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Tuesday, March 24, 2015

Need to know the right questions to ask your nursing applicants? These 65 will surely suffice.

1. Where do you see yourself in 3 years?
2. What do you bring to this position? How do you stand out from the other applicants?
3. What attracts you to this facility? To this position? What do you hope to get out of the experience?
4. How would you describe your ideal job? Your ideal work environment?
5. Why are you leaving your current position?
6. What did you particularly like about your last position?
7. What's your most important professional achievement?
8. Who are your career role models and why?
9. How do you set priorities in your work?
10. Do you have any time-management tricks other nurses could benefit from?
11. What are the most important lessons you've learned in your career?
12. How much supervision do you want or need?
13. What professional organizations do you belong to?
14. How have you participated in the professional organizations you belong to?
15. What nursing publications do you subscribe to?
16. Have you attended any national conferences? If so, how did you benefit from the experience?
17. Have you ever done any volunteer work? If so, what was it like?
18. How do you keep up with the latest information in your field?
19. What are your goals in terms of going back to school, becoming certified, taking on management responsibilities?
20. Can you give an example of a time you were a leader?
21. Can you give some examples of your problem-solving skills?
22. What do you think are the most challenging aspects of meeting patients' needs?
23. How do you handle a request you disagree with?
24. What happened the last time you put your foot in your mouth?
25. What actions would you take in your first month on the job?
26. Can you give some examples of your creativity?
27. Who is the most difficult person you've ever worked with and why?
28. What type of management style do you work with best?
29. Can you describe a time when you had to intervene for a patient, what you did, and why? What was the outcome?
30. How would you rate yourself in communicating with patients—and with families?
31. Can you describe a situation in which you dealt with a difficult family member?
32. How do you motivate patients?
33. Can you describe a time you went beyond the call of duty?
34. Can you describe a situation in which you thought that you were right and others were wrong—and what you did about it?
35. Can you describe a situation in which you were supposed to work with a person you didn't like and how you handled it?
36. Have you ever been in a situation in which a co-worker put a patient in jeopardy? If so, what did you do about it?
37. What would you do if you were asked to float to a specialty area you weren't familiar with?
38. Can you describe a time your work was criticized and how you handled it?
39. How do you handle delegation issues with unlicensed assistive personnel?
40. How would your co-workers describe you?
41. How would you describe your role in a recent code?
42. How do you handle stress?
43. Have you ever been fired or asked to resign?
44. What would a background check on you show?
45. Would your previous employer recommend you?
46. What would you do if you were caring for an alert patient who suddenly got acutely confused and disoriented?
47. What would you do if you found an elderly patient on the floor in his room? How would you document it?
48. Have you worked with many foreign nurses? If so, what did you do to help them?
49. How would you handle a situation in which you couldn't read a prescriber's orders?
50. If you were offered your last job again today, would you take it?
If you're returning to nursing after not working in the profession for a while:
51. How long has it been since you worked as a nurse?
52. What have you been doing since you've been out of nursing?
53. How have you prepared to return to nursing?
54. Did you take a refresher course? How did it help?
55. How have you kept up with changes in the profession?
If you're a student applying for your first position:
56. What's your most important achievement as a student?
57. When do you plan to take your NCLEX? Have you taken a course to prepare for it?
58. Where did you get your clinical experience? What units?
59. Did your clinical experience include putting in a urinary drainage catheter or starting an intravenous line access? Inserting or removing a nasogastric tube, or caring for a patient with one?
60. What was your favorite clinical experience? Least favorite? Why?
61. What types of charting systems have you used? What do you like about them? What do you dislike?
62. What do you think is a reasonable orientation time?
63. Have you worked with an electronic medication administration record? Bar coding?
64. What new technology have you used in school, such as personal digital assistants (PDAs)?
65. Are you on-line often? What are your favorite sites for reliable health care information?

Wednesday, March 4, 2015

Needing to recruit the Director of Nursing and/or the house administrator for your Congregate Facility?

