RN Charge Nurse
4 weeks ago
The primary purpose of your job position is to provide direct nursing care to the residents and to supervise the day-to-day nursing activities performed by nursing assistants. Such supervision must be in accordance with current federal, state, and local standards, guidelines, and regulations that govern our facility, and as may be required by the Director of Nursing Services or Nurse Supervisor to ensure that the highest degree of quality care is maintained at all times.
Duties And Responsibilities
Administrative Functions
Direct the day-to-day functions of the nursing assistants in accordance with current rules, regulations, and guidelines that govern the long-term care facilityEnsure that all nursing personnel assigned to you comply with the written policies and procedures established by this facilityPeriodically review the department's policies, procedure manuals, job descriptions, etc. Make recommendations for revisionsMeet with your assigned nursing staff, as well as support personnel, in planning the shifts' services, programs, and activitiesEnsure that the Nursing Service Procedures Manual is current and reflects the day-to-day nursing procedures performed in this facilityEnsure that all nursing service personnel comply with the procedures set forth in the Nursing Service Procedures ManualMake written and oral reports/recommendations concerning the activities of your shift as requiredCooperate with other resident services when coordinating nursing services to ensure that the resident's total regimen of care is maintainedEnsure that all nursing service personnel are in compliance with their respective job descriptionsParticipate in the development, maintenance, and implementation of the facility's quality assurance program for the nursing service departmentParticipate in facility surveys (inspections) made by authorized government agencies as may be requestedPeriodically review the resident's written discharge plan. Participate in the updating of the resident's written discharge plan as requiredAssist in planning the nursing services portion of the resident's discharge plan as necessaryInterpret the department's policies and procedures for personnel, residents, visitors, and government agencies as requiredAdmit, transfer, and discharge residents as requiredComplete accident/incident reports as necessaryWrite resident charge slips and forward them to the Business OfficeMaintain the Daily Census Report and submit it to the Business Office as requiredPerform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., as necessary
Charting and Documentation
Complete and file required recordkeeping forms/charts upon the resident's admission, transfer, and/or dischargeEncourage attending physicians to review treatment plans, record and sign their orders, progress notes, etc., in accordance with established policiesReceive telephone orders from physicians and record them on the Physicians' Order FormTranscribe physician's orders to resident charts, medication cards, and treatment/care plans, as requiredChart nurses' notes in an informative and descriptive manner that reflect the care provided to the resident, as well as the resident's response to the careFill out and complete accident/incident reports. Submit to Director as requiredChart all reports of accidents/incidents involving residents. Follow established proceduresRecord new/changed diet orders. Forward information to the Dietary DepartmentReport all discrepancies noted concerning physician's orders, diet changes, charting errors, etc., to the Nurse SupervisorFill out and complete transfer forms in accordance with established proceduresEnsure that appropriate documentation concerning unauthorized discharges is entered in the resident's medical record in accordance with established proceduresPerform routine charting duties as required and in accordance with established charting and documentation policies and proceduresSign and date all entries made in the resident's medical record
Drug Administration Functions
Prepare and administer medications as ordered by the physicianVerify the identity of the resident before administering the medication/treatmentEnsure that prescribed medication for one resident is not administered to anotherEnsure that an adequate supply of floor stock medications, supplies, and equipment is on hand to meet the nursing needs of the residents. The report needs to the Nurse SupervisorOrder prescribed medications, supplies, and equipment as necessary, and in accordance with established policiesEnsure that narcotic records are accurate for your shiftNotify the Nurse Supervisor of all drug and narcotic discrepancies noted on your shiftReview medication cards for completeness of information, accuracy in the transcription of the physician's order, and adherence to stop order policiesNotify the attending physician of automatic stop orders prior to the last dosage being administeredDispose of drugs and narcotics as required, and in accordance with established procedures
Education
Must possess, as a minimum, a Nursing Degree from an accredited college or university.
License: Registered Nurse
Experience
Must have, as a minimum, one year(s) of experience as a supervisor in a hospital, long-term care facility, or another related healthcare facilityMust have training in rehabilitative and restorative nursing practices
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