The primary purpose of this position is to provide direct nursing care to the residents, and to supervise the day-to-day activities of nursing assistants. Supervision must be in accordance w/ federal, state, & local laws & the policies of the facility.

• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• Direct nursing assistants in accordance with current rules, regulations, & guidelines governing long-term care.
• Ensure that all nursing personnel assigned to you comply with the written policies and
• Meet with your assigned nursing staff, as well as support personnel, in planning the shifts' services, programs, and activities.

• Ensure that all nursing service personnel comply with the procedures set forth in the Nursing Service Procedures Manual.
• Cooperate with other resident services to ensure that the resident's total regimen of care is maintained.
• Ensure that all nursing service personnel are in compliance with their respective job descriptions.
• Assist in planning the nursing services portion of the resident's discharge plan as necessary.
• Admit, transfer, and discharge residents as required.

• Complete accident/incident reports as necessary.
• Write resident charge slips and forward to the Business Office.
• Maintain the Daily Census Report and submit to the Business Office as required.
• Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., as necessary.
• Transcribe physician's orders to resident charts, cardex, medication cards, treatment/care plans, as required.

• Chart all reports of accidents/incidents involving residents. Follow established procedures.
• Record new/changed diet orders. Forward information to the Dietary Department.
• Perform routine charting in accordance with charting and documentation policies and procedures.
• Prepare and administer medications as ordered by the physician.
• Ensure adequate medications, supplies, and equipment is on hand to meet nursing needs.

• Provide leadership to nursing personnel assigned to your unit/shift.
• Make rounds to ensure that personnel are performing in accordance w/ nursing standards.
• Maintain an atmosphere of warmth, personal interest & positive emphasis, and a calm environment.
• Inform nursing personnel of new admissions, their expected time of arrival, room assignment, etc.
• Ensure that rooms are ready for new admissions.

• Greet newly admitted residents upon admission. Escort them to their rooms as necessary.
• Participate in the orientation of new residents/family members to the facility.
• Make rounds with physicians as necessary.
• Notify the resident's attending physician and next-of-kin when there is a change in the resident's condition.
• Administer services such as; catheterization, tube feedings, applying and changing dressings/bandages, packs, colostomy, etc.

• Obtain sputum, urine and other specimens for lab tests as ordered.
• Take and record TPRs, blood pressures, etc., as necessary. Monitor AccuChecks Pulse Oximetry as ordered.
• Review care plans daily to ensure that appropriate care is being rendered.
• Inform the Nurse Supervisor of any changes that need to be made on the care plan.
• Ensure CNAs are aware of care plans and that they refer to care plans prior to administering care to the resident.

• Must possess, as a minimum, a Nursing Degree from an accredited college or university, or be a graduate of an approved RN or LPN program.
• Must possess a current, unencumbered, active license to practice as an RN or LPN in Massachusetts.
• Must possess the ability to make independent decisions when circumstances warrant such action.

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