NETS is searching for a Registered Nurses to support the Armed Forces Retirement Home in Washington D.C.
The Registered Nurse shall:
Provide professional nursing duties while overseeing the care of geriatric residents. Provide professional, comprehensive nursing care to residents based on the physician’s medical plan and their physical and psychosocial needs. Follow all evidenced-based practices of nursing standards and the Nurse Practice Act. Use evidence-based practice in nursing standards related to care, judgment, documentation, assessment and all aspects regarding ethical, practical, and performance related to nursing. Observe and assess residents’ clinical condition; recognize, identify and interpret serious situations and immediately decide proper action. For example: continual observation, notify the physician and/or initiate appropriate emergency measures such as resuscitation in case of cardiac or respiratory arrest. Respond to cardiac, respiratory and choking emergencies and perform neuro-checks.
Serve as a member of a nursing team with an assignment for a defined group of residents requiring special and/or complex care. Contractor employees are responsible for residents from admission to discharge and possess the knowledge, skills and experience for providing necessary care. Demonstrate self-motivation to carry out direct and indirect care assignments.
Observe changing conditions and participate in revising care plans throughout a shift, consistent with recognized nursing standards, in accordance with appropriate nursing care and prescribed medical treatment while adhering to all legal, ethical, nursing, and evidence-based practice guidelines.
Document outcomes and follow-up for interventions, treatments, and medication administration within legal guidelines and nursing standards for continuity of care.
Support the resident and/or family members in the integration of the care plan toward the achievement of discharge and maintenance objectives.
Restate instructions to the resident on preoperative and postoperative procedures that were previously provided by a physician or nurse. After return to AFRH-DC from a surgical procedure, assist and instruct patient on how to keep lungs clear or other appropriate preventative care treatments or procedures.
Instruct resident on how equipment is used (oxygen, suction, ostomies, etc.) and other direct care, information or teaching as required and within the RN nursing standards. Instruct resident and/or family on use of prescribed medications, contradictions of medications and proper follow-up self-care. Assist residents with restorative and preventive programming, care and equipment.
Perform a range of treatment and diagnostic support duties per licensure and training qualifications including administrative and direct care measures. Act as liaison with other healthcare professionals to ensure continuity of care or to take medical orders. Document and follow up accordingly.
Observe and document all pertinent data regarding the physical and emotional status of residents. Promptly assess and take actions to alleviate problems reflected in subtle changes in condition. Make careful observations to assure that nursing procedures and treatments are not causing additional distress. Communicate information effectively and timely.
Shall have one-year practical experience in geriatric care.
Have the ability to utilize an electronic health record system (EHRS) to document all contact, processes, procedures, observations, etc. with residents.
Clinical Duties: Provide comprehensive care appropriate to RN training and licensure qualifications to residents based on physician’s medical plan, nursing care plan and the physical and psychosocial needs. Utilizes evidence-based practice in RN standards related to care, judgment, documentation, assessment and all aspects regarding ethical and practical performance related to provision of care. Clinical RNs provide oversight of care provided by LPN/LVNs and CNAs. Specific duties include, but are not limited to:
Obtain initial health history on new residents, coordinate healthcare needs through appointments or other health care facilities, screen visits, and manage chronic and minor health problems as directed by the physician. Monitor, respond and perform continuity of care. Perform all necessary assessments.
Demonstrate proficiency in:
o Venipuncture. Ability to initiate and complete venipuncture procedures for laboratory tests.
o Monitor residents with specialized respiratory therapy such as Bi-Pap and C-Pap.
o Administer oxygen, and prescribed oral, subcutaneous, intra-muscular, medications, and nebulizers.
o Counsel and provide minor treatment services for all residents. Assist with emergencies throughout AFRH-DC.
o Set up and use specialized equipment such as defibrillator, feeding pumps, and suctioning equipment.
o Manage nasal-pharyngeal, tracheal and gastric suction along with a variety of other drainage tubes.
o Administer simple and complex wound care, including specialized equipment and therapies. Example: compression dressings; wound irrigations; wound measurements and application of authorized wound treatment products.
o Utilize contact precautions and isolation set-up; documentation and discontinuance.
o Keep charge nurse informed of any changes identified in the condition such as: hemorrhages, fevers, respiratory distress, and change in activity or cognitive level.
o Assist the charge nurse in obtaining and maintaining supplies and equipment while ensuring the safety and cleanliness of the facility.
o Maintain positive relationships with residents, visitors and government personnel.
o Utilize positive customer service skills while interacting with residents, government personnel, visitors and community members.
o Utilize all forms of appropriate communication techniques: verbal, non-verbal, and written.
o Utilize the computer in appropriate manner to ensure compliance with AFRH directives.
o Protect printed and electronic files that contain sensitive resident and operational data per the provisions of the Privacy Act of 1974 and other applicable laws, federal regulations and AFRH-DCdirectives.
o Protect data from unauthorized release, loss, alteration, or unauthorized deletion, and follow applicable regulations and instructions regarding access to files.
o Maintain and ensure accurate recording of information in medical records, treatment forms, and official logbooks.
Maintain and ensure accurate recording of information in medical records, treatment forms, and official logbooks.
Document an electronic record upon completion of orientation training.
Successfully complete annual information technology security awareness training.
Observe and document all pertinent data regarding the physical and emotional status of residents. Promptly assesses and takes action to alleviate problems reflected in subtle changes in the condition such as dizziness or slight rise in temperature. Makes careful observations to assure that nursing procedures and treatments are not causing additional distress.
Develop and implement care plans, medication administration, charge nurse duties, coordination and prioritization of care activities.
Direct and supervise various skill levels of contract nursing personnel. Ensure timely notification to appropriate supervisor when issues arise in accordance with facility policy.
Provide excellent customer service, proactive anticipation and response to needs.
Monitor stock and prepare requisition lists for drugs and medical supplies. Ensure timely replenishment of medications and supplies. Monitor appropriate supply utilization.
Ensure security of health care environment at all times.
Problem Solving and Delegation:
Provide instruction, clarification and guidance to all levels of nursing personnel regarding direct care requirements, treatment and special needs.
Work cooperatively with other disciplines to effectively problem solve issues related to resident care; unit workflow, equipment and medication needs.
Give assistance in resolving resident and employee complaints and disputes.
Promote all aspects of resident rights and responsibilities; example: the right to make personal choices and right to be free from abuse.
Provide assessment and documentation on change of condition, transfers (in house and external to AFRH-DC) and admissions or discharges.
Resident Health Education and Staff:
Provide health education to residents, significant others, families and AFRH-DC staff.
Participate in the orientation of newly assigned nursing staff.
Adhere to nursing standards, facility policies and protocols, Health Insurance Portability and Accountability Act (HIPAA), Occupational Health and Safety Administration (OSHA), Center for Disease Control (CDC), Commission on Accreditation of Rehabilitation Facilities (CARF), Continuing Care Accreditation Commission (CCAC), legal and ethical guidelines and regulations. Contractor employees shall keep skills current, maintain licensure in good standing; perform care appropriately, safely and within fiduciary capabilities; discharge preparation and planning, including medication management; life-style modifications; equipment use and disease management.