The Clinical Unit Nurse Supervisor is responsible for focusing on all aspects related to nursing roles within the nursing home, including admissions, discharges, orders, physician rounding, medications, immunizations, assisting nursing staff, assisting CNA staff, and assisting residents.

The following duties are primarily performed and are essential for this position. Employees are expected to be able to perform each of these job duties satisfactorily and successfully to be qualified for the position. Other duties may be required and assigned.

Physician Orders: Audits orders for completion, accuracy, being entered into healthrecord. documentation of orders, accurate charting related to orders. Writes admission and discharge orders. Assists with admissions and discharges. Gives input on illnesses and requests of physician contact when needed. Assists nurses and medication aids when requesting help with all aspects related to any resident care or nursing duties. Works with hospice for end-of-life care orders and directives. 

Physician Visits-required every 60 days: Rounds with 3 physicians. Writes consult sheets, takes orders and verifies correct orders. Obtains signatures on physician orders sheets every 2 months. Tracks physician visits and verifies compliance with 30, 60, 90 day regulation.

Scheduling:Schedules staff to certain work areas, assists as needed in scheduling clinical hours. Fills in as charge nurses as needed. Works varied hours as needed including a Management Nurse weekend/Holiday rotation. ,  

CPR: Teaches CPR and renewal of CPR for nursing staff. Tracks renewal dates for updates at least every 2 years for CPR and upon hire.

Meetings: Attends nutritional risk meeting, collaborates with dietician regarding orders for supplements, tracking of weights and notification to physicians when needed for weight loss or gain. Requests labs and/or supplements related to nutritional needs. Attends management meetings, nurse meetings, meetings related to scheduling. 

New Admissions: Attends meetings with perspective new residents. Including collaborating with admit team to ensure the facility can accommodate the needs of the resident. Obtain pertinent information from new resident including family pharmacy and physician orders for admission. Fill out and submit level of care for new residents upon admission and as needed per regulation.   

Immunizations: Tracks new resident immunizations and assisting with compliance with records. Requests orders from physician when immunizations are due.

Transportation/EMAR: Oversee transportation/EMAR department for compliance with appointments and record scanning.  

MDS: Acts as the back up MDS coordinator when current one is unavailable. 

Policy and Procedures: Assists with Policy and Procedure implementation, writing, and revisions as needed. Assists with DIAL investigations as needed. Is available during survey in its entirety. 

Oxygen Supplies: Tracks and orders oxygen weekly. Orders oxygen supplies such as tubing, masks, nasal cannulas. Works with oxygen provider for residents who have CPAP/BiPAP machines. Orders supplies related to machines: masks, filters, tubing.

License Renewals: Tracks nurse licenses for renewal date. Alerts staff when license renewal is due. 

Other Tasks: Answers questions related to all aspects of care. Assists with all departments within the facility (Nursing, dietary, activities). Contacts family members for updating related to care of residents. Prints and disperses materials to departments within the facility. (Education materials, calendars, assignments). 

Education and/or Experience Requirements:

• Associates degree or higher.
• 4-5 years’ experience.
• Supervisory experience

Licenses, Certifications, and Other Requirements:

• License as a registered/ licensed nurse issued by the State of Iowa.

In order to perform the functions and responsibilities of the position (listed above) the following knowledge, skills, and abilities are essential.

Through knowledge of:

• The principles, standards and practices and techniques of professional nursing.
• The dangers inherent in and the precautions to be taken in the use of medications.
• Treatment, immunization and the related medical services for the type of residents in the facility.

General knowledge of:

• Business office equipment and processes (computers, phones, fax, paging systems, scanners, etc.).
• Computer programs and software including Microsoft Office.

Ability to:

• Supervise and evaluate the work of a staff of professional and nonprofessional personnel.
• Assess medical emergencies and initiate appropriate measures.
• Maintain patient records and prepare reports.
• Establish and maintain effective relationships with residents, co-workers and others contacted in the course of work.

In evaluating candidates for this position, Dubuque County may consider a combination of education, training, and experience which provides the necessary knowledge, skills, and abilities to perform the duties of this position. 

Physical Requirements

• Vision abilities required by this job including close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.
• Effective verbal speaking and hearing abilities are needed to handle communications with staff, residents, and others.
• Requires pushing, pulling, and lifting up to 25 pounds regularly and up to 50 pounds occasionally with assistance.
• Requires standing most of the time to perform work responsibilities with regular walking between locations.
• Requires ability to walk steps, reaching, squatting, stooping, bending, and sitting, pushing, pulling, twisting, gripping and apply physical intervention holds.

Work Environment

• Work is primarily indoors, with occasional exposure to outside weather and conditions.
• Exposure to chemicals from cleaning compounds and exposure to bodily fluids require the use of personal protective equipment to safe guard against potential biological and chemical hazards.
• Some exposure to slippery surfaces when floors are wet.