Registered Nurse (Casual)

Position Summary
Reporting to the CARECORP Care Manager or Care Leader, and in collaboration with the multidisciplinary team, performs assessments, plans, implements, evaluates and provides personal and nursing care to residents, including medication administration. The Registered Nurse demonstrates knowledge of gerontology principles and practices in accordance with CRNBC practice standards, and according to organizational policies, procedures, and standards specific to the care site. Responsibilities include work direction by assigning and/or delegating tasks, demonstrates work routines, and oversees the orientation of new staff. The Registered Nurse participates in medical, departmental, and general staff meetings such as interdisciplinary care conferences. In all instances, acts as the best interests of the resident to ensure resident health and safety.
Responsibilities
• Assesses and monitors resident and family’s actual and potential strengths and limitations including physiological, psychological, socio-cultural, and spiritual needs. Where appropriate, encourages resident participation in activities of daily living. Establishes and maintains a therapeutic relationship with the resident and significant others through the use of interpersonal and interviewing techniques ensuring resident choice and autonomy in decision-making and care planning.
• Based on the assessments, contributes to the development and ongoing changes to the individualized plan of care, including attending and providing input into multidisciplinary care planning meeting and family conferences. Advocates in the interest of the resident and significant others.
• Administers oral, transdermal, intramuscular and subcutaneous medications including PRN medication in accordance with organizational and pharmaceutical policies and procedures.
• Supervises staff by performing duties such as scheduling and co-ordinating work assignments, evaluating performance and determining related training and orientation requirements. Assists care staff in the on-going assessment, formulation and implementation of care plans and evaluation of individual resident care, and ensures care is given as recommended.
• Provides regular nutrition via gastric tube for designated residents
• Performs nursing procedures and interventions and monitors and evaluates the effectiveness of the procedures and interventions. Procedures include head to toe assessments, airway management, nutrition management, catheterizations, applying and changing simple sterile and/or non-sterile dressings, colostomy care and irrigation, taking/recording blood pressures, administering suppositories and enemas, taking/recording temperature, pulse and respiration; records observations and reports problems and/or changes to designated nursing staff. Performs unit specific nursing procedures and interventions as required.
• Communicates the client’s condition and changes to the CARECORP Nurse manger where applicable.
• Provides personal care to patients including assisting the patient with bathing, dressing, care of skin and hair; changing beds; assisting with toilet needs; and overseeing patient exercise routines.
• Assists as necessary with meals by serving and feeding designated patients, maintaining intake and output records as required.
• Assists with admissions, discharges, and transfers of patients/residents/clients according to facility operating policies and procedures.
• Documents and updates all relevant information about care and procedures to achieve resident safety and comfort according to unit specific policy and procedure.
• Initiates referrals to appropriate health care, community agencies and discusses referral information with resident and/or family and the interdisciplinary team.
• Performs related clerical duties such as answering the telephone, making appointments, ordering supplies and initiating diagnostic requisitions.
• Schedules staff to cover sick calls as required.
• Assists in the orientation and sharing information with new staff, students, and other members of the multidisciplinary team.
• Participates and attends in-service and other educational programs as required to maintain current clinical competence and knowledge.
• Participates in continuous quality improvement and program evaluation activities, education sessions, team conferences, meetings and committees.
• Maintains a safe environment for resident, significant others and staff by adhering to established health and safety policies, standards and procedures including emergency procedures and infection control guidelines. Reports unsafe conditions and malfunctioning equipment and assists in accident investigation when applicable.
• Performs other related duties as assigned by the Care Manager.

Professional Expectations
• Personal care and socialization of residents in manner which meets the individual needs of each resident while valuing their respect and dignity;
• Stewardship of the residents’ property and facility property;
• Promote and maintain a harmonious, home-like environment;
• Encourage family (and friends) involvement in the lives of the resident;
• Commitment to providing high quality service;
• Commitment to team work;
• Commitment to continuous education;
• Maintenance and upgrading of immunizations;
• Expectation of knowledge and daily practice of the CARECORP Model of Care.

Key Relationships
• Works with the direction of the CARECORP Care Manager, Care Leader, or CareCorp management designate.
• Works collaboratively with other CARECORP RCA’s, LPN’s, Registered Nurses (RN’s) and other care site team members.
• Provides direct supervision to LPN’s.