Charge Nurse RN

Apply Now
Company: Mid-atlantic Health Care
Location: Berlin, MD
Date Posted: July 25, 2014
Source: Mid-atlantic Health Care

Berlin Nursing and Rehabilitation Center is seeking FT 11-7 RN on the short term rehab unit as well as RN Charge Nurses on all shifts. Please read description below:

As a member of the interdisciplinary team, the RN  Charge Nurse assumes responsibility and accountability for nursing services delivered to assigned residents of a designated unit for one shift. The RN Charge Nurse provides direct care, administers treatments and medications, organizes and distributes daily assignments to direct care staff consistent with staff competency and each individual resident''s comprehensive resident assessment and plan of care. Supervises direct care staff and makes decisions about resident care needs during shifts concerning scope of clinical competence, consistent with facility policies and procedures. Ensures that "Flow of Care" is followed.

MD RN license required, LTC experience preferred.

EOE.



Required Skills
  • Makes daily compliance rounds on assigned unit at least at beginning and at end of shift to observe, examine or interview residents, to verify information from ongoing shift, to monitor regulatory compliance, to determine staff assignments, and provides / receives report.
  • Develops and distributes resident care assignments to direct care staff. Assignments match resident needs with skills of direct care staff, and maintain consistency to the extent practicable. Adjusts assignments according to availability of qualified staff. Changes assignments if necessary during shift to meet resident needs.
  • Provides orientation to unit and unit routines to new staff members or staff from temporary agencies.
  • Describes care plan goals and approaches to direct care staff so that care plan is consistently implemented on all shifts by all caregivers. Seeks input from nurse aides about residents'' condition, functional abilities, preferences and alternative approaches to care. Monitors delivery of care and services throughout shift to ensure needs are met, tasks are completed and that work of direct care staff is of acceptable quality and quantity. Administers medications, treatments and provides direct care to residents on unit according to physician orders and in compliance with facility policies and procedures.
  • Performs physical assessment (or gathers appropriate data) of new admissions and current residents as indicated by change in condition or as required by regulation. Completes assigned sections of resident assessment instruments used in facility.
  • With participation of interdisciplinary team members and resident, to the extent practicable, develops, implements, evaluates and revises plans of care with measurable objectives and timetables to assist each resident to attain or maintain highest practicable physical, mental and psycho-social well-being. Coordinates care and delivery of services with all disciplines. Consults with and refers relevant resident care issues to attention of interdisciplinary care team members.
  • Modifies approaches in plans of care to accommodate resident needs and preferences, to manage risk factors for functional decline and to improve functional abilities.
  • Respects rights of residents regarding freedom of choice, consent for care and services, refusals of treatment and implementation of advance directives if any. Promptly consults with nursing supervisor or Unit Manager and Social Worker if unsure of proper course of action that respects resident''s rights, complies with facility policies and procedures and that is consistent with state and federal laws and regulations.
  • Trains and develops staff by conducting skills observations of nurse aides identifying learning needs and taking advantage of opportunities to teach on the unit. Reports information to Unit Manager as part of staff performance evaluations.
  • Completes required documentation of care and services delivered during shift including subjective findings, objective symptoms, interventions and resident responses to interventions. Completes required documentation of special circumstances including accident/incident reports in compliance with state and federal laws and regulations.
  • Completes written 24 hour facility report. Gives and listens to verbal shift report making special note of significant changes in condition, admissions, transfers, discharges, initiation or use of physical or chemical restraints, unnecessary use of any drug, incidents, medication errors, loss of resident property or evidence of resident or family dissatisfaction.
  • Informs the resident in advance about care and treatment and any changes to the plan of care.
  • Immediately informs the resident, consults with the resident''s physician and notifies the designated family member and/or the resident''s legal representative when there is an accident involving an injury which has potential for requiring physician intervention, i.e, a significant change in the resident''s physical, mental or psycho-social status; a need to alter treatment significantly or a decision to transfer or discharge the resident from the facility. Promptly notifies the resident, designated family member and/or resident''s legal representative when there is a change in room or roommate.
  • Reports relevant information to the Unit Manager including, interdisciplinary team functioning and communication, regulatory compliance issues, resident risk factors, sadden changes in resident behavior, expressed dissatisfaction by resident or family, refusals of treatment, unexplained injuries, staff behavior (positive and negative), staffing needs, equipment and supply needs, opportunities to revise policies, procedures, improve quality.
  • Monitors staff for compliance with OSHA mandates on workplace safety including hazard communication and blood borne pathogens. In cases of workplace exposure, provides immediate first aid and refers employee to appropriate facility staff member for post-exposure follow-up.
  • Reports all injuries to self or others to supervisor immediately.
  • Takes job actions with staff members under appropriate circumstances. Applies facility policies about progressive discipline correctly. Removes staff member from unit if necessary to avoid endangerment to health or safety of residents or other staff members. Reports all job actions taken to Unit Manager promptly.
  • Attends in-service education programs as assigned. Applies information to job tasks.
  • Assists Unit Manager with preparation for long-term care survey. Attends survey training, interacts with state surveyors as instructed by supervisor.


