On Call Nurse

Essential Job Functions/Responsibilities
Responsibilities of the on call nurse include, but are not limited to, the following:

On Call Hours

• The On Call nurse will take call the week that he/she is scheduled starting on Friday at 5pm and ending on the following Friday at 8am (unless that Friday is a holiday, in which case the On Call nurse will remain on call until 5pm).
• The On Call nurse will be responsible for answering calls received from 5pm-8am on the weekdays he/she is on call and starting at 5pm on Friday through Monday at 8am the weekend he/she is on call. If there is a holiday during the week that the On Call nurse is on call, the nurse will take call the entire day of the holiday.

Support

• The On Call nurse will answer calls from all Reflection Living Entities and will give support to the staff and resident. If the On Call nurse does not answer their phone at the time of the call, he/she will return the call within 10 minutes.
• The On Call nurse will be responsible for making visits to any Reflection Living Entity if a resident is injured or has a medical issue requiring the assessment of a nurse to determine if further attention is needed.
• The On Call nurse will notify the resident’s family and PCP of any fall or accident that occurs while he/she is on call and will support the family’s decisions in sending the resident to the hospital if needed. If the resident requires hospitalization, the On Call nurse will call 911 for transport and will make sure that the needed documentation is sent with the resident to the hospital (MAR, DNR, Face Sheet).
• The On Call nurse will make a visit to see any resident who has fallen and hit their head in any way. He/she will complete neuro checks and report the findings to the residents PCP. The nurse will then follow any instructions or institute any orders given by the PCP.
• It is the On Call nurses discretion as to if a visit is required for a resident; except if the resident has hit their head.
• The On Call nurse will make a visit to the home that has called for a death in the home IF hospice is NOT involved with the resident.
• The On Call nurse will complete an incident report for any fall/accident involving a resident and will get witness statements from the staff that was present at the time of the fall/accident. The nurse will then report this information to the house nurse the morning of the next business day.
• If there is a Narc Count discrepancy, the aids involved with the incorrect count will call the On Call nurse. The On Call nurse will try to walk the aids through the narc count and figure out where the problem may be. If the On Call nurse cannot figure out the problem with the aids, the On Call nurse will instruct the aids to make an entry on the narc sheet stating an error has occurred and both aids will sign it. The On Call nurse will instruct the aids to use the current count moving forward and he/she will notify the house nurse the following business day morning of the incident.

Communication

• The On Call nurse will only call the Administrator on call in the event of an emergency that they do not know how to handle. All other information that the On Call nurse needs to report will be reported to the appropriate house nurse on the following business day morning.
• The On Call nurse will send a text or email to the Administrator on call the Monday morning that he/she is going off of call with a report of any information they may need or want. If it was a quiet weekend and there is nothing in particular to report, the On Call nurse will text all house nurses stating that there is nothing to report.

Requirements

• The On Call nurse will be required to maintain their nursing licensure with the State of Kansas and be in good standing.
• The On Call nurse will be required to complete a 2 step TB skin test upon hire or have a cleared chest x-ray taken specifically for TB detection, unless they have documentation showing that they have completed one within the last 6 months and that it was negative. The nurse will then be required to complete a TB questionnaire annually during their employment with Reflection Living.
• The On Call nurse will complete a time sheet following the week that they are on call for any hours they spent making visits in the homes and will turn it into our Administrative Assistant that Monday morning. They may complete the sheet in house, fax or email it to the Administrative Assistant.
• If the On Call nurse needs to switch weeks on call or cannot work the week he/she is on call for any reason, it is the responsibility of the On Call nurse to find coverage from another On Call nurse and report the change to the Administrative Assistant.

This job description is not intended to be all-inclusive and employees will perform other related job duties as assigned by their immediate supervisor or other management staff as required. Reflection Living reserves the right to revise and change the job duties and responsibilities as the need arises. This job description does not constitute a written or implied contract of employment.

Activities Requirements

LIFTING 51-100 lbs. 5-10 times daily

CARRYING 51-100 lbs. 3-5 times daily

PUSHING Greater than 100 lbs 5-10 times daily

REACHING R-below shoulder L-below shoulder

R-above shoulder L-above shoulder

All - 35 times daily

Activity performed each day:

Sitting – 20% Day Spent Inside - 95%

Standing – 20% Day Spent Outside – 5%

Walking – 20% 100%

Stooping – 20%

Kneeling – 20%

100%

Occupational Requirements:

1. Vision – Far

2. Vision – Near

3. Hearing

4. Talking

5. R-Finger Dexterity

6. L-Finger Dexterity

7. Depth Perception

Psychological Requirements

Mental Alertness – Medium

Stress/Pressure – Medium

Equipment Requirements

Household appliances, resident medical equipment (walker, wheelchair, bath bench, oxygen etc.)

Language Skills

Ability to read and interpret documents in English such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence in English. Ability to speak effectively before groups of customers or employees of organization in English.

Mathematical Skills

Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to perform these operations using units of weight, measurement, volume, and distance.

Reasoning Ability

Ability to apply common sense understanding to carry out instructions furnished in written, oral or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.

Education

Registered Nurse or Licensed Practical Nurse in good standing in the State of Kansas

Position Qualifications

1. Register Nurse or Licensed Practical Nurse in good standing in the State of Kansas
2. Needs personal vehicle to travel to patient.
3. Needs to deliver appropriate care regardless of inclement weather.
4. Has current driver’s license.
5. Must be able to provide proof of car insurance.