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PLAN OF ACTIVITIES AND PERSONNEL ASSIGNMENT OF STAFF NURSE AND NURSING ASSISTANTS

Plans may include numerous activities:


1. Establish and make adjustments to nursing schedules to distribute required nursing skills on three shifts and
request changes in staffing on the basis of changing ward census, workload, and needs of patients.

2. Develop or assign and review the development and modification of plans which reflect up-to-date doctors
orders, a nursing evaluation of each patients needs and responses to medical and nursing care, and provide safe
nursing care.

3. Make rounds to ensure that patient care conforms to plans and doctors orders that safety, security, and
housekeeping practices and maintenance of charts and records conform to hospital policy.

4. Counsel the nursing staff on the assessment of the patients physical, emotional, social, and economic
circumstances and on individual nursing care decisions or referral for the patients well-being.

5. Serve as the principal unit liaison, coordinating and resource nurse-in-charge.

6. Make regular administrative and nursing rounds to evaluate the quality of nursing care.

7. Receive and assure executive of physicians orders.

8. Through consultation and briefing, promote effective communication with physicians, other disciplines, hospital
continuity of care nurses, and charge nurses of other shifts to ensure continuous, adequate treatment and care of
the patient within the hospital on all shifts and after release.

9. Maintain contact with other disciplines, agencies, and health facilities of the County for referral of the patient for
rehabilitative or other care, or for solution of economic and other non-nursing problems.

10. Counsel nursing staff who need aid or training in methods of evaluating aspects of patient care, such as, safety,
environment, and available patient and family knowledge and skills of planning care, or of instructing the family in
ways and means of providing medication, treatment, personal and bed care.

11. Interpret nursing philosophy, goals, hospital and nursing policies and procedures governing patient car,
security, safety, visiting conditions, supportive services and unit operation.

12. Maintain safety and control of conditions, patients, employees, and visitors in the unit.

13. Investigate incidents and review and prepare reports on incidents involving patients, employees, and visitors.
14. Investigate and answer queries from physicians, patients, and visitors about patient care.

15. Maintain an ongoing assessment of available and needed nursing skills.

16. Define areas where training is needed to nursing education staff, Staff Nurses III, and the Nurse Manager.

17. Instruct nursing personnel on the ward in contacts with individual workers.

18. Plan and conduct unit staff conferences for training or to solve patient care problems.

19. Assign nursing employees for in-service instruction and orientation.

20. Interview persons referred for employment and evaluate and recommend on their suitability for assignment to
the unit.

21. Prepare formal answers to and recommend the adjustment of grievances and disciplinary action.
22. Evaluate and review evaluations of employee performance.

23. Interpret personnel and other applicable administrative policies for employees on all shifts.

24. Improve methods and tools utilized in patient care.

25. Develop standardized nursing care plans appropriate to the categories of patients seen on the ward or unit.

26. Conduct methods improvement studies and implement new methods and approaches of providing care.

27. May be authorized to order the transfer of a patient who needs a specialized care from one facility to another.

28. May perform duties of Staff Nurses and other nursing personnel as an incident to duties described above.

PERSONNEL JOB QUALIFICATION

A combination of experience, education, and/or training which substantially demonstrates the following
knowledge, skills and abilities:

Thorough knowledge of:

1. The various roles and responsibilities of nursing team members.


2. Basic supervision.
3. Nursing techniques and procedures used in the care of patients treated in the unit.
4. Facility policies and procedures.

Skill and Ability to:

1. Supervise the actions and activities of Staff Nurse I, Staff Nurse II, Staff Nurse III, Licensed Vocational Nurse,
Nursing Assistant, and Medical Unit Clerk.
2. Demonstrate competency in all patient care skills specific to patients treated in the unit.
3. Communicate effectively and with diplomacy and tact.
4. Interact with physicians, nursing staff, ancillary staff, patients, and the public to resolve issues of concern and
promote effective delivery of patient care.

REQUIRED CONDITIONS OF EMPLOYMENT

As a condition of employment, the incumbent will be required to:

Education:

Must possess a Bachelor of Science in Nursing from an accredited college or university.

