RN/LPN Charge Nurse
Chimney Rock Villa RN/LPN Charge Nurse
Delegation of Authority
As the Charge Nurse, RN, you are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties. In the absence of the Director, you are charged with carrying out the resident care policies established by this facility.
Major Duties and Responsibilities
- Assist the Director of Nursing Services in planning, developing, organizing, implementing, evaluating, and directing the day-to-day functions of the nursing service department, in accordance with current rules, regulations, and guidelines that govern the long-term care facility.
- Participate in surveys (inspections) made by authorized government agencies as requested by the administrator or director of nursing services.
- Participate in developing, implementing, and periodically updating the resident's written discharge plan.
- Assist the resident and Social Services Coordinator in planning the nursing services portion of the resident's discharge plan.
- Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., as necessary.
- In the absence of the Director, serve on, participate in, and attend various committees of the facility (i.e., Infection Control, Pharmaceutical, Budget, Quality Assurance, etc.).
- Serve on the Quality Assurance Committee as directed.
- Assist the Director in preparing written and/or oral reports of the nursing service programs and activities to submit to such committee(s).
- Participate in the development, maintenance, implementation, and updating of the written policies and procedures for the administration, storage, and control of medications and supplies.
- Schedule, attend, and participate in developing the agenda for the Care Plan Committee meetings as necessary.
- Participate in regularly scheduled reviews of the discharge plans and make such plans available to the Utilization Review Committee as required or as may be necessary.
- Attend and participate in the Utilization Review Committee functions as required or as may be necessary.
- Evaluate and implement recommendations from established committees as they may pertain to nursing services.
- Ensure that a sufficient number of certified nursing assistants are available for each tour of duty to ensure that routine nursing care is provided to meet the daily nursing care needs of each resident.
- Schedule work assignments and duty hours.
- Make daily rounds of the nursing service department to ensure that all nursing service personnel are performing their work assignments in accordance with acceptable nursing standards.
- Report findings to the Director.
- Monitor absenteeism to ensure that an adequate number of nursing care personnel are on duty at all times. Report problem areas to the Director.
- Review complaints and grievances made or filed by department personnel. Make appropriate reports to the Director as required or as may be necessary.
- Ensure that disciplinary action is administered fairly and without regard to race, color, creed, national origin, age, sex, religion, handicap, or marital status.
- Interpret the department's policies and procedures to personnel, residents, visitors, and government agencies as necessary.
- Ensure that all nursing personnel participate in the facility's TB testing program.
Nursing Care Functions
- Provide the Director with information relative to the nursing needs of the resident and to the nursing service department's ability to meet those needs.
- Inform nursing service personnel of new admissions, their expected time of arrival, room assignment, etc.
- Ensure that rooms are ready for new admissions.
- Greet newly admitted residents upon admission. Escort them to their rooms as necessary.
- Make rounds with physicians as necessary.
- Inform the Director when physician visits are not made in a timely manner.
- Encourage attending physicians to record and sign progress notes, physicians' orders, etc., on a timely basis and in accordance with current regulations.
- Ensure that direct nursing care be provided by a licensed nurse, a certified nursing assistant, and/or a nurse aide trainee qualified to perform the procedure.
- Review nurses' notes to ensure that they are informative and descriptive of the nursing care being provided, that they reflect the resident's response to the care, and that such care is provided in accordance with the resident's wishes.
- Schedule daily rounds to observe residents and to determine if nursing needs are being met.
- Monitor medication passes and treatment schedules to ensure that medications are being administered as ordered and that treatments are provided as scheduled.
- Report medication errors to the Director.
- Provide direct nursing care as necessary.
- Report problem areas to the Director. Assist in developing and implementing corrective action.
- Authorize the use of restraints when necessary and in accordance with our established policies and procedures.
- Ensure that residents who are unable to call for help are checked frequently.
- Participate in developing, planning, conducting, and scheduling in-service training classes that provide instructions on "how to do the job" and ensure a well-educated nursing service department.
- Develop, implement, and maintain an effective orientation program that orients the new employee to the facility, its policies and procedures, and to his/her job position and duties.
- Attend and participate in continuing education programs designed to keep you abreast of changes in your profession, as well as to maintain your license on a current status.
Safety and Sanitation
- Assist the Safety Officer in developing safety standards for the nursing service department.
- Assist the Director and/or Infection Control Coordinator in identifying, evaluating, and classifying routine and job-related functions to ensure that tasks in which there is potential exposure to blood/body fluids are properly identified and recorded.
- Ensure that an adequate supply of personal protective equipment is on hand and readily available to personnel who perform procedures that involve exposure to blood or body fluids.
- Monitor nursing service personnel to ensure that they are following established safety regulations in the use of equipment and supplies.
- Ensure that nursing service work areas (i.e., nurses' stations, medicine preparation rooms, etc.) are maintained in a clean and sanitary manner.
- Ensure that all resident care rooms, treatment areas, etc., are maintained in a clean, safe, and sanitary manner.
- Ensure that all nursing service personnel follow established departmental policies and procedures, including appropriate dress codes.
- Ensure that nursing service personnel participate in and conduct all fire safety and disaster preparedness drills in a safe and professional manner.
- Participate in the development, implementation, and maintenance of the infection control program for monitoring communicable and/or infectious diseases among the residents and personnel.
- Ensure that nursing service personnel follow established infection control procedures when isolation precautions become necessary.
