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Charge Nurse

Location: Fresno, CA
Job # 10391383
Date Posted: 02-08-2018
Job Title: Charge Nurse
Reports to: Director of Nursing Services


POSITION DESCRIPTION:

A licensed professional nurse directly under the supervision of the Assistant Director of Nursing Services.
The Charge Nurse is responsible for staff assignment and provides overall supervision of resident care
activities.

QUALIFICATIONS

• Graduate of an accredited school of nursing or an approved LVN program.
• Current nursing licensure in the state in which practicing.
• Strong organizational skills.
• Possess, as a minimum, training in a skilled nursing care facility, hospital, or other related medical facility.
• Possess leadership ability and the willingness to work with and supervise professional and non-
professional personnel.
• Knowledgeable of nursing and medical practices and procedures.
• Ability to Read, write and speak the English language.
• Possess mental and physical health.

GENERAL DUTIES AND RESPONSIBILITIES:

CLINICAL

• Complete all required record keeping forms/charts upon the resident’s admission, discharge, transfer,
etc. File in the resident’s chart and/or forward to the appropriate department.
• Receive verbal orders from attending/alternate physician and transcribe the physician’s order sheet.
• Initiate resident Plans of Care on admission.
• Chart TPRs, blood pressures and blood glucose as required.
• Order prescribed medications, supplies and equipment as established by the facility’s policies and
procedures.
• Review physician’s orders and transfer/preadmission information for completeness.
• Prepare/administer medications as ordered by the physician.
• Answer telephone inquiries as outlined in the facility’s established policies and procedures.
• Chart licensed nurses’ notes in an informative and d3scriptive manner that reflects the care provided as
well as the resident’s response to the care.
• Forward new diet orders, and/or diet changes to the dietary department.
• Transcribe physician’s orders to resident’s charts, Medication Administration Records, Treatment
Administration Records and RNA sheets to assure that they remain current.
• Verify the identification of the resident before administering medication or treatment.
• Requisition and arrange for diagnostic and therapeutic services as ordered by the physician.
• Assure that narcotic records are current at all times
• Admit, transfer and discharge resident. Assist in arranging transportation and packing as necessary.
• Check resident charts for specific treatment, medication orders and schedules daily.
• Administer professional services such as: catheterization, tube feeding, suction, applying and changing
dressings/bandages, packs, colostomy and drainage bags, taking blood, sputum, and urine specimens,
care of the dead/dying, etc., as established by the facility’s policies and procedures.
• Make rounds with the physician and assist with examination and treatment.
• Review medication sheet for completeness of information, accuracy in the transcription of physician
orders and adherence to stop order policies.
• Assist in carrying out restorative and rehabilitative programs to include self-help/care.
• Perform routine charting as required.
• Report all discrepancies of physician order, diet or charting to the RN Supervisor or Assistant Director
of Nurses.
• Check food in resident’s rooms that is brought in by the resident’s family or visitors in accordance with
the facility’s established policies and procedures.
• Initiate restraint assessment on all new admissions.
• Monitor and document behavior of residents on psychoactive medications
• Record Intake and Output, and complete monthly evaluation as per the facility’s policy and procedure.
• Following completion of an approved competency check with an RN an LVN may reinsert a G-Tube on
an established track only.

SUPERVISION

• Meet with unit personnel, on a regular basis, to assist in identifying and correcting problem areas, and/or
the improvement of services.
• Review and evaluate assigned personnel and make written evaluations to the RN Supervisor or Assistant
Director of Nurses.
• Coordinate Nursing service with other departments and nursing units.
• Notify the attending physician, RN Supervisor and Director of Nurses when a resident is discharged
without approval. Assure that appropriate documentation is made in accordance with the facility’s
established policies and procedures.
• Assure that a stock of medications, medical supplies, equipment, etc., is maintained at all times.
Requisition equipment and supply needs as required.
• Initiate investigation of accidents and unusual occurrences and make the necessary written report to the
Director of Nurses as established in the facility’s policies and procedures.
• Notify the resident’s attending/alternate physician, as well as the resident’s legal guardian/representative,
when the resident has a significant change of condition or becomes critically ill or injured, as outlined
within facility’s established policies.
• Work with the facility’s consultants as necessary and implement recommended changes as directed by the
RN Supervisor of the Director of Nurses.
• Investigate complaints and grievances and make necessary oral/written reports to the RN Supervisor or
Director of Nurses.
• In cases of death, notify the funeral home and ensure that the body is properly prepared/cleaned for
pick-up.
• Evaluate emergencies and determine emergency measures to be used, including the use of chemical or
mechanical restraints. Notify the RN Supervisor and physician and record and follow orders.
• Assure that the unit area is maintained in a clean and safe manner for resident comfort and convenience,
by ensuring that necessary equipment and supplies are maintained to perform such duties/services.
• Assist in standardizing the methods in which work will be accomplished.
• Make residents’ rounds to review physical, medical an emotional status and to implement required
nursing interventions.
• Notify physician and resident’s responsible party of any resident accidents/incidents. Fill out and
complete Accident/Incident Report forms on all such occurrences and chart such information in the
resident’s medical records as outlined in the facility’s established policies and procedures
• Assure that nursing personnel follow established nursing procedures.
• Remind attending physician(s) to review treatment plans, record and sign physician’s orders, progress
notes, etc., during physician visits.
• Give/receive nursing reports upon reporting in and ending shift duty hours.
• Check all residents daily to assure that prescribed treatment is being properly administered by nursing
personnel/assistants and to evaluate their physical and emotional status. Record findings in the
resident’s chart.
• Assist in orientation of newly assigned personnel as well as supervise and instruct other nursing
personnel.
• Orient new residents/family members as necessary.
• Assure that nursing personnel are providing adequate nursing car in accordance with established nursing
service procedures.
• Assure that all personnel follow established infection control and aseptic techniques when isolation
procedures become necessary.
• Report all hazardous conditions and equipment to the RN Supervisor and maintenance department
immediately.
• Keep the RN Supervisor informed about the status of residents, staff and related matters.
• Assume the authority, responsibility and accountability of directing your unit/shift.
• Follow required coaching and progressive disciplinary procedures.
• Others as may become necessary and appropriate or as may be directed by the Director of Nurses or
Administrator.
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