Emerald Heights

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Licensed Nurse (RN) – Assisted Living Services (ALS)

Reports to: Assisted Living Manager

Department: Corwin Center

Classification: Hourly, Non-exempt

Grade: 20


Job Summary:

The Licensed Nurse-RN-Assisted Living is responsible for managing the residents’ health plan and supervising the day-to-day nursing activities during the shift in accordance with State & Federal regulations and facility policies and procedures.


Duties & Responsibilities

Resident Care

  • Process admissions/transfers/discharges.
  • Welcome resident and oversee brief orientation to surroundings.
  • Begin initial care plan.
  • Complete transfer/discharge paper work as appropriate.
  • Complete resident assessment instrument.
  • Use resident assessment to help set measurable goals and objects in a care plan that meets the resident’s physical, mental and psychosocial needs.
  • Give and take shift report in timely manner.
  • Deliver and supervise resident care, based on interdisciplinary plan.
  • Administer medications and treatments as ordered by the attending physician.
  • Maintain proper surveillance of medications and records for controlled drugs.
  • Perform skilled nursing procedures, i.e., insertion of tubes, dressing changes, etc.
  • Arrange for tests and procedures and follow up to ensure completion.
  • Evaluate residents regularly for evidence of changes in condition using assessment skills based on accepted nursing standards.
  • Supervise serving of diets and nourishments.
  • Monitor intake and output when appropriate.
  • Monitor resident weights and vital signs.
  • Monitor resident positioning and use of supports
  • Monitor resident activities and prescribed therapies.
  • Assess need for preventive and restorative programs to ensure optimum achievable quality of life for each resident.
  • Evaluate resident for skin integrity and functional status; maintain skin records.
  • Provide direction and support to NACs to facilitate smooth delivery of nursing care on daily basis.
  • Develop resident care assignments.
  • See that each NAC receives adequate report on his/her assigned residents at start of shift.
  • Monitor care provided by NACs to ensure that the nursing care plan is implemented in a timely and thorough manner.
  • Act as role model for non-licensed staff in the deliver of safe, competent and compassionate service.
  • Respond to emergency calls in residential living area in absence of residential nurse.


  • Supervise documentation in the health record to ensure timely and complete entries.
  • Report and document change in resident’s condition according to facility policies.
  • Report and document incidents or unusual occurrences according to facility policy.
  • Initiate and discontinue charting at appropriate times according to facility policy.
  • Receive physician’s orders, process them and update care plan accordingly.
  • Complete charting of treatments, medications, assessments, care plans and summaries of resident progress in timely manner.
  • Communicate with all disciplines to ensure that care is delivered according the resident care plan.
  • Communicate with family and responsible parties regarding inquiries about residents, in compliance with facility policy on confidentiality.
  • Complete daily rounds on assigned residents to ensure facility compliance with regulatory requirements
  • Regular, predictable, and dependable attendance.



  • Current RN certification (licensure) in Washington State with at least one year of experience.
  • Speak, read, and write English.
  • Desire to work with older adults.
  • Skill in recognizing physical, mental and emotional needs of residents.
  • Ability to work closely with professional and non-professional staff members.
  • Effective oral and written communication skills.
  • Knowledge of federal, state and local regulations.
  • Able to maintain patience, poise, and dignity in an emergency or crisis.
  • Able to keep confidentiality.
  • Good judgment and ability to make independent decisions.
  • Emotional stability, tact and understanding of residents’ physical, psychological, social and emotional needs.
  • Able to prioritize multiple tasks.
  • Supervisory skills.
  • Take and give instructions well.
  • Regular, predictable and dependable attendance.


Physical Demands

  • Sit and stand for up to two hours per day.
  • Walk three to four hours per day. Also, run or walk rapidly.
  • Frequent lifting up to 10 pounds.
  • Occasional lifting of over 50 pounds and up to 100 pounds when lifting residents with use of a transfer belt. If appropriate use pixel/hoyer lift to assist resident from the floor.
  • Assist with transfer, lifting and pushing a wheelchair.
  • Push/pull with up to 50 pounds of force.
  • Climb stairs quickly.
  • Occasional bending and twisting at waist.
  • Occasional reaching above or below should heights, e.g., charts or supplies on upper shelves.
  • Frequent grasping and handing, e.g., paperwork, diagnostic tools.
  • Occasional use of computer and telephone.


Working Conditions

  • Exposure to bloodborne pathogens: Level I
  • Work in well-lighted, well-ventilated work areas.
  • Subject to infections, odors and/or hazards that might cause bruises or scratches.
  • Subject to frequent interruptions.
  • Hours vary; evenings and weekends may be required.


Download job description as a PDF here.


While every effort has been made to make this job description as complete and up to date as possible, it is subject to change without notice.


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