Primary Functions:

Provision of direct nursing care and other services to residents in the Higher Levels of Support.

Also included in this position is the expectation that the person in this role will:

• Uphold and put into daily practice the values of Carol Woods.
• Support the well-being and quality of life of every individual Resident.
• Function as a good steward to Resident resources.
• Contribute to CWs approach to continual quality improvement.
• Support the concepts of a learning organization.

RESPONSIBILITIES AND DUTIES:

Clinical Functions

As identified in the Nursing Practice Act, State of North Carolina (March 2025): “The practice of nursing by a registered nurse consists of the following ten components:

• Assessing the patient's physical and mental health, including the patient's reaction to illnesses and treatment regimens.
• Recording and reporting the results of the nursing assessment.
• Planning, initiating, delivering, and evaluating appropriate nursing acts.
• Teaching, assigning, delegating to, or supervising other personnel in implementing the treatment regimen.
• Collaborating with other health care providers in determining the appropriate health care for a patient but, subject to the provisions of G.S. 90-18.2, not prescribing a medical treatment regimen or making a medical diagnosis, except under supervision of a licensed physician.
• Implementing the treatment and pharmaceutical regimen prescribed by any person authorized by State law to prescribe the regimen.
• Providing teaching and counseling about the patient's health.
• Reporting and recording the plan for care, nursing care given, and the patient's response to that care.
• Supervising, teaching, and evaluating those who perform or are preparing to perform nursing functions and administering nursing programs and nursing services.
• Providing for the maintenance of safe and effective nursing care, whether rendered directly or indirectly

In addition to the above, the role of the RN includes, but is not limited to, the following:

• Communicating effectively with residents, family, and other members of the health care team.
• Delegating nursing care activities to other licensed and unlicensed nursing personnel qualified to perform the activity.
• Utilizing established lines of communication to necessary support services, including dining services, therapies, transportation, supply, etc.
• Participating with the multidisciplinary team in addressing resident/family needs.
• Following established policies of the organization including, but not limited to, nursing, infection control, pharmacy, and environmental controls.
• Providing input and assisting with planning or implementing, changes in nursing care practice at the unit level.
• Point Nurse: Performing emergency after-hours house calls to Carol Woods residents on the CWs campus; providing services, including health care counseling to such residents, as ordered by the physician and/or deemed necessary following the nursing assessment. (serves in this role as needed)

Responsibilities:

• Resource for questions and concerns from residents, family, staff, and other visitors in the Higher Levels of Support
• Provide back up to the House Call Nurse as needed.
• Function as a point of contact for other departments during emergencies
• Assist staff with troubleshooting any unexpected issues affecting the ability to provide support to the residents in the Higher Levels of Support
• Initial contact for any resident/family concerns or needs, ensuring prompt attention and follow-up.
• Communicate effectively with Director of Nursing or Nurse Coordinator to ensure continuity of care/operations and follow-up on resident and staff questions and concerns.
• Assist with identifying staff to cover shifts for any staff call outs in the Higher Levels of Support; Notify On-call Nurse Leader of uncovered shifts.
• Other duties as assigned by Nurse Leadership or as necessitated “in the moment” to assure quality care.
• Participating in team efforts to monitor quality care issues.
• Be aware of staffing needs to cover 24-hour Care delivery.
• Document resident condition changes as pertinent to the RN role.
• Update the plan of the day to reflect changes in areas of responsibility.
• Fiscal accountability, proper supply ordering and proper use/care of equipment
• Completion of mandatory On-line educational modules (monthly and as otherwise assigned).
• Attendance at required educational sessions, in-services, and staff meetings.
• Attendance at annual Culture Day session (Full-time mandatory)
• Involvement/understanding of Organizational Quality Assurance Performance Improvement (QAPI) program.
• All other duties as assigned.

REQUIREMENTS:

Education:

• Graduation from an accredited nursing education program to prepare as a Registered Nurse.
• Current, unencumbered license as Registered Nurse in North Carolina
• Current certification in CPR - Adult Module (American Heart Association or American Red Cross)

Experience:

• 6 months to one-year experience as RN
• New Graduate without experience acceptable for Full Time Positions only

Physical Requirements:

• Able to:
  • Bend, stoop, squat, crawl reach, kneel and lift to assist residents using proper body mechanics for sustained periods of time.
  • Stand, walk for long periods.
  • Move equipment or small pieces of furniture.

Competencies:

• Communication
• Confidentiality
• Judgement
• Organization
• Problem Solving/Decision Making
• Technical/Function Expertise

Working Conditions:

• Climate controlled environment
• Potential for exposure to
  • Communicable illnesses
  • Hazardous materials, e.g., cleaning chemicals
  • Blood/blood products.
• Benefit position - Full-time position requires every other weekend scheduling commitment. Part-time positions may require every other weekend scheduling commitment.