Skilled Nursing - Charge Nurse (RN) or (LPN)

• Responsible for nursing care of residents during his/her shift, including all safety measures.
• Recognize significant changes in conditions of residents during his/her shift or unit.
• Delegate to, supervise, provide direct resident-care personnel on the shift or unit.
• Prepare and administer or supervise preparation and administration of medications and prescribed treatment.
• Supervise serving of prescribed diets and fluid intake.
• Chart medications and treatments according to procedure.  Observe, report, and record resident reaction to drugs, tests, treatments and therapy measures.
• Ensure rehabilitative nursing procedures are performed.
• Direct and maintain charts on his/her shift.
• Verify inventory of drugs covered by controlled Substances Act of 1970.
• Participate in staff meetings and in-service programs.
• Consult with supervisor and director of nursing when necessary.
• Assisting personnel according to nursing services policy and facility.
• Provide guidance to personnel, evaluate performance, and discuss progress and needs for improvement, including delegation and supervision of CNAs.
• Review time schedules and notify Director of Nursing if adequate personnel are not on duty.  Responsible for covering ‘call-ins’ for the next shift.
• Assist in interpreting goals and objectives of facility to nursing service personnel.
• Assist with orientation and educational programs for nursing personnel.
• Supervise nurse assistants/nurse aides in performing duties by checking their work closely to be sure assignments have been completed.
• Administer parenteral, intramuscular, and sub-cutaneous injections.
• Ensure individual Resident Assessment and comprehensive Care Plan is followed.
• Transcribe physician’s orders.
• Assist in writing and updating Resident Assessment and Comprehensive Care Plans as resident’s condition changes, assisted by nursing director, activities director, and food service supervisor.
• Recommend changes regarding number of staff and work performed.
• Personally receive or place calls to physician.
• Order medications.
• Be sensitive to resident families and respond in an appropriate professional manner.
• Perform related duties as assigned or as the situation dictates.
• Report incidents of suspected resident abuse immediately.
• Treatment book updates.
• Family, physician and consultant notification of order changes.
• Completion of incident reports (resident and employee).
• Transfer and appointment paperwork and coordination.
• Secure doors and windows if severe weather is imminent.
• Monitor all labs for abnormals and notify the appropriate individuals.
• Participate in infection control:  Document:
  1. When the last dose of an antibiotic is given;
  2. The effect on the infection; and
  3. Vital signs if symptoms are resolved.

• License/Registration:  Hold a current, unencumbered license in this state as a registered nurse or licensed vocational nurse or licensed practical nurse.  Registered with the State Board of Registration in this state.
• Continuing Education:  As required to retain license and registration.
• Education:  Must be a graduate of a state approved school of vocational/practical or professional nursing.
• Experience:  Six months as a staff nurse in a long-term care facility preferred. On-site training.
• Job knowledge:   Nursing policies and procedures; administration of medication,  possible side effects, and treatment as prescribed; federal, state  and local laws and regulations relating to resident care; comprehensive knowledge of nursing practices; physical, psychological, social, and medical needs of residents; organizational structure and duties of employees under supervision of charge nurse.
• Professional Memberships:  Recommended and encouraged.
• Other:  Competence in supervision, leadership, caring attitude, observant, maintain good working relationship, judgment, and emotional stability.

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