Essential Duties & Responsibilities

To perform this job successfully, an individual must be able to perform each essential duty and responsibility satisfactorily.

• Complete all admission orders if possible, if floor nurse completes after hours, Clinical Coordinator must review the next day for accuracy.
• Check to ensure order was noted off correctly and put on MAR, Treatment Sheet, NA Flow Sheet, Lab Book, etc.
• Place the orders on the Care Plan that day.
• Put the information on the Kardex for the NA’s to know how to care for the resident.
• Do RD referral if indicated.
• Check report for completion and accuracy
• Reports of falls, check to see if 72 hour fall follow-up was initiated.
• Makes sure a new fall intervention was put in place to address the causative factor of the fall.  Puts the new intervention on the Care Plan, Kardex, and NA Flow sheet.
• Checks for the need to referral to PT/OT.
• Ensures all lab results from the previous day are received.
• Calls MD or fax results to MD.
• Marks/Highlights off of lab book as results are received.
• Pull the pink requisition copy from the lab folder as results are reported and filed.
• Does RD referrals in indicated.
• Reviews Treatment Books to ensure skin assessments are done for the previous day per schedule.
• Review skin assessments to make sure measurements are documented on the back of the assessments.
• Ensures treatment is written according to protocol for all new wounds.
• Ensures treatments are changed every 2-4 weeks if no improvement.
• Visualize/reviews all wounds as least weekly PRN.
• Writes orders for RD recommendations the same day that recommendations are received.
• Do RD referrals for labs, new wounds, worsening wounds, being below Estimated Fluid Needs, poor food intake, weight gain/loss, etc.
• Review FISH List daily.
• Review the staffing schedule daily.
• Assist with coverage.
• Listens to staffs’ concerns.
• Report lack of staff resolution/actions taken.
• Informs staff of any changes.
• Assist with in-services.
• Required to make sure residents are turned and positioned properly.
• Appropriate Skin Preventative measures are in place, such as pressure relieving cushions, heel floaters, pillows under head, etc.
• Fall preventive measures are in place such as a floor mat, low bed, toileting plan, non-skid footwear, etc.
• Oxygen on the correct liter flow and on the resident.
• Foley catheters-bags covered, not on the floor, anchored with tape or Cath Secure, etc.
• Oral care, nail care, hair clean and combed, dressed appropriately.
• Water pitcher or Thickened Liquid Cooler in reach and being used.
• Report any abuse/neglect allegations to Adm/DON immediately.
• Other duties as assigned.