Job description
Purpose of Your Job Position
The overall purpose of the Treatment Nurse is to provide consultation and assistance to the nursing and CNA staff to reach and maintain the goal of zero facility acquired pressure ulcers and exceptional wound healing. The Treatment Nurse accomplishes these goals through teaching, training and delivery of skin risk assessments, implementation of prevention interventions, accurate skin care, administering wound treatments prescribed by the attending physician and documentation, consistent with accepted standards of care and within the scope of LPN training and licensure. The LPN Treatment Nurse also must provide direct resident care and assigns duties to subordinate LPNs and /or Nurses Aides as appropriate.
The Treatment Nurse will also assist in evaluating and modifying the treatment regimen to meet the physical and psychosocial needs of the resident, in accordance with established medical and clinical practices and the policies and procedures of the facility.
Job Functions
Every effort has been made to keep your job description as complete as possible. However, it in no way states or implies that they are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work in similar, related, or is a logical assignment to the position.
Qualifications
An individual currently licensed in the State of Arkansas as a Licensed Practical Nurse with no restrictions due to disciplinary action by the Arkansas State Board of Nursing. She must demonstrate the ability to plan, supervise, and evaluate the nursing care related to her assigned duties.
Primary Functions/Duties
1. Observes, assesses and reports resident condition/changes and documents accordingly.
2. Performs skin assessments of residents in accordance with facility policy/procedure/practice.
3. Completes Pressure Ulcer Risk Assessments upon admission and re-admission and when otherwise indicated.
4. Implements interventions according to resident’s risk factors for developing pressure ulcers and teaches staff, resident and family the importance of the interventions.
5. Implements and maintains established procedures relative to the skin management.
6. Provides consultation to Nursing Staff regarding pressure ulcer risk issues, interventions and wound care needs.
7. Prepares and administers treatments as per Physicians’ orders and clinical practice guidelines.
8. Receives, transcribes and executes physicians’ orders.
9. Manages skin tears, surgical wounds, etc.
10. Completes detailed documentation to include measurements per facility practice guidelines.
11. Confers with the facility’s interdisciplinary team regarding assessment evaluations and assist in planning and developing an individualized Care Plan for residents receiving wound care treatments.
12. Implements care plans as directed, as it relates to wound care, focusing on skin integrity and PU prevention.
13. Prepares required documentation for Director of Nursing in a timely and accurate manner.
14. Notifies MD of new skin issues, obtains treatment orders and implements changes as indicated.
15. Assists in collection of data relevant to resident assessment and evaluation.
16. Administers treatments, as prescribed, adhering to Infection Control principles and assists with Infection Control Surveillance.
17. Monitors functions and activities of subordinate staff.
18. Assists in the investigation of incidents and accidents as required.
19. Identifies and secures equipment and supplies necessary for the appropriate treatment of wounds or other skin conditions.
Additional Functions/Duties
1. Administration of nursing home routines and policies during his/her tour of duty.
2. Maintaining the highest quality of patient care in compliance with the physician’s orders.
3. Supervise nursing care administered by the private duty nurses during his/her tour of duty.
4. Participates in planning and evaluating experiences for employees under his/her supervision.
5. Keep all matters concerning the nursing home, the residents, and nursing home personnel in strict confidence in accordance with HIPAA regulations.
6. Participates on designated committees as required.
7. Visit patients frequently to evaluate their condition and need for nursing care.
8. Participates in 3-way match back process to ensure accuracy of medications to be administered as required.
9. Other duties as may be assigned within the scope of practice of a Licensed Practical Nurse (LPN).
CHARTING AND DOCUMENTATION
1. Fill out and complete accident/incident reports. Submit to Director as required.
2. Chart all accidents/incidents involving the resident. Follow established procedures.
3. Encourage attending physicians to review treatment plans, record and sign their orders, progress notes, etc., in accordance with established policies.
4. Chart nurses’ notes in an informative and descriptive manner that reflects the care provided to the resident, as well as the resident’s response to the care.
5. Complete and file required record keeping forms/carts upon the resident’s admission, transfer, and/or discharge.
6. Receive telephone orders from physicians and record on the Physicians’ Order Form.
7. Record new/changed diet orders. Forward information to the Dietary Department.
8. Transcribe physician’s orders to resident charts, medications cards, treatment/care plans, as required.
9. Assure that appropriate documentation concerning unauthorized discharges is entered in the resident’s medical record in accordance with established procedures.
10. Report all discrepancies noted concerning physician’s orders, diet change, charting error, etc., to the DON or assistant.
11. Perform routine charting duties as required and in accordance with our established Charting and Documentation Policies and Procedures.
12. Sign and date all entries made in the resident’s medical record.
13. Fill out and complete Transfer Forms in accordance with our established procedures.
DRUG ADMINISTRATION FUNCTIONS
1. Prepare and administer medications as ordered by the physician.
2. Assure that prescribed medication for one resident is not administered to another.
3. Verify the identity of the resident before administering the medication/treatment.
4. Order prescribed medications, supplies, and equipment as necessary, and in accordance with our established policies.
5. Ensure that an adequate supply of floor stock medications, supplies, and equipment are on hand to meet the
6. Page 3-Charge Nurse Job Description
7. nursing needs of the residents. Report needs to DON or his/her designee.
8. Ensure that narcotic records are accurate for your shift.
9. Dispose of drugs and narcotics as required, and in accordance with our established procedures.
10. Notify the attending physician of automatic stop orders prior to the last dosage being administered.
11. Review medication records for completeness of information, accuracy in the transcription of the physician’s order, and adherence to stop order policies.
12. Notify the DON or assistant of all drug and narcotic discrepancies notes on your shift.
WORKING CONDITIONS
1. Works in well-lighted and ventilated areas throughout the nursing service area (i.e., drug rooms, nurses’ stations, resident rooms, etc.).
2. Sits, stands, bends, lifts and moves intermittently during working hours.
3. Is subject to frequent interruptions.
4. Is involved with residents, personnel, visitors, government agencies/personnel, etc., under all conditions and circumstances.
5. Is subject to hostile and emotionally upset residents, family members, personnel, and visitors.
6. Communicates with the medical staff, nursing personnel, and other department supervisors.
7. Is willing to work beyond normal working hours, and in other positions temporarily, when necessary.
8. Attends and participates in continuing educational programs designed to keep you abreast of changes in your profession, as well as to maintain your license on a current status.
9. Is subject to falls, burns from equipment, odors, etc., throughout the workday.
10. Is subject to exposure to infectious waste, diseases, conditions, etc.
11. Maintains a liaison with the residents, their families, support departments, etc., to adequately plan for the resident’s needs.
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