Experience:

Must possess a minimum of three years experience as a registered nurse in the specific area of patient care
relevant to this assignment. Must have at least two years of clinical experience in which one year of experience.

License and Certificates:

A license to practice as a Registered Nurse issued by the Philippines Board of Nursing Education and Nurse
Registration.
JOB DESCRIPTION/ FUNCTIONS/ ACTIVITIES

Job Title: Supervising Nurse Case Manager


FLSA Status: Exempt
Accountable To: Director of Clinical Services
Summary: Responsible for providing clinical supervision to the Nurse Case Managers, including training and
performance reviews. In addition, this position will carry a partial case load and coordinate initial and ongoing
client assessments; develop, implement and evaluate a service plan for each client; coordinate the provision of
home care and other services; monitor the cost effectiveness of services and document the provision of
services in accordance with funders and legal requirements. Case management activities incorporate a
collaborative, interdisciplinary team approach.
Competency: To perform the job successfully, the individual must be able to perform each essential function
satisfactorily.
Qualifications/Education
Must be licensed as a Registered Nurse by the Philippines and have either two years experience in community
nursing or one year experience in community nursing and one year of clinical nursing experience. One year of
experience in supervising registered nurses is strongly preferred.
Language Ability: Must have the ability to communicate effectively in Filipino and English languages. Must
have the ability to give and receive information clearly.
Reasoning Ability: Must have the ability to apply common sense in carrying out instructions
Must demonstrate ability for independent judgment and decision making.
Computer Skills: Must have basic knowledge of word processing software and the Outlook Program.
Supervisory Responsibility: Directly supervises all registered nurses. Supervises case management assistants
working within the nursing department.

Certificates & Licenses: Registered Nurse in the Philippines

Work Environment: The work environment characteristics are representative of those an employee encounters
while performing the essential functions of the job. Reasonable accommodations may be made to enable
individuals with disabilities or special needs to perform these essential functions.

Physical Demands: The physical demands are representative of those that must be met by an employee to
successfully perform the essential functions of the job. There is no heavy lifting, moving or other physical
demands.

Salary & Benefits


Salary commensurate with qualifications and experience. Benefits are as provided in the personnel manual for
AIDS Services Foundation.

POSITION TITLE: Staff Nurse


SUPERVISOR: Director of Nursing
POSITION OBJECTIVES
The primary purpose of your job position is to provide direct nursing care to the residents, and to
supervise the day-to- day nursing activities performed by nursing assistants. Such supervision must be in
accordance with current federal, state, and local standards, guidelines, and regulations that govern our facility, and
as may be required by the Director or Nurse Manager to ensure that the highest degree of quality care is
maintained at all times.
PERSONAL QUALIFICATIONS
EDUCATION: Must be, as a minimum, a graduate of an approved LPN/RN Program.
EXPERIENCE: Must have at least six months of clinical experience in which one year of experience.
SPECIFIC REQUIREMENTS: Must possess a current, unencumbered license to practice as a RN or LPN in this
state.
Must be able to read, write, speak, and understand the English language.
Must possess the ability to make independent decisions when circumstances warrant such action.
Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government
agencies/personnel, and the general public.
Must be a minimum of twenty (20) years of age.
Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and
guidelines that pertain to long-term care.
Must possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives,
policies, and procedures, etc., that are necessary for providing quality care.
Must have patience, tact, a cheerful disposition and enthusiasm, as well as the willingness to handle difficult
residents.
Must be willing to seek out new methods and principles and be willing to incorporate them into existing
nursing practices.
Must be able to relate information concerning a resident's condition.
DELEGATION OF AUTHORITY: As Staff Nurse you are delegated the administrative authority, responsibility,
and accountability necessary for carrying out your assigned duties.
MAJOR DUTIES AND RESPONSIBILITIES

ADMINISTRATIVE FUNCTIONS:

