Charge Nurse RN or LPN

Purpose

The primary purpose is to provide direct nursing care to the residents and to supervise the day‑to‑day activities performed by nursing assistants in accordance with federal, state, and local regulations. The nurse ensures that the highest degree of quality care is maintained at all times.

As Charge Nurse, you are delegated the administrative authority, responsibility, and accountability necessary for carrying assigned duties.

• Provide direct nursing care to residents.
• Supervise nursing assistants, ensuring compliance with facility policies and regulations.
• Coordinate resident care plans and collaborate with physicians.
• Lead nursing teams and conduct daily rounds to maintain nursing standards.
• Serve as a liaison with other resident services for comprehensive care.
• Maintain accurate documentation and report findings to the Nurse Supervisor.
• Participate in facility surveys, quality assurance programs, and resident discharge planning as required.

• Direct day‑to‑day nursing assistant functions according to rules and guidelines.
• Ensure nursing personnel comply with policies and procedures.
• Review and update department policies and job descriptions.
• Recommend policy revisions and report to leadership.
• Plan shift services, programs, and activities with the nursing staff.
• Maintain current Nursing Service Procedures Manual.
• Provide written and oral reports on shift activities as required.
• Coordinate with other resident services to maintain total care regimens.
• Participate in quality assurance and facility surveys.
• Review and update resident discharge plans with nursing input.
• Complete accident/incident reports and resident charge slips.
• Maintain Daily Census and submit to the Business Office.
• Perform administrative duties including medical forms, evaluations, and charting.
• Protect confidential information and report violations.

• File required recordkeeping forms on admission, transfer, and discharge.
• Encourage attending physicians to review and sign treatment plans.
• Receive and record telephone orders from physicians.
• Transcribe physician orders to resident charts, medication cards, and care plans.
• Maintain accurate, descriptive nursing notes.
• Submit accident/incident reports and chart accidental incidents.
• Implement established charting procedures and update records of diet and medication changes.
• Sign and date all entries in the resident’s medical record.

• Prepare and administer medications as ordered.
• Verify resident identity before each administration.
• Ensure proper medication allocation and prevent dispensing errors.
• Maintain floor stock of medications, supplies, and equipment.
• Order prescribed medications and supplies as needed.
• Keep accurate narcotic records for the shift.
• Notify the Nurse Supervisor of drug or narcotic discrepancies.
• Review medication cards for completeness and accuracy.
• Notify physicians of automatic stop orders before final dose.
• Dispose of drugs and narcotics according to established procedures.

• Participate in performance evaluations and staffing decisions.
• Inform the Nurse Supervisor of staffing needs and absenteeism.
• Review staff workforce, make recommendations, and develop work assignments.
• Provide leadership and conduct daily rounds to assess nursing standards.
• Ensure nursing assistants are enrolled in or graduated from approved programs.
• Maintain positive rapport with inter‑departmental personnel.
• Address complaints, grievances, and disciplinary actions fairly.
• Report occupational exposures, fraud, and safety incidents to the appropriate authority.
• Secure unattended computer workstations as per facility policy.

• Inform nursing staff of new admissions and room assignments.
• Prepare rooms for new admissions and escort residents to their rooms.
• Orient new residents and family members to the facility.
• Coordinate diagnostic and therapeutic services with physicians.
• Review resident charts for treatments, medication orders, and diet plans.
• Implement and maintain nursing objectives and standards.
• Check treatment integrity and evaluate resident status.
• Ensure compliance with…