Charge Nurse - Double Weekends
As a leading skilled nursing facility, Blue River Healthcare provides the highest standard of patient care in a compassionate and nurturing environment. We seek a dedicated and passionate charge nurse to join our exceptional team of professionals. In this role, you'll play an integral part in our patient-centered approach, providing essential care and contributing to our mission of improving the lives of our residents. You'll be able to use your skills and expertise in a rewarding environment, genuinely making a difference each day. We understand the importance of a supportive and collaborative team environment. Here, you will have the chance to grow and learn while making a tangible impact on the lives of our residents. If you are passionate about providing quality care and want to be part of a team that values your skills and expertise, we would love to hear from you. Apply today and make a difference! Administrative Functions · Ensure the facility meets the minimum staffing levels for nurses and nurse aides; complete required posting of nursing staff data as needed. · Ensure that each resident who experiences a significant change in status is assessed using the Resident Assessment Instrument (RAI) process. · Ensure that all resident rooms, common areas, treatment areas, and nurse’s stations are clean, safe, and sanitary. · Assist in developing a dementia care program involving an interdisciplinary approach with a holistic focus on the needs of the residents living with dementia. · Verify resident census accuracy and report new admissions, discharges, leaves of absence, and bed holds per facility policies; document census as established for billing and clinical. · Assist with safe and orderly resident transfers and discharges by facility policies. · Coordinate pre-certifications and recertifications by facility policies for Medicare Advantage and commercial insurance payers. · Interpret the department’s policies and procedures for personnel, residents, visitors, and government agencies as required. · Participate in developing, maintaining, and updating written facility policies and procedures that govern the day-to-day functions of the nursing service s department. · Participate in facility surveys (inspections) made by authorized government agencies as requested. · Audit nursing documentation in the clinical record for appropriate and relevant entries. · Attend and contribute to the facility’s “triple check” process for reviewing coding for accuracy. · Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., as necessary. · Periodically review the department’s policies and procedures manuals, job descriptions, etc., and recommend revisions to the Director of Nursing. · Coordinate the completion of resident billable charge sheets by billing policies. Nursing Care Functions · Provide licensed nursing care to residents consistent with the written care plans. · Communicate with primary care physicians and members of the comprehensive care planning team regarding the status of residents; follow up on critical labs, order requests, and physician notifications. · Arrange for an interpreter or translation services by facility policies for those with limited English proficiency. · Obtain orders to provide essential care consistent with the resident’s mental and physical status upon admission to the facility. · Ensure that all residents are treated with dignity, respect, and consideration and have the right to exercise their choice and self-determination. · Ensure that residents receive culturally competent trauma-informed care by professional standards of practice. · Evaluate residents’ response to care. · Coordinate nursing care to accommodate resident’s person-centered plan of care, including sleep schedule, social activity, and participation in other resident-directed activities; minimize interruption of activities as possible. · Ensure that residents are free from physical or chemical restraints imposed for discipline or convenience that are not required to treat the resident’s medical symptoms. · Assist in coordinating nursing services with other resident services to ensure the continuity of the resident’s care plan. · Identify the learning needs of residents and families and provide individualized and comprehensive resident/family education. · Educate residents and families on the risks and benefits of a treatment or choice when consent is needed. · Monitor residents for patterns of decreased social interaction or signs of distress. · Implement individualized approaches to dementia care, including meaningful activities addressing the resident’s regular routines, interest preferences, and choices. Duties and Responsibilities · Carry out restorative and rehabilitative programs, including restorative nursing, activities of daily living teaching, bowel and bladder retraining, and appropriate self-help education. · Provide pain management for residents by establishing pain management protocols. · Complete accident/incident reports as necessary. · Assist the interdisciplinary team with establishing nutrition, hydration, and body weight parameters for residents; help facilitate the responsibilities of the food and nutrition services department. · Keep the Director of Nursing informed of the status of residents and other related matters through written/oral reports, reportable document events, and notifications by the facility policies. · Cooperate with and coordinate social and activity programs with nursing service s schedules. · Periodically review the resident’s written discharge plan; participate in updating the resident’s written discharge plan as required. · Ensure that the discharge needs of each resident are identified and result in the development of a · discharge plan for each resident, including regular re-evaluation to identify changes that require modifications. · Make periodic checks to ensure certified nursing assistants properly administer prescribed treatments and evaluate the resident’s physical, psychosocial, and emotional status. · Report problem areas to the Director of Nursing; and assist in developing and implementing corrective action. · Arrange diagnostic and therapeutic services as ordered by the physician and establish facility procedures. · Provide information to the QAPI Committee as requested. · Coordinate transfer or discharge of residents, including arranging transportation, compiling the discharge summary, reconciling medication, and reviewing upcoming appointments with residents in a language understood by the resident with the goal of a safe discharge. · Ensure that discharged residents are escorted to the pickup area. · Charting and Documentation Functions · Complete and file required recordkeeping forms/charts upon the resident’s admission, transfer, and discharge; provide notifications to the ombudsman and responsible party per requirements. · Document reports of accidents/incidents involving residents; follow established procedures. · Perform routine charting duties as required and by established charting and documentation policies and procedures. · Audit clinical record for appropriate consents and assessments, including advance directives, living wills, and other documents required to deliver person-centered care for rights and choices. · Record verbal and telephone orders from practitioners on order sheets or in electronic health records (EHR) per facility. Medication