Direct the day-to-day functions of the nursing assistants in accordance with current rules, regulations, and
guidelines that govern the long-term care facility.
Ensure that the written policies and procedures that govern the day-to-day functions of the nursing service
department are followed by all nursing personnel assigned to you.
Ensure that the Nursing Service Procedure Manual is followed in rendering nursing care.
Cooperate with other resident services when coordinating nursing services to ensure that the resident's total
regimen of care is maintained.
Ensure that all nursing service personnel are following their respective job description.
Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., as
necessary.
Participate in the development, maintenance and implementation of the facility's quality assurance program for
the nursing service department.
Assist in planning the nursing services portion of the resident's discharge plan as necessary.
Participate in surveys (inspections) made by authorized government agencies.
Make written and oral reports/recommendations concerning the activities of your shift as required.
Periodically review the department's policies, procedure manuals, job descriptions, etc.
Make recommendations for revisions.
Meet with your assigned nursing staff, as well as support personnel, in planning the shifts services, programs, and
activities.
Interpret the department's policies and procedures to personnel, residents, visitors, and government agencies as
required.
Admit, transfer, and discharge residents as required.
Complete accident/incident reports as necessary.

CHARTING AND DOCUMENTATION:

Fill out and complete accident/incident reports. Submit as required.


Chart all accidents/incidents involving the resident. Follow established procedures.
Chart nurses' notes in an informative and descriptive manner that reflects the care provided to the residents, as
well as the resident's response to the care.
Complete and file required recordkeeping forms/charts upon the resident's admission, transfer, and/or
discharge.
Receive telephone orders from physicians and record on the Physicians' Order Form.
Record new/changed diet orders. Forward information to the Dietary Department.
Transcribe physician's orders to resident charts, cardex, medication cards, treatment/care plans, as required.
Report all discrepancies noted concerning physician's orders, diet change, charting error, etc., to the Nurse
Manager.
Perform routine charting duties as required and in accordance with our established Charting and Documentation
Policies and Procedures.
Sign and date all entries made in the resident's medical record.

DRUG ADMINISTRATION FUNCTIONS:

Prepare and administer medications as ordered by the physician.


Assure that prescribed medication for one resident is not administered to another.
Verify the identity of the resident before administering the medication/treatment.
Order prescribed medications, supplies, and equipment as necessary, and in accordance with our established
policies.
Ensure that an adequate supply of floor stock medications, supplies, and equipment are on hand to meet the
nursing needs of the residents. Report needs to the Nurse Manager.
Ensure that narcotic records are accurate for your shift.
Dispose of drugs and narcotics as required, and in accordance with our established procedures.
Review medication cards for completeness of information, accuracy in the transcription of the physician's order,
and adherence to stop order policies.
Notify the Nurse Manager of all drug and narcotic discrepancies noted on you shift.

PERSONNEL FUNCTIONS:

Inform the Nurse Manager of staffing needs when assigned personnel fail to report to work.
Develop work assignments, and/or assist in completing and performing such tasks.
Make daily rounds of your unit to ensure that nursing service personnel are performing their work assignments
in accordance with acceptable nursing standards. Report problem areas to the Nurse Manager.
Review complaints and grievances made or filed by your assigned personnel. Make appropriate reports to the
Nurse Manager as required or as may be necessary.
Ensure that disciplinary action is administered fairly and without regard to race, color, creed, national origin, age,
sex, religion, handicap, or marital status.
Develop and maintain a good working rapport with inter- departmental personnel, as well as other departments
within the facility to assure that nursing services and activities can be adequately maintained to meet the needs of
the residents.
Assure that department personnel, residents, and visitors follow the departments established policies and
procedures at all times.
Create and maintain an atmosphere of warmth, personal interest, and positive emphasis,
as well as a calm environment throughout the unit and shift.
Meet with your shift's nursing personnel, on a regularly scheduled basis, to assist in identifying and correcting
problem areas, and/or the improvement of services.
Review and evaluate your department's work force and make recommendations to the Nurse Manager.
Participate in determining your shifts staffing requirements, employee performance evaluations, and making
recommendations to the Nurse Manager concerning employee dismissals, transfers, etc.
Give/receive the nursing report upon reporting in and ending shift duty hours.
Provide leadership to nursing personnel assigned to your unit/shift.

