POSITION : Clinical Nurse
TITLE OF IMMEDIATE SUPERVISOR : Executive Director
DEPARTMENT : Resident Care
STATUS : Exempt / Salary
SUMMARY
The Clinical Nurse is responsible for providing leadership and management of the health and wellbeing
of the residents within the community. Responsibilities include but are not limited to, all
resident care programs, quality assurance, regulatory compliance, and assisting in training and
onboarding all care staff including nurses, community supervisors, and resident care team members.
QUALIFICATIONS AND EDUCATION REQUIREMENTS
- Completion of a Professional Nursing Program and license to practice as a registered or licensed
nurse
Three (3) years of supervisory and management experience including hiring staff, coaching,performance management, daily operations supervision, discipline, and counseling
Must successfully clear a background check, TB skin test or x-ray, and health screeningCurrent CPR certificationMust have a valid driver's licenseCurrent certificate of training for successful completion of the five (5) hour initial fire safetytraining provided by the Rules and Regulations of the Georgia Safety Fire Commissioner
PRINCIPLE DUTIES AND RESPONSIBILITIES
Identifies initial and ongoing needs and services of residents through the assessment / PersonalizedService Plan (PSP) process
Ensures proper follow-through and documentation for residents with a change in care needsMaintains wellness files according to Orchard policy, federal and state guidelinesCompletes wellness sections of the resident evaluation and assessment and PSP at the time ofmove-in, semi-annually, and with any change in status
Completes wellness sections of monthly wellness visits and PSP to accurately reflect the residenton a monthly basis
Partners with other department directors to identify, review, and discuss potential changes inservice / medication levels
Informs the Executive Director of any changes in medication or service level that may result in ahigher tier level or potential move-out
Ensures weights and vital signs are obtained monthly for each resident prior to completion of themonthly wellness visit
Contacts resident's attending physician when necessary and or upon family requestMaintains wellness supplies for the community emergency kitsOversee the monitoring of each resident's medication and treatment profile to ensure eachmedication and treatment is administered as ordered and documented accurately
Monitors the Medication Room, med charts, and treatment carts for neatness, cleanliness, andavailability of medications and expired medications
Identifies and executes needed collaborations to enhance communities' service provision andmarketing efforts with regional and corporate operations teams
Participates in outside committees and organizations relevant to Resident Care andAlzheimer's / dementia care
Addresses all issues and / or concerns of resident's family members and ensures prompt resolutionsfor overall family satisfaction in regard to resident care
Maintains contact with family and resident when hospitalized either by phone, email, or in personEnsures at least one member of the department completes an in-person visit for residentshospitalized longer than 5 days
Develops guidelines, standards, and practices for Resident Care and programmingDevelops ongoing quality improvement programs for resident servicesSets standards for resident service delivery including recommendations on staffing levels and rolesand responsibilities, pricing strategies, and program differentiation and implementation
Oversees nurse and care staffing and scheduling according to the operational and budgetaryguidelines
Responsible for interviewing and onboarding new nurses, community supervisors, CertifiedMedication Aides, and Resident Assistants
Responsible for overseeing ongoing training and skills competencies of resident care staffProvides input regarding all care staff reassignments or terminations in coordination with HumanResources and Executive Director
Focuses on decreasing turnover and increasing retention of care staffObserves Certified Medication Aides / Nurses at a minimum quarterly or per state regulation toensure proper medication assistance / administration is being followed
Actively participates in risk management programsCOMPETENCIES
Works with integrity; upholds organizational valuesMust be able to work independently and have strong written and verbal communication skillsAbility to read and interpret documents such as safety rules, operating procedures, policies, andemployee manuals- Ability to write reports and correspondence
Ability to speak effectively in front of othersAbility to solve practical problems and deal with a variety of variables in situationsHigh level of interpersonal skills to handle sensitive and confidential situations and documentation,and interaction with residents' families and families experiencing loss
Attention to detail to ensure accuracyDemonstrates and knowledgeable of the Six (6) Rights of Medication Pass ("Right" resident,medication, dosage, time, route, right to refuse)
ORCHARD EXPECTATIONS :
Adheres to all Orchard policies and proceduresMaintains absolute confidentiality of all information pertaining to residents, families, and staff andadheres to all HIPAA rules
Displays a positive and professional image and attitude in all relationships with residents, families,peers, and in the community- Outlined in detail in the employee handbook.
Maintains positive communication and team collaborationServes as an ambassador for Orchard at all timesDemonstrates ongoing responsibility for self-educationMaintains resident and personal safety regarding occupational health and safetyAttends regularly scheduled department meetingsResponsible for maintaining all continuing education and training requirements for variouspositions within the department
Attends and participates in onsite training and continuing education as requiredParticipates in safety programs, as requestedCooperates to investigate employee injuriesPromotes and supports safety awareness and implements safety operationsEncourages staff to make suggestions on safety practicesParticipates in regularly scheduled meetings with, Executive Director, department directors, andassociates
Participates in the orientation of new employeesParticipates in volunteer orientations, training, and education as requestedMaintains appropriate communication with the Executive DirectorRemains updated and communicates state regulation changes to all associatesEnsures compliance with all state and federal regulations (i.e. OSHA)Participates in the risk management programsDemonstrates the ability to be innovative and creative and have patience, high energy andresourcefulness in problem solving
Assists as requested by the Executive Director in a dining room during resident meal times toensure residents have a positive experience
Must always be accessible either by phone or email. Voice messages and emails are responded towithin 24 hours
Participates in the Manager on Duty (MOD) rotationAbility to work evenings, weekends, and flexible hours when necessary to meet the needs of ourresidents
Follows Professional Dress Code policies as outlined in the employee handbook for communityand department-specific standards
Only when necessary, uses cell phone solely for conducting Orchard business in common areas ofthe community; otherwise follows Orchard Phone Policy.
Perform other related duties as assignedPhysical Requirements
Lifting More than 25 lbs, routinely
More than 50 lbs, occasionally
Transfer 150 lb. or greater resident weight
Sitting 1 - 3 hours / day
Standing 4 - 5 hour / day
Walking 2 - 4 hours / day
Bend, stoop, squat, and / or twist Repeatedly throughout day
Climbing stairs Repeatedly throughout day
Reaching 0.5 hour / day – arms shoulder level
Use of telephone 3 - 4 hours / day
Working under pressure 3 – 4 hours / day
Working rapidly for long periods 2 - 3 hours / day
Use of keyboard / computer, printer, fax, copier 4 – 5 hours / day
Position requires close work; finger dexterity; adequate hearing and vision (with or without
correction).
May occasionally work longer than 8 hours / day.
Cognitive or Mental Requirements
The following cognitive or mental requirements are necessary on a daily basis :
Critical thinkingReadingWritingMathematicsDrawing conclusions from written or computer-generated materialsAnalyzing data or report informationCreating methodologies for accomplishing a goalConducting researchImplementing recommendations by coordinating persons and / or other resourcesDeveloping plans, procedures, goals, strategies, or processesClear verbal articulation of the English languageWorking Environment
IndoorsPossible exposure to communicable diseasesSkin contact with solvents or other chemicals such as alcohol, acetone, detergents, bleach, andlatex gloves
Exposure to medical equipment with the risk of lacerations or puncturesThis job description is only a summary and is not designed to cover or contain a comprehensive listing
of activities, duties or responsibilities that are required by the employee. This document is subject to
change at any time.