Per Diem pay for weekend/overnight hours worked.

OPEN SHIFTS: EVE: Thurs., Fri., Sat.,

NOC: Fri., Sat., every other Sun.

Qualifications:

General Description:

Charge nurse in a Skilled Nursing Facility is a working supervisor, responsible for the nursing services on his/her shift, and to create and maintain a cheerful homelike atmosphere, working closely with the Director of Nursing/RN supervisor.

Responsibilities:

Shifts:

• 6:30 am to 2:30 pm – days
• 2:30 pm to 10:30 pm- evenings
• 10:30pm to 6:30 am- nights
  

2-10 shift

• Supervise Aides providing resident care on the shift.
  • Same as above and including PM cares.
• Supervise CMT as listed above.
• Provide all treatments per orders.
• Maintain all feeing tubes as listed above.
• Provide supervision after routine business hours as listed above.

10-7 shift

• Supervise CNA’s providing resident care as listed above.
• All other duties listed above.
• Provide medication passes (PRN and Routine)
• Assign a hall to care for the residents to include every 2 hours (maximum hall checks and personal care)

Daily Visitation:

This is extremely important that all emotional and physical needs of the resident can be met.

Physical Contact:

CHARGE NURSE REPSONSIBILITES

6:30-2:30

• Begin shift with report from the previous Charge Nurse.
• Count the narcotics in the lock-up with the off-going Charge Nurse
• Share significant info with the nurse aides. (I.E., that would affect plan of care)
• V/S on the Medicare resident to obtain a quick baseline status.
• Walk the facility to ensure all residents are accounted for and all door alarms are on.
• Fill out daily staffing sheet form, perform accu checks, administrator insulin injections.
• Help pass breakfast trays and feed (if time permits/as needed).
• Ensure that the meal intake gets recorded and clear the dining room (if time permits/as needed).
• Review computer G-Tube MARS/TARS/Insulin records.
• Administer the treatments.
• Perform one walking round on your shift- does not necessarily have to be written but if there is a problem, identify it and have the CNAs correct IMMEDIATELY. It needs to be written if the CNA is not performing his/her job, under your supervision, so if further action is needed, there is some documentation to support the action needed.
• Monthly summary reports are assigned at the beginning of each month. Monday through Sunday until all are completed. Each shift is assigned one monthly summary per day. With the monthly summary, each Charge Nurse is to obtain his/her own set of VS, check resident ears for wax build-up, and check finger and toenails, and trim if needed.
• Draw any lab work that is scheduled on the calendar (Supplies are in the clean utility. The cooler is on top of the refrigerator in the med room). Labs are usually done Monday through Friday (provided there is no holiday schedule posted), however, lab can and will do draws on weekends.
• Lab is usually picked up after 3 p.m. Prepared specimens are put in the cooler and placed on the nurse’s desk for easy access for the courier.
• Chart minimally, once per shift on those residents in Medicare A beds. Follow documentation guidelines.
• View the charts on the rack. The wheel indicates as follows:
  • RED means Medicare Part A
  • GREEN means resident in hospital
  • YELLOW means change ins resident condition (incident, falls, behavior changes, etc.)
  • BLUE means antibiotic therapy-obtain/chart temp every shift and any pertinent information such as possible reaction to the med or overall improvement.
• Lunchtime-assist as did with breakfast if time permits
• Lunch break around 12:45/1:00 pm for 30 minutes
• Complete any treatments not done in the AM
• Complete the charting for the shift
• All incident reports must be completed before shift is over, including notification of family/physician
• Report off to the next shift Charge Nurse/narcotic count
• DO NOT DISS YOUR CNA’S UNTIL THE NEXT SHIFT IS ADEQUATELY COVERED. THE CHARGE SHOULD BE THE LAST TO LEAVE.

10:30-6:30

• Begin shift with report from the previous Charge Nurse.
• Count the narcotics in the lock-up with the off-going Charge Nurse
• Share significant info with the nurse aides. (I.E., that would affect plan of care)
• V/S on the Medicare Part A residents to obtain a quick baseline status.
• Walk the facility to ensure all residents are accounted for and all door alarms are on.
• Review computer G-Tube MARS/TARS/Insulin records.
• Meal break whenever most convenient
• Administer all treatments.
• Supervise the CMTs and CNAs on your shift for production
• Perform one walking round on your shift- does not necessarily have to be written but if there is a problem, identify it and have the CNAs correct IMMEDIATELY. It needs to be written if the CNA is not performing his/her job, under your supervision, so if further action is needed, there is some documentation to support the action needed.
• Monthly summary reports are assigned at the beginning of each month. Monday through Sunday until all are completed. Each shift is assigned one monthly summary per day. With the monthly summary, each Charge Nurse is to obtain his/her own set of VS, check resident ears for wax build-up, and check finger and toenails, and trim if needed.
• Collect any early AM UAs as ordered as time permits.
• Chart minimally, once per shift on those residents in Medicare A beds. Follow documentation guidelines.
• Attend any physicians making rounds.
• View the charts on the rack. The wheel indicates as follows:
  • RED means Medicare Part A
  • GREEN means resident in hospital
  • YELLOW means change ins resident condition (incident, falls, behavior changes, etc.)
  • BLUE means antibiotic therapy-obtain/chart temp every shift and any pertinent information such as possible reaction to the med or overall improvement.
• Complete any treatments not done in first part of shift.
• Compete the charting for the shift.
• All incident reports must be completed before shift is over, including notification of family/physician.
• Report off to the next Charge Nurse/narcotic county
• DO NOT DISS YOUR CNA’S UNTIL THE NEXT SHIFT IS ADEQUATELY COVERED. THE CHARGE SHOULD BE THE LAST TO LEAVE.