Nurse Manager
3 weeks ago
Purpose: The primary purpose of your job is to provide oversight and management of nursing care to the residents in the healthcare centers and to supervise the day-to-day nursing activities performed by the nurses and certified nursing assistants. Such management and supervision must be in accordance with current federal, state, and local standards, guidelines, and regulations that govern this facility; to ensure that the highest degree of quality care is maintained at all times.
Delegation of Authority
As Nurse Manager you are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties.
**Responsibilities**:
1. Administrative
- Ensures that all nursing personnel assigned to you comply with the written policies and established for this facility.
- Reviews periodically the department's facility policies, procedure manuals, job descriptions, etc., and makes recommendations for revisions if needed.
- Meets with assigned nursing staff, in planning the shifts' services, programs, and activities.
- Ensures that the Nursing Service Procedures Manual is current and reflects the day-to-day nursing procedures performed in this facility.
- Ensures that all nursing staff is in compliance with their respective job descriptions.
- Participates in the development, maintenance, and implementation of the facility's quality assurance program for the nursing service department.
- Participates in facility surveys made by authorized government agencies.
- Participates in resident's written discharge plans and the updating of discharge plans.
- Admits, transfers, and discharges residents as required.
- Completes accident/incident reports, as necessary.
- Maintains the Daily Census Report.
- Performs administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., as necessary.
- Holds monthly staff meetings with all shifts and maintain records of these meetings.
- Maintains an updated census and condition report for each nursing unit.
- Submits a monthly quality indicator report to the Director of Health Services and the Assistant Administrator.
2. Charting and Documentation
- Completes and files required record-keeping forms/charts upon the resident's admission, transfers/ and /or discharge.
- Directs attending physicians in reviewing treatment plans, recording, and signing orders, progress notes, etc., in accordance with established policies.
- Receives telephone orders from physicians and record on the physicians' order form.
- Oversees accurate transcription of physician’s orders to resident charts, cardex, medication cards, treatment/care plans, as required.
- Reviews clinical documentation to ensure it is accurate and complete. Documents in the medical record.
- Records new /changed diet orders. Forwards information to Dietary Department.
- Resolves discrepancies concerning physicians’ orders, diet change, charting errors, etc.
- Ensures that appropriate documentation concerning unauthorized discharges is entered in the resident's medical record in accordance with established policies.
- Checks all entries made in the resident's medical record for correct dates and times.
- Facilitates completion of advance directives.
3. Drug Administration
- Supervision of Charge Nurses giving medication
- Cleans or delegates cleaning of medication carts monthly and pm; has cleaning schedule initialed by charge nurse.
- Checks narcotic count three times weekly for accuracy.
- Performs routine audits on all shifts for nurses giving medications.
- Disposes of drugs and narcotics as required.
- Administers medications when necessary, following all procedures of the Home.
4. Personnel Functions
- Evaluates and signs the employee performance evaluations.
- Manages staffing needs if assigned personnel fail to report to work.
- Develops work assignments.
- Provides leadership to nursing personnel on a twenty-four-hour basis.
- Makes daily rounds of unit to ensure that personnel are performing assignments.
- Makes compliance rounds three times weekly, correcting all deficiencies. Gives completed reports to Director of Health Care Services.
- Ensures that employees, residents, and visitors follow established policies.
- Reviews complaints and grievances made and follows up on such complaints.
- Discusses disciplinary action with the Asst. Administrator, the Director or Health Care Services and ensures that disciplinary action is administered fairly and in a timely manner.
- Reports exposures to blood, body flu ids, infectious materials, and hazardous chemicals in accordance with the facilities policies and procedures.
5. Nursing Care
- Informs nursing personnel of new admissions, their expected time of arrival, room assignments, etc.
- Ensures rooms are ready for new admissions and greet residents on arrival.
- Participates in the orientation of resident and family members to the facility.
- Makes rounds with physicians and arranges for
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