Charge Nurse

PACS

1d•Onsite

About The Position

The Charge Nurse provides direct nursing care to residents and supervises the day-to-day work of nursing assistants in accordance with applicable standards, regulations, facility policies, and direction from nursing leadership. The role supports high-quality resident care through clinical services, staff supervision and development, documentation, medication administration, care planning, safety, and coordination with residents, families, physicians, and other departments. The position carries administrative responsibility for an assigned unit or shift, including staffing coordination, reporting, quality assurance participation, admissions and discharges, and maintaining accurate resident records. The Charge Nurse also helps ensure that personnel follow infection-control, safety, privacy, and equipment procedures. The role may involve work beyond normal hours, emergency call-back, and temporary work in other positions when necessary.

Requirements

Nursing degree from an accredited college or university, or graduation from an approved LPN/LVN program.
Current, unencumbered, active license to practice as an LPN/LVN in the state.
Current CPR certification.
Maintain required continuing education and licensing and remain in good standing with the State Board of Nursing.
Ability to read, write, speak, and understand English; read technical procedures and policy and procedure manuals; present information and respond to questions; and communicate information about residents’ conditions.
Ability to apply mathematical concepts such as fractions, percentages, ratios, and proportions to practical situations.
Knowledge and skills necessary to provide care appropriate to the age-related needs of residents.
Knowledge of nursing and medical practices and procedures, and of laws, regulations, and guidelines pertaining to nursing care facilities.
Leadership and supervisory ability, teamwork, tact, and the ability to work harmoniously with and supervise personnel.
Ability to make independent decisions when circumstances warrant, plan and organize programs and care, and handle difficult situations with patience and a cheerful disposition.
Ability to work effectively with residents, families, staff, visitors, government personnel, and support agencies, including individuals who are ill, disabled, elderly, emotionally upset, or hostile.
Ability and willingness to seek and incorporate new methods and principles into nursing practices.
Ability to move intermittently during the workday; cope with mental and emotional stress; and see and hear adequately, with prosthetics if needed, to perform the job.
Ability to push, pull, move, lift, or carry at least 25 pounds to a height of at least 5 feet and a distance of at least 50 feet; may need to assist with resident evacuation.
Meet the facility’s general health requirements, including medical and physical examination, and not pose a direct threat to workplace health or safety.

Nice To Haves

Knowledge and experience with PCC.

Responsibilities

Direct and supervise the day-to-day work of nursing assistants and other assigned personnel, ensuring compliance with facility policies, job descriptions, and applicable regulations.
Plan shift services with nursing and support staff; assign work, provide leadership, make rounds, identify performance or staffing issues, and report them to the Nurse Supervisor.
Participate in quality assurance activities, facility surveys, policy and procedure reviews, discharge planning, and development of nursing service procedures.
Complete administrative work, reports, census records, charge slips, incident reports, medical forms, evaluations, and other required records.
Maintain accurate resident documentation for admissions, transfers, discharges, orders, treatments, incidents, and nursing care; ensure entries are signed and dated.
Prepare and administer prescribed medications and treatments; verify resident identity, maintain medication and narcotic records, order needed supplies, and report discrepancies.
Provide and coordinate nursing care, including resident assessments, monitoring, physician communication, prescribed treatments, rehabilitation, specimen collection, vital signs, and support during admissions, transfers, discharges, and post-mortem procedures.
Review resident care plans and charts, ensure care follows residents’ plans and wishes, and communicate needed plan changes to the Nurse Supervisor.
Orient and train new employees, participate in in-service education and continuing education, and support supervision of nurse aide trainees.
Monitor safety, sanitation, hand hygiene, infection control, emergency preparedness, personal protective equipment use, and safe operation and maintenance of equipment.
Recommend and monitor unit or shift supplies and equipment, ensure adequate stock, and promote efficient use of supplies.
Protect resident health information and facility information systems; report suspected privacy, security, fraud, or other policy violations.
Communicate and coordinate with residents, families, physicians, nursing personnel, support departments, government agencies, and other facility personnel.