Charge Registered Nurse

Job Title: RN Charge Nurse

Department: Nursing

Reports To: Nursing Supervisor

FLSA Status: Non-Exempt

SUMMARY

Supervises and coordinates nursing activities in the facility by performing the following duties, which includes both direct and in-direct care. Nurse shall perform routine procedures such as obtaining and recording of vital signs, administering medications as well as providing specialized treatments for progressive and chronic conditions. Nurse shall also provide educational and emotional assistance to resident and resident representative.

.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.

Assigns duties and coordinates nursing service

Evaluates nursing activities to ensure resident care, staff relations, and efficiency of service

Observes nursing care and visits residents to ensure that nursing care is carried out as directed, and treatment administered in accordance with Physician's instructions

Prepares and assists residents for eating and drinking during meals, transports residents to dining room, assures food is accessible, feeds residents requiring assistance, prompts residents requiring cueing, supervises self-feeding residents, cleans residents after meals with face washing, hand washing, clothing, trays, wheelchairs, tables, passes trays, etc.,

Makes sure all residents are offered nourishment and hydration at meals and during the shift

Directs preparation and maintenance of residents' clinical records

Reviews physician orders to ensure accuracy of MAR, TAR and other documentation

Reviews transfer sheet, medications, diet and MD orders; obtain other orders as necessary (e.g. therapy, podiatry consult, etc.)

Completes head to toe evaluation of new admissions/readmissions for completion of the following UDAs: Admission, Braden, Fall, Wander and Pain evaluation and other evaluations, such as SBAR, etc.

Serves as a role model in the delivery of direct nursing care. Provide guidance, support and constructive feedback to nursing personnel

Assists in the transfers and lifts of residents as needed; walks ambulatory residents as needed.

Inspects rooms and resident care areas for cleanliness and comfort

Accompanies Physician on rounds and keeps informed of special orders concerning residents

Responsible for recognizing and resolving resident/family concerns in a prompt and professional manner. Identifies and initiates when interdisciplinary support is needed.

Completes appropriate sections of UDA for incident/accident reports and assesses resident for injuries via completion of body audit and obtains/records vital signs, as indicated, such as temperature, pulse, blood pressure, and other vital signs

Answers call lights, personal alarms and residents’ needs and responds to the resident request, for assistance with ADL’s, such as toileting, repositioning/boosting, hydration, transfers and socialization, etc.

Participates in orientation and training of personnel

Responsible to manage and maintain the PPD and staffing ratio after hours and on weekends/holidays to ensure both Per Patient Day and staff to resident ratio achieved.

Orders/directs ordering of drugs, solutions and equipment and maintains records on narcotics

Investigates and resolves concerns/complaints and completes concern form along with corrective action/response; refers unusual problems to superior

Obtains report from off going shift; presents report to on coming shift. Reports all changes in conditions etc. to the Nursing Supervisor/designee.

Identifies safety hazards; initiates corrective action; initiates immediate action in emergency situation involving resident conditions

Follows residents rights program and abuse prevention protocol

Encourages nursing staff to perform to their fullest potential by creating a culture of learning and support

Participates in educational activity and coordinates activity with Director of Staff Development/DON

Attends staff meetings, participates in employee disciplinary measures, assumes responsibility for compliance with all appropriate rules, regulations, etc. Implements the progressive disciplinary process when necessary, recommends or initiates disciplinary action based on facility or nursing policy and procedures.

Completes reports as assigned, developed care plans, administers and documents medication

Ensures pertinent medical information needed to care for resident is located in resident plan of care, to include person-centered interventions

Accurately and objectively document pertinent resident information in the clinical record following the facilities policies and procedures regarding documentation

Performs IV insertions, administration of IV medications/ fluids for those with PICC or midlines, or other RN specific clinical duties, ie portacath care, removal of PICC lines/ midlines.

Assist med nurses with procedures as needed - catheters, bladder scans

Follows facility admissions policy and facility discharge and transfer policy

Participates in resident care plan meetings as requested

Counts all narcotics in accordance with established facility policy

Supervises and supports resident care, prepares and administers tube feeding, medications etc.

Notifies the physician of changes in condition, labs, x‑rays, etc.

Performs resident care as per other duties as assigned and as indicated in job duties

Initiates and participates in Cardiopulmonary Resuscitation

Maintain resident confidentiality at all times

Participates and supports Quality Assurance Performance Initiatives and cultural changes through Performance Improvement Project teams, etc

Participates in all required in service education.

SUPERVISORY RESPONSIBILITIES

Directly supervises the med-treatment nurses and the nursing assistants. Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws. Determines work procedures, directs and expedites workflow, trains, addresses complaints and resolves problems.

QUALIFICATIONS

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

EDUCATION and/or EXPERIENCE

Graduate of an approved school of nursing; current PA license to practice as a registered nurse. A minimum of one year’s experience in related nursing positions is preferred.

LANGUAGE SKILLS

Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Proficient interpersonal relations and communicative skills

MATHEMATICAL SKILLS

Ability to apply concepts such as fractions, percentages, ratios and proportions to practical situations and consistently and accurately calculate drug dosages.

REASONING ABILITY

Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.

CERTIFICATES, LICENSES, REGISTRATIONS

Must maintain a current, valid license as a Registered Nurse in the Commonwealth of Pennsylvania.

Join us to lead compassionate nursing teams where your expertise makes a meaningful difference! We value proactive leaders committed to delivering safe, patient-centered care while fostering a collaborative environment that supports professional growth.

Benefits:

• 401(k) matching
• Dental insurance
• Flexible schedule
• Health insurance
• Life insurance
• Paid time off
• Retirement plan
• Tuition reimbursement
• Vision insurance

Work Location: In person