Job Description
Admission Nurse is responsible for the complete admission assessment, order reconciliation and communication with the attending physician of each resident admitted to the facility.
A. Performs all functions according to facility policy procedure, Nurse’s Practice Act and current standards of practice.
B. Plans, implements and evaluates resident care specific to each resident admitted
1. Complete a thorough assessment of the resident within two hours of admission to
• Vital signs including pain and oxygen saturations,
• Cardiovascular system,
• Respiratory system,
• Skin inspection from head to toe,
• Functional mobility including movement of all four extremities,
• Cognitive status,
• Communications abilities,
• Vision and hear,
• Oral cavity,
• Bowel and bladder function,
2. Completes the four standardized assessments upon admission
• Braden skin screen
• Fall risk screen
• Pain screen
• Bowel and bladder screen
• AdmissiCare planning
• Required Admission assessments of new admsision
3. Communicates the resident’s admission to the physician, dietary and pharmacy.
• Sends diet slip to the kitchen
• Sends ordered and verified admission orders to the pharmacy
4. Reconciles the admission orders from the acute hospital with the facility standard orders.
• All orders are transcribed and scheduled in PCC.
• Orders are verified admission orders to the pharmacy
5. Verifies that ordered medications are on hand or will be delivered prior to the first scheduled administration. Communicates all medication delivery delays with the attending physician.
C. Initiates the resident care plan after completing the admission assessment.
D. Coordinates and supervises bowel and bladder program according to facility protocol.
E. Coordinates and over use of psychotropic medications on the rehab Unit including monitoring for behaviors, communicating with the physician and attending the Quarterly Psychotropic Review for each resident.
F. Maintain records and documents according to facility and department policies and procedures.
G. Act a resource for staff when necessary; provides guidance and direction to the staff in performance of their duties.
H. Promotes the safety of the residents and staff.
I. Promotes teamwork and collaborative efforts.
J. Attends required State and/ or facility in-services.
K. Communicates effectively.
1. Uses verbal/non-verbal skills with staff, resident, family members, physicians and visitors.
2. Utilizes listening skills.
3. Uses team conferences to communicate and promote within nursing staff.
L. Performs other duties as assigned
Education:
Current in the State of California as a Registered Nurse or as a Licensed Vocational Nurse.
Experience:
One year of experience in the facility with demonstrated clinical nursing skills. Knowledge in SNF regulation.