASL meetings, RAC-CT, ADL training, and community training.
• Maintains proficiency in the operations of the clinical/MDS software program.
• Maintains proficiency in the ability to transmit data per regulatory standards.
• Maintains confidentiality of pertinent client and employee information to assure their privacy is protected.
• Participates in the review of quarterly Medicaid reports.
• Supports and upholds all Paramount policies and procedures.
• Other duties as assigned.

EDUCATION AND/OR EXPERIENCE

• MDS 3.0 experience preferred
• Progressive experience in a long term care setting preferred

CERTIFICATES, LICENSES, REGISTRATIONS

• Graduate of an accredited school of nursing with a current RN/LPN s

KNOWLEDGE, SKILLS AND ABILITIES

• Must possess strong collaborative, interpersonal, organizational, multi-tasking, verbal and written communication skills, and a desire to create a high-performance, effective team that can produce consistent, demonstrated results.
• Must demonstrate on an ongoing basis the ability to develop and maintain good working relationships with co-workers and ministry leadership.
• The incumbent must demonstrate the ability to communicate clearly and concisely on oral and written form.
• Competencies needed for this position include strong interpersonal relationship skills, detail oriented, work in collaboration with others, demonstrate a high degree of integrity and personal commitment, possess strong analytical skills, be able to work independently and manage multiple deliverables at the same time.
• Ability to function in a matrix environment and demonstrate a passion to succeed be self- motivated, dependable, committed, and a willingness to see a project through to its conclusion.
• Working knowledge and proficiency with Microsoft Office is required.
• Ability to work independently, to organize work and maintain good time management skills.
• Must have initiative and judgment in assigning tasks, and resolving operational problems.
• Extremely organized, accurate, and precise
• The ability to work flexible hours as required
• Makes mature judgments, functions independently, is flexible, has personal integrity and works effectively with personnel.
• Knowledgeable of the rules and regulations related to the MDS/RAI process and Medicare-A skilled nursing services, Managed Care and Medicaid.

Job Type: Full-time

Experience:

• MDS Coordinator: 2 years (Preferred)

License:

• LPN/RN (Required)

He/She is responsible for the care of the residents in a designated area of the facility. He/She is knowledgeable of the information as outlined on the Interdisciplinary Care Plan and follows the plan. He/She provides information to keep the care plan current with the resident's needs. He/She provides restorative care for each resident in the assigned group keeping the resident well-groomed, clean and assists to meet the psychosocial needs. He/She assists to keep the resident care areas clean, in good working order, and a home like atmosphere for the resident. He/She communicates with the Licensed Staff and other department heads of the resident's needs. He/She reports all relevant observations to the Licensed Staff assigned to the unit in a timely manner. He/She documents information timely and daily on the Nursing Flow Record and other records as indicated. He/she attends in-services and staff meetings as required.

The Nursing Assistant is responsible to the Licensed Staff assigned to the specific unit.

EDUCATION

Louisiana Certified Nursing Assistant Certificate. 

QUALIFICATIONS

1.       Has the ability to organize, plan and supervise care of a group of residents assuring quality is provided at all time for this group as well as other in the facility.

2.       Maintains effective interpersonal relationships.

3.       Is of good emotional, mental, and physical health having sound judgement and high standards.

4.       Is willing and capable of providing emergency care as needed for any resident in the facility.

5.       Is courteous in working with residents, families, and employees.

6.       Maintains a neat, well-groomed appearance at all times. Keeps personal appearance appropriate for resident care.

7.       Has a desire to work with the geriatric residents and their current and prospective needs.

8.       Must be in the facility ready to begin assigned duties on time and as scheduled.

9.       Must be willing to work preferred shifts as scheduled and assist on other shifts as needed to assure adequate staffing to meet the needs of each resident.

10.   Must has the ability to provide the care as outlines on the Interdisciplinary Care Plan and other assignments for each resident in assigned group.

11.   Must demonstrate ability to function as a cooperative team member with each member of the Nursing Department and other departments.