Required Experience
  • Makes daily compliance rounds on assigned unit at least at beginning and at end of shift to observe, examine or interview residents, to verify information from ongoing shift, to monitor regulatory compliance, to determine staff assignments, and provides / receives report.
  • Develops and distributes resident care assignments to direct care staff. Assignments match resident needs with skills of direct care staff, and maintain consistency to the extent practicable. Adjusts assignments according to availability of qualified staff. Changes assignments if necessary during shift to meet resident needs.
  • Provides orientation to unit and unit routines to new staff members or staff from temporary agencies.
  • Describes care plan goals and approaches to direct care staff so that care plan is consistently implemented on all shifts by all caregivers. Seeks input from nurse aides about residents'' condition, functional abilities, preferences and alternative approaches to care. Monitors delivery of care and services throughout shift to ensure needs are met, tasks are completed and that work of direct care staff is of acceptable quality and quantity. Administers medications, treatments and provides direct care to residents on unit according to physician orders and in compliance with facility policies and procedures.
  • Performs physical assessment (or gathers appropriate data) of new admissions and current residents as indicated by change in condition or as required by regulation. Completes assigned sections of resident assessment instruments used in facility.
  • With participation of interdisciplinary team members and resident, to the extent practicable, develops, implements, evaluates and revises plans of care with measurable objectives and timetables to assist each resident to attain or maintain highest practicable physical, mental and psycho-social well-being. Coordinates care and delivery of services with all disciplines. Consults with and refers relevant resident care issues to attention of interdisciplinary care team members.
  • Modifies approaches in plans of care to accommodate resident needs and preferences, to manage risk factors for functional decline and to improve functional abilities.
  • Respects rights of residents regarding freedom of choice, consent for care and services, refusals of treatment and implementation of advance directives if any. Promptly consults with nursing supervisor or Unit Manager and Social Worker if unsure of proper course of action that respects resident''s rights, complies with facility policies and procedures and that is consistent with state and federal laws and regulations.
  • Trains and develops staff by conducting skills observations of nurse aides identifying learning needs and taking advantage of opportunities to teach on the unit. Reports information to Unit Manager as part of staff performance evaluations.
  • Completes required documentation of care and services delivered during shift including subjective findings, objective symptoms, interventions and resident responses to interventions. Completes required documentation of special circumstances including accident/incident reports in compliance with state and federal laws and regulations.
  • Completes written 24 hour facility report. Gives and listens to verbal shift report making special note of significant changes in condition, admissions, transfers, discharges, initiation or use of physical or chemical restraints, unnecessary use of any drug, incidents, medication errors, loss of resident property or evidence of resident or family dissatisfaction.
  • Informs the resident in advance about care and treatment and any changes to the plan of care.
  • Immediately informs the resident, consults with the resident''s physician and notifies the designated family member and/or the resident''s legal representative when there is an accident involving an injury which has potential for requiring physician intervention, i.e, a significant change in the resident''s physical, mental or psycho-social status; a need to alter treatment significantly or a decision to transfer or discharge the resident from the facility. Promptly notifies the resident, designated family member and/or resident''s legal representative when there is a change in room or roommate.
  • Reports relevant information to the Unit Manager including, interdisciplinary team functioning and communication, regulatory compliance issues, resident risk factors, sadden changes in resident behavior, expressed dissatisfaction by resident or family, refusals of treatment, unexplained injuries, staff behavior (positive and negative), staffing needs, equipment and supply needs, opportunities to revise policies, procedures, improve quality.
  • Monitors staff for compliance with OSHA mandates on workplace safety including hazard communication and blood borne pathogens. In cases of workplace exposure, provides immediate first aid and refers employee to appropriate facility staff member for post-exposure follow-up.
  • Reports all injuries to self or others to supervisor immediately.
  • Takes job actions with staff members under appropriate circumstances. Applies facility policies about progressive discipline correctly. Removes staff member from unit if necessary to avoid endangerment to health or safety of residents or other staff members. Reports all job actions taken to Unit Manager promptly.
  • Attends in-service education programs as assigned. Applies information to job tasks.
  • Assists Unit Manager with preparation for long-term care survey. Attends survey training, interacts with state surveyors as instructed by supervisor.

