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Nursing Skilled Nursing Facility Director

Directs administrative and clinical functions provided by a skilled nursing facility or a division of a skilled nursing facility.: This position requires license as a Registered Nurse with five years of clinical nursing experience in a skilled nursing facility. Must be skilled to work with a wide range of staff as part of an interdisciplinary team including physicians, nurses, and ancillary staff. Performs in a leadership capacity for clinical practice, supervision, teaching, and research. Coordinates activities of the nursing specialty units under management with other patient care units. Provides oversight and direction in establishing and maintaining a system for developing, reviewing, approving and disseminating standards of clinical practice. Assists in reviewing and making recommendations on policy issues regarding clinical practice within specific nursing disciplines within the organization. Identifies problem areas in areas of responsibility and takes corrective action. Manages daily operations and budget. Develops and coordinates plans and policies, resources, and goals for the department. Ensures compliance with nursing care standards and applicable laws, regulations, and/or institution rules, standards and guidelines. Hires, trains and motivates a competent nursing staff.

Skilled Nursing Certified Nursing Assistant

Assists nurses by performing various basic care activities related to services essential to caring for the personal needs and comfort of patients in a skilled nursing facility. Provides simple or uncomplicated patient care in a skilled nursing facility by performing the following functions for patients: dressing, grooming, bathing, feeding, toileting, taking vital signs, providing oral care, providing nail care, providing catheter care, answering call lights, assisting patients in wheel chairs, transporting patients, turning bedridden patients, reporting patient changes, filling linens, and taking out trash. This position typically requires completion of an approved Nursing Assistant Certification program.: Assists nurses by performing various basic care activities related to services essential to caring for the personal needs and comfort of patients in a skilled nursing facility. Provides simple or uncomplicated patient care in a skilled nursing facility by performing the following functions for patients: dressing, grooming, bathing, feeding, toileting, taking vital signs, providing oral care, providing nail care, providing catheter care, answering call lights, assisting patients in wheel chairs, transporting patients, turning bedridden patients, reporting patient changes, and filling linens. This position typically requires completion of an approved Nursing Assistant Certification program. Promptly answers patient call bells. Bathes and dresses bed patients, combs hair, and otherwise attends to their comfort and personal appearance. Cleans room and changes bed linen. Takes and records temperature, pulse, and respiration rate. Gives medication as directed by Physician or Nurse and makes notation of amount and time given. Gives enemas, douches, massages, and alcohol rubs. Applies hot and cold compresses and hot water bottles. Sterilizes equipment and supplies, using germicides, sterilizer, or autoclave and assists in maintaining a safe and clean environment. Observes patients for changes in condition or behavior and promptly reports these changes to appropriate licensed nursing personnel. Prepares food trays, feeds patients, and records food and liquid intake and output. May give injections.

Top Nursing Executive

Directs, through managers, supervisors or head nurses, activities of nursing staff. Administers nursing program in hospital or other medical institution to maintaining standards of patient care. This is the highest level position in patient care.: Plans and organizes activities in nursing services, such as obstetrics, pediatrics, or surgery, or for two or more patient-care units to ensure patient needs are met in accordance with instructions of physician and hospital administrative procedures. Coordinates activities with other patient care units. Advises medical staff, department heads, and hospital administrator in matters related to nursing services. Recommends establishment or revision of policies, and develops organizational structure and standards of performance. Interprets policies and objectives of hospital nursing services to staff and community groups. Performs personnel management functions. Plans and organizes orientation and in-service training for unit staff members, and participates in guidance and educational programs. Assists in formulating budget. Engages in studies and investigations related to improving nursing care. May direct activities of school of nursing.

Nursing Manager

Directs or assists in directing activities of nursing staff and activities in nursing services, such as obstetrics, pediatrics, or surgery, or for two or more patient-care units, to ensure patient needs are met in accordance with instructions of physician and hospital administrative procedures. Coordinates activities with other patient care units. Second highest level position in nursing services. May have nursing supervisor or head nurses reporting to this position. Requires RN license along with clinical and supervisory experience. May report to Top Nursing Executive or a similar high-level position.: Consults with Top Nursing Executive on nursing problems and interpretation of hospital policies to ensure patient needs are met. Plans and organizes orientation and in-service training for unit staff members, and participates in guidance and educational programs. Assists in formulating budget. Engages in studies and investigations related to improving nursing care.

Nursing Supervisor

Supervises, directs, and coordinates, nursing activities and personnel in one or more patient care units. Evaluates nursing activities to ensure patient care, staff relations, and efficiency of service. Observes nursing care and visits patients to ensure that nursing care is carried out as directed and that treatment administered in accordance with physician's instructions. Requires RN license and nursing experience.: Inspects rooms and wards for cleanliness and comfort. Keeps informed of special orders concerning patients. Participates in orientation and training of personnel. Orders, or directs ordering of drugs, solutions, and equipment, and maintains records on narcotics. Investigates and resolves complaints, or refers unusual problems to superior. Participates in training of unit staff.

