Share Email Opening Title Charge Nurse - RN 7pm - 7am Every other weekend off  Location William F. Green Veterans Home   Position RN Charge Nurse   Description Purpose   To provide direct nursing care to the residents, and to supervise the day-to-day nursing activities of the Nursing Staff and the CNAs in accordance with current federal, state, and local standards, guidelines, and regulations that govern the facility.   Essential Functions   Ensure assigned personnel comply with the written policies and procedures established by this facility. Periodically review the department's policies, procedure manuals, job descriptions, etc. Make recommendations for revisions. Cooperate with other resident services when coordinating nursing services to ensure that the resident's total regimen of care is maintained. Participate in facility surveys (inspections) made by authorized government. Inform family members of the death of the resident. Call funeral homes when requested by the family. Ensure that established post-mortem procedures are followed. Attend and participate in annual OSHA and CDC in-service training programs for hazard communication, TB management, and blood-borne pathogens standard. Ensure that all personnel performing tasks that involve potential exposure to blood/body fluids participate in appropriate in-service training prior to performing such tasks. Participate in the development, implementation, and maintenance of the infection control program for monitoring communicable and/or infectious diseases. Review care plans daily to ensure that appropriate care is being rendered. Ensure that all nursing care is provided in privacy and that nursing service personnel knock before entering the resident's room. Maintain a written record of the resident's complaints and/or grievances that indicates the action taken to resolve the complaint and the current status of the complaint. Periodically review the resident's written discharge plan. Participate in the updating of the resident's written discharge plan as required. Assist in planning the nursing services portion of the resident's discharge plan. Admit, transfer, and discharge residents as required. Complete accident/incident reports as necessary. Write resident charge slips and forward to the Business Office. Maintain the Daily Census Report and submit to the Business Office as required. Complete and file required record-keeping forms/charts upon the resident's admission, transfer, and/or discharge. Encourage attending physicians to review treatment plans, record and sign their orders, progress notes, etc., in accordance with established policies. Receive telephone orders from physicians and record on the Physicians' Order Form. Chart nurses' notes in an informative and descriptive manner that reflects the care provided to the resident, as well as the resident's response to the care. Record new/changed diet orders. Forward information to the Dietary Department. Report all discrepancies noted concerning physician's orders, diet change, charting error, etc., to the Nurse Supervisor. Fill out and complete transfer forms in accordance with established procedures. Sign and date all entries made in the resident's medical record. Prepare and administer medications as ordered by the physician. Verify the identity of the resident before administering the medication/treatment. Ensure that prescribed medication for one resident is not administered to another. Ensure that an adequate supply of floor stock medications, supplies, and equipment is on hand to meet the nursing needs of the residents. Report needs to the Nurse Supervisor. Ensure that narcotic records are accurate for your shift. Notify the Nurse Supervisor of all drug and narcotic discrepancies noted on your shift. Review medication cards for completeness of information, accuracy in the transcription of the physician's order, and adherence to stop order policies. Notify the attending physician of automatic stop orders prior to the last dosage being administered. Dispose of drugs and narcotics as required, and in accordance with established procedures. Report absentee call-ins to the Nurse Supervisor. Make daily rounds of your unit/shift to ensure that nursing service personnel are performing their work assignments in accordance with acceptable nursing standards. Report problem areas to the Nurse Supervisor. Inform nursing personnel of new admissions, their expected time of arrival, room assignment, etc.; ensure rooms are ready for new admissions. Greet newly admitted residents upon admission. Escort them to their rooms as necessary. Participate in the orientation of new residents/family members to the facility. Make rounds with physicians as necessary. Requisition and arrange for diagnostic and therapeutic services, as ordered by the physician, and in accordance with our established procedures. Consult with the resident's physician in providing the resident's care, treatment, rehabilitation, etc., as necessary. Administer professional services such as; catheterization, tube feedings, suction, applying