Registered Nurse- Skilled Nursing - Fairfield, California -

Per Diem Nursing Job in
Fairfield , California, 94533

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Provides care to assigned residents in a caring, safe and efficient manner; and is responsible to perform the following according to Paradise Valley Estate’s mission, campus standards, procedures and individualized resident care plans: Completes comprehensive nursing assessments of all residents on admission and on an ongoing basis according to state and federal regulations using the nursing process (assessment, diagnosis, intervention and evaluation). Demonstrates competence in clinical skills. Reports/assures timely follow up of signs/symptoms of resident infections. Assures assigned residents receive ordered medication, treatments and other procedures within defined time frames, utilizing appropriate infection control procedures. Demonstrates familiarity with the therapeutic effects and side effects of all medications administered. Obtains equipment/supplies to provide care as needed. Assures procedures are followed for pressure ulcers, dehydration, malnutrition, incontinence, and pain and medication administration. Accurately completes glucometer testing and control monitoring according to procedure. Assures residents receive needed assistance in performing activities of daily living. Responds appropriately to emergencies occurring during assigned shift. Implements specific approaches to deal with resident behavior, enhances residents’ mood state according to resident care plan. Assures resident care for assigned residents is completed through reviewing documentation and updating as necessary. Documents actions and notations for all resident condition changes according to policy and procedure. Records daily skilled nursing notes. Documents all actions taken related to admission, discharge, transfer or death. Documents incidents or accidents in resident record and all necessary forms. Completes behavior documentation according to policy and procedure. Assists/participates in quality improvement process, including audits and corrective procedures as assigned. May complete the assigned portions of the MDS for Nursing and sign the MDS forms to signify completion of the process. Safeguards residents’ property. Maintains peoples’ self-esteem, privacy and confidentiality of personal information. Provides individuals with opportunities for independence and choice consistent with their care plans. Assures residents’ living areas are pleasant, orderly and personalized. Assures physicians’ orders are processed correctly and physicians notified in a timely manner. Makes rounds with physicians as assigned. Observes residents; directs and documents care provided to residents; receives and shares information; observes and reports residents’ conditions to appropriate staff or physician. Responds promptly to resident call lights. Explains procedures to residents before and during interactions; interacts with residents and maintains resident-centered conversations when residents are present. Directs and assists with resident, family/significant other education. Utilizes good body mechanics during all transfers and other physical tasks. Uses transfer equipment gait belt, mechanical lifts, slide boards, lifts/slips, etc.) and handling techniques in a manner that makes people feel safe. Demonstrates knowledge of department – specific safety, fire and disaster plans. Demonstrates understanding of the work of positions supervised; assigns daily work clearly, give staff authority to complete. Updates staff on changes in work or workforce. Monitors staff performance daily and gives informal daily feedback and structured weekly feedback. Ensures breaks and meal periods for self and other employees occur timely or a Meal Waiver form is signed based on Fair Labor Standards Act & California Department of Labor regulations. Observes resident care and corrects staff as needed, educating on proper procedures. Includes, but is not limited to the direction and monitoring of LVNs and CNAs. Assists with training new employees/assures new staff is being oriented well; provides retraining when needed, either personally or assuring the appropriate person provides the training. Encourages employees’ participation in staff meetings, in-services, and educational opportunities. Provides recognition to employees who perform their duties correctly or go the extra mile; encourages others to improve performance. Encourages employees to take on new challenges. Asks employees to help formulate solutions to problems in the work place. Communicates to supervisor or Director of Staff Development regarding employees’ behavior and work productivity (positive and negative). Listens/serves as a resource and advocate for work problems, equipment, and supply needs; listens in a caring manner and directs employees to Human Resources for personnel crises or employment related issues. Makes inquiries frequently during the shift as to the delegation of tasks and ensures that staff has what is needed to complete responsibilities and job duties. Encourages staff; asks and invites feedback and involvement from staff. Responsible for the organization, clinical and managerial leadership of a nursing unit as assigned by the Director for Nursing Services, during a specific tour of duty. Accountable for quality care implemented in compliance with legal mandates and under the guidelines of the policies and procedures of Paradise Valley Estates.

Job Requirements

Must be a graduate of an accredited school of nursing with an associate degree, diploma or B.S. degree. In addition, must hold a current valid RN license to practice in the State of California or show proof of application for such. Evidence of continuing education in area of the nursing process, nursing management and geriatrics. Must hold a valid RN license for the State of California or show proof of an application for such. Current CPR certificate.


Fairfield, California , 94533

Employment Type

Per Diem


Paradise Valley Estates

Date Posted

Mar 1st, 2019

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