The Charge Nurse functions as a leader of the nursing team on an assigned floor and for an assigned shift, coordinates the total care of the residents, and directly supervises the CENAs.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
- Administrative Responsibilities
- Assist in planning and supervising resident care in accordance with the instructions of physicians, established Health Services policies and procedures and the employee manual.
- Supervise nursing personnel in assigned area to ensure that Health Services policies and procedures and employee manual are followed, and that all nursing personnel adhere to their job descriptions.
- Keep physician informed regarding the general condition of each resident as appropriate and inform him/her of a resident’s death.
- Inform Unit Manager/Supervisor when significant changes occur in a resident’s condition.
- Assist in monitoring seriously ill residents. Notify Unit Manager/Supervisor and/or Health Service Director/Assistant Health Services Director of a change of condition.
- Consult with the physician regarding resident medical needs as appropriate, and keep Health Service Director/Assistant Health Services Director and/or Unit Manager/Supervisor informed.
- Coordinate daily work assignments of nursing personnel and supervise staff to ensure that they fulfill their responsibilities and are accountable in performing assigned tasks.
- Encourage and assist nursing staff to coordinate nursing services with other resident services to ensure continuity of care.
- Work at creating an environment that will foster a spirit of cooperation and efficiency on the unit.
- Review residents' complaints and/or grievances and inform Unit Manager/Supervisor.
- Ensure that all nursing personnel are informed of residents’ rights and responsibilities, and all residents are treated with fairness, dignity and respect.
- Assume administrative responsibility for the unit and for its general appearance.
- Attend meetings of HCC as required and/or requested.
- Ensure that all nursing personnel operate equipment safely. Monitor personnel to ensure that supplies are used properly and efficiently.
- Attend report at the beginning and end of shift.
- Meet with shift personnel on a regularly scheduled basis to assist in identifying and correcting problem areas and/or improving services.
- Participate in the planning and determining of staffing needs. Keep Unit Manager/Supervisor informed about the unit and its needs.
- Be a preceptor and carry the supervisor phone when needed.
- Resident Care Responsibilities
- Make daily rounds to residents in order to observe and evaluate their physical and emotional condition.
- Encourage residents, as far as is practical, to participate in the development and review of their own plan of care.
- Maintain confidentiality regarding all resident care information.
- Assume responsibility for the preparation and distribution of medication and monitor all narcotics in the emergency boxes.
- Assist staff with resident care as needed and appropriate, this includes hands on care.
- Possess knowledge and skills for I.V. Therapy, EKG, TRN, foley care, Hoyer lift, and other specialized care.
- Follow the established Health Services policies for body mechanics and lifting.
- Observation, Reporting and Documenting
- Evaluate the work performance of assigned personnel and monitor the progress of new nursing personnel, especially during their in-training period. Discuss recommendations with Unit Manager.
- Ensure that Health Services dress code is observed by all nursing personnel.
- Complete accident/incident reports as needed and inform Unit Manager/Supervisor.
- Ensure that all record keeping, written reports, charting, written records, and other clerical duties are up-to-date and completed professionally.
- Prepare written updates of residents' conditions on the Progress Notes and other official records. Updates include the following: admissions/discharges, abnormal tests, change of condition, and/or other pertinent information.
- Utilize computer programs for documentation, as indicated.
- Ensure that any disciplinary action is administered fairly, carefully documented and communicated to Unit Manager/Supervisor.
- Supplies, Equipment, Maintenance
- Determine the need for special equipment and consult with and make recommendations to the Unit Manager regarding such equipment.
- Routinely check oxygen and other supplies to make sure they are adequate for an emergency.
- Order floor supplies as necessary for personal, nursing, and/or medical care from Central Supply.
- Ensure that all maintenance problems are reported to Maintenance Supervisor.
- Get along well and work effectively with co-workers and others in performing job tasks.
- Perform other duties of this position or related positions as may become necessary or as directed.