KC - RN/LPN (FT/PT, Days/Nights 6a/p-6p/a

Reports to: Unit Nurse Manager.

Position Status: Full-time, part-time, or PRN.

Hours of Operation: The hours will be set by the Unit Nurse Manager.

Job Summary: The Charge Nurse’s primary function is to assess residents’ health problems and needs, develop and implement nursing care plans, and maintain medical records.  In addition, this position provides clinical supervision to Nursing Assistants (CNA and CMT/L1MA) who provide direct resident care.

Essential Functions / Duties: 

• Conduct resident rounds daily; report problems to the Unit Nurse Manager and initiate corrective action; obtain a report at the start of shift from the nurse being relieved and, on that report, record sufficient information to implement appropriate follow‑up action as necessary; provide a report at the end of each shift to the nurse coming on duty, including sufficient information for follow‑up action if necessary.
  • Count narcotics, check emergency kit, and exchange keys.
  • Order medications as necessary; administer PRN medications and treatments as necessary; receive medication delivery from pharmacy and check all drugs received and document proof of medications received.
• Document weekly progress notes; update resident care plan when doing weekly progress notes; document daily skilled notes as necessary
• Supervise nursing assist­ants providing direct resident care; counsel nursing assistants and recommend disci­plinary action, when necessary, to the Unit Nurse Manager; Participate in the employee evaluation process by providing information on the clinical performance of nursing assistants to the Unit Nurse Manager.
  • Prepare nursing assistants' assignments and explain all pertinent resident care.
  • Supervise the application and removal of all postural supports and restraints.
  • Supervise distribution of nourishments.
  • Follow staffing guidelines and make nursing assignments according to qualifications of staff and characteris­tics of the resident population.
• Change linens on all residents as necessary.
• Turn residents as necessary.
• Prepare, administer, and document medications and treat­ments per the physician's order and accurately record all care provided.
• Perform comprehensive assessment of each resi­dent; document comprehensive assessment of each resi­dent; document resident care provided and resident's response or lack of response to care provided; report changes in residents' conditions to a physician, Unit Nurse Manager, and responsible party promptly and to take follow‑up action as necessary.
• Follow facility admission, discharge or transfer procedures and communi­cate resident admission, discharge or transfer to other departments, physicians, and ancillary service providers.
• Participate in facility education programs and coordinate student activities with the DON.
• Attend staff meetings, in‑service classes, and committee meetings as assigned; complete report for facility committees.
• Participate in resident care conferences as as­signed.
• Supervise response to resident's call for assist­ance.
• Listen to resident, family, or physician concerns and initiate corrective action and/or report concerns to Unit Nurse Manager.
• Develop an accurate comprehensive care plan based on each resident's comprehensive assessment; review and revise resident care plans as neces­sary and as required by regulations; review and revise resident care plan when docu­menting weekly and daily notes.
• Identify special nursing problems and emergency situations quickly; initiate immediate “life-saving” measures in the absence of a physician.
• Must be able to work any shift as directed by the Unit Nurse Manager.
• Comply with federal, state, and company policies, procedures, and regulations.
• Operate computers programmed with software needed to record, store, and analyze resident information; operate copy/fax/printer machines to send documents and produce documents.
• Perform other related duties as directed by the Unit Nurse Manager.

Shift Specific Duties:

• Day
  • Check breakfast and noon meal trays to ensure proper diet is served and residents are assisted as necessary; supervise the passing of afternoon nourishments
• Evening
  • Check dinner trays to ensure proper diet is served and residents are assisted as necessary; supervise the passing of evening nourishments.

• Please refer to the Physical and Other Requirements section for abilities that are essential as they relate to the ability to do duties listed above.

Education and Experiences: Prior experience in a similar working environment is preferred, but not a requirement of the position. This position requires an RN (Registered Nurse) or an LPN (licensed practical nurse) in the state of Missouri.  Must be CPR certified.

Abilities: The successful candidate will have a poised, professional demeanor, and a positive attitude. They will be resourceful and have the ability to take the initiative in a changing workplace and adapt to varying requirements and needs. Specific abilities include:

• Ability to understand, observe, and enforce infection control proce­dures related to facility services.
• Ability to observe all facility safety policies and procedures.
• Ability to understand and recognize potential physical, chemical, and electrical hazards and take immediate corrective action as appropriate.
• Ability to safeguard the privacy of Residents’ health information.
• Ability to speak and read English, and follow oral and written directions.
• Ability to establish and maintain effective working relationships with the public, residents, and staff.

Physical and Other Requirements:  Primarily this position works in residents' rooms as well as other rooms and is subject to lifting, transporting, and supporting residents.  In addition, this position interacts with residents, family members, staff, etc., under all conditions and circumstances and must be constantly alert for resident safety. This position is also subject to exposure to infectious diseases, conditions, etc., including the Hepatitis B viruses.

This position requires the following abilities as essential to for the position:

• Ability to sit, stand, bend, stoop, stretch, crawl, crouch, kneel, balance, finger, grasp, push, pull, reach, or walk.
• Ability to lift people/objects from a lower to higher posi­tion or moving people/objects along a horizontal level but from position to position. This includes lifting and carrying weights in the 35 to 50 pound range.
• Ability to exert force upon an object to draw, drag or tug objects toward the source of the force in a sustained motion.