Charge Nurse - RN
Huntsville, AL
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Job Description

Purpose


To provide direct nursing care to the residents, and to supervise the day-to-day nursing activities of the Nursing Staff and the CNAs in accordance with current federal, state, and local standards, guidelines, and regulations that govern the facility.


Essential Functions


  • Ensure assigned personnel comply with the written policies and procedures established by this facility.
  • Periodically review the department's policies, procedure manuals, job descriptions, etc. Make recommendations for revisions.
  • Cooperate with other resident services when coordinating nursing services to ensure that the resident's total regimen of care is maintained.
  • Participate in facility surveys (inspections) made by authorized government.
  • Periodically review the resident's written discharge plan. Participate in the updating of the resident's written discharge plan as required.
  • Assist in planning the nursing services portion of the resident's discharge plan.
  • Admit, transfer, and discharge residents as required.
  • Complete accident/incident reports as necessary.
  • Write resident charge slips and forward to the Business Office.
  • Maintain the Daily Census Report and submit to the Business Office as required.
  • Complete and file required record-keeping forms/charts upon the resident's admission, transfer, and/or discharge.
  • Encourage attending physicians to review treatment plans, record and sign their orders, progress notes, etc., in accordance with established policies.
  • Receive telephone orders from physicians and record on the Physicians' Order Form.
  • Chart nurses' notes in an informative and descriptive manner that reflects the care provided to the resident, as well as the resident's response to the care.
  • Record new/changed diet orders. Forward information to the Dietary Department.
  • Report all discrepancies noted concerning physician's orders, diet change, charting error, etc., to the Nurse Supervisor.
  • Fill out and complete transfer forms in accordance with established procedures.
  • Sign and date all entries made in the resident's medical record.
  • Prepare and administer medications as ordered by the physician.
  • Verify the identity of the resident before administering the medication/treatment.
  • Ensure that prescribed medication for one resident is not administered to another.
  • Ensure that an adequate supply of floor stock medications, supplies, and equipment is on hand to meet the nursing needs of the residents. Report needs to the Nurse Supervisor.
  • Ensure that narcotic records are accurate for your shift.
  • Notify the Nurse Supervisor of all drug and narcotic discrepancies noted on your shift.
  • Review medication cards for completeness of information, accuracy in the transcription of the physician's order, and adherence to stop order policies.
  • Notify the attending physician of automatic stop orders prior to the last dosage being administered.
  • Dispose of drugs and narcotics as required, and in accordance with established procedures.
  • Report absentee call-ins to the Nurse Supervisor.
  • Make daily rounds of your unit/shift to ensure that nursing service personnel are performing their work assignments in accordance with acceptable nursing standards. Report problem areas to the Nurse Supervisor.
  • Inform nursing personnel of new admissions, their expected time of arrival, room assignment, etc.; ensure rooms are ready for new admissions.
  • Greet newly admitted residents upon admission. Escort them to their rooms as necessary.
  • Participate in the orientation of new residents/family members to the facility.
  • Make rounds with physicians as necessary.
  • Requisition and arrange for diagnostic and therapeutic services, as ordered by the physician, and in accordance with our established procedures.
  • Consult with the resident's physician in providing the resident's care, treatment, rehabilitation, etc., as necessary.
  • Administer professional services such as; catheterization, tube feedings, suction, applying and changing dressings/bandages, packs, colostomy, and drainage bags, taking blood, giving massages and range of motion exercises, care for the dead/dying, etc., as required.
  • Use restraints when necessary and in accordance with established policies & procedures.
  • Obtain sputum, urine and other specimens for lab tests as ordered.
  • Take and record TPRs, blood pressures, etc., as necessary.
  • Monitor seriously ill residents as necessary.
  • Check foods brought into the facility by the resident's family/visitors to ensure that it is within the resident's dietary allowances. Report problem areas to the Nurse Supervisor and Dietary Supervisor.
  • Ensure that residents who are unable to call for help are checked frequently.
  • Meet with residents, and/or family members, as necessary. Report problem areas to the Nurse Supervisor.
  • Assist in arranging transportation for discharged residents as necessary.
  • Ensure that discharged residents are escorted to the pick-up area.
  • Inform family members of the death of the resident.
  • Call funeral homes when requested by the family. Ensure that established post-mortem procedures are followed.
  • Attend and participate in annual OSHA and CDC in-service training programs for hazard communication, TB management, and blood-borne pathogens standard.
  • Ensure that all personnel performing tasks that involve potential exposure to blood/body fluids participate in appropriate in-service training prior to performing such tasks.
  • Participate in the development, implementation, and maintenance of the infection control program for monitoring communicable and/or infectious diseases.
  • Review care plans daily to ensure that appropriate care is being rendered.
  • Ensure that all nursing care is provided in privacy and that nursing service personnel knock before entering the resident's room.
  • Maintain a written record of the resident's complaints and/or grievances that indicates the action taken to resolve the complaint and the current status of the complaint.
  • Report and investigate all allegations of resident abuse and/or misappropriation of resident property.

