LTC Charge - Registered Nurse (PRN)

COAL COUNTY HEALTHCARE AUTHORITY • Coalgate, OK

1d • Onsite

About The Position

The Charge Nurse is responsible for providing direct nursing care to residents and supervising the daily nursing activities performed by nursing assistants and certified medication aides. This supervision must align with current Federal, State, and Local standards, guidelines, and regulations governing the facility, ensuring quality patient care consistent with the organization's philosophy and objectives. The position offers direct operational support for the department on a shift basis, acting as a clinical resource for staff and a liaison between staff and management. It assists the DON and/or ADON in determining staffing needs and identifying problems within the nursing department. The role serves as a resource for staff in patient care assessment and planning nursing interventions, facilitating problem resolution, and collaborating with the DON and/or ADON in assessing care quality, identifying staff strengths and weaknesses, and evaluating staff performance. Operational issues are identified and addressed by this position, which also interfaces with physicians and interdisciplinary teams for comprehensive care planning.

Requirements

• Must obtain Oklahoma RN License

Responsibilities

• Provides on-going assessment of the residents physical, psychological, and social needs to determine levels and types of care.
• Delivers care based on identified needs and physician orders.
• Prioritizes and delegates department activities as well as patient care activities to deliver safe, effective care in a timely manner.
• Administers activity within the department in a fair and efficient manner.
• Adapts to the changing trends in patient care on a shift basis.
• Supervises all staff, orienting them to the area, assessing competencies, and skill knowledge.
• Assists other team members in providing patient care when professional skill and judgment is required.
• Monitors staff behavior in public areas and intervenes if indicated, ensuring that patients, physicians, families, or other customers only see professional behavior.
• Interfaces with upset customers to problem-solve for good resolution of issues.
• Coordinates resources for staff with clinical questions to assure patient care is being completed, call lights are answered, medications are given, physician questions are answered, and patient care is coordinated.
• Mentors new and seasoned staff on specific clinical issues, physician concerns, and different equipment or policies.
• Periodically reviews the residents written discharge plan and participates in updating the plan as necessary.
• Communicates department needs effectively to other leadership staff members.
• Assists DON and/or ADON with staff evaluation, providing counseling as necessary and in private.
• Participates in the survey process conducted by authorized government agencies.
• Provides written descriptive nurses notes that reflect the care provided to the resident, as well as the residents response to the care.
• Follows established procedures for charting all accidents/incidents involving residents, staff, or visitors.
• Completes and files required record keeping forms/charts upon the residents admission, transfer, and/or discharge.
• Receives telephone orders from physicians and records them on the Physicians Order Form.
• Records new/changed diet orders and forwards information to the dietary department.
• Transcribes physicians orders to resident charts, cardex, medication cards, and treatment care plans as required.
• Reports all discrepancies noted concerning physicians orders, diet changes, charting errors, etc., to the ADON.
• Prepares and administers medications by injection as ordered by the physician.
• Verifies the identity of the resident before administering medication and/or treatment.
• Orders prescribed medications, supplies, and equipment as necessary, and in accordance with established procedures.
• Ensures narcotic records are accurate for the shift.
• Disposes of drugs and narcotics as required, and in accordance with established procedures.
• Notifies the attending physician of automatic stop orders prior to the last dosage being administered.
• Reviews medication cards for completeness of information and accuracy in the transcription of the physicians order.
• Reports any changes in patient condition to the physician.
• Performs quarterly evaluations of residents requiring restraints and/or bed rails.
• Performs any other duty as assigned.

What This Job Offers

• Career Level: Mid Level