Granite County Medical Center - Philipsburg, MT

posted 3 days ago

Full-time - Mid Level
Philipsburg, MT
Ambulatory Health Care Services

About the position

The position is responsible for the overall supervision and management of care delivered to residents of the nursing home and patients of the hospital. The role involves establishing, reviewing, and revising resident care plans to ensure appropriate, high-quality, individualized care. The individual will monitor resident/patient conditions and respond appropriately and in a timely manner to any changes. Communication with residents, families, and responsible parties is essential to ensure that care meets the individualized needs of the residents/patients. The position also requires collaboration with the Medication Treatment Nurse to ensure patient safety and acting as the first responder to the Emergency Room.

Responsibilities

  • Complete new resident/patient admissions in a timely manner, including required assessment, documentation, and coordination of services with interdisciplinary personnel.
  • Ensure Physician Orders are written in a complete manner for all new admissions or transfers within the facility.
  • Work collaboratively with nursing assistants to complete resident skin checks, minimum of once weekly, in a timely manner.
  • Participate in weekly review teams as assigned.
  • Establish, monitor and revise resident/patient care plan as needed to ensure quality, safe and individualized resident/patient care.
  • Supervise nursing assistants to ensure individualized patient care is completed in a timely, gentle, respectful manner.
  • Monitor and update CNA flow-sheets as needed to be consistent with residents' needs and the resident care plan.
  • Make daily rounds as needed to assess and assure resident welfare, comfort, monitor for any change of condition.
  • Monitor for and process Physician orders in a timely manner consistent with facility protocols.
  • Work collaboratively with the Medication Treatment Nurse to ensure appropriate resident supervision in the dining room at all times.
  • Work collaboratively with the Medication Treatment Nurse and Nursing Assistants to assign breaks and meal periods so that there is a minimum of one nurse and two nursing assistants on the floor at all times.
  • Monitor weights recorded on resident weight record; review nutrition at risk tracking and dietary recommendations and implement appropriate follow-up.
  • Monitor daily bowel sheet, implement treatments as needed and appropriate according to facility protocols.
  • Participate in resident Care Conferences.
  • Conduct daily report in a timely and efficient manner to ensure appropriate and safe patient care.
  • Investigate complaints/concerns of residents and take appropriate action.
  • Ensure that universal precautions are used throughout the facility.
  • Accompany and assist physician on rounds.
  • Act as first responder to the Emergency Room.
  • Participate in orientation of newly hired personnel.
  • Maintain positive employee relations through regular, clear communication to staff informed of resident/patient condition or changes in policies or procedures affecting patient care or patient care areas.
  • Document incidents that are observed or have been reported in a timely manner.
  • Assist DON with incident and other investigations as needed.
  • May assume responsibility of the nursing department in the absence of the DON.
  • Communicate observations/concerns regarding quality of care or patient/resident safety to Director of Nursing or Administrator.
  • Be an active participant in Quality Improvement initiatives.
  • Occasional on-call for nursing is required.

Requirements

  • Registered Nurse with current licensure and in good standing in the State of Montana.
  • ACLS and PALS required within 6 months of hire.
  • CPR-Trained within the past two years.
  • Minimum 1 year of nursing/direct patient care experience in a hospital or long-term care setting.

Nice-to-haves

  • TNCC certification preferred.
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