Job Description

Sub-Acute Clinical Care Coordinator RN (Registered Nurse) POSITION SUMMARY:

The Sub-Acute Clinical Care Coordinator RN (Registered Nurse) is responsible for the day-to-day nursing activities on the Sub Acute Unit, and for the quality of resident care delivered in that unit. As the Clinical Care Coordinator of the Sub Acute Unit, the RN is responsible for the overall management of the sub-acute unit. Clinical Care Coordinator reports to the Director of Nursing and/or the Facility Administrator. This position involves 30% direct patient care and 70% administrative non-direct patient care.

Sub-Acute Clinical Care Coordinator RN (Registered Nurse) Qualifications/Experience:

The CCC must meet the following:

• Current, unrestricted California RN license

• One year experience as RN in a sub-acute unit

• Minimum of one year experience within the past two years working in a general acute care facility or an acquired equivalent competency appropriate to the type of sub-acute patient for which the facility provides care 

Direct patient care; Includes but not limited to:

• Initial and ongoing rounds of unit to identify/ensure that resident needs are met:

o Identification and assessment of change of condition of residents

o Notification of Physician and family initiating the new plan of care

o Management and Implementation of interventions 

• Initial resident assessment of new admissions that includes bedside review of:

o Body/skin, head-to-toe assessment

o Need-for-restraint assessment

o Fall risk assessment

o Pain assessment

o Glascow Coma Scale

o Oral/Dental Assessment

o Dehydration Assessment

o Bowel/Bladder Assessment

o Psychotropic Medication Assessment

o Self-Administration of Medications

o Mood Assessment

• Daily and ongoing bedside assessments that include:

o Airway assessment and respiratory interventions

o Hydration and I and O evaluation

o Wound care assessment and interventions

o IV therapy interventions

o Nutrition assessment and weight interventions

o Physical and Mobility assessment and interventions 

o Appropriate identification of daily activity capacity

o Bowel evaluation and interventions 

o Evaluation of overall resident appearance including hygiene

o Pain assessment with associated interventions

o Fall Risk assessment and interventions

• Provision of direct care that includes:

o Suctioning

o Identify change of condition

o Follow up on skin integrity changes

o IV management

o Tracheostomy care/tracheostomy tube change

o Emergency situation interventions

o Proper positioning of residents

o Observation of delivery of Respiratory care

o Assessment and treatment for anxiety and distress

o Tracheostomy site for signs of infection/inflammation

o Dressing condition

o Proper infection control with use of sterile techniques and hand washing

o Condition of mouth and oral cavity and skin hygiene

o Condition of emergency use equipment

o Identification, evaluation and implementation of weaning process: including but not limited to; ventilator, G-tube, tracheostomy tube, pain medication, restraints and foley catheters

o Care plan development, documentation and implementation based on assessment

o Lab  test evaluations, review and physician follow up

o Direct resident care rounds with physicians

Administrative non direct patient care:

• The day-to-day nursing activities of the unit, which include residents’ daily care needs, emergencies, admissions, staffing and other issues as they arise.

• Clinical education of nursing staff.

• Oversees cost control of Sub Acute nursing supplies.

• Completes monthly budgeting and staffing logs for government reports.

• Utilization review, including Medicare management, documentation requirements.

• Completes monthly nurse schedules and daily staffing projection.

• Assists with orientation, counseling, and inservice education of subordinate staff.

• Develops and integrates policies and procedures as needed.

• Completes work performance evaluations of subordinate staff.

• Review polices and procedures annually with Administrator and DON.

• Coordinates and schedules interdisciplinary meetings.

• Reviews infection control issues with infection control nurse, and coordinates integration of policies.

• Completes TAR’s and PASSAR’s as needed.

• Communicates with families as needed.

• Coordinates facilities QA program monthly for Sub Acute unit.

• Completes required documentation for chart reviews and audits. These audits are to include the following:

o Incident investigations

o Lab reports

o Telephone order review

o Admission chart review

o Weight review

o Skin review

o Change of condition review

o Psychotropic summaries

• Assists with and screens patients for possible admission. Reviews, corrects, and follows up for consultant reports and audits.

• Reviews CMS quality indicators monthly.

• Performs other duties as assigned by the DON or Administrator.

*Other duties may be assigned.

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