Alden Lincoln Park Rehabilitation and Health Care Center -
JOB SUMMARY
- The ADON Restorative Nurse is an experienced Registered Nurse who ensures a current care plan and MDS for all residents and that all documents pertaining to plan of care are consistent and oversees the nursing staff and interdisciplinary team to ensure that all supporting assessments are completed in accordance with current Federal, State, and local standards, guidelines and regulations, facility policies and as may be directed by the Administrator.
- Responsible for the development, implementation, monitoring and supervision of the restorative nursing program for the facility. Acts as the liaison between formalized therapy and nursing. Promotes a restorative nursing philosophy among all facility departments and work closely with the Ladies and Gentlemen of Alden to ensure the restorative plan of care is being followed thereby, promoting customers to their highest level of function.
ESSENTIAL FUNCTIONS
- Reviews the departments policy and procedures, Job Descriptions, etc. at least annually for revisions and make recommendations to the Administrator.
- Oversee Restorative Program, ensuring that Restorative Assessments are completed
- Follows established departmental policies and procedures.
- Maintains an active, current copy of the RAI manual either electronically or in hard copy format.
- Utilizes RAI manual information for accurate and complete coding of all MDS information that is attached to his/her unique login and password within the MDS software system
- Maintains the integrity of his/her individual employee login/password for all computer software programs assigned to the user.
- Oversees the scheduling, completion, and accuracy of all MDS item sets in accordance with the RAI manual.
- Coordinates the development of a written plan of care for each resident that identifies the problems/needs/concerns for the resident. Checks for adequate description of problems, resident centered goals, which are realistic and measurable and multi-disciplinary approaches to goals in accordance with the timeframes specified by the RAI manual.
- Chairs resident care plan conference and relays all concerns from resident and/or family/responsible party to the Administrator.
- Oversees that residents/ families/responsible parties are contacted in relation to participation in care plan conferences per RAI guidelines.
- Plans, conducts, and participates in In-service Education Program as it pertains to the RAI process for all departments that have supporting documentation assignments.
- Coordinates an effective orientation program that orients the new employee to the RAI process and data entry within the employees orientation/probation period. Provides written evidence of RAI training to business office for maintenance of employee files upon completion of training.
- Attends and participates in continuing education programs.
- Monitors residents medical record, including MDS, Cardex, Care Plans, progress notes, Physician Order Sheets, Flow records, monthly nursing summaries, IDT notes/assessments, etc. for consistency and content. Addresses discrepancies in documentation which are not consistent and/or do not meet program standards to appropriate department manager and Administrator and monitor the nursing staff and team for ongoing compliance with assessment and documentation needs in accordance with all policy and procedures.
- Maintains all relevant logs, meeting minutes and listings pertaining to CMI, Medicare, as directed or as indicated in policy, procedure, or protocols.
- Monitors the nursing staff for effective implementation of the plan of care that is developed by the IDT on assigned floors or units of responsibility including the monitoring of the delivery of hands on care.
- Maintains ICD-9 codes for current diagnosis.
- Reports IT concerns to help desk timely, including hardware and software concerns, system outages, etc...
- Participates in the development, maintenance, and implementation of the facilitys Quality Assurance/Performance Improvement program.
- Attends relevant meetings as directed by the Administrator.
- Performs other related duties as assigned.
QUALIFICATIONS:
- Must possess a current, unencumbered license to practice as an RN, in the state of Illinois.
- Must be restorative certified by an accredited school or recognized accrediting agency.
- Must possess current CPR certification or become certified within two weeks of employment.
- Must be able to read, write and speak the English language in an understandable manner.
- Plan, develop, organize, implement, evaluate, and direct restorative care services, as well as its programs and activities, in accordance with current rules, regulations, and guidelines that govern nursing care facilities.
- Maintains a current list of customers participating in a restorative program on each unit. For each unit, these lists will be specific as to ambulation, ROM, ADL, assistive feeding devices, splints, hand cones/contracture care, bladder retraining, falling star or other restorative program details.
- Sets up documentation flow sheets/and or electronic medical record system for daily documentation of restorative nursing measures for each customer on the program.
- Makes a quarterly progress note. Ensures all restorative care notes are informative and descriptive of the treatment provided and of the customers response to the care.
- Oversees all restorative nursing measures are reflected on the care plan as an approach to the problem or need for which they are being done.
- Oversees that customers get formalized therapy, as indicated, and that the necessary assistive feeding and/or ADL devices are obtained as recommended.
- Works with Nursing and Dietary to see that these assistive devices are consistently available and that they are addressed on the care plan.
- Works closely with Therapy department. Sees that specific recommendations, when discharged from therapy are carried through.
- Performs or oversees functional assessments on admission and quarterly as indicated. Consults with nurses in making recommendations for restorative plan of care. Works with nurses in developing restorative plan of care.
- Oversees customer ADL performance on the units.
- Oversees C.N.A.s documentation on ADLs (ensuring compliance and accuracy).
- Oversees incontinent management programs.
- Attends care planning conferences and makes recommendations.
- Completes sections of MDS and the Care Area Assessment (CAA) Summary as indicated. Reports on progress of restorative nursing measures.
- Keeps track of accomplishments (number of customers on bladder retraining/ month, number of customers increased function, etc.) in a formalized, simple report each quarter.
- Works with the Ladies and Gentlemen of Alden in developing tools appropriate to perform QI audits. Participates in QI audits for restorative nursing. Reviews monthly and quarterly quality indicator/measure lists and utilizes this information to problem solve.
- Develops and implements innovative and creative ways to keep staff. Focused and enthused about restorative nursing.
- Sees that equipment and supplies are available and that they are in good working order.
- Problem solves with the Ladies and Gentlemen of Alden in regards to issues in providing restorative nursing care.
- The restorative nurse assures quality care, customers rights, dignity, abuse prohibition and customer service is focused on daily.
- Actively participates or oversees physical restraint reduction programs and fall management programs.
- Orient /educate new Ladies and Gentlemen of Alden relative to roles, responsibilities, principles, and practices of restorative nursing
- All other duties as assigned.
PHYSICAL REQUIREMENTS:
- Must be able to move intermittently throughout the workday.
- Must be able to cope with mental and emotional stress of the position.
- Must function independently, have flexibility, person integrity, and the ability to work effectively with the customer, family members, personnel, and support agencies.
- Must be in good 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
- Must be able to lift, push, pull and move equipment, supplies, customer in excess of 50 pounds throughout the day.
- Is subject to exposure to infectious waste, diseases, conditions, etc., including exposure to the (HIV) AIDS and Hepatitis B viruses.