JOB SUMMARY

Assists RAI Director in conducting and coordinating the development and completion of the patient assessment in accordance with the requirements of this state and the guidelines and goals of this organization.

ESSENTIAL SKILL/KNOWLEDGE FUNCTIONS

• Facilitates communication between nursing center departments and patient/family members to provide an effective assessment/care plan process.
• Establishes open lines of communication with consultants.
• Has effective interviewing skills for the purpose of collecting information from patients, families and staff members.
• Assists Director with patient or family interviews for assessment purposes.
• Assists Director with evaluation of each patients condition and medical data to determine special needs, or the need to amend the admission assessment.
• Has a comprehensive understanding of nursing resource material and understands how to incorporate such information into care plans [i.e., nursing journal articles that relate to specific patient care topics (bowel and bladder retraining, restraint assessment and use, fall assessments, skin assessments, etc.)].
• Establishes open lines of communication with interdisciplinary team members in order to provide a comprehensive and holistic patient care plan.
• Maintains schedule as assessment/care plan meetings. Coordinates schedule with nursing center staff and others (family, therapists, etc.) to provide for appropriate participation.
• Helps to provide that care is provided in accordance with patients wishes.
• Assists Director with coordinating the development of a care plan (preliminary and comprehensive) for each patient that identifies problems/needs, appropriate interventions and measurable goals.
• Helps to provide that patient assessment and care plans are completed in a timeframe that is in accordance with current regulations.
• Assists Director with facilitation of education to inform associates of the patients care plan and review care plan prior to administering care.
• Coordinates the review of each assessment/care plan for accuracy including timeliness, appropriate signatures, dates, etc.
• Helps to provide that each assessment is signed and dated to certify its completion.
• Monitors the MDS process for accuracy according to the MDS guidelines and other accepted standards.
• Assists Director in education of the interdisciplinary team and other staff members as needed in the MDS process.
• Assists Director with physical assessment of patient to provide accurate MDS process as requested.
• May be requested to assist with nursing service educational programs in reference to patient assessment and care.
• May be requested to assist with meeting all shifts for the purposes or planning, coordinating and implementing patient care.
• Assists in compliance with Federal, State and local regulations in relation to scheduling, performing and implementing patient care plans.
• May be required to assist with management reports and participate in special assignments.
• Complies with specific time limitations in terms of assistance given to Director in scheduling and planning patient care.

ESSENTIAL ADMINISTRATIVE FUNCTIONS

• Participates in Nursing Center surveys (Licensure/JCAHO) and any subsequently required reports.
• Attends and participates in continuing educational programs to keep abreast on changes in your field as well as to maintain current licensure/certification, as required.
• Attends and participates in mandatory in-services.
• Honors patients rights to fair and equitable treatment, self-administration, individuality, privacy, property and civil rights, including the right to wage complaints.
• Complies with Corporate Compliance Program.
• Reports job-related functions/tasks that involve occupational hazards including exposure to blood and body fluids and others as necessary.
• Follows established safety procedures when performing job tasks and/or working with equipment.
• Follows established safety regulations, to include fire protection/prevention, smoking regulations, infection control, etc.
• Performs other related duties as necessary and as directed by supervisors.
• Complies with all Privacy & Security programs.

ESSENTIAL GENERAL FUNCTIONS

• Attendance
• Punctuality
• Professional Performance
• Communicates well with patients and family members providing warm and friendly greeting and an approachable attitude to family/visitors/patients and responds to expressed concerns while displaying a helpful, caring demeanor, answers questions when appropriate in a professional manner.

EDUCATION REQUIREMENTS

An LPN nursing degree from an accredited college or university as evidenced by primary source of verification required.

LICENSURE/CERTIFICATION

Current LPN License in the State of Georgia required as verified by primary source of verification. American Heart Association BLS CPR required.

OTHER TRAINING, SKILLS, AND EXPERIENCE REQUIREMENTS

Should have medical assistant training or on-the-job experience. On-the-job training provided in MDS coding and data entry.

PRIMARY ACTIVITY REQUIREMENTS

Primary Physical Requirements:

• Lift up to 10 lbs.: Frequently required when lifting charts weighing approximately 5 to 10 pounds.
• Lift 11 to 25 lbs.: Constantly.
• Lift 26 to 40 lbs.: Constantly.
• Lift over 40 lbs.: Occasionally.
• Carry up to 10 lbs.: Occasionally may be required to carry medical charts from one location in facility to another (50 to 100 Feet). If carrying more than one chart, can implement the use of a cart.
• Carry 11 to 25 lbs.: Not required.
• Carry 26 to 40 lbs.: Not required.
• Carry over 40 lbs.: Not required.
• Reach above shoulder height: 4 feet
• Reach at shoulder height: Constantly required while documenting charts.
• Reach below shoulder height: Frequently may be required when reaching for clerical supplies or charting information in drawers.
• Push/Pull: 20 feet.

Hand Manipulation:

• Grasping: Constantly during course of day while documenting medical files.
• Handling: Frequently handling paperwork and occasionally various diagnostic tools.
• Torquing: Occasionally required.
• Fingering: Occasionally may be required for using computer and telephone.
• Controls & Equipment: Use of a computer.

Other Physical Considerations:

• Twisting: Not required.
• Bending: Occasionally may occur.
• Crawling: Not required.
• Squatting: Occasionally required.
• Kneeling: Not required.
• Crouching: Not required.
• Climbing: Occasionally required.
• Balancing: Not required.

During an 8-hour day, Associate is required to:

Consecutive Hours Total Hours

Sit 2 6

Stand 2 2

Walk 2 2

Work Surface: Associate may be required to stand on carpeting, linoleum or be seated at a standard desk at the nurses station using an office chair.

Cognitive and Sensory Requirements:

• Talking: Necessary for communicating with others.
• Hearing: Necessary for obtaining information from physicians, department heads, and patients.
• Sight: Necessary for doing job correctly and effectively.
• Tasting & Smelling: Smelling is required for accurate maintenance and detection of wounds, urinary tract problems, etc.

EQUIPMENT USED

Computer, various medical equipment, instruments and machines.

SUMMARY OF OCCUPATIONAL EXPOSURES

Tasks assigned to this position may involve potential and/or direct exposure to blood, body fluids, infectious disease, air contaminants and hazardous chemicals. May be subject to hostile and emotionally upset patients, family members, associates and visitors.

Drug-Free Workplace