Charge Nurse Lvn

Position: CHARGE NURSE LVN
POSITION:

As a member of the interdisciplinary team, the Charge Nurse assumes responsibility and accountability for nursing services delivered to all residents of a designated unit for the duration of the shift. The Charge Nurse provides direct care, administers treatments and medications, organizes and distributes daily assignments to direct care staff consistent with staff competency and each individual resident’s comprehensive resident observation and plan of care.

This position also supervises direct care staff, including participating in the hire and termination process, doing annual performance reviews and raises and performing disciplinary actions. This position makes decisions about resident care needs during shift within scope of clinical competence, consistent with facility policies and procedures.

REPORTING:

This position reports to the Director of Nursing.

FLSA STATUS:
Non-Exempt

ESSENTIAL JOB FUNCTIONS:

Make daily rounds on assigned unit at least at beginning and at end of shift to observe, assess or interview residents, to verify information for or from ongoing shift, to monitor regulatory compliance and to determine staff assignments or completion of assignments

Develop and distribute resident care assignments to direct care staff. Assignments match resident needs with skills of direct care staff, and maintain consistency to the extent practicable. Adjust assignments according to availability of qualified staff. Change assignments if necessary during shift to meet resident needs

Provide orientation to unit and unit routines to new staff members or staff from temporary agencies

Perform performance evaluation reviews for staff, including determination of wage increases if applicable

Correct staff performance and administer discipline, if required

Train and develop staff by conducting skills observations of nurse aides identifying learning needs and taking advantage of opportunities to teach on the unit.

Keys information into computer systems, including EMRDescribe care plan goals and approaches to direct care staff so that care plan is consistently implemented on all shifts by all caregivers. Seek input from nurse aides about resident condition, functional abilities, preferences and alternative approaches to care. Monitor delivery of care and services throughout shift to ensure needs are met, tasks are completed and that work of direct care staff is of acceptable quality and quantity

Administer medications, treatments and provide direct care to residents on unit according to physician orders and in compliance with facility policies and procedures

Perform physical observation of new admissions and current residents as indicated by change in condition or as required by regulation. Complete assigned sections of resident observation instruments used in facility

Based on observation of the resident’s condition, develop or revise the plan of care with interventions and time measurable objectives to assist each resident to attain or maintain highest practicable physical, mental and psycho social well being. Develop or revise the plan of care with participation of the interdisciplinary team members and resident to the extent feasible. Consult with and refer relevant resident care issues to attention of interdisciplinary care team members

Coordinate care and delivery of services with all disciplines, outside agencies and community providers as required

Respect rights of residents regarding freedom of choice, consent for care and services, refusals of treatment and implementation of advance directives if any. Promptly consult with nursing supervisor and Social Worker if unsure of proper course of action that respects resident’s rights, comply with facility policies and procedures that is consistent with county, state and federal laws and regulations, as applicable, including abuse reporting

Complete required documentation of care and services delivered during shift including subjective findings, objective symptoms, interventions and resident responses to interventions. Complete required documentation of special circumstances including accident/incident reports in compliance with facility policy and…