Charge Nurse LVN | RN

Charge Nurse LVN | RN Job Description

Join Our Amazing Team!

Our Care Teams are True Caregivers.  They serve Patients with Dedication and Compassion and are the Heart of our Patients’ Care and Recovery.  Whether providing direct care or operational support, The Homestead of Denison seeks people who share our Commitment to providing Exceptional Care to our Patients and Residents. Our Patients are our Purpose and Motivation and we invite you to join our Team!

Strategy | Focus | Purpose

We are searching for Professional and Compassionate Charge Nurses LVN | RN who can provide Residents with routine daily nursing care and services in accordance with the resident’s assessment and care plan and as directed by supervisors.

Administrative

• Ensure the facility meets the minimum staffing levels for nurses and nurse aides; complete required posting of nursing staff data   
• Ensure that each resident who experiences a significant change in status is assessed using the Resident Assessment Instrument (RAI) process
• Ensure that all resident rooms, common areas, treatment areas and nurse’s stations are maintained in a clean, safe and sanitary manner
• Assist to develop a dementia care program involving an interdisciplinary approach with a holistic focus on the needs of the resident living with dementia
• Verify resident census accuracy and report new admissions, discharges, leaves of absence and bed-holds per facility policies; document census as established for billing and clinical purposes
• Assist with safe and orderly resident transfers and discharges in accordance with facility policies
• Coordinate pre-certifications and re-certifications in accordance with facility policies for Medicare Advantage and commercial insurance payers
• Interpret the department’s policies and procedures to personnel, residents, visitors and government agencies
• Participate in developing, maintaining and updating written facility policies and procedures that govern the day-to-day functions of the nursing services department
• Participate in facility surveys (inspections) made by authorized government agencies
• Audit nursing documentation in the clinical record for appropriate and relevant entries
• Attend and contribute in facility “triple check” process for reviewing coding for accuracy
• Complete administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc.
• Periodically review the department’s policies and procedures manuals, job descriptions, etc., and make recommendations for revisions to the Director of Nursing
• Coordinate the completion of resident billable charge sheets in accordance with billing policies

Nursing Care

• Provide licensed nursing care to residents that is consistent with the written plans of care
• Communicate with primary care physician and members of the comprehensive care planning team regarding the status of residents; follow up on critical labs, order requests and physician notifications
• Arrange for an interpreter or translation services in accordance with facility policies for those with limited English proficiency (LEP)
• Obtain orders to provide essential care to the resident consistent with the resident’s mental and physical status upon admission to the facility
• Ensure that all residents are treated with dignity, respect and consideration and have the right to exercise their choice and self-determination
• Ensure that residents receive culturally competent trauma-informed care in accordance with professional standards of practice.
• Evaluate residents’ response to care
• Coordinate nursing care to accommodate resident’s person-centered plan of care including sleep schedule, social activity and participation in other resident-directed activity; minimize interruption of activities as possible
• Ensure that residents are free from physical or chemical restraints imposed for the purposes of discipline or convenience that are not required to treat the residents’ medical symptoms
• Assist in coordinating nursing services with other resident services to ensure the continuity of the residents’ plan of care
• Identify the learning needs of residents and families and provide individualized and comprehensive resident/family education
• Educate residents and families on the risk and benefits of a treatment or choice when consent is needed
• Monitor residents for patterns of decreased social interaction or signs of distress
• Implement individualized approaches to dementia care including meaningful activities addressing the resident’s customary routines, interest preferences and choices

Charting | Documentation

• Complete and file required recordkeeping forms/charts upon the resident’s admission, transfer and/or discharge; provide notifications to the ombudsman and responsible party per requirements
• Document reports of accidents/incidents involving residents; follow established procedures
• Complete routine charting duties as required and in accordance with established charting and documentation policies and procedures
• Audit clinical record for appropriate consents and assessments including advance directives, living wills and other documents required for the delivery of person-centered care with respect to rights and choices
• Record verbal and telephone orders from practitioners on order sheets or in electronic health record (EHR) per facility policies

