The Charge Nurse provides and coordinates the overall supervision of all staff and services to residents, in compliance with DHS 83 codes while promoting ensuring adherence to protocols and regulations. The Charge Nurse (1) provides informal direction to the CNA/RA staff throughout the CCRC; (2) provides overall leadership for assessment, planning, implementation and evaluation of resident care; (3) Collaborates with interdisciplinary team and physician consultation on issues related to resident care and the quality of life for all residents; (4) monitors compliance with DHS 83 regulations and follows up on changes in condition; documentations; incidents/accidents, and risks of infection, falls and confusion; and (5) provides general support for residents, families and staff.

The RN Charge Nurse reports to the Executive Director.

ESSENTIAL RESPONSIBILITIES

Oakwood Core Values

1. Fully embraces a culture of hospitality and teamwork by living the Oakwood Core Values:

1. 1. Compassion : We care deeply about the people we serve and the people we work with on a daily basis. We work together to help one another.
   2. Faith : We have a commitment to remain true to the vision and mission of Oakwood.
   3. Inclusion : We include everyone. We welcome opinions and strive to consider different perspectives to create fair, welcoming, and accessible experiences for all.
   4. Integrity : We work to be transparent and fair. We act with honor and respect for our residents, their families, and our co-workers.
   5. Dedication : We care about the people we serve and work with on a daily basis. We are dedicated to providing superior service to one another and our community.
2. Ensures the delivery of quality services.
3. Assesses and monitors resident symptoms, updates MD’s and responsible parties, provides treatment and documentation as necessary, and offers programs promoting wellness and independence within established guidelines, i.e. immunizations, infection control, falls prevention, nutrition, dementia skills, etc.
4. Provides training/education and communication with CNAs/Resident Assistants regarding medication administration, personal ADL tasks, treatment procedures, delegated tasks, ISP’s (care plans).
5. Provide guidance and support to staff serving as a liaison between staff, residents, visitors, etc.
6. Resolve conflicts or issues that arise during the shift
7. May assist leadership in staffing functions, including hiring, counseling, discipline, and conflict/resolution as needed or required.
8. Recommends QA projects applicable to health services including falls, infection control, and med errors, and works with pharmacy to ensure medication protocol is followed.
9. Ensures maintenance of records and charts to reflect residents’ conditions, delegates charting responsibilities/education to CNAs/Resident Assistants as needed, and where appropriate. This includes at least weekly audits of documentation.
10. Oversees annual MAR changes and updating of physician orders. Ensures the prompt return of signed telephone orders. Obtains and transcribes physician orders to MAR and ISP as needed. Develops, updates, and maintains ISP care plans per DHS 83 regulations as well as scheduling of annual/new admit care conference meetings.
11. Initiates, monitors, and oversees the completion of appropriate paperwork on use of psychotropic medications.
12. Provides input on 90 day and annual evaluations of staff, as well as ensuring annual education needs are met per Oakwood policy.
13. Participates in regular staff meetings per department needs.
14. Ensures that all Oakwood policies are administered effectively and accurately. Ensures that health and nursing policies are current and meet regulations.
15. Ensures CBRF and SNF regulations are being followed. Responsible for remaining updated on current state, federal, and Medicare regulations pertaining to CBRF’s and SNF
16. Attends meetings and participates on committees as assigned or as it relates to this position.
17. Available for flexible hours and on-call hours as needed. Works a weekend rotation.
18. Communicating with upper management regarding Nurse performance, staff issues and changes to treatment protocols
19. Remaining calm under pressure and be able to quickly and effectively delegate staff responsibilities during busy shifts or emergency situations.

ESSENTIAL QUALIFICATIONS

1. Knowledge and ability to apply current nursing theory and practices with emphasis in assessment skills and problem-solving techniques as they relate to resident needs.
2. Ability to motivate residents to reach their optimal level of independence.
3. Willingness to work within departmental and organizational policies and procedures.
4. Willingness to learn and implement state and federal regulations which affect care of residents.
5. Ability to carry out job responsibilities in a professional, accurate and conscientious manner.
6. Ability to create and maintain an atmosphere which fosters effective team relationships with other staff and with various community agencies and with the public.
7. Ability to handle confidential information according to HIPAA guidelines.
8. Ability to exercise independent judgment and make sound decisions.
9. Willingness to provide on call support as needed.
10. Willingness to maintain a flexible work schedule to meet the needs of residents and staff.
11. Knowledgeable about CBRF codes per DHS 83.
12. Provide leadership to nursing staff in the SNF and assisted living programs when needed.
13. Coordinates opportunities for education and training as needed. Ability to promote staff development education/training to ensure strong nursing attendance.
14. Ability to provide leadership that fosters teamwork in meeting the mission, vision and values of Oakwood.
15. Recommends ongoing staff development programs for nursing staff to assure development and learning of current nursing practices as it relates to geriatric care (general training/re-training of nursing staff).
16. Participates in the monitoring of nursing skills on-the-floor using quality assurance tools as appropriate.

EXPERIENCE, EDUCATION, AND/OR TRAINING 1. Graduate of an accredited school of nursing and registration or eligible for
registration as an RN in the State of Wisconsin.
2. Experience caring for geriatric individuals is required.
3. CPR Certification.
4. Prefer at least three to (3-5) years of nursing experience, part of which is in a
supervisory, leadership and/or training capacity.
5. Computer skills required.

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