12.   Must have ability to provide related bedside resident care services as per facility policy and procedures.

13.   Must display ability to adapt to on-the-job training and adhere to standards of the facility providing personal care services, assisting residents, caring for equipment and supplies and developing good understanding of basis of aseptic and sterile techniques.

14.   Must be able and willing to function appropriately in disaster or evacuation of the facility.

15.   Must demonstrate ability to follow direction of supervising staff.

16.   Must have a pre-employment and an annual Tuberculosis screening examination. 

RESPONSIBILITIES

It is to be understood that the Nursing Assistant works by general, consistent, pre-arranged “Primary” group assignments as the basis of the activity for the shift, but must be able to accept changes and adapt to added assignments as the need arises. Also, each Nursing Assistant must work with each other to assure safe practices for each resident and staff are followed.

1.       Signs in on Unit Assignment Sheet.

2.       Reviews any changes on Group Assignment Sheet. Receives report from Licensed staff assigned to the unit updating Group Assignment Sheet as indicated.

3.       Checks residents and makes rounds on assigned group noting significant issues for intervention. Begin planning time to assure all resident’s needs are met throughout the shift.

4.       Assists residents as indicated to provide A.M., P.M. and daily care to assure residents are clean, dry, toileted, continent, well-groomed and cared for in the manner they deserve. Follows restorative plan as outlines on the Interdisciplinary Care Plan. Provides for privacy and dignity at all times.

5.       Asssits residents to meals. Assists residents to toilet prior to meals. Assists resident to wash hands and face, brush teeth, put on the glasses, get to dining room and in good position prior to meal.

6.       Provides assistance and restorative eating as indicated. For those residents who are the most debilitated, consider their weakness in planning time for the whole group of residents.

7.       After meal, assists resident to wash hands and face, return to their room and toilet as needed.

8.       Assists in dining areas as assigned. Offers assistance to residents as needed. Offers substitution for items not eaten well by any resident. Promotes atmosphere conductive to increased nutritional intake for each resident in the dining room.

9.       For those residents unable to go to the dining room, assists in service, assisting and supervising meal service as assigned.

10.   Assists in transporting used trays to the kitchen following appropriate infection control policies and procedures.

11.   Assists residents to plan their time to enable them to be well cared for as well as attend their desired functions during the shift. (i.e. activities, visits, with each other and their families, outings, meals, quiet times, etc.)

12.   Answers call lights timely assisting with care as indicated. Keeps call lights available for the residents.

13.   Encourages and motivates residents to participate in recreational activity of body and mind.

14.   Provides and keeps fresh water and fluids available for the residents at all times. Offers fluid at least every 2 hours or each time in the room when appropriate.

15.   Timely serves and provides assistance with between meal nourishments as indicated.

16.   Follows bath and whirlpool schedules as outlines for each resident.

17.   Checks all residents frequently and at least every 2 hours assuring the resident is repositioned, turned, toileted, clean, safe, etc. Provides intervention as needed to provide a safe clean environment.

18.   Checks each resident who is being physically restrained releasing the restraint and assisting the resident to toilet at least every 2 hours.

19.   Checks all residents daily for condition of skin, reporting findings to Licensed Staff assigned to unit.

20.   Assists licensed staff when needed to position residents in need of treatments.

21.   Keeps hand rolls and positioning devices in place as needed and as indicated for each resident.

22.   Assist residents to bed for naps or night sleep as needed. Provides a quiet, restful, and safe atmosphere when residents are resting.

23.   Takes and records vital parameters as assigned. Assists with weekly and monthly weights as assigned.

24.   Cleans and properly arranges all bedroom furniture to include keeping the resident’s orderly, clean, and following infection control guidelines.

25.   Assists the residents in keeping closets clean, clothing clean and in good repair, marked with their name, etc.

26.   Assists residents to keep bathrooms clean, following infection control and privacy practices.

27.   Changes residents bed clothing to assure the bedding is clean, not wrinkled, and promotes good hygiene and care practices.

