Determines the optimal allocation of present staff, per shift and assignment on each unit is present.
Coordinates the care of patients on assigned shifts. Communicates shifts concerns by the unit to appropriate staff (via e-mails, voice mail, etc.).
Review of 24 Hour Report and review patients as indicated for change of condition.
Serves as the administrative authority for the smooth functioning of all units. