Charge Nurse - California
Company: California Nursing & Rehabilitation Center
Location: Palm Springs
Posted on: March 26, 2020
California Nursing & Rehabilitation Center - A licensed
professional nurse directly under the supervision of the Assistant
Director of Nursing Services. The Charge Nurse is responsible for
staff assignment and provides overall supervision of resident care
Graduate of an accredited school of nursing or an approved LVN
Current nursing licensure in the state in which practicing.
Strong organizational skills.
Possess, as a minimum, training in a skilled nursing care facility,
hospital, or other related medical facility.
Possess leadership ability and the willingness to work with and
supervise professional and non-
Knowledgeable of nursing and medical practices and procedures.
Ability to Read, write and speak the English language.
Possess mental and physical health.
GENERAL DUTIES AND RESPONSIBILITIES: CLINICAL
Complete all required record keeping forms/charts upon the
residents admission, discharge, transfer, etc. File in the
residents chart and/or forward to the appropriate department.
Receive verbal orders from attending/alternate physician and
transcribe the physicians order sheet.
Initiate resident Plans of Care on admission.
Chart TPRs, blood pressures and blood glucose as required.
Order prescribed medications, supplies and equipment as established
by the facilitys policies and
Review physicians orders and transfer/preadmission information for
Prepare/administer medications as ordered by the physician.
Answer telephone inquiries as outlined in the facilitys established
policies and procedures.
Chart licensed nurses notes in an informative and d3scriptive
manner that reflects the care provided as
well as the residents response to the care.
Forward new diet orders, and/or diet changes to the dietary
Transcribe physicians orders to residents charts, Medication
Administration Records, Treatment
Administration Records and RNA sheets to assure that they remain
Verify the identification of the resident before administering
medication or treatment.
Requisition and arrange for diagnostic and therapeutic services as
ordered by the physician.
Assure that narcotic records are current at all times
Admit, transfer and discharge resident. Assist in arranging
transportation and packing as necessary.
Check resident charts for specific treatment, medication orders and
CHARGE NURSE Contd.
Job Descriptions Manual
Job Descriptions Manual
Administer professional services such as: catheterization, tube
feeding, suction, applying and changing dressings/bandages, packs,
colostomy and drainage bags, taking blood, sputum, and urine
specimens, care of the dead/dying, etc., as established by the
facilitys policies and procedures.
Make rounds with the physician and assist with examination and
Review medication sheet for completeness of information, accuracy
in the transcription of physician
orders and adherence to stop order policies.
Assist in carrying out restorative and rehabilitative programs to
Perform routine charting as required.
Report all discrepancies of physician order, diet or charting to
the RN Supervisor or Assistant Director
Check food in residents rooms that is brought in by the residents
family or visitors in accordance with
the facilitys established policies and procedures.
Initiate restraint assessment on all new admissions.
Monitor and document behavior of residents on psychoactive
Record Intake and Output, and complete monthly evaluation as per
the facilitys policy and procedure.
Following completion of an approved competency check with an RN an
LVN may reinsert a G-Tube on
an established track only.
Meet with unit personnel, on a regular basis, to assist in
identifying and correcting problem areas, and/or the improvement of
Review and evaluate assigned personnel and make written evaluations
to the RN Supervisor or Assistant Director of Nurses.
Coordinate Nursing service with other departments and nursing
Notify the attending physician, RN Supervisor and Director of
Nurses when a resident is discharged
without approval. Assure that appropriate documentation is made in
accordance with the facilitys
established policies and procedures.
Assure that a stock of medications, medical supplies, equipment,
etc., is maintained at all times.
Requisition equipment and supply needs as required.
Initiate investigation of accidents and unusual occurrences and
make the necessary written report to the
Director of Nurses as established in the facilitys policies and
Notify the residents attending/alternate physician, as well as the
residents legal guardian/representative,
when the resident has a significant change of condition or becomes
critically ill or injured, as outlined
within facilitys established policies.
Work with the facilitys consultants as necessary and implement
recommended changes as directed by the
RN Supervisor of the Director of Nurses.
Investigate complaints and grievances and make necessary
oral/written reports to the RN Supervisor or
Director of Nurses.
In cases of death, notify the funeral home and ensure that the body
is properly prepared/cleaned for
Evaluate emergencies and determine emergency measures to be used,
including the use of chemical or
mechanical restraints. Notify the RN Supervisor and physician and
record and follow orders.
Assure that the unit area is maintained in a clean and safe manner
for resident comfort and convenience,
by ensuring that necessary equipment and supplies are maintained to
perform such duties/services.
Assist in standardizing the methods in which work will be
Job Descriptions Manual
Make residents rounds to review physical, medical an emotional
status and to implement required nursing interventions.
Notify physician and residents responsible party of any resident
accidents/incidents. Fill out and complete Accident/Incident Report
forms on all such occurrences and chart such information in the
residents medical records as outlined in the facilitys established
policies and procedures
Assure that nursing personnel follow established nursing
Remind attending physician(s) to review treatment plans, record and
sign physicians orders, progress
notes, etc., during physician visits.
Give/receive nursing reports upon reporting in and ending shift
Check all residents daily to assure that prescribed treatment is
being properly administered by nursing
personnel/assistants and to evaluate their physical and emotional
status. Record findings in the
Assist in orientation of newly assigned personnel as well as
supervise and instruct other nursing
Orient new residents/family members as necessary.
Assure that nursing personnel are providing adequate nursing car in
accordance with established nursing
Assure that all personnel follow established infection control and
aseptic techniques when isolation
procedures become necessary.
Report all hazardous conditions and equipment to the RN Supervisor
and maintenance department
Keep the RN Supervisor informed about the status of residents,
staff and related matters.
Assume the authority, responsibility and accountability of
directing your unit/shift.
Follow required coaching and progressive disciplinary
Others as may become necessary and appropriate or as may be
directed by the Director of Nurses or
Presents professional image to consumers through dress, behavior
Adheres to Company standards for resolving consumer concerns.
Ensures that all consumer/resident rights are protected.
Keywords: California Nursing & Rehabilitation Center, Palm Springs , Charge Nurse - California, Healthcare , Palm Springs, California
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