RN/LPN Shift Supervisor

Reports to: Director of Resident Care

QUALIFICATION STANDARDS:

1. Knowledge, Skills and Abilities:  Requires the professional knowledge, skills necessary to plan, organize, develop and direct the overall operation of the Resident Care Department in accordance with current state and local standards to ensure that the highest degree of quality care is maintained at all times.
   
   Knowledge of the professional nursing theory and practice to give and evaluate patient care.  Knowledge of organizational policies, regulations and procedures to administer resident care.  Knowledge of medical equipment and instruments to administer resident care.  Knowledge of common safety hazards and precautions to establish a safe work environment.  Skill in applying and modifying the principles, methods and techniques of professional nursing to provide on-going resident care.  Skill in preparing and maintaining department quality assurance.  Skill in establishing and maintaining effective working relationships with residents, medical staff and the public.  Ability to maintain quality control standards.  Ability to react calmly and effectively in emergency situations.  Ability to interpret, adapt and apply guidelines and procedures.  Ability to communicate clearly (both verbally and writing) in English.
2. Education:  Graduate of an accredited school of nursing.
3. Experience:  Prefer prior administrative experience in the long-term care industry.
4. Certificate/Licenses:  (1) Current licensure in the state employed (2) CPR certification and (3) driver’s license preferred.

EQUIPMENT TO OPERATE TO PERFORM ESSENTIAL FUNCTIONS:

1. Copier
2. Telephone
3. CPR mask/ambu bag
4. Emergency oxygen equipment
5. Medication equipment (i.e., syringes, vials, etc.)
6. Thermometer
7. Sphygmomanometer

RESPONSIBILITIES:  The Supervisor is responsible for performing direct resident care and resident related activities as assigned by the Resident Care Director.  The Supervisor is further responsible for supervising and directing nursing assistants and other RN’s and LPN’s in the performance of their duties according to physicians’ orders and established policies and procedures.  Responsible for overall facility operation as deleted by and in the absence of the Administrator or Resident Care Director.

ESSENTIAL JOB FUNCTIONS:  The employee must be able to perform these essential functions with or without a reasonable accommodation by the employer, without posing a direct threat to himself/herself or to others.  (This list may not include all of the duties.)

1. Demonstrates effective management/leadership skills in the area of primary responsibility and in all facility activities

• Interacts with all residents, families, visitors, employees and administrative team in a mature, responsible manner to ensure a positive and professional living and working environment.
• Available to resident families and responsible parties to give key information, changes in resident’s status.  Receive input from families regarding the resident’s overall plan of care.  Values family concerns as the utmost priority.
• Displays ability to appropriately express one’s own opinion and ideas relating to daily resident operations and to responsibilities assigned.  Supports senior management’s decisions.
• Conducts all work activities in resident areas with respect for the rights and wishes of residents, other employees and visitors, including the maintenance of a pleasant, quiet environment.
• Consistently remains calm during stressful situations and vents emotions and frustrations appropriately.  Act as a role model to others by anticipating and diffusing negative, volatile situations.
• Maintains confidentiality of all resident, staff and business-related information as required by facility policy.  Intervenes in situations to maintain confidentiality.  Discourages gossip.
• Demonstrates complete understanding of emergency procedures and acts to insure that others follow procedures.  Makes and implements suggestions for improvement.  Uses independent judgment when an emergency necessitates an adjustment in plan of care.
• Practices infection control and universal standards as instructed and trained.
• Incurs no more than three (3) episodes of unscheduled absences in a review year as noted in the attendance record.  Incurs no more than three (3) episodes of unscheduled tardiness in a review year as noted in the attendance record.      Follows all duties included in RN/LPN Job Description.
• Requests scheduled time off and notification of unscheduled absences or tardiness are in accordance with department procedures.
• Collaborates with other departments as needed.  Serves as a role model for interpersonal relationships.
• Attends 75% of unit based staff meetings and demonstrates review of minutes for others.
• Monitors ancillary changes.