Other jobs you might like

  • Registered Nurse RN, Operating Room

    The Right Solutions

    - Berlin, MD

    The Registered Nurse RN, Operating Room professional will perform a variety of duties to care for and comfort the sick, injured, or others requiring medical services. This ...

    6 days ago from The Right Solutions
  • OR - RN Operating Room Registered Nurse - Travel Nurse

    American Traveler Staffing Professionals

    - Berlin, MD

    American Traveler is currently offering a Travel RN Operating Room job opening in Berlin MD Start date: Immediate Assignment length: 8 Weeks Shift: Variable 10 RNs ...

    6 days ago from American Traveler Staffing Professionals
  • NNICU RN / Neonatal ICU Registered Nurse

    MedStaff Healthcare Solutions

    - Salisbury, MD

    MedStaff has an opportunity in Salisbury, MD for a Neonatal Icu Travel Nurse. For over 21 years, MedStaff has been placing travel nurses and healthcare professionals ...

    14 days ago from Medstaff Healthcare Solutions
  • Certified Registered Nurse Anesthetist - (CRNA) Locum Tenens

    Staff Care

    - Seaford, DE

    Discipline Certified Registered Nurse Anesthetists Specialty CRNA Subspecialty Shift 8 Hour/Day Duration 3 Months Start Date 09/01/2015 Pay Rate Call for Details Job ...

    13 days ago from Staff Care
  • RN-OR - Travel Nursing: OR RNFA Travel Nurse Opportunities

    RNnetwork

    - Berlin, MD

    Come work for RN Network We are seeking a qualified OR RN to work in the Operating Room/Perioperative unit. OR Nurses offer the skills needed to provide surgical patient ...

    6 days ago from Rnnetwork
  • ICU RN

    Sunbelt Staffing

    - Seaford, DE

    ICU RN job in Seaford, DE. 13 week travel assignment. It is all about putting you at the center of all we do. Mission: To positively impact our communities’ quality of life through ...

    3 days ago from Sunbelt Staffing
  • RN or LPN (Registered / Licensed Practical Nurse)

    NEW

    Maxim Homecare Nursing

    - Berlin, MD

    Location Berlin, Maryland We are seeking skilled Registered Nurses (RN)/ Licensed Practical Nurses (LPN) to work within our clients’ homes providing direct patient care. ...

    1 day ago from Maxim Homecare Nursing
  • Perioperative Nurse - Operating Room Nurse - (OR RN)

    NursesRx

    - Seaford, DE

    Discipline Registered Nurse Specialty OR Subspecialty Shift 8 D/E/N, 10 D/E/N Duration 13 Weeks Start Date ASAP Pay Rate $30.00 - $32.00 Job Description & ...

    13 days ago from Nursesrx
  • Emergency Room Nurse - Emergency Nurse - (ER RN)

    American Mobile Healthcare

    - Salisbury, MD

    Housed within a caring and effectual patient care model, this Emergency Room (ER) unit takes pride in offering high-level care while utilizing advanced technology. There are ...

    13 days ago from American Mobile
  • Emergency Room Nurse - Emergency Nurse - (ER RN)

    Onward Healthcare

    - Salisbury, MD

    Discipline Registered Nurse Specialty ER Subspecialty Shift 12 N Duration 13 Weeks Start Date ASAP Pay Rate $32.00 - $34.00 Job Description & Requirements Emergency ...

    14 days ago from Onward Healthcare

Show Me More