Position Summary:

The RN utilizes an interpersonal process that uniquely focuses on the total individual and his/her role in their family, culture and society. The RN utilizes the nursing process, which includes assessment, diagnosis, planning, implementation and evaluation. The RN fulfils resident advocacy role; by ensuring the resident and/or their representative has adequate information to make health decision; by coordinating total care; and by working with the resident achieve or maintain their highest practicable level of function. The RN is guided by the substantial specialized knowledge of nursing based on the physiological and psychological sciences. The RN ensures that the quality of resident care meets legal and professional standards and also acts as a role model to other members of the health care team. Core Values: This position requires the full understanding and active participation in fulfilling the Mission, Vision and Values of HRH.  It is excepted that the associate will demonstrate behaviour consistent with the Core Values- The associates shall support the HRH goals and direction of the quality improvement process.   Appropriate Factors for this position:  Standing, walking, sitting, pushing (100+), pulling (100+), lifting, carrying, stooping, kneeling, crouching, reaching, filing, typing, xeroxing, talking, Hearing, colour vision.  Physical Demands: Lifting objects over 100 lbs. w/frequent lifting/carrying up to 50 lbs.

Duties & Responsibilities:

Completes holistic, age-specific admission history, physical assessment and nursing plan of care on all assigned residents in an ongoing manner to monitor for deviations.
Analyses and incorporates clinical data (i.e. lab, x-ray, and all diagnostics) to formulate an individualized plan of care. Identifies and documents residents at a risk for nutritional and functional status.
Identifies and reports signs/symptoms of neglect/abuse related to child, domestic or elder abuse.
 

Planning:

Sets priorities for and reviews daily plan of care, in collaboration with resident/family/significant other and other healthcare disciplines. Delegation to team members is based on resident needs, continuity of care, staff and knowledge.
Communicates with physician to ensure coordination of medical and nursing plan of care.
 

Implementation:

Demonstrates competence in performing technical skills.
Proactively recognizes and demonstrates ability to manage urgent/emergent resident care situations.
Demonstrates knowledge and technical competence in preparation and administrations of medications and IV's per scope of practice and hospital policy.
 

Evaluation:

Documents nursing interventions, residents' response to care, and resident outcomes.
Evaluates data to revise the plan of care to meet the changing needs of the resident.
Evaluates response to interventions against expected norms for age and development. 
 

Patient Education/Continuum of Care:

Identifies and documents resident/family learning needs and provides education, based on assessment in collaboration and coordination with resident, family and interdisciplinary team members.
Identifies and documents discharge planning needs.
Coordinates or delegates discharge activities i.e. completes or validates transfer/discharge documents, instructions related to medications, activity, wound care and follow-up appointments.
Documents resident/family response to education.
Maintains working knowledge of CMS regulations so that documentation supports and reflects compliance.
Maintains working knowledge of Medicare skilled and MDS criteria so that documentation supports the need for care as well as reflects resident status.
Incorporates resident needs and preferences into organized, efficient delivery of care by a team assigned for daily cares and delegates tasks appropriately. Supervises, coaches, counsels, and evaluates performance of assigned C.N.A. staff.