NURSING CARE FUNCTIONS:

Inform nursing personnel of new admissions, their expected time of arrival, room assignment, etc.
Ensure that rooms are ready for new admissions.
Greet newly admitted residents upon admission. Escort to room as necessary.
Make rounds with physicians as necessary.
Implement and maintain established nursing objectives and standards.
Cooperate with and coordinate social and activity programs with nursing service schedules.
Make independent decisions concerning nursing care.
Notify the Nurse Manager when a resident is involved in an accident or incident.
Make periodic checks to assure that prescribed treatments are being properly administered by nursing assistants
and to evaluate the resident's physical and emotional status.
Administer professional services such as; catheterization, tube feedings, suction, applying and changing
dressings/bandages, packs, colostomy, and drainage bags, taking blood, giving massages, and range of motion
exercises, care of the dead/dying, etc., as required.
Participate in the orientation of new resident/family members to the facility.
Meet with residents, and/or family members, as necessary. Report problem areas to the Nurse Manager.
Admit, transfer, and discharge residents as necessary.
Review the resident's chart for specific treatments, medication orders, diets, etc., as necessary.
Carry out restorative and rehabilitative programs, to include self-help and care.
Check foods brought into the facility by the resident's family/visitors to assure that it is within the resident's
dietary allowances. Report problem areas to the Nurse Manager and Director of Food Service.
Inspect the nursing service treatment areas daily to ensure that they are maintained in a clean and safe manner.
Consult with the resident's attending physician in providing the resident's care, treatment, rehabilitation, etc., as
necessary.
Notify the resident's attending physician and next-of-kin when there is a change in the resident's condition.
Work with the facility's consultants and implement those changes authorized by the Nurse Manager.
Call funeral homes when requested by the family. Ensure that established postmortem procedures are followed.
Use restraints when necessary and in accordance with our facilities policies and procedures.
Make independent decisions concerning nursing care.
Obtain sputum, urine, another lab tests as ordered.
Take and record TPRs, blood pressures, etc., as necessary.
Monitor seriously ill residents as necessary.
Inform family members of the death of resident as necessary.

STAFF DEVELOPMENT:

Participate in the development, planning, conducting, and scheduling of in service training classes that provides
instructions on "how to do the job", and ensures a well educated nursing services department.
Implement, and maintain an effective orientation program that orients the new employee to your shift, its
policies and procedures, and to his/her job position and duties.
Assist in standardizing the methods in which work will be accomplished.
Attend and participate in continuing educational programs designed to keep you abreast of changes in your
profession, as well as to maintain your license on a current status.

SAFETY AND SANITATION:

Monitor your assigned personnel to assure that they are following established safety regulations in the use of
equipment and supplies.
Ensure that your assigned work areas (i.e., nurses' stations, medicine preparation rooms, etc.) are maintained in a
clean and sanitary manner.
Ensure that your unit's resident care rooms, treatment areas, etc., are maintained in a clean, safe, and sanitary
manner.
Ensure that your assigned nursing personnel follow established departmental policies and procedures, including
dress codes.
Ensure that your assigned personnel participate in and conduct all fire safety and disaster preparedness drills in
a safe and professional manner.
Participate in the development, implementation, and maintenance of the infection control program for
monitoring communicable and/or infectious diseases among the residents and personnel.
Ensure that your assigned personnel follow established infection control procedures when isolation precautions
become necessary.
Participate in the development, implementation, and maintenance of the procedures for reporting hazardous
conditions or equipment.
Ensure that your assigned personnel follow established hand washing techniques in the administering of nursing
care procedures.