28.   Follows appropriate infection control practices in working with the residents and equipment.

29.   Keeps accurate records of intake and outputs and procedures throughout the shift for those residents who require such.

30.   Records information on the Nursing Care Records timely.

31.   Keeps Licensed Staff informed of pertinent information timely. Writes pertinent information on the Group Assignment Sheet and Communication Books.

32.   Provides information accurately and timely for information to be added to the residents Interdisciplinary Care Plan.

33.   Cleans ancillary rooms and equipment as assigned. Assists other members of the staff to keep each area of the facility clean, orderly, safe, and homelike atmosphere for the residents. 

34.   Assists other staff members as needed throughout the shift. Cooperates with other personnel to be sure residents are of prime importance to all members of the staff.

35.   Assists new staff members in orientation as needed throughout the shift.

36.   Maintains safe environment at all times, wiping up spills, working with housekeeping staff when available picking up articles as noted, etc.

37.   Gives report to Licensed Staff and turn in completed Group Assignment sheets prior to leaving the unit to go off duty.

38.   Performs any other tasks as assigned by the Licensed Staff, Director of Nursing or Assistant Director of Nursing.

PHYSICAL DEMANDS

Use the percentages range as follows:

0% Never

1    -     33% Occasional

34  -    66% Frequent

67  -   100% Continuous

Require full range of body motion including:

1.       Standing/Walking: Continuously.   Worker will be walking or standing almost consistently during each tour of duty

2.       Bending/Stooping: Continuously.   Worker will be bending and stooping to assist residents, co-workers, etc. Almost consistently during each tour of duty.

3.       Lift/Handling:         Continuously.    Worker will be lifting residents as each resident needs, some residents needing to be totally lifted or limbs may be lifted. Worker will be lifting various equipment for resident’s needs, etc. Worker would be expected to lift, with assistance, up to 300 pounds using equipment or other personnel to assist in the lifting.

4.       Carrying:                  Continuously.  Worker will be carrying linens, equipment, etc., almost consistently during each tour of duty. Range of weight: 1-50 pounds.

5.       Push/Pull:                Frequently.   Worker will be pushing or pulling to transport residents about their rooms or facility assisting with Activities of Daily living changing bed linens, transporting linen barrels and other equipment. Range of weight: 1-50 pounds.

6.       Balancing:                 Frequently.  Worker will be balancing when assisting residents to transfer or transport, when changing bed linens, etc.

7.       Twisting/Turning:     Frequently.  Worker will be twisting or turning when assisting residents to transfer or transport, assisting with Activities or Daily Living (A.D.Ls), using various equipment, etc.

8.       Crouching/Stooping: Frequently. Worker will be crouching and stooping when assisting residents to do A.D.L.s, gather equipment, provide care for the residents, etc.

9.       Kneeling:                     Occasionally. Worker will be kneeling when assisting residents to do A.D.L.s, etc.

10.   Reaching:                     Worker will be reaching when assisting residents to do A.D.L.s, gathering equipment, providing care for the residents, etc.

A.      Greater than shoulder height: Occasionally

B.      Equal to shoulder height:         Occasionally

C.      Less than shoulder height:       Frequently

11.   Handling/Manual     Continuously.  Both fine and gross motor skills are needed for all tasks throughout the working day.

12.   Speaking/Hearing:    Continuously.  Must communicate with residents, co-workers, families, etc. continuously throughout tour of duty.

JOB LOCATION   Must work throughout the nursing areas of the facility, May require working irregular hours and may be exposed to communicable diseases and/or body fluids, medical preparations, toxic substances and occasionally ionizing radiation. 

