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Charge Nurse, LPN

2 months ago

Jackson, United States United Church Homes, Inc. Full time

Community Name:

Four Winds Community The Charge Nurse is responsible for performing a variety of duties on assigned unit during the second or third shifts to deliver nursing care and within scope of practice coordinates care delivery which will ensure residents' needs are met in accordance with professional standards of practice through physician orders, facility policies and procedures and federal, state and local guidelines; coordinating with the Director of Nursing and the Nursing Unit Manager to establish specific goals; for determining work procedures and expediting work flow; for ensuring compliance with all operating policies and procedures and Ohio Department of Health regulations and Federal Health Care Administration regulations.

Essential Functions Statement(s)

  • Greets newly admitted residents upon admission; escorts them to rooms as necessary
  • Participates in orientation of new residents/family members to community
  • Informs nursing personnel of new admissions, expected time of arrival, room assignment, etc.; ensures rooms are ready for new admissions
  • Assesses residents on admission to develop interim care plan and further assesses in depth to contribute to the complete care plan; updates care plans as warranted and required; attends and participates at plan of care meetings as scheduled
  • Assesses residents and analyzes obtained information to develop appropriate interventions to prevent decline; records signs of change in condition; notifies appropriate staff to evaluate weight loss, decline in ambulation, development of skin breakdown and other changes; observes conditions that indicate possible need for restorative nursing programs and then notifies appropriate staff of the need for evaluation; informs the physician of changes in assessment when appropriate
  • Communicates status of residents to incoming personnel according to established procedures; communicates with physicians; transcribes, clarifies and implements physicians' orders
  • Distributes and administers prescribed medications and treatments, when required, according to approved nursing protocols, including IVs if certified
  • Maintains accountability for controlled substances; inventories medications at the beginning and end of the shift with another licensed nurse; notifies supervisor of discrepancies
  • Supports the facility's medical supply system; follows procedures for resident charge items
  • Ensures that an adequate supply of floor stock medications, supplies and equipment is on hand to meet the nursing needs of the residents; reports needs to Nursing Unit Manager
  • Notifies Nursing Unit Manager or Nursing Unit Supervisor of all drug and narcotic discrepancies noted on assigned shift
  • Reviews medication records for completeness of information and accuracy in the transcription of the physician's order, and adherence to stop order policies
  • Notifies the attending physician of automatic stop orders prior to last dosage being administered
  • Disposes of drugs and narcotics as required, and in accordance with established procedures
  • Administers professional services such as; catheterization, tube feedings, suction, applying and changing dressings/bandages, packs, colostomy, and drainage bags, takes blood, gives massages and range of motion exercises, cares for dead/dying, etc., as required
  • Obtains sputum, urine and other specimens for lab tests as ordered
  • Takes and records TPRs, blood pressures, etc., as necessary
  • Responds to emergencies; assesses the condition of the resident; decides on the type of medical attention required; calls appropriate ambulance service if needed; notifies family when resident is transferred or admitted to the hospital; notifies the physician when a change in condition occurs
  • Makes rounds to ensure care delivery meets quality standards and restorative protocols as needed
  • Confers with residents and families; makes referrals to other departments when appropriate
  • Maintains resident clinical files; keeps charts updated; documents
  • Completes employee and resident incident report forms; completes follow-up investigation forms
  • Completes accident/incident reports as necessary
  • Correlates accurate and complete documentation and its impact on reimbursement and federal regulations
  • Maintains the Daily Census Report and submits to office as required
  • Completes and files required record-keeping forms/charts upon the resident's admission, transfer and/or discharge
  • Charts nurses' notes in an informative and descriptive manner that reflects the care provided to the resident, as well as the resident's response to care
  • Fills out and completes transfer forms in accordance with established procedures
  • Reports all discrepancies noted concerning physician's orders, diet change, charting errors, etc., to the Director of Nursing and/or Nursing Unit Manager
  • Ensures that residents are aware of the services available to them; encourages residents to participate in activity programs and provides staff support to enable residents to get to and from activities and to participate in them
  • Cooperates with other resident services when coordinating nursing services to ensure that the resident's total regimen of care is maintained
  • Records new or changed diet orders; forwards information to Dining Services department
  • Checks foods brought by family members, ensuring it complies with residents' orders, dietary needs and safety
  • Arranges for diagnostic and therapeutic services, as ordered by physician, and in accordance with established procedures
  • Consults with resident's physician in providing resident's care, treatment, rehabilitation, etc., as necessary
  • Reports absentee call-ins to the Nursing Unit Manager
  • Ensures residents who are unable to call for help are checked on frequently
  • Meets with residents, and/or family members, as necessary; reports problem areas to the Nursing Unit Manager or Supervisor
  • Assists in planning the nursing services portion of the resident's discharge plan
  • Reviews and participates in the updating of the resident's written discharge plan
  • Assists in arranging transportation for discharged residents as necessary
  • Reports and initiates investigations on all allegations of resident abuse and/or misappropriation of resident property
  • Performs all other duties as assigned or directed

Competency Statement(s)

  • Accountability - Ability to accept responsibility and account for his/her actions.
  • Accuracy - Ability to perform work accurately and thoroughly.
  • Communication, Oral - Ability to communicate effectively with others using the spoken word.
  • Communication, Written - Ability to communicate in writing clearly and concisely.
  • Customer Oriented - Ability to take care of the customers' needs while following company procedures.
  • Ethical - Ability to demonstrate conduct conforming to a set of values and accepted standards.
  • Honesty / Integrity - Ability to be truthful and be seen as credible in the workplace.
  • Interpersonal - Ability to get along well with a variety of personalities and individuals.
  • Organized - Possessing the trait of being organized or following a systematic method of performing a task.
  • Patience - Ability to act calmly under stress and strain, and of not being hasty or impetuous.

Skills & Abilities

  • Education: Graduate of a state-accredited and approved licensure program: Required
  • Experience: One (1) year of experience in nursing/long-term care, preferred
  • Computer Skills: Must be able to proficiently operate a computer, the Internet and basic office equipment
  • Certifications & Licenses: Successful completion of a state-approved pre-licensure nursing education program; Active LPN license conferred by the State Board of Nursing; Must obtain and maintain mandatory, state and federal requirements and certifications for practice or occupation; Must be CPR certified
  • Other Requirements: Good base knowledge of pharmacology, treatments, issues specifically concerning the elderly, dementia, various diseases, and side effects; Demonstrated people skills, with special attention to interfacing with patients" family members; Working knowledge of different cultures and religions; Must be familiar with/able to use the following equipment: WiFis, pagers, point click care, computer, sit to stand, hoyer, gait belt; Must be able to read, write, understand and speak the English language; Special care/dementia care employees will have additional training in caring for and treating dementia residents; Must be able to work with elderly residents, families and other health care staff members; Must be able to adhere to all terms and conditions set forth in the United Church Homes Employee Handbook.

We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.