We have a written ad that has proven to be very successful at achieving this position for the congregate living facility.   Here below is our description of the position, the education requirements and the daily tasks at hand.  Feel free to use this to build your own or use our exact one to help you find that perfect employee.  Good Luck, God Bless.

Congregate Living Health Facility Administrator/Director of Nurses
compensation: comparable to job and level of management, negotiable to exact dollars

A brand new congregate living facility in the "start up" phase of licensing seeks an exceptional full-time registered nurse that will serve as the Director of Nursing (DON) and Administrator for six adult patients, specializing in patients that are ventilator dependent via trachs. These patients may be terminally ill, catastrophically and severely disabled, mentally alert but physically disabled, or any combination of these persons. The DON/Administrator will be responsible for all of the day-to-day clinical and administrative operations of the facility to assure that each patient receives the highest level of care, attention, and services that will help attain and/or maintain their highest practicable physical, mental, and psychosocial well-being, in accordance with their comprehensive and individualized plan of care. The DON/Administrator will provide high quality care, thus contributing to a higher quality of life to each patient, foster high standards of patient care through the provision and promotion of diligent orientation and continuing education efforts, adequate levels of nursing personnel, properly prepared staff/team members, consultations and coordination with healthcare team members to assess, plan, implement, and/or evaluate individual patient care plans, follow all current policies and procedures, as well as upholding all applicable federal, state and other regulations, including state specific clinical practice acts.

Core Values/Service Excellence:
Work efforts reflect a passion for exceeding patient expectations
Solicits patient/resident feedback to understand their needs and the needs of the community
Displays responsibility by taking ownership of quality care
Shows dedication to enriching the lives of our patients and residents through empathy and compassion
Exhibits a commitment to results by looking for and recommending/implementing process improvements
Demonstrates commitment to interpersonal excellence through professional greetings, proper telephone etiquette, common courtesy, a professional attitude and appearance
Recognizes the benefits of team collaboration
Shows respect for fellow employees by working together to get the job done
Effectively addresses patient/family concerns and resolves conflict in a manner that is fair to all
Clear communication with CEO/Stakeholders
Exhibits exceptional attention to detail
Analytical thinking
Strong leadership
Adaptability/flexibility to change
Working well independently and as a team
Ability to effectively manage stress
Pleasant personality with lots of smiles

Essential Functions include but are not limited to:
(1) Assure nursing organizational structure supports clinical and administrative standards and goals that will enable the facility to achieve its mission and ongoing survey readiness and regulatory compliance
(2) Knowledgeable of applicable federal, state and other regulations, including state specific clinical practice acts
(3) Promote effective working conditions, and positive employee relations
(4) Collaborate with other members of the health care team as needed
(5) Review prospective resident referrals in accordance with the clinical grid to assure that clinical services can be provided
(6) Participate and/or lead committees or workgroups as deemed necessary and/or requested by Executives/Stakeholders
(7) Communicate and collaborate with the Medical Director, attending and consulting physicians, ancillary and service departments, and contracted providers through meetings, telephone, and e-mail
(8) Participate in the selection, monitoring, evaluation, storage and tracking of clinically related equipment and supply usage
(9) Remain knowledgeable about all the patients and their conditions through mechanisms such as making daily rounds and discussion with physicians, ancillary and service departments, and contracted providers to promote person-centered care
(10) Promote and evaluate patient and family satisfaction with nursing services and the facility as a whole
(11) Advocate for and assist with smooth transitions of care from one setting to another through effective communication and discharge planning activities, as well as provide emotional support
Instruct individuals, families, or other groups on topics such as health education, disease prevention, and/or develop health improvement programs.
(12) Promote an environment where patients' rights are protected and residents are free from abuse and neglect
(13) Communicate effectively, actively listen and function effectively as a part of the team
Managing and administering the Long Term Care Services of our Congregate Living Facility and integrating activities to achieve program goals and objectives
(14) Administering and enforcing a system of standards to ensure the highest quality of service, care, and treatment for our patients/residents
(15) Ensuring consistent application of inspection protocols
(16) Maintain accurate, detailed reports and records for six patients
(17) Record patients' medical information and vital signs
(18) Document patients' medical histories and assessment findings
(19) Set up and monitor medical equipment and devices such as cardiac monitors, mechanical ventilators and alarms, oxygen delivery devices, transducers, or pressure lines
(20) Assess patients' pain levels or sedation requirements

