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 quality of care. Essential Duties include administrative functions such as directing nursing assistants, ensuring compliance with policies, reviewing and revising procedures, planning shift services, maintaining procedure manuals, making reports, coordinating with other services, participating in quality assurance and facility surveys, updating resident discharge plans, interpreting policies, admitting/transferring/discharging residents, completing accident/incident reports, writing charge slips, maintaining census reports, and performing other administrative duties. Charting and Documentation involve completing and filing records, transcribing physician orders, charting nurses’ notes, completing accident/incident reports, recording diet orders, reporting discrepancies, completing transfer forms, and ensuring proper documentation for unauthorized discharges. Drug Administration Functions include preparing and administering medications, verifying resident identity, ensuring correct medication administration, maintaining adequate supplies, ordering medications and supplies, ensuring accurate narcotic records, notifying supervisors of discrepancies, reviewing medication cards, notifying physicians of stop orders, and disposing of drugs and narcotics. Personnel Functions involve participating in performance evaluations, determining staffing needs, reporting absenteeism, reviewing the workforce, developing work assignments, providing leadership, making daily rounds, ensuring nursing assistant training compliance, supervising trainees, holding staff meetings, ensuring policy compliance, fostering good working relationships, creating a positive environment, reviewing complaints, administering disciplinary action fairly, receiving/giving nursing reports, reporting occupational exposures, reporting fraud, and ensuring workstation security. Nursing Care Functions include informing staff of new admissions, ensuring rooms are ready, greeting new residents, participating in resident orientation, making rounds with physicians, requisitioning diagnostic/therapeutic services, consulting with physicians, reviewing resident charts, implementing nursing objectives, checking treatments, ensuring direct nursing care is provided by qualified personnel, cooperating with activity programs, notifying physicians and next-of-kin of changes in condition, carrying out restorative programs, inspecting treatment areas, administering professional services (e.g., catheterization, wound care), using restraints when necessary, obtaining specimens, monitoring residents, checking food brought by visitors, ensuring care aligns with care plans, checking residents who cannot call for help, meeting with residents/families, admitting/transferring/discharging residents, arranging transportation, escorting discharged residents, informing families of death, and calling funeral homes. Staff Development involves participating in in-service training, implementing orientation programs, standardizing work methods, training personnel on exposure risks, assisting with clinical supervision for trainees, attending outside training, participating in annual facility training, attending advance directive training, and attending continuing education to maintain licensure. Safety and Sanitation include monitoring staff for safety compliance, ensuring policy adherence, identifying tasks with potential exposure, ensuring training on exposure risks, ensuring availability of personal protective equipment, maintaining clean and sanitary work areas and resident rooms, ensuring proper hand hygiene, participating in fire safety drills, implementing infection control programs, ensuring adherence to isolation precautions, following procedures for PPE use/disposal, developing procedures for reporting hazardous conditions, ensuring proper use of safety equipment, and reporting missing labels/MSDSs. Equipment and Supply Functions involve recommending equipment/supply needs, maintaining adequate stock levels, participating in procedures for safe equipment operation, ensuring only trained personnel operate equipment, monitoring equipment use, ensuring efficient use of supplies to avoid waste, and ensuring MSDSs are on file for hazardous chemicals. Care Plan and Assessment Functions include reviewing care plans daily, informing supervisors of changes, ensuring nurses’ notes reflect care plan adherence, reviewing resident care plans for goals/approaches/revisions, ensuring CNAs are aware of care plans and refer to them, and assisting with MDS and RAP implementation. Budget and Planning Functions include reporting suspected fraud related to billings, cost reports, or kickbacks. Miscellaneous duties include providing data to the Quality Assurance & Assessment Committee as requested.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree