PRIMARY FUNCTION: Provide restorative nursing care to residents and patients, under the supervision of a licensed nurse, in accordance with facility policies and procedures. Reports resident's needs and concerns to a licensed nurse. Performs a variety of specialized professional level nursing duties which include clinical procedures, specified lab tests, health assessments, and all associated documentation and related activities as licensed to practice as a Registered Nurse in North Carolina. JOB DUTIES AND RESPONSIBILITIES: ? Attends all mandatory agencies in-service/educational programs as scheduled during evaluation period. ? Rotates weekends, holidays, and on-call duty with other nursing staff. ? Recognizes abnormal lab results and/or changes in patient's condition, and notifies physician per agency policy. ? Recognizes and informs supervisor of unusual or difficult nursing care problems and utilizes problem-solving skills to suggest constructive changes. ? Attends at least 16 hours/year of work-related educational programs. ? Participates in QA and Performance improvement projects as assigned. ? Demonstrates safe practices by using proper body mechanics, following policies for sharp/dangerous material handling and disposal, and reporting and/or acting to correct unsafe or hostile conditions. ? Cleans and restocks carts at the end of shifts, and as needed, to maintain current and complete nursing supplies. ? Administers medications and treatments to residents as ordered by physician. ? May be asked to assist with RN call duty as needed. ? Performs other duties assigned by supervisor to promote efficient operation of the Tsaii Care Center. EDUCATION, LICENSURE, CERTIFICATION, AND EXPERIENCE ? An active unrestricted NC RN license is required. An active unrestricted RN multi-state license from a state that participates in the enhanced Nurse Licensure Compact will be accepted in lieu of an active NC RN license. ? Associate’s Degree in Nursing from an accredited School of Nursing required. Bachelor degree in nursing or related field preferred. One year of nursing experience required. Medical experience in a nursing home setting preferred. ? Current Basic Life Support (BLS) minimally required. 6-9 months would be necessary to become proficient in most phases of the position. JOB KNOWLEDGE Must have knowledge of the policies, procedures, and guidelines of the CIHA and EBCI, and standard nursing practices, applicable OSHA mandates, and related regulatory controls. Ability to understand and comply with applicable Federal, State and local regulations and requirements. Requires the ability to perform various primary care, acute care, and preventative nursing services. Must be skilled in the use of all assigned clinical and lab equipment and knowledgeable of sterile and aseptic techniques. Requires the ability to legibly document and maintain clinical records, files, reports, and logs. Must maintain specified certifications and a North Carolina driver’s license. Must have good communication skills, both written and oral. Must have an understanding of the EBCI culture, lifestyles and risk factors. Knowledge of principles, practices, techniques, and theories of professional nursing in order to plan and provide nursing care to meet the physical, emotional, spiritual, and socio-cultural needs of patients of all ages; specifically, Adult (21-64 years), and Elderly (65-+ years). Knowledge of the nursing process and its application to clinical practice. Knowledge of the biological aspects of the disease process and illness in order to recognize complications. Knowledge of medications and dosages in order to recognize desired effects, side effects, and complications of their use. Knowledge and ability to analyze the results of various medical procedures and translate into appropriate nursing interventions. Knowledge and ability to independently plan, manage, and organize work in order to meet priorities, accomplish work within established time frames and work in stressful situations. Knowledge of the culture and medical health profile of the patient population. Knowledge of processes and procedures for establishing, revising, continually monitoring, and evaluating standards for the practice of nursing. Applicant must have a valid North Carolina driver’s license. COMPLEXITY OF DUTIES Must be able to make independent decisions about patient needs while following well defined policies, procedures, and established guidelines. Requires the ability to plan, coordinate activities, solve problems, assess situations, and develop appropriate resident case management. Must use judgment and initiative to maintain accuracy of work. Must be resourceful when responding to changing circumstances. Requires the ability to recognize unusual or difficult nursing care problems and utilize problem-solving skills to suggest constructive changes. SUPERVISION RECEIVED Performs nursing procedures in the rooms of Tsali Care residents, notifying other nurses if assistance is needed in an emergency situation. Reports directly to the Tsali Care Center Director of Nursing who reviews documentation to ensure all forms are legible, complete, and submitted in a timely manner. Tsali Care Center DON and CIHA DON work collaboratively to address personnel issues as they arise. RESPONSIBILITY FOR ACCURACY Requires a high degree of accuracy in nursing and lab procedures. Undetected errors could have minimal or life threatening results. Requires a high degree of accuracy of documentation of nursing assessments, so that this may be reported to the patient's physician in order to establish an appropriate plan of care and minimize the risk of injury to the patient. The submission of false or inaccurate information would place the agency at risk for fraudulent claims, resulting in loss of agency certification, and the nurse's license would be in jeopardy. CONTACTS WITH OTHERS Has frequent contact with residents, families, coworkers and other health care professionals where tact, courtesy, and diplomacy are required to maintain positive relationships. Requires good communication skills, both written and oral. Requires sensitivity to others dealing with residents and their families who may be under stress while dealing with issues of disease, old age, and poor health. Purpose of contacts is to exchange information, offer instruction, and work together to meet residents' goals. CONFIDENTIAL DATA The incumbent has access to highly confidential patient medical and personal information. The Privacy Act of 1974 mandates that the incumbent shall maintain complete confidentiality of all administrative, medical, and all other pertinent information that comes to his/her attention or knowledge. The Act carries both civil and criminal penalties for unlawful disclosure of records. Violations of such confidentiality shall be cause for adverse action. An above average degree of discretion is required while handling residents, facility and medical information