Shift Lead Nurse - Night Shift

Job Title

Essential Functions/Duties/Responsibilities:

• Regularly assess and chart the resident's physical condition, monitoring for any significant change and generate appropriate internal and/or external response.
• Communicate medical data to physicians regarding resident's condition. Collaborate with medical team, note physician's orders, and coordinate with appropriate pharmacy and/or ancillary department staff to assure follow through with orders for testing, medication, or treatment as ordered.
• Administer medications and treatments that have been ordered by the resident's physician (i.e. finger stick blood sugars, insulin, tube feedings, IV therapy, nebulizer, etc.) to assure the highest level of care for the resident and document all medications and treatments appropriately.
• Document and complete monthly resident reports, transfer records, and weekly skin reports per Montereau policy and procedure, to assure a high quality of care is maintained and service documentation is maintained for billing accuracy.
• Monitor resident charts for activity in a 24-hour period to assure that all orders and medical treatments are properly input into the resident's chart in order to prevent any medication errors.
• Monitor residents in the dining room during meals to assess and resolve problems and monitor for choking, allergic reactions, cognitive impairment or change, etc.
• Assist Certified Nurse Aides (CNAs) with personal care for the residents to assure that a high level of quality care is routinely provided.
• Prepare shift change reports for oncoming shift and provide a daily briefing to assure a clear transition between shifts in order to maintain continuity of care.
• Teach and demonstrate medical techniques to residents, residents' families, staff, and students, when applicable, to assure maximum effectiveness and continuity of care during a resident's time with Montereau and following discharge.
• Immediately report any incident of resident abuse or neglect, or suspected resident abuse or neglect, to appropriate health services leadership.
• Run calibration checks with glucometers to assure that equipment is functioning properly, and the readings are accurate.
• Monitor and record the temperature of the refrigerator and medication room to assure that medications are being stored properly and ready for use as needed.
• Participate in weekly Care Conferences, as needed.
• Attend required nursing in-services and Extended Leadership Team (ELT) meetings and complete all required educational online training programs.
• Provide administrative support to the unit to assure a high level of effective operation of the unit. Activities may include: answering the unit phone, faxing and mailing appropriate documents, communicating supply needs to the supply clerk, scheduling resident appointments with physicians, arranging transportation, etc.
• Monitor and mentor clinical nursing and nurse aide students' capabilities, assist with the learning process and oversee and assess their interaction with residents. Review student progress with instructors and monitor instructor involvement while shadowing their students within Montereau.
• Perform other related functions as required or as assigned.

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