Nurse - Designee Traditional

Job Title:

RN Nurse Designee

Department:

Resident Care

Date Revised: July 2024

Reports To:

Resident Care Director

FLSA Status:

Non-Exempt

Job Code: 7122 Harbor; 7023 Trad

Job Summary:

The Nurse Designee manages the successful operation of the Resident Care Department, under the leadership of the Resident Care Director (RCD). The Nurse Designee is responsible for the oversight, coaching, and direct supervision of all resident care service providers in the community. The Nurse Designee's management scope includes direct supervision of resident care positions, resident assessment, and management as defined by the Resident Care Director. The Nurse Designee fills in as the leader for the Resident Care Department in the absence of the RCD.

Principal Duties/Responsibilities:

• Demonstrates expertise in clinical skills and nursing judgement within their scope of practice.
• Completes a thorough assessment of potential residents. Obtains the medical information release form from primary care physician as needed
• Develops a plan of care (in collaboration with the RCD) based on the identified physical and psychological problems of the resident including: the identified problems; resident specific goals and planned program interventions
• Develops a service plan (in collaboration with the RCD) according to the requirements outlined in the state regulations. Accurately assesses, communicates, and documents residents' status.
• Coordinates care needs with community providers via an effective case management process
• Measures and accurately records vital signs (temperatures, pulse, respiration, blood pressure weight and height) where appropriate as per state regulations
• Observes and reports any significant changes in resident behavior and health to the RCD, physician, family, RCAs, and Executive Director per state regulations
• Recognizes and assists in the prevention of elder abuse, neglect, and exploitation (financial and other) and reports to appropriate sources per state regulations
• Directs and supervises the daily work assignments of the Resident Care Assistants. Serves as first point of contact for the care associates regarding assignment questions or concerns
• Participates in the hiring and termination processes as they relate to resident care associates. Sources and screens new candidates and facilitate/co-facilitates terminations.
• Provides direct input into performance reviews, merit increases, and any necessary disciplinary documentation for care associates and presents reviews with the RCD
• Closely mentors, guides and directs the Lead Resident Care Assistants in all aspects of their job
• Ensures compliance with all resident care related regulations (e.g. medication management)
• Demonstrates infection prevention and control
• Demonstrates personal and resident safety
• Ensures physician and family notification per state regulations
• Actively participates in the QA process per assignment
• Provides ongoing supervision of residents' health related activities: complying with health care instructions explained by health care professionals; promptly and appropriately seeking and obtaining medical attention when needed.
• Conducts documentation audits as required.
• Functions as Resident Care Director as required.
• Participates in training/ in-service as required by Benchmark and state regulations.

Education/Experience/Licensure/Certification:

• Graduate of an approved RN program (per state requirements).
• Minimum 1 to 2 years of experience working as a nurse in a Home Health, SNF and/or Assisted Living facility.
• Previous experience working with the elderly in a paid or volunteer position highly desirable.
• Valid, unrestricted RN state license
• Current CPR, First Aid, and Heimlich certification, if required

Required Skills/Abilities:

• Understands advanced directives and end-of-life care
• Understands nursing function in assisted living and memory care
• Understands quality of care and life objectives
• Demonstrates knowledge of Benchmark Standards and Practices
• Demonstrates working knowledge of state regulations
• Possess knowledge of policies in the resident handbook
• Excellent verbal communication skills and the ability to relate in a positive and professional way to a diverse resident and employee population.
• Ability to maintain the highest level of confidentiality regarding residents, staff and the Community.
• Proficient using MS office and electronic health records

PHYSICAL JOB ANALYSIS

JOB TITLE: Nurse

The principal duties and responsibilities are listed in the formal job description. This form is intended to provide a summary of the physical demands of the job.

Frequency

Frequency

Unanticipated

Seldom

(1-5% of time)

Occasional

(6-33% of time)

Frequent

(34-66% of time)

Constant

(67-100% of time)

Unanticipated

Seldom

(1-5% of time)

Occasional

(6-33% of time)

Frequent

(34-66% of time)

Constant

(67-100% of time)

LIFT/CARRY (OBJECTS)

EQUIPMENT

Objects up to 10 lbs.

X

Transfer Devices/Gait Belts

X

Objects 11-20 lbs.

X

Kitchen Equipment

X

Objects 21-35 lbs.

X

Ladders

X

Objects 36-75 lbs.*

X

Maintenance Equipment

X

Objects 76-100lbs.*

X

Tablets/Computers/Office

X

*Weights in excess of 35 lbs. will be reviewed for 2-person or mechanical assist

Vehicles/Driving

X

PUSH/ PULL FORCE **

ENVIRONMENTAL EXPOSURES

Wheelchair with Resident 10-50lbs.

X

Indoors

X

Resident Lift Equipment 10-60 lbs.

X

Outdoors

X

2 Wheel Dolly/ 4 Wheel Cart 5-35lbs.

X

Extreme Heat

X

Floor Cleaning Equipment 5-25 lbs.

X

Extreme Cold

X

**Push/pull force is measured as the peak force required to start object moving

Dusty

X

POSTURES

Excessive Noise

X

Sitting

X

RESIDENT MOBILITY ASSISTANCE

Standing

X

One/two person manual transfer (up to 35 lbs. lifting force per person)

X

Walking on even surface

X

Bed positioning (lateral movement of resident in bed)

X

Walking on uneven surface

X

Chair boosting (assisting resident to sit up in a chair)

X

Climbing/Stairs

X

Assist Walking with Gait Belt

X

Bend/Stoop/Twist

X

ADDITIONAL CONSIDERATIONS

Crouching/Squatting

X

Physical Exams or Health Screenings (as required by state)

Kneel/Crawling

X

TB Test

Reach Above Shoulders

X

Annual Flu Shot

Reach Waist to Shoulders

X

COVID Vaccinations and Boosters

Reach Below Waist

X

Personal Protective Equipment (nitrile gloves, gown, mask, etc.)

Repetitive Arm Use

X

N95 Respirator (must be clean shaven such that any facial hair does not impact the respirator seal)

Repetitive Wrist/Hand Use

X

Exposure to House Pets

Hand grasping (power grip)

X

Exposure to Needles and Sharps

Fine manipulation hands/fingers

X

When working with our resident population, you may on occasion be exposed to certain risks related to medical conditions or progressive diseases such as Alzheimer's disease. These risks include communicable diseases as well as agitation and/or aggressive behaviors which may be verbal or physical. Because you are working so closely with the resident, you may be the target of this aggression. Understanding that these behaviors are related to a medical condition and/or disease process and are not in any way personal, is key to maintaining dignity and respect for our residents in all avenues of care. Benchmark is committed to workplace safety, and to the extent there is any concern relating to safety hazards in the performance of the job, you should immediately report your concerns as directed in the Employee Handbook.

Disclaimer:

The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities, or requirements.

I have read this job description and understand the duties and responsibilities of the position ofNurse Designee. I further understand that it is my responsibility to perform my duties consistent with the highest standards of Benchmark Senior Living.

Employee Signature Date

Supervisor's Signature Date