General Purpose

The Registered Nurse (RN) is responsible for providing direct nursing care to residents in accordance with physician orders, facility policies, and standards of professional nursing practice. The RN plays a vital role in ensuring the health, safety, and well-being of residents by delivering high-quality, resident-centered care in a skilled nursing setting. This position includes supervising Licensed Practical Nurses (LPNs) and Certified Nursing Assistants (CNAs), participating in care planning, and collaborating with the interdisciplinary care team to promote optimal resident outcomes.

Responsibilities
Clinical Care
Assess, plan, implement, and evaluate nursing care based on residents' individual needs, conditions, and goals.
Administer medications and treatments as prescribed, following the "five rights" of medication administration and facility policies.
Monitor residents' conditions and promptly report changes to physicians, nurse practitioners, and appropriate members of the care team.
Perform clinical procedures such as wound care, catheter care, intravenous (IV) therapy, medication administration, and other skilled nursing interventions within the RN scope of practice.
Respond to emergencies and significant changes in resident condition in a timely, professional, and effective manner.
Resident Monitoring & Documentation
Complete nursing documentation accurately, thoroughly, and in a timely manner, including assessments, progress notes, care summaries, and nursing observations.
Maintain and update individualized care plans in collaboration with the interdisciplinary team.
Ensure accurate and complete Medication Administration Records (MARs) and Treatment Administration Records (TARs).
Document incidents, resident concerns, physician notifications, and changes in condition according to facility policy and regulatory requirements.
Leadership & Supervision
Supervise LPNs and CNAs by providing clinical guidance, support, delegation, and direction.
Delegate tasks appropriately based on staff competency, scope of practice, resident acuity, and facility needs.
Monitor assigned staff performance to ensure compliance with nursing standards, care plans, regulatory requirements, and facility policies.
Participate in orientation, training, competency validation, mentoring, and performance feedback activities as assigned.
Resident & Family Communication
Communicate resident care plans, progress, treatment outcomes, and changes in condition to residents, families, and responsible parties as appropriate.
Respond promptly, professionally, and compassionately to resident and family concerns.
Support residents' emotional, physical, psychosocial, and spiritual needs while promoting dignity, respect, and independence.
Compliance & Safety
Follow infection prevention and control practices, safety protocols, emergency preparedness procedures, and resident rights policies at all times.
Maintain confidentiality and protect resident information in accordance with HIPAA and facility standards.
Adhere to all federal, state, and local regulations governing nursing practice and long-term care operations.
Participate in audits, Quality Assurance and Performance Improvement (QAPI) activities, risk management initiatives, and emergency preparedness drills.
Qualifications
Basic Life Support (BLS) or Cardiopulmonary Resuscitation (CPR) certification preferred.
Regular and reliable attendance is required to perform the essential functions of this position.
Current, active Registered Nurse (RN) license in the state of employment required.
Graduate of an accredited school of nursing; Associate Degree in Nursing (ADN) required, Bachelor of Science in Nursing (BSN) preferred.
Previous nursing experience in skilled nursing, rehabilitation, long-term care, post-acute care, or acute care settings preferred.
Experience supervising, mentoring, or leading nursing staff preferred but not required.
Strong clinical assessment, critical-thinking, and problem-solving skills.
Effective communication, leadership, and interpersonal abilities.
Ability to work collaboratively with residents, families, physicians, and interdisciplinary team members.
Ability to prioritize responsibilities and manage time effectively in a fast-paced healthcare environment.
Basic computer skills and familiarity with electronic health records (EHR) and clinical documentation systems.
Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Ability to stand, walk, bend, and move throughout the facility for extended periods.
Ability to lift, push, pull, or assist with moving residents and equipment weighing up to 50 pounds, with or without assistance.
Visual and auditory acuity sufficient to assess resident conditions, review medical documentation, and communicate effectively.
Manual dexterity required to administer medications, perform treatments, document care, and operate medical equipment.
Ability to respond quickly and effectively during emergency situations.
Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The noise level in the work environment is usually low to moderate.
Direct or indirect exposure to residents with medical conditions, infectious diseases, or communicable illnesses.
Use of personal protective equipment (PPE) and adherence to infection control protocols is required.
Work is performed in a healthcare, rehabilitation, skilled nursing, post-acute, or long-term care environment.
Requires professionalism, confidentiality, critical thinking, and collaboration with residents, families, physicians, staff, vendors, and interdisciplinary team members.
Disclaimer

Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time. Critical features of this job are described under various headings above. They may be subject to change at any time due to reasonable accommodation or other reasons. The above statements are strictly intended to describe the general nature and level of the work being performed. They are not intended to be construed as a complete list of all responsibilities, duties, and skills required of employees in this position.

