Charge Nurse @ Alhambra Healthcare & Wellness Center - Alhambra, CA

Charge Nurse

Alhambra Healthcare & Wellness Center
Alhambra, CA
24 days ago
A licensed professional nurse directly under the supervision of the Assistant Director of Nursing Services. The Charge Nurse is responsible for staff assignment and provides overall supervision of resident care activities.
  • Graduate of an accredited school of nursing or an approved LVN program.
  • Current nursing licensure in the state in which practicing.
  • Strong organizational skills.
  • Possess, as a minimum, training in a skilled nursing care facility, hospital, or other related medical facility.
  • Possess leadership ability and the willingness to work with and supervise professional and non-
professional personnel.
  • Knowledgeable of nursing and medical practices and procedures.
  • Ability to Read, write and speak the English language.
  • Possess mental and physical health.
  • Complete all required record keeping forms/charts upon the resident’s admission, discharge, transfer, etc. File in the resident’s chart and/or forward to the appropriate department.
  • Receive verbal orders from attending/alternate physician and transcribe the physician’s order sheet.
  • Initiate resident Plans of Care on admission.
  • Chart TPRs, blood pressures and blood glucose as required.
  • Order prescribed medications, supplies and equipment as established by the facility’s policies and
  • Review physician’s orders and transfer/preadmission information for completeness.
  • Prepare/administer medications as ordered by the physician.
  • Answer telephone inquiries as outlined in the facility’s established policies and procedures.
  • Chart licensed nurses’ notes in an informative and d3scriptive manner that reflects the care provided as
well as the resident’s response to the care.
  • Forward new diet orders, and/or diet changes to the dietary department.
  • Transcribe physician’s orders to resident’s charts, Medication Administration Records, Treatment
Administration Records and RNA sheets to assure that they remain current.
  • Verify the identification of the resident before administering medication or treatment.
  • Requisition and arrange for diagnostic and therapeutic services as ordered by the physician.
  • Assure that narcotic records are current at all times
  • Admit, transfer and discharge resident. Assist in arranging transportation and packing as necessary.
  • Check resident charts for specific treatment, medication orders and schedules daily.
Job Descriptions Manual
Section3.6, Page1of7
Job Descriptions Manual

  • Administer professional services such as: catheterization, tube feeding, suction, applying and changing dressings/bandages, packs, colostomy and drainage bags, taking blood, sputum, and urine specimens, care of the dead/dying, etc., as established by the facility’s policies and procedures.
  • Make rounds with the physician and assist with examination and treatment.
  • Review medication sheet for completeness of information, accuracy in the transcription of physician
orders and adherence to stop order policies.
  • Assist in carrying out restorative and rehabilitative programs to include self-help/care.
  • Perform routine charting as required.
  • Report all discrepancies of physician order, diet or charting to the RN Supervisor or Assistant Director
of Nurses.
  • Check food in resident’s rooms that is brought in by the resident’s family or visitors in accordance with
the facility’s established policies and procedures.
  • Initiate restraint assessment on all new admissions.
  • Monitor and document behavior of residents on psychoactive medications
  • Record Intake and Output, and complete monthly evaluation as per the facility’s policy and procedure.
  • Following completion of an approved competency check with an RN an LVN may reinsert a G-Tube on
an established track only.
  • Meet with unit personnel, on a regular basis, to assist in identifying and correcting problem areas, and/or the improvement of services.
  • Review and evaluate assigned personnel and make written evaluations to the RN Supervisor or Assistant Director of Nurses.
  • Coordinate Nursing service with other departments and nursing units.
  • Notify the attending physician, RN Supervisor and Director of Nurses when a resident is discharged
without approval. Assure that appropriate documentation is made in accordance with the facility’s
established policies and procedures.
  • Assure that a stock of medications, medical supplies, equipment, etc., is maintained at all times.
Requisition equipment and supply needs as required.
  • Initiate investigation of accidents and unusual occurrences and make the necessary written report to the
Director of Nurses as established in the facility’s policies and procedures.
  • Notify the resident’s attending/alternate physician, as well as the resident’s legal guardian/representative,
when the resident has a significant change of condition or becomes critically ill or injured, as outlined
within facility’s established policies.
  • Work with the facility’s consultants as necessary and implement recommended changes as directed by the
RN Supervisor of the Director of Nurses.
  • Investigate complaints and grievances and make necessary oral/written reports to the RN Supervisor or
Director of Nurses.
  • In cases of death, notify the funeral home and ensure that the body is properly prepared/cleaned for
  • Evaluate emergencies and determine emergency measures to be used, including the use of chemical or
mechanical restraints. Notify the RN Supervisor and physician and record and follow orders.
  • Assure that the unit area is maintained in a clean and safe manner for resident comfort and convenience,
by ensuring that necessary equipment and supplies are maintained to perform such duties/services.
  • Assist in standardizing the methods in which work will be accomplished.

Job Descriptions Manual

  • Make residents’ rounds to review physical, medical an emotional status and to implement required nursing interventions.
  • Notify physician and resident’s responsible party of any resident accidents/incidents. Fill out and complete Accident/Incident Report forms on all such occurrences and chart such information in the resident’s medical records as outlined in the facility’s established policies and procedures
  • Assure that nursing personnel follow established nursing procedures.
  • Remind attending physician(s) to review treatment plans, record and sign physician’s orders, progress
notes, etc., during physician visits.
  • Give/receive nursing reports upon reporting in and ending shift duty hours.
  • Check all residents daily to assure that prescribed treatment is being properly administered by nursing
personnel/assistants and to evaluate their physical and emotional status. Record findings in the
resident’s chart.
  • Assist in orientation of newly assigned personnel as well as supervise and instruct other nursing
  • Orient new residents/family members as necessary.
  • Assure that nursing personnel are providing adequate nursing car in accordance with established nursing
service procedures.
  • Assure that all personnel follow established infection control and aseptic techniques when isolation
procedures become necessary.
  • Report all hazardous conditions and equipment to the RN Supervisor and maintenance department
  • Keep the RN Supervisor informed about the status of residents, staff and related matters.
  • Assume the authority, responsibility and accountability of directing your unit/shift.
  • Follow required coaching and progressive disciplinary procedures.
  • Others as may become necessary and appropriate or as may be directed by the Director of Nurses or
  • Presents professional image to consumers through dress, behavior and speech.
  • Adheres to Company standards for resolving consumer concerns.
  • Ensures that all consumer/resident rights are protected.