RN Weekend - Charge Nurse

STATUS: Non-Exempt, hourly, part-time, less than 30 hours

REPORTS TO: Director of Health Services & Administrator

GENERAL SUMMARY:

The Charge Nurse is an RN/LPN who is responsible for the overall nursing care/service on his/her shift, including the accurate and timely administration of medications, treatments, documentation and emergency calls, as indicated. All job duties are to be performed in accordance with established standards as described in the Quality Assurance Manual for the department.

PRINCIPAL DUTIES:

Primary Job Duties:

• Check Staffing – Address any staff who are late and leave info for DON/ADON
• Report – read 24 hour report and communication book, initial and date communication book
• Make rounds – Make visual rounds of unit – See any sick residents first, check all O2 for correct rate, look for safety – alarms, medications in room, call lights in place etc, infection control – tubing labeled, briefs not in trash cans, bags in trash cans, resident care-positioning, room cleanliness. Address any concerns with staff.
• Check medication room for complete QA audits, expired meds, dated opened vials.
• Conduct documented review of any admission from the day before. Complete all outstanding documents. Notify DON of any concerns with admission process.
• Follow up with any family concerns – leave info for DON/SS.
• Any admission that come in on weekend are to be done by the supervisor.
• Conduct audit of all skin assessment sheets that should have been completed during the week. Complete any that were not done. Leave written list for DON of any that you had to complete.
• Audit monthly summary list for needed completion. Leave list of any omissions for DON.
• Audit for completion of Quarterly assessments per calendar. Leave list of any omissions for DON.
• Be sure all new residents with incontinence have a B&B data gathering sheet in place. Review all sheets of data gathering for completion.
• Complete the in-depth incontinence assessment of any admissions that were in the past 7-14 days. Do not do any under 7 days.
• Review MAR/TAR for completion. Leave list with names of nurse responsible for each omission in communication book with copy for DON.
• Update device list each week to be sure new resident and info is added.
• Supervises direct care of residents and nursing personnel on his/her shift.
• Administers direct care as necessary.
• Gives and receives shift reports.
• Rounds twice a shift to assure proper care is rendered in a safe and clean environme
• Keeps physicians and families aware of changes in resident’s condition.
• Assists in developing comprehensive care plans.
• Maintains the self respect, personal dignity, and physical safety of each resident.
• Maintains accurate documentation of all care rendered.
• Responds to resident emergency call system.
• Interfaces with other disciplines to assure continuity of care and services.
• Accompanies physicians when making rounds.
• Encourages restorative care in order to obtain maximum resident independence.
• Participates in family/resident counseling as necessary.
• Respond to medical and emergency concerns of residents in independent living as needed.