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<h3>Job Description</h3>
Job Summary
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The primary purpose is to assist the DON in planning, organizing, and directing the day-to-day functions of the Nursing department to ensure that the highest degree of quality care is maintained at all times, as directed by the Administrator or the Director of Nursing.&nbsp; Reports to DON.
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Essential Job Functions
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Every effort has been made to make your job description as complete as possible.&nbsp; However, it in no way states or implies that these are the only duties you will be required to perform.&nbsp; The omission of specific statements of duties does not exclude them from the position if the work is similar, related or is a logical assignment to the position.
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Job Duties &amp; Responsibilities
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·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Will act as DON in absence of DON.
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·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Assist the DON in planning, developing, organizing, implementing the day-to-day functions of the nursing department in accordance with all governing rules.
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·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Assist in nursing education.
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1.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Provide in-service training in the following areas for all CNAs on a monthly basis.
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a.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Catheter Care
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b.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Pericare
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c.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Infection Control
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d.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Oral care &amp; hygiene
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<ul>\n\n
<li>\n
Oxygen Application
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<li>\n
Safe transfers
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2.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Return demonstrations for CNAs.
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<ul>\n\n
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Pericare for all CNAs upon orientation, quarterly, and as needed.
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Catheter care for all CNAs upon orientation, quarterly, and as needed.
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Hand washing for all CNAs upon orientation, quarterly, and as needed.
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<ul>\n\n
<li>\n
Provide in-service training in the following areas for all Nurses on a Quarterly basis.
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<ul>\n
<li>\n
Infection Control
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<ul>\n
<li>\n
Oral Care and hygiene
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<ul>\n
<li>\n
Oxygen Administration
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<ul>\n
<li>\n
Medication Pass and proper documentation
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<ul>\n
<li>\n
Mantoux Testing
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<ul>\n
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General nursing issues
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<ul>\n\n
<li>\n
Return Demonstrations for Nurses
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<ul>\n
<li>\n
Mantoux testing- semi annually
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<ul>\n
<li>\n
Medication Pass-semi annually
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·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Participate in developing, maintaining, and updating our written policies and procedures.
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·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Ensure that reference material maintained at nursing station is current.
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·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Make written and oral reports/recommendations to the DON as necessary concerning the operation of the department.
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·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Ensure that all nursing personnel are following their respective job descriptions.
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·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Participate in the development, maintenance, and implementation of the facility’s QA program for the nursing department.
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·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Assist the resident and Social Services in planning the nursing services portion of the resident’s discharge plan.
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·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Documentation
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Chart Audits
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<ul>\n
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Admission audit within 72-hours- follow 72-hour protocol.
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<ul>\n
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Audit of all charts on each respective floor Quarterly
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Lab reports; analyze for your floor all labs for
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<ul>\n
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Physician notification
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<ul>\n
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Nurse noted lab and new orders.
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<ul>\n
<li>\n
New orders are followed through.
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<li>\n
PT/INR- in absence of evening supervisor, log all daily reports from lab and ensure that proper action is being taken.
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<li>\n
Other Documentation Monitoring
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<ul>\n
<li>\n
Infection/ Isolation
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<ul>\n
<li>\n
Change of condition
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<ul>\n
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Review nursing notes to ensure that they are informative and descriptive,
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<li>\n
Incidents and Accidents
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<ul>\n
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Play integral part in prevention with QA rounds on your floor.
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<ul>\n
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To complete investigations and conclusions of incidents and accidents on your floor
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<ul>\n
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Assist DON to update incident and accident investigation and prevention policies and procedures.
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<ul>\n
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Notify DON of all reportable incidents or accidents prior to reporting to the state.
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<ul>\n
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Monitor that nursing documentation is monitored per protocol.
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·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc, as necessary.
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·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Serve and participate in and attend various committees of the facility (i.e., Infection control, QA, Safety Committee, etc.)
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·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Attend and participate in Care Plan meetings as necessary.
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·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Participate in the weekend administrative duty schedule.
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·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Participate in the supervisory on-call schedule.
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·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Assist in determining and maintaining staffing needs in the nursing department.
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·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Rotate on call pager for staffing concerns.
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·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Assist in the Recruitment and selection of nursing personnel.
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·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Ensure that a sufficient number of nurses and CNAs are available for each shift.
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·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Oversee scheduling work assignments and duty hours with co-ADON and Staffing coordinator.
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·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Assist in preparing performance evaluations.
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·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Make daily rounds to ensure that all nursing personnel are performing their work assignments.
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1.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; At least twice per day on your floor looking for the following.
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a.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Proper catheter bag placement
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b.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Residents groomed well.
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c.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Oral hygiene
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Proper positioning
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CNAs using gait belts.
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Staff wearing name badge.
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Staff interacting with residents, families, and other staff appropriately.
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<li>\n
Oxygen tubing off floors
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Humidifiers dated.
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Tube feedings are documented with, date, rate, product, and time.
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Proper footwear
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Call lights within reach
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Monitor nursing care to ensure that all residents are treated fairly, and with kindness, dignity, and respect.
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Ensure that all nursing care is provided in privacy and that personnel knock before entering a resident’s room.
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Signs of change in condition
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i. Dehydration
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ii. Lethargy
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iii. Mental status change
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iv. Overall status
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<ul>\n\n
<li>\n
Monitor Staffing
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<ul>\n
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Check for call offs.
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<ul>\n
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Ensure staffing needs are met.
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Daily problem solving and review with staffing coordinator.
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Participate in rotation to work the floor for staffing needs as necessary.
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Dining Rooms
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<ul>\n
<li>\n
Monitor meal service daily.
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<ul>\n
<li>\n
Ensure that all staff assigned to the dining room is in the dining room in a timely manner.
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While staff are feeding, they should be:
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i. Seated
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&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; ii. Speaking with the resident not around them to others
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&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; iii. Staff should not shovel food.
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&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; iv. Ensure that staff is offering substitutes.
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v. Ensure that CNAs are notifying nurses when residents do not eat.
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Medication Pass
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Completed in a timely and appropriate manner.
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Carts in hall and locked
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Out of date medications
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Dated insulin in med room.
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<li>\n
Apple sauce dated.
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Ensure that narcotics are signed out.
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<li>\n
QA for glucometers
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<ul>\n
<li>\n
Monitor and report any medication errors to DON.
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·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Monitor absenteeism, tardiness, and overtime. (Be creative to resolve these issues)
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·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Ensure that departmental disciplinary action is administered fairly.
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·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Participate in selection of residents for admission.
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·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Coordinate with Admissions Director for special needs (i.e. oxygen, special mattresses.
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·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Greet new admissions upon arrival.
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·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Make rounds with doctors when necessary.
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·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Ensure that residents who are unable to call for help are checked frequently.
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·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Attend and participate in continuing education programs designed to keep you abreast of changes in your profession as well as to maintain your license on a current status.
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·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Monitor nursing personnel to ensure that they are following established safety regulations in use of equipment and supplies.
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·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Ensure that nursing work areas are maintained in a clean and safe manner.
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·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Ensure that all nursing personnel follow established departmental policies and procedures, including appropriate dress code.
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·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Ensure that an adequate stock level of medications, equipment, etc., is maintained on site to meet the needs of the residents.
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·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Maintain confidentiality of all resident care information.
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·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Coordinate Program for residents

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