RN Weekend Warrior

Job Title RN Charge Nurse Position Summary Is responsible for moment-by-moment care of residents of the unit. Is alert to changes in resident condition, keeping family, physician, and management staff of the unit apprised of concerns. Supervises nurse aides and medication aides, providing direction and correction as needed, and informing management staff of concerns. Must manage emergency situations with residents. Essential Job Functions Must act as a working supervisor, responsible for the nursing service on his/her shift, and create and maintain a cheerful home-like atmosphere. Arrive on duty early enough to receive complete report from previous shift, read 24‑hr report sheet, check Med Administration Record and Treatment sheets as needed. Make assignments for nurse aides and medication aides for the shift. Every shift, receive report from off‑going Charge Nurse, making note of ill residents and items needing follow‑up. Share important information with co‑workers and delegate any special tasks to co‑workers during report. Count narcotics with off‑going shift and sign for the correct count. If the count is incorrect, inform the nurse manager or other management staff. Accept narcotic keys from the off‑going Charge Nurse. Responsible to keep narcotic keys on their person at all times. Perform hi/low on AccuCheck machine for the shift and document results. Make rounds with Physician. Call Physician at any significant change in condition, or any accident of a resident. Notify Physician on any new admission for orders and for admission physical if needed. Assist with physical or other treatments provided by the Physician. Seek RN or management staff for instructions/supervision if unfamiliar with treatment/medication. Maintain adequate documentation in each resident’s chart, to include description of significant change of condition, calls to Physician and Physician response, accidents which have occurred, noting new orders and placing orders in appropriate places (diet requisition, ordering medication/treatment supplies, placing new orders on treatment/MAR sheets, recording new order on 24‑hr report sheet, etc.), noting significant behavior deviations of resident, completing documentation as needed to support MDS completion and DAVE requirements. Note absence of any resident from the facility. Document and note orders of new admission residents per facility protocol. In the event of death notify the Physician, the family, the facility Administrator, and the funeral home of resident/family choice. Prepare the body and secure undertaker signature prior to body being removed from facility. Ensure all work assigned to shift is completed or that uncompleted work is reported to the on‑coming shift with reasonable explanation of why not completed. Responsible for nurturing a cooperative, positive atmosphere among staff. Coordinate personnel and residents for the most efficient conditions. Consult with Nurse Manager or Director of Nursing if problems occur. Daily inspection of overall environment—resident rooms, utility rooms, bathrooms, storage areas, etc. Maintain cordiality toward visitors at the facility. Ensure privacy for visitation. Assist in any capacity needed. Arrange to overlap on workloads left unavoidably by preceding shift in an emergency. Contact Nurse Manager or DON for assistance or instruction in any area needed. Chart behaviors each shift in the Psychotropic Drug Book. Note any hazards or maintenance problems on 24‑hr report sheet and on maintenance book for corrections. Attend all in‑service classes and follow up on all procedures and class instructions. Give all injectable medications, narcotics as ordered by the Physician, and document. Perform AccuCheck as ordered, document results and notify Physician of significant results. Supervise in the dining room and record percentage of foods eaten each meal by each resident. Direct nursing staff in event of a fire. Education / Experience Must be a graduate of a state‑approved RN program and hold a current RN license for the state of Kansas. Experience as a Charge Nurse preferred. Must be well‑versed in all basic nursing procedures, have the ability to supervise and teach, assist and promote positive attitudes among co‑workers. Must know when to notify supervisor of concerns, either resident‑ or staff‑related. Must be of excellent character, thoroughly trustworthy and reliable. Must have an acceptable KBI record check. Skills Ability to communicate with co‑workers, supervisors, residents, and physicians; to supervise aides, to teach and direct as needed. Ability to assess resident condition and recognize when to report concerns to Physician, family, supervisor. Must recognize medical and psychiatric emergencies, learn facility policies and protocols, and apply them to the work setting. Working knowledge of state and federal regulations pertaining to long‑term care. Supervisory Responsibilities Reports to the Nurse Manager, Director of Nursing, facility Administrator, or RN designated to act in a management capacity. Equipment To Be Used 24‑hour report sheet, daily assignment sheet, resident’s individual files, Psychotropic Drug Book, AccuCheck machine/supplies, narcotic keys/box/narcotics to be administered, vital‑signs equipment, telephone, MAR and Treatment sheets. Typical Physical / Mental Demands Must be physically capable of being on feet for much of an 8‑hour shift, think clearly, and manage a large amount of information quickly by prioritizing resident and staff concerns. Must mentally manage several issues at a time, communicate them effectively, and thrive in a fast‑paced environment with stimuli from multiple directions. Must be able to triage and manage all information effectively. Working Conditions The employee works in an environment with biological, chemical, and mechanical hazards. The employer will provide appropriate training, protective equipment, and engineering controls for protection and safety. Employee is required to abide by all risk‑management regulations, including proper use of protective devices and procedures. #J-18808-Ljbffr F. W. HUSTON MEDICAL CENTER