RN Charge Nurse

PACS
•Onsite

About The Position

The RN Charge Nurse supervises day-to-day nursing activities during their tour of duty in accordance with applicable federal, state, and local standards and facility requirements. The role supports the Director of Nursing Services in coordinating nursing services, supervising staff, maintaining quality care, and ensuring residents receive care consistent with their needs and care plans. The RN may be delegated the administrative authority, responsibility, and accountability needed to perform assigned duties. The position combines nursing administration and staff supervision with direct resident care. Duties include coordinating admissions, transfers, and discharges; monitoring residents’ conditions and treatment; assisting with care planning and assessments; maintaining nursing records and reports; supporting committees, staff development, safety, infection control, and equipment management; and communicating with residents, families, physicians, staff, and facility leadership. The role requires an active, unencumbered RN license in the state, current CPR certification, a nursing degree from an accredited college or university, and training in rehabilitative and restorative nursing practices. At least two years of experience is required, preferably in a long-term care facility. PCC knowledge and experience are preferred. The position involves movement throughout the facility, lifting or moving items of at least 25 pounds, potential exposure to infectious diseases and hazardous chemicals, and work beyond normal hours, including weekends, holidays, and emergency call-backs when necessary.

Requirements

  • Nursing degree from an accredited college or university.
  • Training in rehabilitative and restorative nursing practices.
  • At least 2 years of experience; long-term care facility experience is preferred.
  • Current, unencumbered, active license to practice as an RN 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; and communicate information effectively.
  • Ability to apply fractions, percentages, ratios, and proportions to practical situations.
  • Ability to make independent decisions, solve practical problems, and deal tactfully with residents, families, personnel, visitors, agencies, and the public.
  • Leadership and supervisory ability, with the ability to work harmoniously with and supervise other personnel.
  • Ability to plan, organize, develop, implement, and interpret programs, goals, objectives, policies, and procedures related to quality care.
  • Knowledge and skills to provide care appropriate to the age-related needs of residents.
  • Knowledge of nursing and medical practices and procedures, and laws, regulations, and guidelines applicable to nursing care facilities.
  • Ability to relate information concerning a resident’s condition and work effectively with ill, disabled, elderly, emotionally upset, or hostile individuals.
  • Ability to move intermittently during the workday and push, pull, move, or carry at least 25 pounds to a height of 5 feet and a distance of 50 feet.
  • Ability to see and hear adequately, or use prosthetics that enable these senses to function adequately; ability to cope with the mental and emotional stress of the position.
  • Must meet the facility’s general health requirements, including a medical and physical examination.
  • Must not pose a direct threat to the health or safety of others in the workplace.

Nice To Haves

  • Knowledge and experience with PCC.

Responsibilities

  • Supervise day-to-day nursing activities during the assigned tour of duty and support the Director of Nursing Services in directing nursing services.
  • Develop, maintain, and review nursing policies, procedures, manuals, reference materials, and job descriptions; ensure nursing personnel follow applicable procedures.
  • Prepare operational reports and recommendations, complete administrative documentation, and report resident and department matters to the Director.
  • Coordinate nursing services with other resident services and participate in quality assurance, facility surveys, discharge planning, and committee activities.
  • Admit, transfer, and discharge residents; coordinate room readiness and communicate admission information to nursing personnel.
  • Supervise nursing staff and certified nursing assistants, ensure adequate staffing, assign and delegate work, conduct rounds, monitor attendance, and report staffing or performance concerns.
  • Review personnel complaints and grievances, participate in evaluations and staffing recommendations, and ensure fair administration of disciplinary action.
  • Visit residents daily to observe and evaluate their physical and emotional status; consult with residents, families, physicians, and staff regarding care and treatment.
  • Notify attending physicians and next of kin of changes in residents’ conditions and keep the Director informed of resident status.
  • Provide direct nursing care as needed, including starting IVs, obtaining ordered specimens, taking vital signs, and monitoring seriously ill residents.
  • Review nurses’ notes and monitor care to ensure it reflects residents’ responses, wishes, and care plans.
  • Monitor medication administration, treatments, medication records, medication storage and control, and adherence to orders and policies.
  • Participate in resident assessments and care plans, encourage resident participation, and ensure staff know and follow each resident’s care plan.
  • Plan, conduct, and participate in staff in-service training and continuing education.
  • Support safety, sanitation, and infection-control programs; ensure appropriate use of personal protective equipment, hand hygiene, equipment, and safety procedures.
  • Recommend and monitor nursing department equipment and supply needs, stock levels, maintenance, safe equipment use, and efficient use of supplies.
  • Report accidents, incidents, occupational exposures, suspected fraud, hazardous conditions, and unauthorized access or disclosure of facility or resident information as required.
  • Maintain communication and liaison with residents, families, medical staff, facility personnel, support departments, visitors, and relevant agencies.
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