NEW SIGN ON BONUS STRUCTURE

Job Summary

Employee is responsible for the care if the residents in a designated area of the facility. Employee communicates with off going and arriving shifts of personnel to assure the continuum of quality of care. Makes rounds, evaluating the physical, emotional and social needs of the residents making sure these are being met through the staff assigned to work with each group off residents. Assesses assigned staff’s ability to provide for each residents needs and provides intervention as indicated. Supervises the care provided by the Nursing Assistants assigned to the unit, providing intervention and education as indicated. Make adjustments in assignments as indicated. Prepares and administers medications and treatments according to procedures. Consults with physicians, receives records and transcribes orders as required. Makes rounds with physicians when necessary. Reviews resident’s care plans and assures these plans are followed. Documents on records as per policy and procedures of the facility. Participates in the evaluation of the employees working under his/her supervision. Participates in staff meetings and in-services as required.

The Registered Nurse, Licensed Practical Nurse or Licensed Vocational Nurse is responsible to the Director of Nursing and/or the Assistant Director of Nursing.

 Education

Employee must be a graduate of an accredited school of nursing currently registered with the state agency for nursing licensure and hold a valid nursing license in the state he/she is employed.

Qualifications

1.      Demonstrates leadership and managerial ability.

2.      Has the ability to organize, plan and supervise care and the Nursing Assistants assigned to work at a designated unit and shift.

3.      Maintains effective interpersonal relationships.

4.      Is of good emotional, mental and physical health, having sound judgement and high professional standards.

5.      Must be willing and capable of providing emergency assistance to residents as indicated.

6.      Is courteous in working with residents, families and employees.

7.      Maintains a net, well-groomed and professional appearance at all times.

8.      Has a desire to work with the geriatric residents and their current and prospective needs.

9.      Must be willing to be in the facility ready to begin assigned duties on time.

10.  Must be willing to be in the facility during weekdays as well as weekend hours.

11.  Must be willing to work preferred shifts as scheduled and assist on other shifts as needed to assure adequate staffing to meet the needs of each resident.

12.  Must demonstrate ability to evaluate the geriatric resident’s needs and provide intervention timely to assure each resident’s needs are met.

13.  Must demonstrate ability to evaluate nursing staff needs and provide staff education timely to provide quality care.

14.  Must demonstrate ability to function as a cooperative team member with each member of the Nursing Department and other departments.

15.  Must demonstrate the ability to follow and supervise assigned staff to assure the facilities policies and procedures are followed and upheld.

16.  Must demonstrate the ability to manage and supervise the assigned unit in a productive, timely manner.

17.  Must have a pre-employment and an annual Tuberculosis screening examination.

Responsibilities

1.      Receives report from the off going shift.

2.      Reviews communication systems to be knowledgeable of any unusual occurrences during the previous shifts.

3.      Assigns Nursing Assistants and other designated personnel assuring each resident’s needs will be met during the assigned shifts.

4.      Gives report to Nursing Assistants.

5.      Makes rounds of the assigned unit frequently during the shift providing intervention as needed. During the entire shift, will be attune to needs of unit while doing other nursing tasks.

6.      Prepares and administers medications as ordered. Reorders medications as needed in preparation for future shifts. Assesses and documents medication issues as per policy.

7.      Provides special procedures as ordered.

8.      Completes the treatment as ordered. Assesses and documents new and old areas of treatment describing in detail the results of staff action and the of the treatment.  Prepares a weekly skin report for the Director of Nursing. Contacts the physician for any areas not responding positively and timely.

9.      Supervises the meal service for each resident on the unit. Works with the staff to sure each resident is provided adequate nutrition for each meal.

10.  Continually assesses and reassesses residents for risk of complications as a result of being in the facility. (i.e., skin breakdown, incontinence, contractures, reduced mobility, reduced involvement in bathing, dressing, or eating, weight loss, behaviors due to change in lifestyle, etc.)

11.  Continually observes progress and quality of work of the Nursing Assistants to assure the residents are turned, repositioned, toileted, walked, exercised, provided foods, and fluids, well groomed, involved in their specific restorative program, provides intervention as indicated, etc. Also observes the resident’s environment to assure a clean and safe environment is provided for each resident.

12.  Document on nurse’s notes as per policy. Assures there is accurate and timely documentation of any unusual observation, incident, or happening.

