
Charge Nurse RN/LPN with license on 6 pm
Position Purpose:
Be in charge of a CNA ensuring they are able to provide the highest quality of care for residents. Working with doctors, obtaining medications, and maintaining accurate records of treatment.
Essential Functions of Position:
Coordinate effective use of personnel, supplies, equipment and facilities; obtain medications and medical records to provide safe, efficient and therapeutic care to residents
Contact physicians as necessary and ensure physician interventions are timely and appropriate; ensure appropriate documentation of resident care
Responsible during the shift for the total nursing care of residents in the assigned unit.
Assumes responsibility for compliance with Federal, State, Local, and company regulations.
Explains procedures and treatments and care plan to residents.
Transcribes physician's orders to resident charts, medication*/*treatment cards and care plans as required.
Charts progress notes in an informative, factual manner that reflects the care administered as well as the resident's response to care.
Receives*/gives report from*/to nurse he*/she is relieving/*coming on and records sufficient information and implements appropriate follow-up action as necessary
Follows established procedures for charting and reporting all reports of incident/accidents for residents and employee
onducts frequent rounds to evaluate effectiveness of care delivery. Maintains awareness of comfort and safety need resident.
Observes resident, records significant conditions and reactions, and notifies supervisor or Physician of resident's condition and reaction to drugs, treatments, and significant incidents.
Takes temperature, pulse, blood pressure, and other vital signs to detect deviations from normal and assess condition of resident.
Responds to emergency situations based upon nursing standards, policies, procedures, and protocol.
Assists in completion of the care plans *(*acute and long term) and is involved in the care conference as deemed necessary.
Participates, reports to DONI Administrator and conducts (as appropriate) investigations related to any alleged abuse.
Ensures that the progress notes are reflective of the care plan and that the approaches on the care plan are being followed.
Assures that team is aware of the resident care plan, and ensure personnel refer to the care plan prior to administering care.
Monitors that documentation is completed daily. Takes report from nursing staff to facilitate accurate documentation in resident medical record.
Perform additional duties as assigned.
EDUCATION / REQUIREMENTS:
Current State RN/LPN license with a minimum of 2 years related experience; or equivalent combination of education and experience. Good standing in the state registry is required.
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