POSITION TITLE: CHARGE NURSE

DEPARTMENT: NURSING – NURSING HOME

SUPERVISED BY: DIRECTOR OF NURSING (DON)

SUPERVISES: NURSING ASSISTANTS, BED MAKERS, HOUSEKEEPING, DIETARY AIDES

STATUS: NON-EXEMPT

CLOSE WORKING

RELATIONSHIPS WITH: ALL STAFF IN NURSING HOME, HOSPITAL, AND CLINICS
JOB SUMMARY * Oversees resident cares; administering medications and treatments.

• Maintains accountability with staff for residents daily cares.
• Communicates changes in resident health status to MD/APRN and resident and/or family.

EXPERIENCE & SKILLS:

Must be able to communicate verbally and in writing.

EDUCATION & TRAINING:

• Must have current CPR certification.
• Prefer experience with intravenous therapy.

EDUCATION AND QUALIFICATIONS (preferred):

Required Licensure/Registration/Certification: Must have current license in State of Minnesota.

SPECIAL SKILLS:

• Must be able to read, write, speak, and understand the English language.
• Must be able to function independently, be flexible-time wise, and have the ability to work effectively as a team member when the opportunity arises.

POSITION SUMMARY

RESPONSIBILITIES:

• Observe and report symptoms, condition of residents and/or significant changes to Physician, APRN and DON, appropriate ancillary professional staff, and responsible party.
• Administer medications and record in eMAR in a timely manner. Unless the resident has been assessed to self- administer medications, the nurse must observe the resident as they take their medications.
• Watch for refill medications 1-3 days before expiration date and order from drugstore of resident’s choice.
• Chart information reflecting resident/patient’s condition.
• Make rounds with the Practitioners.
• Assist Physicians/Practitioners in treatments and resident/patent examinations.
• Bathe and do resident care if needed.
• Teach and supervise Nursing Assistants.
• Maintain aseptic technique to maintain infection control.
• Record phone and verbal orders from physicians/APRN.
• Answer residents call lights.
• Supply information of residents condition at nurses discretion to family or responsible party, if consent allows.
• Supervise and discipline visitors.
• Admit, transfer and discharge residents per physician orders.
• May allow Leave of Absence to residents at nurses discretion of residents condition.
• Supervise dietary needs of the resident.
• Final preparation of deceased residents.
• Contact family and minister on record when death seems inevitable.
• Maintain responsibility for an adequate quantity of supplies and equipment.
• Assign work schedule for Nursing Assistants.
• Maintain current knowledge of the fire and disaster plan for evacuation of residents from their room.
• Uphold responsibility for supervision of meals from dietary kitchen and the sanitation of resident rooms.
• Maintain responsibility for supervision of medical charts and laptops, update eMAR, and treatment orders.
• Must have knowledge of the Matrix computer system , Point of Care Charting and eMAR
• Carry out treatments ordered by the practitioners and care outlined on nursing care plan.
• Update nursing care plan according to resident’s abilities.
• Assist in orientation of peers.
• Give fleet, oil retention or any other medicated enemas.
• Give all vaginal douches.
• Maintain responsibility for intravenous therapy. LPN may hang IV medications that do not contain medication, change tubing and perform saline flushes. RNs may start IVs , flush IVs and change IV tubing and hang IV fluids that contain medication or give medications IV push as ordered .
• Assist staff in completing resident and employee incident/accident reports. Inform DON immediately.
• Attend monthly staff meetings or read minutes to improve job knowledge.
• For RN and/or LPN: Engage in performance appraisal and competency evaluation on a regular basis, identifying areas of strength as well as areas for development for self and Nursing Assistants.
• Report any defective equipment or environmental hazards to appropriate personnel immediately (i.e.: maintenance department).
• Wipe up spills and removes other hazards immediately that could cause a fall or injury.
• Perform admission assessments of all residents.
• Follow established policies and procedures within the nursing department.
• Maintain awareness of Federal and State regulations as they pertain to nursing services.
• Perform any other job related duties as directed by DON or Unit Coordinators.
• Assist with hourly rounding.
• Maintain order and cleanliness of medication carts and medication room.
• Removes all outdated medications and supplies form medication room and medication cart.
• Participate in Quality Improvement projects and audits.

MENTAL DEMANDS:

• Must be able to work with frequent interruptions, maintaining a high degree of concentration.
• Must be able to handle difficult and emotionally upsetting circumstances with dignity, which involves staff members, clientele and/or family members.
• Must be able to cope with the mental and emotional stress of illness and death.
• Must possess emotional stability and maturity in performance of duties.

PHYSICAL DEMANDS:

Prolonged walking and standing with frequent turning, bending, stretching while using proper lifting techniques.

SPECIAL DEMANDS:

• Must be able to show patience, gentleness, concern, sincerity and tact with resident and families,
• Must be able to work under stress with accuracy while maintaining a high level of integrity.
• Must possess the ability to make independent decisions when circumstances warrant such action.
• Must be sensitive to the needs and feelings of family and residents.
• Non-verbally and verbally displays feelings of encouragement, optimism and realism.
• Respects human life, individuality and dignity.
• Must have awareness of own feelings toward residents and effect upon residents.
• Accountable for one’s own actions.
• Accepts feelings and behavior displayed by residents which differ from their own feelings.
• Willingly helps others, e.g. supervisor, coworkers and other departments

WORK ENVIRONMENT:

• Works throughout well-lighted, well-ventilated facility.
• Working hours are shift work.

EQUIPMENT AND MACHINES:

• IV pump
• Mechanical Lifts
• Glucometers
• Blood pressure cuff
• Stethoscope
• Thermometer
• Sitting and standing scales
• Nebulizer
• Oxygen concentrator and tanks
• Wound Vacs
• Suction
• IV pump
• Pulse Oximeters
• Nebulizers
• Computers

FACILITY-WIDE RESPONSIBILITIES:

• Participate in Fire Safety Plan of Action.
• Participate in Disaster Plan of Action.
• Participate in Universal Precautions for AIDS, Hepatitis and Tuberculosis.
• Follow facility established protocol for Isolation and Blood-borne Pathogens.
• Respond to Code Blue’s.
• Complete yearly assigned in-services

CONFIDENTIALITY:

Frequent contact with patients and residents and medical information in the normal performance of duties. Confidentiality is essential. Disclosure may affect internal and external relationships.

Nursing Home RN – Full-time position. MN licensure required. Must work every other weekend and additional compensation for shifts and weekends. $4,500 Sign-on bonus.

EMR Used:

• Not listed / Other

Patient Type:

• Adults

Work Remotely

• No

Job Type: Full-time

Pay: From $31.00 per hour

Benefits:

• Employee assistance program
• Referral program

Schedule:

• 12 hour shift
• 8 hour shift
• Day shift
• Holidays
• Monday to Friday
• Night shift
• Weekend availability

Supplemental pay types:

• Signing bonus

Experience:

• nursing: 1 year (Preferred)

License:

• Registered Nurse (RN) (Required)

Work Location: In person

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