Has the responsibility for providing direct and indirect nursing care under the direct and indirect supervision of the PACE Center Manager or designee but is independent in the application of advanced nursing knowledge and skills. Manages a complex clinical situation for which he/she is responsible.
Essential Functions of the Job:
- Assessment: Collects patient data and completes required forms with appropriate responses according to unit standards; identifies patient’s overt problems/needs and sets priorities; identifies problems requiring further referral and/or follow-up; interprets and records latest diagnostic results; performs advanced nursing assessment using critical thinking skills.
- Planning Care: Develops a plan of care based on the nursing process and incorporates the plans of other disciplines and continuing care needs; includes the patient/family in developing or revising the plan of care; makes referrals to multidisciplinary support services. Initial and periodic assessments (minimally every 6 months) to be completed before the scheduled team meeting. Communicates participant changes to team members.
- Implementing/Managing Care: Care provided conforms to accepted practice standards; provides correct treatments/procedures and other care as prescribed and according to patient care standards; demonstrates an understanding of age-related characteristics and needs of patients served; explains nursing procedures inappropriate forms; provides participant and family education in the coordination of 24-hour care delivery; identifies emergencies and independently initiates advanced therapy; acts as coordinator of patient care with other health care personnel and evaluates patient care measures instituted; understands and demonstrates respect for patient rights and utilizes established mechanisms for the management of ethical issues inpatient care.
- Evaluation: Records patient care delivered as planned and any variation, with appropriate rationale; makes and records observations related to impending or associated problems; implements nursing measures related to impending or associated problems.
- Leadership: Using the nursing process, delegates nursing care to appropriate personnel; integrates cost-effective measures into nursing practice; recognizes unit problems and takes responsibility for documenting same; demonstrates active participation in QI processes; complies with hospital expectations to meet staffing demands based on patient care needs; complies with policies addressing safe working conditions; monitors unsafe working conditions; recognizes inappropriate and/or ineffective patient care management, resolves issue/problem and completes written reports; fulfills call for the unit as assigned and adjusts staffing for the census (volume) and acuity.
- Participates as a member of the Interdisciplinary Team. Attends staff meetings and takes part in participant care planning.
Additional Duties and Responsibilities
- Keeps abreast of all regulations and standards to ensure compliance with orders or directives issued by duly constituted government / regulatory agencies.
- Enhances professional growth and development through participation in educational programs, current literature, in-service meetings, and workshops.
- Attends meetings as required and participates on committees and directed.
- Perform other related duties as assigned or requested.
Education Required (Minimum level of education):
- Graduate of an accredited school of nursing
- Licensure, Registry, or Certification Required: Currently licensed in CA as a Registered Nurse license; must present credentials that demonstrate the ability to meet performance criteria for RN.
Experience Required (Minimum level of experience):
- Prefer 6 months of experience working with the frail elderly population.
- Bilingual Spanish
- Knowledge and or experience working in a senior or elder care setting – PACE, Nursing Home, Hospice, ADHC.
- Nursing competency and familiarity with care paths, interact with tools commonly used in skilled nursing home settings.
- Must be able to triage clinical symptoms, apply care paths, and clinical interactive tools inpatient evaluation and care before communications with physicians.
- Must be comfortable starting IV lines, IV medication administration, and monitoring.
- Must be comfortable with acute care of frail adults, complex wound care, and cognitively impaired adults