Medication Administration

• Review the controlled substance and drug disposal records for accuracy and notify the Director of Nursing and pharmacy of discrepancies
• Monitor medication administration process and provide appropriate feedback or changes to prevent medication errors
• Ensure that the medication carts and medication rooms are clean, sanitary and well stocked
• Assess residents for appropriate self-administration of medication in coordination with the IDT
• Reconcile medication delivery from pharmacy by verifying the medications, quantity and accuracy
• Collaborate with the IDT to ensure the safe and appropriate use of medications for all residents
• Administer medications in accordance with physician orders, regulations and facility policies
• Support the objectives of the infection prevention and control program including antibiotic stewardship
• Work with the IDT to review unnecessary medications and coordinate gradual dose reductions
• Reconcile resident medications (pre/post-discharge) as part of the discharge process
• Order prescribed medications, supplies and equipment as necessary and in accordance with established facility policies

Committee(s)

• Prepare reports as requested
• Attend various committee meetings of the facility (i.e., infection prevention and control, policy advisory, pharmaceutical, quality assurance and performance improvement (QAPI), etc.)
• Participate in developing the agenda for committee meetings
• Participate in regularly scheduled reviews of the discharge plans

Staff Development

• Collaborate with the DON and ADON for Team Member training, skill development and competencies in accordance with facility policies (e.g., proper hand-washing techniques, proper operation of Hoyer lift or assistive device); educate in a manner or format understood by the Team Member
• Assist in training department personnel
• Assist the DON in planning clinical supervision for nurse aide trainees, nursing students and newly hired nurses
• Attend continuing education program or training as needed to provide competent nursing care; assist with coaching and training with nursing Team Members in unit/facility

Safety | Sanitation

• Ensure that all nursing services personnel comply with established departmental policies and procedures
• Ensure that all personnel wear and/or use safety equipment and supplies (e.g., back brace, mechanical lifts, etc.) when lifting or moving residents in accordance with plan of care and facility policies; order and stock personal protective equipment (PPE) as necessary
• Ensure that the resident environment remains as free of accent hazards as possible and that each resident receives adequate supervision and assistive devices to prevent accidents
• Ensure that nursing services personnel follow established infection prevention and control procedures

Equipment

• Maintain list(s) of equipment repairs or needs required for resident care
• Recommend to the Charge Nurse/Nurse Supervisor the equipment and supply needs of your unit/shift
• Ensure that appropriate safety data sheets (SDSs) are on file for hazardous chemicals used in the nursing services department
• Participate in the development and implementation of the procedures for the safe operation of all nursing services equipment

Charge Nurse LVN | RN Qualifications

Shift

• Night | Rotating Twelve Hours 6:00 PM to 6:00 AM

Education

• Required | Nursing degree from an accredited college or university, or be a graduate of an approved Licensed Practical Nurse (LPN)/Licensed Vocational Nurse (LVN) program

Experience | Skills | Knowledge

Required

• One year of as a supervisor in a hospital, nursing care facility, or other related health care facility
• Training in rehabilitative and restorative nursing practices
• Demonstrate the knowledge and skills necessary to provide care appropriate to the age-related needs of the residents served
• Be a supportive Team Member | Contribute to and be an example of Team work and concept
• Make independent decisions when circumstances warrant such action
• Deal tactfully with personnel, residents, family members, visitors, government agencies/personnel and the general public
• Ability and willingness to work harmoniously with other personnel
• Demonstrate patience, tact, cheerful disposition, enthusiasm and have the capability and soft skills to handle difficult residents
• Seek out new methods and principles and be willing to incorporate them into existing nursing practices
• Relate information concerning a resident’s conditions
• Not pose a direct threat to the health and safety of other individuals in the workplace

Physical | Sensory Requirements

• Able to push, pull, move and/or lift a minimum of twenty-five pounds to a minimum height of five feet and be able to push, pull, move and/or carry such weight a minimum distance of fifty feet
• May be necessary to assist in the evacuation of residents during emergency situations

Benefits

• Medical | Dental | Vision
• Basic Company Paid Life insurance
• Long Term Disability
• Voluntary Life Insurance for the Employee, Employee Spouse and Employee Children
• Short Term Disability, Cancer, Critical Illness, Accidental and Universal Life
• Daily Pay
• Paid Time Off

The Homestead of Denison is an Equal Opportunity Employer that does not discriminate on the basis of actual or perceived race, creed, color, religion, alienage or national origin, ancestry, citizenship status, age, disability or handicap, sex, marital status, veteran status, sexual orientation, genetic information, arrest record, or any other characteristic protected by applicable Federal, State or Local laws. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.