Merline Cime

· Conduct comprehensive assessments of residents' health and care needs upon admission and regularly thereafter.

· Develop individualized care plans in collaboration with the interdisciplinary team and residents' families.

· Administer medications and treatments as prescribed, ensuring accuracy and adherence to protocols.

· Monitor and record vital signs, symptoms, and changes in residents' conditions.

· Provide assistance with activities of daily living (ADLs), such as bathing, dressing,

· feeding, and mobility.

· Promote and maintain a comfortable and clean living environment for residents.

· Perform wound care, catheter care, and other nursing procedures following established

· protocols.

· Monitor and manage residents' pain, using appropriate pain management techniques.

· Assist with end-of-life care, including providing emotional support to residents and their

· families.

· Maintain open and effective communication with residents, their families, and the

· healthcare team.

· Document all care interventions, assessments, and resident interactions accurately and timely in electronic health records.

· Report any changes in residents' conditions to the charge nurse or physician promptly.

· Participate in team meetings and care conferences to update care plans and discuss resident progress.

· Adhere to infection control practices, including hand hygiene, use of personal protective equipment (PPE), and isolation precautions when necessary.

· Promote a safe and secure environment for residents and staff by identifying and mitigating hazards.

· Provide education to residents and families regarding their conditions, treatments, and self- care techniques.

· Mentor and support Certified Nursing Assistants (CNAs) and other staff members.

· Stay current with best practices in nursing and attend continuing education programs as required.

· Ensure compliance with all state and federal regulations governing nursing homes and long-term care facilities.

· Participate in surveys and inspections, assisting in the preparation and implementation of corrective action plans as needed.

· Perform required skills (assessment, intervention) according to guidelines, policies, and procedures.

· Participates in interdisciplinary committees that influence or determine policies affecting nursing practice.

· Follow facility procedures/protocols for admitting residents transferring to hospitals/clinics/outpatient visits and completion of appropriate documentation based on the established guidelines.

· Makes rounds on all resident rooms and ensures that the L.P.N.s, C.N.A.s, and/or others under his/her supervision receive their resident reports, and have their assignments and break times scheduled.

· Receive and give reports from and to outgoing and incoming shifts. Count or ensure the counting of controlled drugs with outgoing and incoming shifts.

· Develop a care plan that demonstrates knowledge of criteria to ascertain resident-specific needs based on health care problem(s).

· Makes needed revisions and updates to the care plans.

· Demonstrate ability to coordinate and collaborate with resident/family and other

· members of the comprehensive health care team.

· Monitors the administration and accurate recording of medications used.

· Notifies physicians of pertinent observations and reactions, incidents, and

· abnormal laboratory and x-ray results as required and documents same promptly.

· Report all resident, visitor, and work-related accidents/injuries and demonstrate appropriate follow-through by investigating, documenting, and processing incident reports.

· Accepts guidance, supervision, and criticism if needed.

· Assures that a stock level of medications, medical supplies, equipment, etc. are

· maintained at adequate levels at all times.

· Other responsibilities as deemed necessary and appropriate by the Director of

· Nursing Services or Administrator.

· Transported patients to locations outside the home, such as to physicians’ offices or on outings, using a motor vehicle.

· Cared for patients by changing bed linens, cleaning, or assisting with their personal care.

· Prepared and served meals to patients according to their prescribed diets, controlled their glucose and Blood Pressure.

· Provided patients with help moving in and out of beds, baths, wheelchairs, or automobiles and with dressing and grooming.

· Provided prenatal, intrapartum, postpartum, or newborn care to patients

· Utilized Metric Tapes, Tension Meters, and scales to take mother’s and children’s measurements

· Documented patients' health histories, symptoms, physical conditions, or other diagnostic information

· Consulted and coordinated with healthcare team members to assess, plan, implement, or evaluate patient care plans

· Taught expecting and new mothers to prevent and treat potential issues around malnutrition