• Provide emotional security:  Promote feelings of safety and freedom from danger, fear, and anxiety.  Listen, show understanding, and respond to any concerns expressed by residents.
• Provide emotional support:  Provide assistance to the resident to cope with personal care problems during periods of stress, which will enhance their ability to accept and adjust to changes in their physical capabilities and personal life.
• Monitor the general health of ALF residents:  Take note of changes in behavior and physical condition of ALF residents.  This will alert you to changes in a residents' health which may warrant modification of services provided.  Note observations in residents' health charts as appropriate.
• Communicate:  Pass on information to future shifts and inform the Director of Nursing of any health-related concerns for any ALF resident.  Inform the Director of Nursing or the Administrator of changes requiring contact of the primary healthcare provider, home health agency, another third-party provider or transfer to a facility able to provide the appropriate services. 
• Assist with Medications:  Assist residents with self-administered medication in accordance with doctor's orders.  Document all medications that have been taken with assistance.  (This responsibility is performed only by staff who have had the associated required training.)
• Schedule appointments: Assist with scheduling resident medical and dental appointments.  Coordinate these appointments with appointment calendar, vehicle use calendar and driver.  Drive residents to appointments as needed.
• Other responsibilities as assigned.

The RN's primary role is that of Personal Care Attendant.  Additional responsibilities that the RN license allows include: 

• Perform the initial training and updates for ALF staff assisting with medications.  Possibly other initial staff training as well.
• Instruct personal care staff “in-services” on topics such as personal hygiene, infection control, geriatric care, medication assistance, etc.
• Oversee the Annual TB screening at NTM Homes to include training nurses, obtaining the script from the doctor and record keeping.
• Administer medications in accordance with a health care provider's order or prescription label and document all occurrences of medication administration.
• Communicate with health care professional staff by phone and/or fax regarding new or revised medication orders.  Follow up on medication orders and changes.
• Manage pill organizers to be used only by residents who self-administer medications.  Instruct the resident in the proper use of the pill organizer.
• Administer and regulate portable oxygen.
• Assist with routine colostomy care.
• Assist and monitor the application of anti-embolism stockings or hosiery.
• Give prepackaged enemas pursuant to a physician's order.
• Take or supervise the taking of vital signs along with appropriate documentation.   Maintain a monthly ALF resident record of weight, blood pressure, and pulse rate. 
• Conduct weekly blood pressure clinic for ALF residents, retirees in independent housing and volunteers.
• Administer TB tests and read the results of said tests during annual staff TB screening.
• Fulfill Continuing Education Units as required by law to maintain your professional active RN license.
• Assist the Administrator in evaluating continued residency criteria.  Decisions about changes, actions or inaction in resident healthcare should be made in conjunction with the other nursing staff.  We like to use the “team” approach in decision making, valuing each member’s input. 

• Dental hygiene maintenance
• Taking dental x rays
• Dental public health promotion
• Staff training

To Facilitate Member Care

To provide nursing care to the students at Hillcrest International School.

• Dental care
• Public health education
• Administrative responsibilities
• Leadership
• Discipleship with local staff, periodic outreach to remote tribal locations, community healthcare worker training (optional)

• Room and screen patients, record vital signs and chief complaint.
• Perform medical procedures such as IV placements, suture removal, foley catheter, etc.
• Perform medical tests such as vision, hearing, and ECG tests. Assist physician with procedures such as minor surgeries. 
• Basic wound care/management.
• Collect/process lab specimens.
• Provide patient discharge instructions and education.
• Complete patient charge forms when needed.
• Answer emails and return phone calls- (triage training and materials are available).
• Clean and stock procedure and exam rooms.
• Maintain accurate and complete nursing notes in patient medical records.
• Other duties as assigned.

 

This position will be primarily one of "house cleaning" both resident rooms and bathrooms, hallways, laundry rooms, lobbies, public restrooms, storage rooms, and offices, etc.  Also, assigned hours may include personal care responsibilities in the assisted living facility.

• Be on call for medical emergencies.
• Be responsible for all medical decisions regarding routine and emergency care.
• In emergencies decide where to obtain the appropriate level of care.  Prepare the patient for transfer when required. This includes writing reports and notifying all appropriate individuals.
• Maintain regular clinic hours, as possible, with flexibility to allow for on call hours, medical evacuations, etc.
• Supervise all medical care provided by the medical clinic, including all nursing functions, lab and pharmacy functions.
•  Meet with NTM-PNG leadership periodically.