Work Schedule


  • As assigned, including some week-ends, evenings and Holidays.

Working Conditions


  • Works in well-lighted/ventilated areas.
  • Most of the work is performed indoors
  • Is subject to frequent interruptions.
  • The noise level in the work environment is usually moderate.
  • Is involved with residents, personnel, visitors, government agencies, etc., under all conditions and circumstances.
  • Is subject to hostile and emotionally upset residents, family members, etc.
  • Communicates with the medical staff, nursing staff, and other department supervisors.
  • Works beyond normal duty hours, on weekends, and in other positions temporarily, when necessary.
  • May be exposed to bodily fluids, infectious waste, diseases, conditions, etc., including the AIDS and hepatitis B viruses.

Physical Requirements


  • While performing the duties of this job, the employee is occasionally required to stand; walk; use hands to finger, handle, or feel; implements or office equipment; reach with hands and arms; stoop, kneel, crouch, or crawl and talk or hear.
  • Must be able to speak and write the English language in an understandable manner.
  • Collect information through observation, listening, touching, and smelling.
  • Must have auditory ability sufficient to monitor and assess
  • Job requires regular sitting, standing, walking, stooping, bending, kneeling, crouching, reaching, pushing, pulling, twisting, writing, and carrying charts, food, trays, etc.
  • Must be able to move intermittently throughout the work day.
  • Specific vision abilities required by this job include close, distance and color vision and the ability to adjust focus.
  • Employee may be required to move chairs, beds, and medical equipment, move patients in bed (with or without assistance).
  • Must be able to cope with the mental and emotional stress of the position.
  • Must function independently, have flexibility, personal integrity, and the ability to work effectively with the residents, personnel, and support agencies.
  • Must be in good general health and demonstrate emotional stability.
  • Must be able to relate to and work with ill, disabled, elderly, emotionally upset, and at times hostile people within the facility.
  • May be required to lift, push, pull, and move equipment, supplies, etc., in excess of fifty (50) pounds.
  • Must be able to assist in the evacuation of residents.

Safety, Sanitation and Infection Controls


  • Assure the assigned work areas are maintained in a clean, safe and sanitary manner.
  • Assure that established infection control and universal precautions practices are observed.
  • Report all hazardous conditions or equipment to your supervisor.
  • Follow established safety policies and procedures.
  • Dispose of refuse daily in accordance with established sanitation procedures.
  • Keep work/assignment areas free of hazardous objects, unnecessary equipment, supplies, etc.
  • Report any accident/incident to your supervisor no matter how minor.


Qualifications


  • Must have, at a minimum, a Nursing Degree from an accredited college or university, or be a graduate of an approved Registered Nurse program.
  • Must possess a current, unencumbered, active license to practice as a Registered Nurse in this state.
  • Must be able to read, write, speak, and understand the English language.
  • Must possess the ability to make independent decisions when circumstances warrant.
  • Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public.
  • Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to long-term care.
  • Must possess leadership and supervisory ability and the willingness to work harmoniously with and supervise other personnel.
  • Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices.
  • Must be able to relate information concerning a resident's condition.
  • Must be able to cope with the mental and emotional stress of the position.

Job Type Full-time