The Registered Nurse is an essential care team member in The Green House model and strives to build a human habitat where elders and staff members are living rich and meaningful lives. RNs evaluate and meet the clinical needs of the elders while supporting the quality of life as determined by each elder. Scope of Practice. The RN can perform a wide range of nursing duties, including assessing patients, developing care plans, administering medications, starting intravenous (IV) lines, and providing more complex care.

Accountabilities

General*

Model the Culture Change Principles of the Eden Alternative.

Understand and adhere to Resident Confidentiality and HIPPA regulations.

Attend in-service training, educational classes, and meetings as required.

Read and comprehend instructions, correspondence and memos.

Communicate and function in an interdisciplinary team.

Maintain a thorough working knowledge of Community Electronic Health Record software.

Maintain a thorough working knowledge of Community policies and procedures.

Solve basic mathematical procedures.

Maintain the highest degree of personal and professional integrity.

Know and honor Resident Rights.

Communicate with residents in a respectful manner.

Respond to resident family/visitor requests in a timely and appropriate manner.

Make independent decisions when circumstances warrant such action.

Provide effective and courteous service to all residents, guests and co-workers.
1. Resident Care
Champion the Green House Core Values: Real Home, Meaningful Life, and Empowered Staff.

Develop relationships with the Shahbazim and other Clinical Support Team members in the Green House home.

Address clinical and healthcare needs in the @context of the Elder's living their life.

Honor elders' wishes for care

Provide education to Elders about treatment options and risks associated with either accepting or rejecting the physician's recommendations so they can make an informed decision.

Provide clinical assessment, treatment, and evaluation for the Elders within the scope of practice of the nurse.

Document care provided to Elders, observations and action taken.

Obtain an update on each Elder from the Shahbazim during each shift.

Visit each Elder during each shift to monitor clinical status, and to determine if the clinical care needs of the Elder are being met. Clinical assessments should be Elder-specific and consider the primary diagnosis and risks specific to the individual elder.

Assess each Elder for unresolved/untreated pain. Plan and implement pain management interventions when appropriate.

Assess, plan, and implement interventions related to skin integrity, bowel and bladder status, including continence and bowel movement monitoring, mentation, ambulation status, nutrition and hydration, and the effects of medication.

Identify any clinical teaching needs of the Shahbazim, Elder or family. Provide teaching and complete documentation.

Identify ways to support Shahbazim in their clinical competency and skills.

Monitor standard precautions (i.e. presence of gloves, soap, towels, etc.)

Administer treatments and medications.

Monitor overall adequacy of the care plan.

Attend care plan meetings.

Review compliance with the care plan.

Participate in the development, maintenance, and implementation of the community's quality assurance program.

Maintain emergency supplies and equipment.

Conduct physical assessment of each Elder.

Conduct MDS assessments, monitor infection control, and care planning activities.

Provide regular verbal report regarding the clinical status of the Elders in The Green House homes to the oncoming shift personnel and to the Director of Nursing.

Place issues/items for team discussion on the team meeting agenda, initial the entry, and seek feedback regarding the issues/items from the Team Coordinator after the meeting.

Attend team meetings to provide support and guidance when invited by the team or by requesting to attend for a specific reason.

Review the minutes of the team meeting each week.

Participate in meals and meaningful engagement activities.

Communicate with families on a regular basis to determine their level of satisfaction.

Interact with all staff in a manner that is respectful and collaborative.

Act as a mentor and facilitate individual growth in all staff.

Agree not to disclose elder's protected health information and promptly report suspected or known violations of such disclosure to the Administrator.
1. Roles
Nurses in The Green House model are core members of the Clinical Support Team (CST). Their roles on the CST include assessing and monitoring the clinical status of the elders and delivery evidence-based clinical care, both directly and through the Shahbazim and other CST members. The CST nurses report directly to the Director of Nursing but work in collaboration with the Guide and Shahbazim. Nurses serve as:

Care Role Model -- recognizing the strengths and abilities of each elder, supporting these strengths to minimize excess disability, and ensuring that care approaches are person-directed and promote the elder's maximum control over his/her care and life.

Gerontological Nurse -- bringing one's skills, expertise and specialized training in assessment, care and treatment of aging people to bear on care and services provided in the Green House home. As specialists and experts, nurses ensure that care and treatment meets the highest standards of practice and incorporates the most current evidence-based approaches.

Care Team Partner -- knowing and respecting the contributions of each individual on the care team -- the elders, the Shahbazim as well as other Clinical Support Team members. As care team partners, all individuals involved in care must share information, listen to one another, share power and foster creativity by gathering multiple perspectives on any issue or situation.

Mentor and Teacher -- acting as trusted guides and advisors to the Shahbazim, as well as imparting knowledge and teaching skills. Nurses have the opportunity and the obligation to share their clinical knowledge and skills in order to enhance the skills and competencies of the Shahbazim to provide the highest possible quality of care.
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1. Physical Demands/Working Conditions
Must be able to move intermittently throughout the workday.

Must be able to cope with the mental and emotional stress of the position.

Must be able to see and hear or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully met.

Must function independently and have flexibility, personal integrity, and the ability to work effectively with elders, personnel, and support agencies.

Must meet the general health requirements set forth by the policies of this community, which include a medical and physical examination, annual influenza vaccine, and TB testing.

Must be able to relate to and work with the ill, disables, elderly, emotionally upset, and, at times, hostile people within the community.

Must be able to push, pull, move, and/or lift a minimum of 25 pounds to a minimum height of 5 feet and be able to push, pull, move and/or carry such weight a minimum distance of 50 feet.

May be necessary to assist in the evacuation of elders during emergency situations.

Works in office area(s) as well as throughout the nursing service area.

Moves intermittently during working hours.

Is subject to frequent interruptions.

Is involved with elders, personnel, visitors, government agencies/personnel, etc., under al

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