General Purpose

The Respiratory Nurse, RN is responsible for providing cardiopulmonary care services in accordance with physician orders, department policies, and accepted standards of nursing practice. This role includes administering respiratory therapy and life support, performing diagnostic tests on the cardiovascular and pulmonary systems, and assisting in the diagnosis and treatment of heart and lung disorders. The Respiratory Nurse collaborates with interdisciplinary teams, provides education to residents and families, and ensures compliance with regulatory and safety standards.

Responsibilities

Clinical Respiratory Care

Administer respiratory therapy treatments and nebulized medications, understanding the purpose and potential side effects of each.
Maintain knowledge of oxygen delivery methods and equipment, monitoring residents for side effects and adjusting care as appropriate.
Set up, operate, and monitor mechanical ventilators, performing associated critical care tasks.
Conduct pulmonary function tests, upload report interpretations, and communicate results to physicians and clinical leadership.
Perform incentive spirometry, chest physiotherapy, Flutter therapy, therapeutic exercises, and utilize devices such as Omniflow for treatment or testing.
Assess residents’ ability to tolerate treatments and reassess responses, adjusting care as needed.
Treat residents of varying ages (pediatric, adolescent, adult, geriatric) with appropriate techniques and dosing knowledge.

Documentation & Communication

Accurately document all respiratory care, assessments, and treatments in electronic or paper medical records.
Maintain departmental forms, flow charts, and logbooks in accordance with facility policies.
Formulate and evaluate teaching plans for residents and their families regarding respiratory care and treatment plans.

Safety & Equipment Management

Inspect, test, and maintain respiratory therapy equipment to ensure safe and effective operation.
Follow departmental sterilization and infection control procedures.
Monitor compliance with infection control, safety, and emergency protocols.

Education & Professional Development

Attend in-service education programs to maintain professional competency.
Participate in continuous quality improvement (CQI) initiatives and performance improvement teams related to respiratory care.
Serve as a resource for staff education regarding respiratory therapy procedures and equipment use.

Collaboration & Leadership

Coordinate and direct resident care to ensure needs are met and policies are followed.
Participate in interdisciplinary team discussions, care planning, and department meetings.
Communicate effectively with residents, families, physicians, and staff to provide high-quality, resident-centered care.

Qualifications

Maintain current state RN license in good standing.
Graduate of an accredited school of nursing.
Current Basic Life Support (BLS) certification (must be obtained within 30 days of hire if not already held).
Adhere to all state, federal, and facility regulatory requirements.
Maintain professional appearance, confidentiality, and compliance with ethical standards.
Knowledge of general clinical and respiratory services.
Strong organizational, interpersonal, and communication skills.
Ability to assess complex situations and determine appropriate interventions.
Ability to work independently, prioritize tasks, and manage multiple responsibilities.
Ability to maintain confidentiality of all medical, financial, and legal information.
Ability to handle difficult situations with professionalism and maintain a positive attitude.
Regular and reliable attendance is required to perform the essential functions of this position.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

Work may include evenings or weekends to meet deadlines.
Work performed in varying temperatures (heated or air-conditioned).
Work under pressure in fast-paced environments.
Walking or standing for 10–12 hours per day.
Ability to lift, carry, and maneuver up to 50 pounds.
Ability to reach, bend, stoop, handle objects, talk, hear, and see effectively.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

The noise level in the work environment is usually low to moderate.
Direct or indirect exposure to residents with medical conditions or communicable illnesses.
Use of personal protective equipment (PPE) and adherence to infection-control protocols.
Work performed in a healthcare or long-term care environment.

Disclaimer

Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time. Critical features of this job are described under various headings above. They may be subject to change at any time due to reasonable accommodation or other reasons. The above statements are strictly intended to describe the general nature and level of the work being performed. They are not intended to be construed as a complete list of all responsibilities, duties, and skills required of employees in this position.