13.  Reviews information, reassess residents, interviews staff, reviews documentation of each shift and writes monthly nurse progress notes using the Interdisciplinary Care Plan documenting progress or lack of progress toward the resident’s goals. Writes suggestions for changes to be made to the plan of care on the “Working Copy” of the Interdisciplinary Care Plan

14.  Admits residents as required.

15.  Assists in the ordering and reviewing of results of laboratory tests as indicated. Notifies the physician of results.

16.  Notifies the physician of unusual findings as indicated.

17.  Assists with auditing charts.

18.  Assists with answering and correcting consultant reports.

19.  Reviews, signs and provides intervention as indicated for Nursing Assistants documentation.

20.  Counts required medications with oncoming and off going shifts.

21.  Makes appropriate notes in Communication Books to assure adequate communication is maintained for nursing.

22.  Assists in keeping other departments informed of resident’s change of condition as indicated.

23.  Assists in providing in-services for assigned staff.

24.  Keeps nurse’s station, medication room clean. Assigns Nursing Assistants to keep each ancillary room clean and orderly. Assigns staff to keep equipment clean and proper condition for use.

25.  Reviews and updates Medication Administration Record, Treatment Administration Record, and Nursing Care Flow Records for the upcoming month.

26.  Makes rounds toward end of shift to assure area is in order for on coming shift.

27.  Gives report to oncoming shift.

28.  Review and assures there is adequate staffing for the oncoming shift. Replaces known absences in a timely manner.

29.  Performs any other tasks as assigned by the Director of Nursing or Assistant Director of Nursing.

Physical Demands

Use the percentages range as follows:

0% Never

1    -     33% Occasional

34  -    66% Frequent

67  -   100% Continuous

Require full range of body motion including:

1.      Standing/Walking: Continuously.   Worker will be walking or standing almost consistently during each tour of duty as they supervise, assist an access care being provided.

2.      Bending/Stooping: Continuously.   Worker will be bending and stooping to assist residents, co-workers, etc. Almost consistently during each tour of duty.

3.      Lift/Handling:         Continuously.    Worker will be assisting or totally lifting residents as each resident needs, some residents needing to be totally lifted or limbs may be lifted. Worker will be lifting various equipment for resident’s needs, etc. Worker would be expected to lift, with assistance, up to 300 pounds using equipment or other personnel to assist in the lifting.

4.      Carrying:               Continuously.  Worker will be carrying equipment, etc. Range of weight:    1-50 pounds.

5.      Push/Pull:               Frequently.   Worker will be pushing or pu1/30/20251/30/2025lling medication carts, equipment, etc. to provide care. Range of weight: 1-50 pounds.

6.      Balancing:                 Frequently.  Worker will be balancing when assisting residents to transfer or transport, giving medication, doing treatment, providing care, etc.

7.      Twisting/Turning:     Frequently.  Worker will be twisting or turning when providing medication and treatment systems, when assisting residents to transfer or transport, assisting staff to provide for Activities or Daily Living.

8.      Crouching/Stooping: Frequently. Worker will be crouching and stooping when providing medication and treatment systems, when assisting staff to provide for A.D.L.s, gather equipment, provide care for the residents, etc.

9.      Kneeling:                  Occasionally. Worker will be kneeling when providing medication and treatment systems, when assisting residents to do A.D.L.s, etc.

10.  Reaching:              Worker will be reaching when providing medication and treatment systems, when assisting residents to do A.D.L.s, gathering equipment, providing care for the residents, etc.

A.      Greater than shoulder height: Occasionally

B.      Equal to shoulder height:         Occasionally

C.      Less than shoulder height:       Frequently

11.  Handling/Manual     Continuously.  Both fine and gross motor skills are needed for all tasks throughout the working day.

12.  Speaking/Hearing:    Continuously.  Must communicate with residents, co-workers, families, visitors and physicians continuously throughout tour of duty.

JOB LOCATION   Must work throughout the nursing areas of the facility, May require working irregular hours and may be exposed to communicable diseases and/or body fluids, medical preparations, toxic substances and occasionally ionizing radiation.