2. Supervises the resident care staff and support staff in order to provide quality services by a satisfied staff in a cost-effective manner

• Supervises all resident care department employees and effectively communicates both individual and departmental expectations.  Monitors quality and quantity of work, insures that break times and time clock procedures are followed, and nursing standards, policies and procedures are met.  Independently resolves problems with established P & P’s and break times as need arises on his/her shift.
• Insures that adequate staffing is present to provide quality care and services to resident.  Replaces employees who call-off, as needed, giving consideration to resident census.
• Appropriately grants employees time off and to leave early or arrive late.
• Completes in detail and with accurate judgment employees he/she supervises, evaluation forms and recommends to continue or not to continue employment.
• Disciplines employees by completing appropriate disciplinary forms and submitting to Department Head for review prior to filing in employee’s personnel file.
• Appropriately suspends, relieves from work or sends home without pay any employee for serious misconduct such as intoxication, patient abuse or failure to carry out work assignment.
• Trains and develops Resident Care Department staff and provides department specific orientation to all new employees.
• Insures ongoing education training and documentation as required by the Department of Welfare and to meet the resident’s needs.  Conducts in-service programs to Nursing Department staff as directed by the Resident Care Director.
• Knows and follows the rules and regulations for Assisted Living Facilities as set by the Department of Welfare as they apply to the Nursing Department.  Supervises all staff to insure that they understand and comply with the standards, and there are no complaints to or deficiencies from the Department of Welfare.
• Consistently and appropriately interprets, enforces and follows personnel policies and the facility’s administrative policies to insure fair and equal interpretation and consistent enforcement.  Documents violations of policies in a timely, consistent manner and initiates disciplinary action when appropriate.
• Accepts responsibilities of “On Call” supervisor when scheduled and answers call in a timely manner.
• Adjusts employee’s hours of work and/or assignment as necessary.

3. Delivers quality nursing care and supervises medication management and treatment as directed by physicians

• Reviews information on all new residents to insure that proper assistance is given.  Orients resident and family to new environment, activities and dining routines, introducing to roommates and tablemates.  Does everything possible to make the transition pleasant and comfortable.
• Completes admission requirements in a timely manner (vital signs, skin survey sheets, explanation and reinforcement of call bell system, etc.).  Information is accurate, complete and completed on shift of admission.
• Insures resident’s personal hygiene regimen is completed as indicated.  These include:  AM and PM care, showers, skin care and inspections, oral hygiene, proper dressing with clean clothing and hair and nail care.  Inspects and talks with residents to be sure that they have been given appropriate care.  Residents always look neat and clean.
• Answers call lights and communicates needs to appropriate person when unable to independently meet the request.  Demonstrates ability to prioritize call light request and to make certain all are taken care of in a timely fashion.
• Provides assistance to meet residents’ nutritional needs.  This includes ensuring that special need diets are given the appropriate meals, monitoring intake and assisting with feeding when needed.  Recognizes and corrects deviations from resident’s normal response to nutritional plan.
• Monitors and corrects the mar’s as assigned.
• Maintains chart forms in proper order.
• Completes daily rounds with incoming shift.  Provides a shift report to oncoming personnel, which is accurate, concise and pertinent to the resident’s care.  Coordinates the dissemination of resident information in an appropriate and timely manner.
• Distributes scheduled medication to residents in a timely manner, insuring proper and correct dosage is given.  Properly records administration on MAR forms.  Rechecks dosage with physician if questioned by resident.  Works with the Pharmacy Technicians to complete the monthly cycle fill.
• Maintains residents’ charts to insure that MA-51’s, annual screenings and other forms are completed accurately and on a regular basis.
• Coordinates resident care performed by others such as physical, speech and occupational therapies, home care, trips to dialysis clinic, and others, insuring that residents do not miss scheduled appointments.