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Position: Registered Charge Nurse
Job Title - Charge Nurse
Overview of Role
The charge nurse manages a designated group of nursing employees on a nursing unit and assures smooth operations of the unit for a designated shift.
- Current Connecticut RN licensure in good standing
- Graduate from an accredited school of nursing
- Continuing education or special preparation or experience in gerontological and/or long-term care nursing desirable
- One year nursing experience preferred
- Accepts and gives shift report.
- Makes rounds to evaluate status of residents and determine resource needs.
- Inspects environment, identifies environmental problems, and initiates requests for correction of environmental problems.
- Plans and delegates assignments.
- Checks for appropriate amount and condition of equipment and supplies; orders supplies and equipment as necessary.
- Consults with director of nursing/ assistant director of nursing / shift supervisor to obtain necessary human and material resources.
- Identifies clinical and operational problems.
- Obtains assistance for emergencies and assists as necessary.
- Communicates unit problems and needs to director of nursing / shift supervisor/ or assistant director of nursing.
- Advises director of nursing/ assistant director of nursing / shift supervisor of topics for discussion at staff meetings.
- Gives feedback regarding employee’s performance to director of nursing or assistant director of nursing / shift supervisor.
- Consults with director of nursing or assistant director of nursing / shift supervisor regarding the need for disciplinary action of employees; participates in disciplinary action as necessary.
- Adheres to facility policies and procedures, and regulatory requirements.
- Identifies reports, and documents incidents and accidents; participates in the investigation of incidents and accidents as necessary.
- Supports and participates in the facility’s quality assurance program.
- Participates on committees as assigned.
- Completes records and reports as needed.
- Adheres to professional codes of ethics and scope of practice.
- Participates in resident assessment and care planning activities; reviews and revises residents’ assessments and care plans as needed.
- Reviews, transcribes, communicates, and implements physicians’ orders.
- Coordinates and participates in admissions, transfers, and discharges of residents.
- Directs, supervises, and assists staff in delivering nursing care.
- Gives direct care as needed.
- Documents and supervises subordinates in documenting resident care.
- Communicates and coordinates care with residents and their families or significant others.
- Monitors nursing care activities of subordinates.
- Administers treatments and other direct care.
- Participates in medication management to promote optimal safety and effectiveness for residents by:
- Administering medications as required.
- Preparing and administering medications as prescribed.
- Observing and evaluating residents’ responses to medications.
- Evaluating effectiveness of timing, route, and form of drug.
- Identifying and promptly communicating adverse drug reactions.
- Maintaining narcotic records accurately.
- Ordering or arranging for ordering of pharmaceuticals.
- Notifying physicians of automatic stop orders.
- Notifying supervisor of discrepancies in drug inventories.
- Collects specimens as ordered.
- Identifies restorative and rehabilitative nursing needs for residents; participates in developing and implementing restorative and rehabilitative nursing programs.
- Respects residents’ rights; protects residents from abuse and neglect.
- Communicates with residents’ physicians. Reports any resident change of condition to provider
- Makes rounds to assess residents’ status and evaluate care.
- Assures residents’ rights are respected; protects residents from abuse and neglect.
- Implements, practices, and assures staff adheres to infection control policies and procedures.
- Prepares staff for resident admissions; assures rooms are prepared for resident admissions.
- Maintains CPR certification and assists with emergencies; administers cardiopulmonary resuscitation.
- Assures residents have documented advanced directives and residents’ preferences are respected.
- Complete the IV line Management course and maintain IV certification for Long Term Care within 90 days or when offered.
- Identifies educational needs of staff.
- Provides instruction to staff as needed.
- Assists with orientation of new employees.
- Assures staff attends staff development activities and meetings as scheduled.
- Assists in planning and implementing staff development activities.
- Attends continuing education programs to maintain and improve competencies.
- Monitors and evaluates unit’s staff efficiency; identifies inefficiencies and plans strategies to improve inefficiencies.
- Monitors staff stress levels, and implements processes to maintain healthy levels.
- Educates staff in self care and general health practices.
- Supports practices that promote holistic health of staff.
- Empowers staff to contribute to resident care planning.
- Acknowledges value and importance of staff to the lives of the residents.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions. All essential functions are subject to reasonable accommodation. Employees needing or requesting reasonable accommodation should contact the Human Resources Director.
- Full use of hands, arms, legs (med administration, treatments, assist as needed with direct patient care and their equipment
- Ability to sit, stand, walk, bend, and squat for prolonged periods of time
- Able to push, carry, and left at least 25 pounds and on occasion 50 pounds
- Promotes a positive image of center as well as long-term care nursing.
- Meets with current and prospective residents and their families.
- Promotes positive guest relations.
- Assures problems and complaints involving nursing services are managed and resolved in a timely, appropriate manner.
- Protects the privacy of residents and employees.
- Represents the facility and nursing services in professional and community activities as requested.
- Maintains positive working relationships between nursing staff and other departments.
- Creates and implements educational offerings for residents, families, and members of the community on long term care topics to demonstrate staff expertise.
- Managerial skills
- Interpersonal communication skills
- Motivational approach
- Belief in the value of individuals working at the charge nurse’s direction
- Monitoring skills
- Evaluation skills
- In addition the charge nurse must possess the following core competencies applicable to all individuals working in LTC:
- Demonstrate sensitivity to persons who are frail, dependent, and/or with compromised health status.
- Provide age-appropriate care based on assessed need.
- Incorporate evidence-based gerontological knowledge into practice.
- Communicate effectively and actively listen.
- Have critical thinking skills, including the ability to synthesize information and make role-appropriate decisions.
- Demonstrate a positive attitude.
- Show initiative in meeting residents’ needs and addressing problems.
- Demonstrate self-awareness and emotional maturity.
- Follow accepted policies and procedures.
- View residents holistically.
- Demonstrate skill and ability to effectively work with persons from diverse cultural and spiritual backgrounds.
- Function effectively as part of a team.
- Respond appropriately to residents.
- Recognize unusual or emergency situations that warrant intervention.
- Value and advocate for the rights of the individual and their decisions
- Demonstrate knowledge of working with person's with cognitive loss
- Demonstrate knowledge of cognitive functional age assessment and data utilization in care planning
- Value the psychosocial aspects of long term care
Work Authorization/Security Clearance
Must be authorized to work in the United States.
Performs other duties as assigned by the supervisor. Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
- Registered Nurse - RN
- Temp to Hire