and changing dressings/bandages, packs, colostomy, and drainage bags, taking blood, giving massages and range of motion exercises, care for the dead/dying, etc., as required. Use restraints when necessary and in accordance with established policies & procedures. Obtain sputum, urine and other specimens for lab tests as ordered. Take and record TPRs, blood pressures, etc., as necessary. Monitor seriously ill residents as necessary. Check foods brought into the facility by the resident's family/visitors to ensure that it is within the resident's dietary allowances. Report problem areas to the Nurse Supervisor and Dietary Supervisor. Ensure that residents who are unable to call for help are checked frequently. Meet with residents, and/or family members, as necessary. Report problem areas to the Nurse Supervisor. Assist in arranging transportation for discharged residents as necessary. Ensure that discharged residents are escorted to the pick-up area. Report and investigate all allegations of resident abuse and/or misappropriation of resident property.   Work Schedule   As assigned, including some week-ends, evenings and Holidays.   Working Conditions   Works in well-lighted/ventilated areas. Most of the work is performed indoors Is subject to frequent interruptions. The noise level in the work environment is usually moderate. Is involved with residents, personnel, visitors, government agencies, etc., under all conditions and circumstances. Is subject to hostile and emotionally upset residents, family members, etc. Communicates with the medical staff, nursing staff, and other department supervisors. Works beyond normal duty hours, on weekends, and in other positions temporarily, when necessary. May be exposed to bodily fluids, infectious waste, diseases, conditions, etc., including the AIDS and hepatitis B viruses.   Physical Requirements   While performing the duties of this job, the employee is occasionally required to stand; walk; use hands to finger, handle, or feel; implements or office equipment; reach with hands and arms; stoop, kneel, crouch, or crawl and talk or hear. Must be able to speak and write the English language in an understandable manner. Collect information through observation, listening, touching, and smelling. Must have auditory ability sufficient to monitor and assess Job requires regular sitting, standing, walking, stooping, bending, kneeling, crouching, reaching, pushing, pulling, twisting, writing, and carrying charts, food, trays, etc. Must be able to move intermittently throughout the work day. Specific vision abilities required by this job include close, distance and color vision and the ability to adjust focus. Employee may be required to move chairs, beds, and medical equipment, move patients in bed (with or without assistance). Must be able to cope with the mental and emotional stress of the position. Must function independently, have flexibility, personal integrity, and the ability to work effectively with the residents, personnel, and support agencies. Must be in good general health and demonstrate emotional stability. Must be able to relate to and work with ill, disabled, elderly, emotionally upset, and at times hostile people within the facility. May be required to lift, push, pull, and move equipment, supplies, etc., in excess of fifty (50) pounds. Must be able to assist in the evacuation of residents.   Safety, Sanitation and Infection Controls   Assure the assigned work areas are maintained in a clean, safe and sanitary manner. Assure that established infection control and universal precautions practices are observed. Report all hazardous conditions or equipment to your supervisor. Follow established safety policies and procedures. Dispose of refuse daily in accordance with established sanitation procedures. Keep work/assignment areas free of hazardous objects, unnecessary equipment, supplies, etc. Report any accident/incident to your supervisor no matter how minor.     Position Requirements Qualifications Must have, at a minimum, a Nursing Degree from an accredited college or university, or be a graduate of an approved License Practical or Vocational Nurse program. Must possess a current, unencumbered, active license to practice as a License Practical or Vocational Nurse in this state. One (1) year of experience in a hospital, nursing care facility, or other related health care facility. Must be able to read, write, speak, and understand the English language. Must possess the ability to make independent decisions when circumstances warrant. Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public. Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to long-term care. Must possess leadership and supervisory ability and the willingness to work harmoniously with and supervise other personnel.   Shift Nights   Full-Time \ Part-Time \ PRN Full-Time  Full-Time/Part-Time Full-Time   EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law.   This position is currently not accepting applications. 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