Participates in the narcotic count Sets up, dispenses, and documents all resident medications Responsible for maintaining orderly medication cart, medication room, and accurate medication administration records Monitors the daily care of all residents Performs skilled nursing tasks as defined by company policy and procedure and as allowed by state law Exercises independent discretion in responding to resident emergencies, determining a need for and contacting emergency services, or physician, and/or family as appropriate Documents observations, concerns, changes in resident conditions, incidents, and/or accidents, and ensures that follow-up documentation occurs until the issue is resolved Reports observations, concerns, and changes in resident condition to Health Services Director (HSD) or Administrator Communicates resident needs and concerns to family members and physicians Communicates with family members, physicians, and other outside healthcare providers Records and implements physician orders following appropriate procedures for fax and telephone orders Ensures that information and interventions recorded on resident service plans are implemented by Caregivers Receives reports from caregivers before end of shift Gives report to oncoming Charge Nurse or Lead Caregiver Receives report from outgoing Charge Nurse or Lead Caregiver. Makes Caregiver shift assignments and ensures that assigned duties are completed in a satisfactory manner Monitors performance of caregivers for compliance with established policies and procedures and to ensure quality resident care Reports Caregiver performance issues to HSD or Administrator and provides input for Caregiver performance evaluations Manages shift coverage when staff members call in sick for the oncoming shift Participates in Caregiver orientation and training Responsible for scheduling and other staffing duties as requested Conducts building tours when requested Acts as Manager on Duty for the assigned shift in absence of Administrator or HSD Deals appropriately with a family member and visitor concerns or complaints, documenting the issues and actions taken through the appropriate reporting mechanism Manages minor physical plant issues that arise during assigned shift, reporting as necessary to Maintenance Director and Administrator Locks outside doors p.m.