RN PM Shift

Location: Markesan

PURPOSE:

The primary purpose of your job position is to provide direct nursing care to the residents, and to supervise the day-to-day nursing activities performed by nursing assistants, LPNs, and nursing support staff. Such supervision must be in accordance with current federal, state, and local standards, guidelines, and regulations that govern Markesan Resident Home, and as may be required by the Director of Nursing Services or Nurse Supervisor to ensure that the highest degree of quality care is maintained at all times.

DELEGATION OF AUTHORITY:

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

When assuming the position of charge nurse in a nursing home as defined in s.50.04 (2)(b), the RN shall:

Follow written protocols and procedures;

Manage and direct nursing care and other activities of LPNs and nursing support personnel under the general supervision of an RN; and Accept the charge nurse position only if prepared to completely perform this assignment based on nursing education or active involvement in education or training for responsibilities not included in the basic LPN curriculum.

JOB FUNCTIONS:

Every effort has been made to identify the essential functions of this position. However, in no way does this job description state or imply that these are the only duties you will be required to perform. The omission of specific statements or duties does not exclude them from this position if the work is similar, related, or is an essential function of the position.

ADMINISTRATIVE FUNCTIONS Direct the day-to-day functions of the nursing assistants, LPNs, nursing support staff including med techs and nurse techs in accordance with current rules regulations, and guidelines that govern the long-term care facility.

Ensure that all nursing personnel assigned to you 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.

Meet with your assigned nursing staff, as well as support personnel, in planning the shifts services, programs, and activities.

Ensure that all nursing service personnel comply with the procedures set forth in the Nursing Service Procedures Manual.

Cooperate with other resident services when coordinating nursing services to ensure that the resident's total regimen of care is maintained.

Participate in the development, maintenance, and implementation of the facility's quality assurance program for the nursing service department.

Assist in planning the nursing services portion of the resident's discharge plan as necessary.

Admit, transfer, and discharge residents as required.

Complete accident/incident reports as necessary.

Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., as necessary.

Update administrative staff in the event of fire, tornado warning, exiting of wandering resident(s), workplace violence issues and/or staffing issues.

Discipline, coach, train LPN and nurse support staff as needed.

Oversee situations that may arise at North Terrace which require nursing interventions.

CHARTING AND DOCUMENTATION 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 note, etc., in accordance with established policies.

Receive telephone orders from physicians and record on the Physicians' Order Form.

Transcribe physician's orders to resident charts, Medex, treatment/care plans, as required. (If Unit Coordinator present, Licensed Nurse reviews and signs)
Chart nurses' notes in an informative, objective, and descriptive manner that reflects the care provided to the resident, as well as the resident's response to the care.

Complete all accident/incident documentation, following established procedures.

Report all discrepancies noted concerning physician's orders, diet change, charting error, etc., to the DON or RN on call.

Complete transfer forms in accordance with established procedures.

Perform routine charting duties as required and in accordance with established charting and documentation policies and procedures.

Sign and date all entries made in the resident's medical record.

DRUG ADMINISTRATION FUNCTIONS Prepare and administer medications as ordered by the physician.

Ensure that an adequate supply of floor stock medications, supplies, and equipment is on hand to meet the nursing needs of the residents.

Order prescribed medications, supplies, and equipment as necessary, and in accordance with established policies.

Ensure that scheduled medication records are accurate for you shift.

Notify the DON or RN on call of all drug and narcotic discrepancies noted on your shift.

Dispose of drugs and narcotics as required and in accordance with established procedures.

PERSONNEL…