Charge Registered Nurse – NOC SHIFT | 6:00 PM–6:30 AM

Meadowbrook at Chetek•Chetek, WI

1d•Onsite

About The Position

The primary purpose of this role is to provide direct nursing care to residents and supervise the day-to-day nursing activities performed by nursing assistants. This supervision must align with current federal, state, and local standards, guidelines, and regulations, and as directed by the Director of Nursing Services or Nurse Supervisor to ensure the highest degree of quality care is maintained at all times. As Charge Nurse, you are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties.

Requirements

Must possess a current, unencumbered, active license to practice as an RN or LPN/LVN in this state.
Must be able to read, write, speak, and understand the English language.
Must demonstrate knowledge and skills necessary to provide care appropriate to the age-related needs of the residents served.
Must be a supportive team member, contribute to and be an example of teamwork and team concept.
Must possess the ability to make independent decisions when circumstances warrant such action.
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 nursing care facilities.
Must possess leadership and supervisory ability and the willingness to work harmoniously with and supervise other personnel.
Must possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies, and procedures necessary for providing quality care.
Must have patience, tact, a cheerful disposition and enthusiasm, as well as the willingness to handle difficult residents.
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 not pose a direct threat to the health or safety of other individuals in the workplace.
Must be able to move intermittently throughout the workday.
Must be able to speak and write the English language in an understandable manner.
Must be able to cope with the mental and emotional stress of the position.
Must be able to see and hear or use prosthetics that will enable these senses to function adequately.
Must function independently and have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies.
Must meet the general health requirements set forth by the policies of this facility, which include a medical and physical examination.
Must be able to relate to and work with the ill, disabled, elderly, emotionally upset, and, at times, hostile people within the facility.
Must be able to push, pull, move, and/or lift a minimum of 25 pounds to a minimum height of 5 feet and be able to push, pull, move, and/or carry such weight a minimum distance of 50 feet.
May be necessary to assist in the evacuation of residents during emergency situations.

Nice To Haves

Nursing Degree from an accredited college or university, or be a graduate of an approved LPN/LVN program.

