· Arrive to shift on time. (7 mins before 7 mins after shift) .
· Complete CNA’s assignment for the shift on the binder and on the board
· Review 24 hour report with charge nurse from the previous shift.
· Narcotic count (sign on shift must be completed at this time’s) all narcotic count sheets verified
· Room rounds with off going nurse ( make sure CNA’s are also doing rounds )
· Review 24hr report for lab follow up, diagnostic follow ups and any pending orders
· Medication passes per time schedule, G-tubes, PPIs, Coumadin, PRN medications, Nebulizer treatments, and skin treatments (if any).
· Complete monthly summary assigned for shift
· Complete skin assessment assigned for shift
· Ensure all CNA’s documentation on ADLs and meal intake is completed before end of shift.
· Ensure all shower sheets are turned in to you and reviewed before end of shift, turn in to Unit manager or DON (under her office door).
· Complete all MDS charting, Skilled charting, changes in condition and/or new orders or treatments received for specific resident in their charts. Please document schedule or cancelled doctors’ appointments in residents’ chart. (inform transportation of changes)
· For OOP residents please fill out appropriate form, and head to toe assessment completed.
· Complete incident report if any occur during shift (write incident on 24 hour report, and submit paperwork to unit manager or slide under DON’s door).
· Complete lab inquiries and noted on lab log for any new orders or any labs received (log them in).
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