Administration Functions · Review the controlled substance and drug disposal records for accuracy and notify the Director of · Nursing and pharmacy of discrepancies. · Monitor the medication administration process and provide appropriate feedback or changes to prevent medication errors. · Ensure the medication carts and rooms are clean, sanitary, and stocked. · Assess residents for appropriate self-administration of medication in coordination with the IDT. · Reconcile medication delivery from the pharmacy by verifying the medications, quantity, and accuracy. · Collaborate with the IDT to ensure the safe and appropriate use of medications for all residents. · Administer medications by physician orders, regulations, and facility policies. · Support the objectives of the infection prevention and control program, including antibiotic stewardship. · Work with the IDT to review unnecessary medications and coordinate gradual dose reductions as appropriate. · Reconcile resident medications (pre/post discharge) as part of the discharge process. · Order prescribed medications, supplies, and equipment by established facility policies. Personnel Functions · Meet with assigned nursing staff and support personnel in planning the shifts’ services, programs, and activities and assist in identifying and correcting problem areas and improving the delivery of person-centered care and services. · Assist the Director of Nursing in directing the day-to-day functions of the nursing activities by current rules, regulations, and guidelines that govern the facility. · Direct the day-to-day functions of the CNAs by current rules, regulations, and guidelines that govern the facility. · Coordinate with the scheduler to ensure a Registered Nurse (RN) is on duty at least 8 hours a day, seven days a week, and a Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN) is on duty 24 hours a day. · Ensure that services provided or arranged are delivered by individuals with the skills, experience, and knowledge to do a particular task or activity; this includes proper licensure or certification if required. · Assess residents for conditions that assistive or adaptive devices may aid; recommend/request by facility policies; monitor for proper utilization and application of assistive devices. · Ensure that all nurse aide trainees are under the direct supervision of a licensed nurse. · Develop positive professional relationships with nursing students, teachers/professors, and visitors. · Prepare and deliver nursing reports at shift change or in situations requiring a coordinated effort. · Assist in the grievance process in coordination with the grievance officer; assist residents with filing grievances, investigating allegations, and coordinating an appropriate response; respond to resident or family grievances by facility policies. · Review complaints and grievances made or filed by your assigned personnel; make appropriate reports to the Charge Nurse/ Nurse Supervisor as required or necessary. Staff Development Functions · Collaborate with the Staff Development Coordinator for team member training, skill development, and competencies by facility policies (e., proper hand washing techniques, proper operation of Hoyer lift or assistive device; educate in a manner or format understood by the team member. · Assist in training department personnel. · Assist the Director of Nursing in planning clinical supervision for nurse aide trainees, nursing students, and newly hired nurses. Safety and Sanitation Functions · Ensure that all nursing service s personnel comply with established departmental policies and procedures. · Ensure that all personnel wear and use safety equipment and supplies (e.g., back brace, mechanical lifts, etc.) when lifting or moving residents by the plan of care and facility policies; order and stock personal protective equipment as necessary. · Ensure that the resident environment remains as free of accent hazards as possible and that each resident receives adequate supervision and assistive devices to prevent accidents. · Ensure that nursing service s personnel follow established infection prevention and control procedures. · Ensure assigned personnel participate in all Life Safety Code and emergency preparedness and response drills safely and professionally per facility policies. · Monitor nursing staff to ensure adherence to the manufacturer s recommendations and established safety protocols while using equipment, supplies, or resources. · Participate in developing, implementing, and maintaining the procedures for reporting hazardous conditions or equipment. Equipment and Supply Functions · Maintain list(s) of equipment repairs or needs required for resident care. · Recommend to the Charge Nurse/ Nurse Supervisor the equipment and supply needs of your unit/shift. Specific Requirements · Must possess a current unencumbered, active license to practice as a Registered Nurse RN or LPN/LVN in the state. · Must be able to read, write, speak, and understand English. · Must demonstrate knowledge and skills necessary to provide care appropriate to the age-related needs of the residents served. · Must be a supportive team member, contribute to and exemplify teamwork and team concepts. · Must possess the ability to make independent decisions when circumstances warrant such action. · Must deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the public. · Must be knowledgeable of nursing and medical practices and procedures as well as laws, regulations, and guidelines that pertain to nursing care facilities. · Must possess leadership and supervisory ability and the willingness to work harmoniously with and supervise other personnel. · Must be able to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies, procedures, etc. necessary to provide quality care. · Must have patience, tact, a cheerful disposition, enthusiasm, and the willingness to handle difficult residents. · Must be willing to seek new methods and principles and incorporate them into existing nursing practices. · Must be able to relate information concerning a resident’s condition. · Must not directly threaten the health or safety of other individuals in the workplace. · Must be able to move intermittently throughout the workday. · Must be able to speak and write the English language understandably. · Must be able to cope with the mental and emotional stress of the position. · Must be able to see and hear or use prosthetics that will enable these senses to function adequately to ensure that the · requirements of this position can be fully met. · Must function independently and have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies. · Must meet the general health requirements set forth by this facility’s policies, including a medical and physical examination. · Must be able to relate to and work with the ill, disabled, elderly, emotionally upset, and, at times, hostile people within the facility. · Must be able to push, pull, move, and lift a minimum of 25 pounds to a minimum height of 5 feet and push, pull, transfer, and carry such weight a minimum distance of 50 feet. · May be necessary to assist in the evacuation of residents during emergencies. Job Types: Full-time, Part-time Pay: $25.00 - $30.00 per hour Benefits: Dental insurance Health insurance Life insurance Paid time off * Vision insurance Work Location: In person
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