Responsibilities

Direct the day-to-day functions of the nursing assistants in accordance with current rules, regulations, and guidelines that govern the long-term care facility.
Ensure that all nursing personnel assigned comply with the facility's written policies and procedures.
Periodically review and recommend revisions for the department’s policies, procedure manuals, and job descriptions.
Meet with assigned nursing staff and support personnel to plan shifts’ services, programs, and activities.
Ensure the Nursing Service Procedures Manual is current and reflects daily nursing procedures.
Ensure all nursing service personnel comply with the procedures set forth in the Nursing Service Procedures Manual.
Make written and oral reports/recommendations concerning shift activities as required.
Cooperate with other resident services to coordinate nursing services and maintain the resident’s total regimen of care.
Ensure all nursing service personnel comply with their respective job descriptions.
Participate in the development, maintenance, and implementation of the facility’s quality assurance program for the nursing service department.
Participate in facility surveys (inspections) made by authorized government agencies.
Periodically review and update the resident’s written discharge plan.
Assist in planning the nursing services portion of the resident’s discharge plan.
Interpret department policies and procedures to personnel, residents, visitors, and government agencies.
Admit, transfer, and discharge residents as required.
Complete accident/incident reports as necessary.
Write resident charge slips and forward them to the Business Office.
Maintain the Daily Census Report and submit it to the Business Office.
Perform administrative duties such as completing medical forms, reports, evaluations, studies, and charting.
Complete and file required recordkeeping forms/charts upon resident admission, transfer, and/or discharge.
Encourage physicians to review treatment plans, record, and sign orders and progress notes.
Receive telephone orders from physicians and record them on the Physicians’ Order Form.
Transcribe physician’s orders to resident charts, cardex, medication cards, and treatment/care plans.
Chart nurses’ notes in an informative and descriptive manner reflecting care provided and resident response.
Fill out and complete accident/incident reports and submit them to the Director.
Chart all reports of accidents/incidents involving residents.
Record new/changed diet orders and forward information to the Food Services Department.
Report discrepancies concerning physician’s orders, diet changes, or charting errors to the Nurse Supervisor.
Fill out and complete transfer forms.
Ensure appropriate documentation concerning unauthorized discharges is entered in the resident’s medical record.
Perform routine charting duties as required.
Sign and date all entries made in the resident’s medical record.
Prepare and administer medications as ordered by the physician.
Verify resident identity before administering medication/treatment.
Ensure prescribed medication for one resident is not administered to another.
Ensure an adequate supply of floor stock medications, supplies, and equipment is available.
Order prescribed medications, supplies, and equipment as necessary.
Ensure narcotic records are accurate for your shift.
Notify the Nurse Supervisor of all drug and narcotic discrepancies.
Review medication cards for completeness, accuracy, 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.
Participate in employee performance evaluations, determine shift staffing requirements, and make recommendations regarding dismissals and transfers.
Inform the Nurse Supervisor of staffing needs when assigned personnel fail to report to work.
Report absentee call-ins to the Nurse Supervisor.
Review and evaluate the department’s work force and make recommendations to the Nurse Supervisor.
Develop work assignments and/or assist in completing and performing such assignments.
Provide leadership to nursing personnel assigned to your unit/shift.
Make daily rounds of your unit/shift to ensure personnel are performing work assignments correctly.
Report problem areas to the Nurse Supervisor.
Ensure all nursing assistants are enrolled in or have graduated from an approved nursing assistant training program.
Ensure all nurse aide trainees are under the direct supervision of a licensed nurse.
Meet with shift’s nursing personnel regularly to identify and correct problem areas.
Ensure departmental personnel, residents, and visitors follow established policies and procedures.
Develop and maintain good working rapport with inter-departmental personnel and other departments.
Create and maintain an atmosphere of warmth, personal interest, and positive emphasis, as well as a calm environment.
Review complaints and grievances made or filed by assigned personnel and make appropriate reports.
Receive/give the nursing report upon reporting in and ending shift duty hours.
Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals.
Report known or suspected incidents of fraud to the Administrator.
Ensure departmental computer workstations are properly logged off or password protected when unattended.
Inform nursing personnel of new admissions, their expected arrival time, and room assignment.
Ensure rooms are ready for new admissions.
Greet newly admitted residents and escort them to their rooms.
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.
Consult with the resident’s physician regarding resident care, treatment, and rehabilitation.
Review resident’s chart for specific treatments, medication orders, and diets.
Implement and maintain established nursing objectives and standards.
Make periodic checks to ensure prescribed treatments are administered correctly and evaluate resident’s physical and emotional status.
Ensure direct nursing care is provided by qualified personnel.
Cooperate with and coordinate social and activity programs with nursing service schedules.
Notify the resident’s attending physician of accidents or incidents.
Notify the resident’s attending physician and next-of-kin of changes in resident’s condition.
Carry out restorative and rehabilitative programs.
Inspect nursing service treatment areas daily to ensure they are clean and safe.
Administer professional services such as catheterization, tube feedings, suction, dressing changes, wound care, specimen collection, vital signs monitoring, etc.
Use restraints when necessary and in accordance with established policies.
Obtain specimens for lab tests as ordered.
Take and record vital signs.
Monitor seriously ill residents as necessary.
Check foods brought into the facility by family/visitors to ensure they comply with dietary allowances.
Ensure personnel providing direct care adhere to the resident’s care plan and wishes.
Ensure residents who are unable to call for help are checked frequently.
Meet with residents and/or family members as necessary.
Admit, transfer, and discharge residents as necessary.
Assist in arranging transportation for discharged residents.
Ensure discharged residents are escorted to the pick-up area.
Inform family members of the death of a resident.
Call funeral homes when requested by the family.
Ensure established post-mortem procedures are followed.
Participate in developing, planning, conducting, and scheduling in-service training classes.
Implement and maintain an effective orientation program for new employees.
Assist in standardizing work methods.
Assist in training department personnel in identifying tasks with potential exposure to blood/body fluids.
Assist the Director in planning clinical supervision for nurse aide trainees.
Attend and participate in outside training programs.
Attend and participate in annual facility in-service training programs.
Attend and participate in advance directive in-service training programs.
Attend and participate in continuing education programs to maintain licensure.
Monitor personnel to ensure they follow established safety regulations.
Ensure departmental policies and procedures, including dress codes, are followed.
Assist in identifying, evaluating, and classifying routine and job-related functions involving potential exposure to blood/body fluids.
Ensure personnel performing tasks with potential exposure to blood/body fluids participate in appropriate in-service training.
Ensure an adequate supply of personal protective equipment is available.
Ensure assigned work areas are maintained in a clean and sanitary manner.
Ensure resident care rooms, treatment areas, etc., are maintained in a clean, safe, and sanitary manner.
Ensure personnel follow established handwashing and hand hygiene techniques.
Ensure personnel participate in and conduct fire safety and disaster preparedness drills.
Participate in the development, implementation, and maintenance of the infection control program.
Ensure personnel follow established infection control procedures when isolation precautions are necessary.
Ensure nursing personnel follow established procedures for the use and disposal of personal protective equipment.
Participate in the development, implementation, and maintenance of procedures for reporting hazardous conditions or equipment.
Ensure all personnel wear and/or use safety equipment when lifting or moving residents.
Report missing/illegible labels and MSDSs to the safety officer.
Recommend equipment and supply needs to the Nurse Supervisor.
Ensure an adequate stock level of medications, medical supplies, and equipment is maintained.
Participate in the development and implementation of procedures for the safe operation of all nursing service equipment.
Ensure only trained and authorized personnel operate equipment.
Ensure all personnel operate nursing service equipment in a safe manner.
Monitor nursing procedures to ensure efficient use of supplies and avoid waste.
Ensure appropriate MSDSs are on file for hazardous chemicals.