- Participate in the development, implementation and maintenance of the procedures for reporting hazardous conditions or equipment.
- Ensure that all personnel wear and/or use safety equipment and supplies (e.g., back brace, lifter, etc.) when moving or lifting a resident.
Equipment and Supply Functions
- Recommend to the Director the equipment and supply needs of the department.
- Ensure that an adequate stock level of medications, medical supplies, equipment, etc., is maintained on premises at all times to adequately meet the needs of the resident.
- Assist the Maintenance Director in developing a preventive maintenance program for maintaining the nursing department's equipment and supplies in a safe and operable manner.
- Participate in the development and implementation of the procedures for the safe operation of all nursing service equipment.
- Ensure that only trained and authorized personnel operate the department's equipment.
- Ensure that all personnel operate nursing service equipment in a safe manner.
- Monitor nursing procedures to ensure that nursing service supplies are used in an efficient manner to avoid waste.
Care Plan and Assessment Functions
- Participate in the development of written preliminary and comprehensive assessments of the nursing needs of each resident.
- Assist the Resident Assessment/Care Plan Coordinator in planning, scheduling, and revising the MDS, including the implementation of RAPs and Triggers.
- Participate in the development of a written care plan (preliminary and comprehensive) for each resident that identifies the problems/needs of the resident, indicates the care to be given, goals to be accomplished, and which professional service is responsible for each element of care.
- Insofar as practical, encourage the resident and his/her family to participate in the development and review of the resident's plan of care.
- Assist in the scheduling of care plans and assessments to be presented and discussed at each committee meeting.
- Ensure that all personnel involved in providing care to the resident are aware of the resident's care plan. Ensure that nursing personnel refer to the resident's care plan prior to administering daily care to the resident.
- Review nurses' notes to determine if the care plan is being followed.
- Review and revise care plans and assessments as necessary, but at least quarterly.
- Develop and maintain a good rapport with all services involved with the care plan to ensure that a team effort is achieved in developing the resident's comprehensive care plan.
- Be sure that staff members are providing care that reflects the wishes of the resident.
- Maintain the confidentiality of all resident care information.
- Monitor nursing care to ensure that all residents are treated fairly, and with kindness, dignity, and respect.
- Ensure that all nursing care is provided in privacy and that nursing service personnel knock before entering the resident's room.
- Ensure that all nursing service personnel are knowledgeable of the residents' responsibilities and rights including the right to refuse treatment.
- Review complaints and grievances made by the resident and make a written/oral report to the Director indicating what action(s) were taken to resolve the complaint or grievance. Follow facility's established procedures.
- Maintain a written record of the resident's complaints and/or grievances that indicates the action taken to resolve the complaint and the current status of the complaint.
- Ensure that appropriate notices are received by the resident before his/her room or roommate is changed.
- Report and investigate all allegations of resident abuse and/or misappropriation of resident property.
- Ensure that nursing staff personnel honor the resident's refusal of treatment request. Ensure that such requests are in accordance with the facility's policies governing advance directives.
- Review the facility's advance directive policies and procedures with resident and/or family members as necessary.
- Works in office area(s) as well as throughout the nursing service area (i.e., drug rooms, nurses' stations, resident rooms, etc.).
- Sits, stands, bends, lifts and moves intermittently during working hours.
- Is subject to frequent interruptions.
- Is involved with residents, personnel, visitors, government agencies/personnel, etc., under all conditions and circumstances.
- Is subject to hostile and emotionally upset residents, family members, personnel, and visitors.
- Communicates with the medical staff, nursing personnel, and other department supervisors.
- Works beyond normal working hours and on weekends and holidays when necessary.
- Is involved in community/civic health matters/projects as appropriate.
- Attends and participates in continuing educational programs.
- Is subject to falls, burns from equipment, odors, etc., throughout the work day.
- Is subject to exposure to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses.
- Maintains a liaison with the residents, their families, support departments, etc., to adequately plan for the residents' needs.
- Must possess, as a minimum, a Nursing Degree from an accredited college or university.
- Must possess a current, unencumbered, active license to practice as a Licensed Practical Nurse or Registered Nurse in the State of Nebraska.
- Must be able to read, write, speak, and understand the English language.
- Must possess the ability to make independent decisions when circumstances warrant such action.
- Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public.
- Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to long-term care.
- Must possess leadership and supervisory ability and the willingness to work harmoniously with professional and non-professional personnel.
- Must possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures, etc., that are necessary for providing quality care.
- Must have patience, tact, a cheerful disposition and enthusiasm, as well as the willingness to handle difficult residents.
- Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices.
- Must be able to relate information concerning a resident's condition.
- Must not pose a direct threat to the health or safety of other individuals in the workplace.
Physical and Sensory Requirements
(With or Without the Aid of Mechanical Devices)
- Must be able to move intermittently throughout the workday.
- Must be able to speak and write the English language in an understandable manner.
- Must be able to cope with the mental and emotional stress of the position.
- Must be able to see and hear or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully met.
- Must function independently, and have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies.
- Must be in good general health and demonstrate emotional stability.
- Must be able to relate to and work with the ill, disabled, elderly, emotionally upset, and, at times, hostile people within the facility.
- Must be able to lift, push, pull, and move a minimum of 50 pounds.
- Must be able to assist in the evacuation of residents during emergency situations.
Come join our team!