The Nurse Manager is responsible for organization and management of nursing practice and resident care of their assigned unit, in collaboration with the nursing supervisors on a 24 hour basis.

ESSENTIAL RESPONSIBILITIES:

Nursing Leadership:

• Is familiar with the Episcopal Church Home (ECH) mission statement, core values/competencies and the nursing department philosophy.  Must be able to discuss their concepts in meetings and whenever an opportunity occurs in the practice area.
• Is familiar with and able to interpret and enforce all policies and regulations.  Consistently practices compliance with established policies and procedures.
• Maintains awareness of government regulatory process.
• Uses the ANA standards of gerontological nursing practice as framework for professional responsibilities.
• Supports nursing colleagues in their professional development toward common goals.
• Attends and participates in nursing department leadership meetings.
• Attends in-service programs, in and outside the facility, consistent with nursing practice.

Unit Management:

• Responsible for the management and supervision of all nursing staff on assigned unit.
• Develops and fosters staff morale and teamwork and is a positive role model.
• Is responsible for the implementation of nursing goals on the unit.
• Assigns nursing responsibilities on the unit.
• Is familiar with job descriptions for all staff on the nursing unit and ensures compliance and expectations are met.
• In collaboration with Human Resources, is responsible for interviewing and making hiring recommendations for nursing positions on the unit.
• In collaboration with the staff education coordinator, assists with new employee orientation on the unit.
• Monitors staff for use of proper body mechanics in moving/transferring residents and equipment.
• Assesses the skills and educational needs of staff.
• Communicates with the staff education coordinator.  Facilitate staff to attend workshops, seminars, continuing education programs.
• Provides opportunities for staff to participate in actualizing goals and plans of the nursing department.
• Completes and execute performance evaluations when due.
• Effectively utilizes the progressive discipline process when warranted.
• In collaboration with HR, is responsible for initiating the employment termination process.
• Holds monthly, and as needed, staff meetings; submits a report of all staff meetings, along with an attendance list to the Staff Education Coordinator.
• Is familiar with assigned unit’s budget.  With Director of Nursing’s guidance, manages it within acceptable parameters.
• In collaboration with the Director of Nursing, identifies areas where cost control is needed.
• Clarifies cost control awareness with staff in monthly meetings as indicated.  Works with staff to reduce costs while maintaining the high quality of care.
• Utilizes supplies and staff time in a cost-effective manner.
• Reports unsafe condition(s) to security and maintenance as soon as possible.
• Responds to emergency situations according to established ECH disaster plan.
• Per nursing department needs, ss responsible for and participates in “on call” on a rotating basis.
• Documents and follows through with all incidents/accidents and follow through per policy.
• Is familiar with established emergency procedures and staff incidents.

Resident Support:

• Creates and maintains an environment of respect for the residents.  Assists and guides staff to maintain privacy, resident rights and a quiet, peaceful environment.
• Encourages resolution of issues.
• Assesses and identifies residents’ needs and communicates this information to other health care professionals (clinical associates, nursing administration, nurse practitioners, physicians, dietitians, therapists, social work) on a regular and timely basis.
• Attends or ensures nursing leadership representation at daily morning report.
• Initiates and/or participates in quality assurance monitoring and evaluation of resident care.
• Conducts walking rounds on the unit to assess the environment for safety issues.
• Assigns nursing staff members resident care activities and other duties.
• Make recommendations to the Director of Nursing related to the nursing practice and resident care through regular meetings/written proposals.
• Develops and implements residents care plans per regulations.
• Ensures care plans and care cards are updated as resident’s condition and/or orders change.
• In collaboration with the social worker, notifies responsible parties of change in resident condition.
• Is familiar with requirements specific to MDS+. Develops and completes MDS nursing portion.  Completes and reviews CAA’s as required.
• Transcribes and implements physician orders per policy/procedures.
• Follows established documentation procedures and enforces correct documentation procedures with staff.
• Maintains contact and ensures compliance with the skin integrity program.
• Reviews EMRs to ensure they are accurate.
• Reviews pharmacy consultant reports with the medical team.