• Promotes the residents’ well-being and satisfaction by supporting resident-centered care, developing and interpreting standards of care, guiding the interdisciplinary team as it establishes and implements the resident’s plan of care with the resident and his/her family or responsible party and the household team. Communicates with other household members regarding changes in resident care plans, diet changes, etc. Participates in or provides input for resident care conferences.
• Models and ensures that others are providing medical treatment in a manner that honors resident preferences and individuality. Demonstrates strong commitment to the highest clinical outcomes.
• Administers medications and performs treatments and nursing procedures according to established policies and procedures and nursing standards of care and ensures that all physician/consultant orders and changes to orders are followed. Ensures that narcotic records are accurate for the shift and notifies the Household Nurse Leader and/or Director of Nursing of all drug and narcotic discrepancies noted. Ensures that there is an adequate quantity of supplies readily available to personnel and that resident’s bedrooms are maintained in a clean, safe and sanitary manner.
• Administers professional services such as catheterization, tube feedings, suction, applying and changing dressing/bandages, packs, colostomy and drainage bags, giving massages and range of motion exercises, care for the dying/dead, obtaining sputum, urine and other specimens for lab tests, etc.
• Documents assessments and progress notes in the EMAR in an informative and descriptive manner that reflects the care provided to the resident and that the care plan is being followed, as well as the residents’ response to the care and ensures that all entries are signed and dated. Performs other administrative duties such as completing medical forms evaluations, studies, reports, etc. and any required filing. Reports all discrepancies noted concerning physician’s orders, diet change, charting error, etc., to the Household Nurse Leader or Director of Nursing. Maintains working relationships with physicians and other medical personnel in support of quality clinical care in the household.
• Monitors the activities of daily living of residents in relation to the normal aging and/or disease process through assessments of mental status, physical condition and emotional and spiritual well-being. Working with other household members, encourages residents to participate in and coordinates and adjusts schedules to ensure that residents can participate in activities.