Nursing Shift Supervisor

Plans, organizes, and directs activities for the duration of one shift of hospital nursing unit. Observes techniques of, and services rendered by, nursing staff or provides nursing care for patients in unit. Demonstrates techniques for nursing students and/or new personnel to provide training and direction. Requires RN license.: Identifies problem areas in nursing unit, such as understaffing, absenteeism, and wastefulness, and takes corrective action. Monitors use of supplies and equipment to avoid abuses and requisitions supplies. Responds to various departments requesting emergency assistance and assigns staff accordingly during emergencies. Prepares work schedule and assigns duties to nursing staff in unit for efficient use of personnel.

Nursing Home Director

Administers, directs, and coordinates all activities of the nursing home. Typically reports to the hospital CEO and has lower level supervisors reporting to this position.: Plans all activities of the nursing home to ensure proper health care services to residents. Maintains direct patient contact, reviews patient condition reports and health care plans. Evaluates nursing care and implements changes for improvement. Prepares and reports on the activities of the unit for review by hospital administration.

Nursing Informatics Coordinator

Coordinates and facilitates application system implementations and upgrades for information systems supporting patient care functions. Develops, implements, and evaluates clinical information systems in nursing and patient care areas. Typically requires completion of an accredited school of nursing as a Registered Nurse, two years of clinical nursing experience, and experience in systems implementation and support.: Provides training and education to application system users so that workflow can be simplified by new systems. Develops and presents training plans that will assist users in maximizing ancillary, nursing, and clinical systems capabilities of the application. Participates in modeling system functionality and usability to support workflow. Implements applications, tools, processes, and structures that assist clinicians in the management of patient care data and provision of health care. Completes moderately complex tasks and portions of larger clinical information system projects. Regularly updates system, operational, and department documentation. Recommends areas for process improvement. Prepares reports and analyses setting forth progress, adverse trends, and appropriate recommendations and/or conclusions on subjects relating to systems management.

Transplant Nurse Coordinator

Provides and coordinates the clinical care of potential and actual transplant candidates and recipients. Manages data for transplant patients and coordinates the clinical management of post-transplant patients. Provides follow-up and care across the continuum from pre-transplant, during transplant and post transplant. Typically requires a bachelor of science degree in nursing, current licensure as a Registered Nurse, and at least three years of nursing experience. Demonstrated expertise in transplants is typically preferred.: Coordinates and provides advanced nursing care for patients before and after organ transplantation. Coordinates the evaluation process for pre-transplant (referral) patients to ensure effective use of hospital and clinical resources. Reviews and prepares patient histories, physical examination results, pertinent laboratory data, and patient psychosocial assessments. Facilitates patient progress from identification as a potential transplant candidate through the research or treatment processes to post-discharge care, serving as concerned advocate, educator, and point of liaison for the patient. Assesses post-transplant organ function and general health status and collaboratively determines need for additional assessment or intervention. Facilitates the scheduling of studies or procedures for diagnostic purposes utilizing fiscal responsibility for patient and hospital costs. Participates in the development and implementation of protocol and standards of care for the transplant patient in collaboration with the multidisciplinary team. Monitors the process and outcomes of routine care to determine the need for quality improvement. Coordinates transplantation processes when a donor is available including communication between physicians, the local organ procurement organization, patient/families, and the medical team involved. Completes necessary documentation according to the United Network of Organ Sharing (UNOS) guidelines including listing, status changes, and post-transplant follow-up information. Communicates with multidisciplinary team members, patients, and families regarding patient care/issues. Coordinates discharge plans for patients pre-transplant or post-transplant including appropriate referrals. Maintains patient transplant record with current data to facilitate communication. Educates patients along the continuum to assist understanding of processes and procedures surrounding pre-and post-transplant issues. Develops patient education materials or identifies external resources that are appropriate for patient education in all phases of transplantation care. Educates nurses and other multidisciplinary team members about patient care issues to promote positive outcomes for transplant patients. Documents care and treatment plans, patient response to treatment, and relevant correspondence. Interprets research and published data to nursing staff and colleagues concerning current issues in transplantation including those of a clinical, legal, ethical, or economic nature. Identifies areas for study and participates in and/or designs and conducts research. Serves as a consultant to nurses and other health care professionals regarding the care of the organ transplant patient. Serves as a community consultation resource through media, telephone, and transplant Internet links for information about transplantation and organ donation. May provide on-call coverage, including coordination of activities prior to transplant, and as medical triage for outpatients in collaboration with the physician on-call.



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