Administer medications intravenously, by injection, orally, through gastric tubes, or by other methods
Administer medications to patients and monitor patients for reactions or side effects while monitoring patients for changes in status and indications of conditions such as but not limited to sepsis or shock and institute appropriate interventions. Evaluation of patients' vital signs or laboratory data to determine emergency intervention needs and then to prioritize nursing care for assigned critically ill patients, based on assessment data or identified needs. Conducting pulmonary assessments to identify abnormal respiratory patterns or breathing sounds that indicate a problem. Monitor, record, and report symptoms or changes in patients' conditions. Consult and coordinate with healthcare team members to assess, plan, implement, or evaluate patient care plans. Modify patient treatment plans as indicated by patients' responses and conditions, Monitoring all aspects of patient care, including diet and physical activity. Direct or supervise less-skilled nursing or healthcare personnel/patient care personnel giving constant guidance, Direction, and Motivation Subordinates (including setting performance standards and monitoring performance). Some highlights are:

Nursing Care Plans/Interventions
Discharge Planning

Minimum Education and Work Experience:

Graduate of accredited school of nursing, BSN or MSN preferred (AS may be accepted with demonstrated work/leadership experience in Nursing)
Current R.N. License in the State of California
Valid CPR Certification
At least 3+ years of experience as a R.N., preferably in E.R. or critical care
At least 1+ years of leadership experience in administration and management in a health care organization (preferred but not required)
At least one year of experience in gerontological nursing/long-term care nursing (preferred but not required)
Certification as a director of nursing or nursing executive/administrator in long term care (preferred but not required)
Fluent reading and writing in English
Trilingual English/Spanish/Tagalog (preferred but not required)

This position will be full time in the next couple of months once the license to the facility is procured. Prior to the licensing survey, (no more than 2-4 weeks prior), the position will go into a full time status (Mon-Fri. 8/hrs day) with salary in alignment to the position and to your experience. This position has great opportunity for growth, advancement, and longevity/retention. We are looking for someone that has a stable work history (not a job hopper!) to make this their career, not just a job. The ideal candidate will have intrinsic motivation. This is a challenging, yet highly rewarding position, as you will make a huge difference in the lives of these individuals.

If you like what you've read and feel that you would be a good fit for this position, please send us your cover letter, current resume, references, and salary requirements. Finally, please provide a short response indicating why we should hire you and why you would like to work for us.

The State of California has the following regulation regarding this position:

"Facilities serving persons who are terminally ill, catastrophically and severely disabled, mentally alert but physically disabled, or any combination of these persons, shall have an administrator who is responsible for the day-to-day operation of the facility. The administrator may be either a licensed registered nurse, a nursing home administrator, or the licensee. The administrator shall be present at the facility a sufficient number of hours to ensure the smooth operation of the facility. If the administrator is also the registered nurse fulfilling the duties specified in paragraph (2), the administrator shall not be responsible for more than one facility. In all other circumstances, the administrator shall not be responsible for more than three facilities with an aggregate total of 75 beds and these facilities shall be within one hour's surface travel time of each other."

Being our facility is six beds, the regulations reads that this position shall: "For each congregate living health facility of six or fewer beds serving persons who are terminally ill, catastrophically and severely disabled, mentally alert but physically disabled, or any combination of these persons, a registered nurse shall visit each patient at least twice a week for approximately two hours, or more as patient care requires."

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