EQUIPMENT AND SUPPLIES:

Recommend to the Nurse Manager the equipment and supply needs of your unit.
Assure that a stock level of medications, medical supplies, equipment, etc., is maintained on your unit at all times
to adequately meet the needs of the resident.
Participate in the development and implementation of the procedures for the safe operation of all nursing service
equipment.
Ensure that only trained and authorized personnel operate your unit's equipment.
Ensure that all personnel operate nursing service equipment in a safe manner.
Monitor nursing procedures to ensure that nursing service supplies are used in an efficient manner to avoid
waste.
CARE PLAN AND ASSESSMENT FUNCTIONS:

Review care plans daily to ensure that appropriate care is being rendered.
Change in condition is made on the care plan.
Ensure that your nurses' notes reflect that the care plan is being followed.
Review resident care plans for appropriate resident goals, problems, approaches, and revisions based on nursing
needs.
Ensure that your assigned nursing assistants are aware of the resident care plans and that they are used in
administering daily care to the residents.

RESIDENT RIGHTS:

Maintain the confidentiality of all residents care information.


Monitor nursing care to assure that all residents are treated fairly, and with kindness, dignity, and respect.
Ensure that all nursing care is provided in privacy and that nursing service personnel knock before entering the
resident's room.
Ensure that all nursing service personnel are knowledgeable of the residents' rights and responsibilities.
Review complaints and grievances made by the resident and make a written/oral report to the Nurse Manager
indicating what action(s) were taken to resolve the complaint or grievance.
Make written record of the resident's complaints and/or grievances that indicates the action taken to resolve the
complaint and the current status of the complaint.

MISCELLANEOUS:

Assist in training department personnel in identifying tasks that involve potential exposure to blood/body fluids.
Assist the Director in planning clinical supervision for nurse aides in training.
Provide data to the Quality Assurance & Assessment Committee as requested.
Assure that nursing personnel follow established procedures in the use and disposal of personal protective
equipment.

WORKING CONDITIONS:

Works in office area(s) as well as throughout the nursing service area (i.e., drug rooms, nurses' stations, resident
rooms, etc.).
Sits, stands, bends, lifts, and moves intermittently during working hours.
Is subject to frequent interruptions.
Is involved with residents, personnel, visitors, government agencies/personnel etc., under all conditions and
circumstances.
Is subject to hostile and emotionally upset residents, family members, personnel, and visitors,
Communicates with the medical staff, nursing personnel, and other department supervisors.
Works beyond normal working hours, and in other positions temporarily, when necessary.
Attends and participates in continuing educational programs.
Is subject to falls, burns from equipment, odors, etc., throughout the workday.
Is subject to exposure to infectious waste, diseases, conditions, etc., including the AIDS and Hepatitis B viruses.
Maintains a liaison with the residents, their families, support departments, etc., to adequately plan for the
resident's needs.

PHYSICAL AND SENSORY REQUIREMENTS:

(With or Without the Aid of Mechanical Devices)


Must be able to move intermittently throughout the day.
Must be able to speak and write the English language in an understandable manner.
Must be able to cope with the mental and emotional stress of the position.
Must be able to see and hear or use prosthetics that will enable these senses to function adequately to assure that
the requirements of this position can be fully met.
Must function independently and have flexibility, personal integrity, and the ability to work effectively with
residents, personnel, and support agencies.
Must be in good general health and demonstrate emotional stability.
Must be able to relate to and work with the ill, disabled, elderly, emotionally upset, and at times, hostile people
within the facility.
Must be able to lift, push, and move a minimum of 50 pounds.
Must be able to assist in the evacuation of residents.

WORKING HOURS:

AM Shift - 7:00 am to 3:00 pm


PM Shift - 3:00 pm to 11:00 pm
NOC Shift - 11:00 pm to 7:00 am

Positions include every other weekend and holiday along with guaranteed hours.

1. This job description is not intended to be all-inclusive. The employee will also perform other reasonably related
business duties as assigned by the Director.
2. Management reserves the right to change job responsibilities, duties, and hours as needs prevail. This document
is for management communications only and not intended to imply a written or implied contract of employment. I
have read this job description and fully understand the requirements set forth therein. I hereby accept the position
of Staff Nurse and agree to abide by the requirements set forth and will perform all duties and responsibilities to
the best of my ability. I understand that as a result of my employment, I may be exposed to the AIDS and Hepatitis
B viruses and that the facility will make available to me, free of charge, the hepatitis B vaccine.

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