Provides basic nursing care by assisting in the assessment of the resident on admission and on an ongoing basis. Remains knowledgeable about and communicates to the appropriate interdisciplinary team (IDT) member any significant change in condition. Accurately documents all assessments. Seeks guidance if unsure of any assessment findings. Participates in the care planning process for the resident. Updates the care plan when specific interventions indicate the need for revision. Communicates the plan to the appropriate IDT members along with the residents and their families. Implements necessary and appropriate nursing interventions relevant to the plan of care which includes nursing orders, physician orders, residents/families educational and environmental needs. Ensures interventions such as medication administration and treatments are accomplished in a safe and timely manner. Administers IV fluid only if IV certified. Documents interventions accurately and timely. Uses critical thinking skills when dealing with residents' changes in condition. Notifies the physician timely using the SBARR as the communication tool. Maintains composure during any crisis situation such as family dissatisfaction, staff disputes, or inclement weather in a calm and professional manner. Monitors the care of the residents closely to see that the care plan is being delivered effectively. Identifies problem areas and uses the QAPI process to actively address the situation for immediate problem resolution. Remains aware of the status of the residents to quickly identify behavioral changes or other untoward signs or symptoms. Answers call lights and/or assists with residents' ADLs as needed. Completes, at a minimum, twelve hours of offerings related to nursing related continuing education. Has a commitment to keep current with best nursing practices through knowledge of Bethesda's policies and self-study. May be assigned other duties as appropriate.
