This job was posted by https://www.kansasworks.com : For more
information, please see: https://www.kansasworks.com/jobs/12905069
Position: Charge Nurse
Reviewed: 5/2023
Supervisor: DON, ADON
Approved: 5/2023
Qualifications:
1. Must be licensed with State of Kansas as an LPN or RN with a current
certificate.
2. Must be in good standing with Kansas Department of Aging.
3. Must be able to perform job according to the physical
specifications.
4. Must have a level of reasoning that allows the individual to make
critical decisions.
Essential Tasks:
1. Upon start of shift complete assignment sheets for staff working
that shift. Include breaks, meal assignments, weight, appointments for
the day and all other shiftily task on the assignment sheet.
2. Receive shift report with off going nurse at the beginning of shift.
Notify staff assigned to the shift of any information they may need in
order to perform their job duties. Follow-up with the oncoming staff at
2pm and 10pm to update on needs to know information to care for assigned
residents.
3. Obtain and document all skilled and Hospice assessments, under the
assessment tabs, on assigned unit once a shift. Includes reason and
diagnosis code for skilled stay and full assessment including vital
signs with intervention put in place upon change in condition or
abnormal assessment.
a. Residents will be charted on more frequently as condition begins to
deteriorate during end of life. Goal is to keep resident comfortable and
provide support to both resident and family.
4. Obtain assessment and chart on all open charts as indicated.
a. Review 24-hour report sheet and chart assessment as indicated on
report sheet.
b. Chart and open resident chart on any change in condition that occurs
during shift. Make sure to notify other nurses of change in condition on
report sheet and during verbal report.
5. Monitor Blood Glucose levels in the absence of the float nurse.
a. Identify if BS is within range for individual. If out of range
notify PCP according to policy
b. Follow hyper/hypo glycemic protocols for BS out of range
c. Administer insulin according to Physician orders.
d. Use appropriate technique for one handed safety method and disposal
of sharps.
6. On days the treatment nursing is unable to complete treatments the
charge nurse will perform all treatments as ordered by physician when
indicated on treatment administration record.
7. Complete Admissions and Discharges per facility protocol.
(Assessments, interviews, and ensure new admission have appropriate
equipment, medications and treatments in place).
8. Process daily orders as they arrive.
a. Ensure all aspects of the order are completed
b. Ensure responsible party and pharmacy gets notified of changes.
c. All shifts must work together to process orders.
d. Night shift is to reconcile orders nightly to make sure adequate
services and intervention for resident needs.
9. Monitor pharmacy fax tray and address outstanding pharmacy
deliveries.
10. Assist family members, residents, and physicians with concerns in
care or questions in regards to resident care. Initiate corrective
action and report to DON.
a. Maintain compliance with HIPPA
11. Count and Verify PRN NARC box at beginning and end of shift to
ensure proper management of narcotics in the absence of the float nurse.
12. Review lab orders, notify physician via fax or telephone (if
critical results) of lab results. Process orders pertaining to specifics
from physicians.
13. Draw labs as ordered when indicated if lab nurse is unable to
obtain or SAT orders are needed.
14. Manage call-ins and assist in finding a replacement in order to
meet resident needs.
15. Night shift specific tasks
a. Daily medication reconciliation of orders
b. Record refrigerator temperatures and implement interventions if
needed for re dings outside range.
16. Interpret existing policies and procedures to nursing assistants,
residents, families, and physicians.
17. Supervise, observe, and evaluate all direct resident care during
job duties and initiate corrective action as necessary, notify DON when
necessary.
18. Obtain and provide report from nurse he/she is relieving or coming
on duty and record/provide sufficient information to implement
appropriate follow-up action.
19. Assess, document and notify DPOA, physician, DON/ADON and Case
managers of any changes in resident condition.
20. Identify safety hazards in the environment and initiate corrective
action immediately including proper documentation where necessary.
21. Follow facility discharge/transfer procedure (including complete
documentation) and coordinate discharge/transfer with other departments,
physicians, and ancillary service providers.
22. Identify resident problems and emergency situations, and initiate
immediate life saving measures within scope of practice in the absence