• 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-
• Knowledgeable of nursing and medical practices and procedures.
• Ability to Read, write and speak the English language.
• Possess mental and physical health.
GENERAL DUTIES AND RESPONSIBILITIES: CLINICAL
• 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.
CHARGE NURSE – Cont’d.
Job Descriptions Manual
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
• 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
• 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
• 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.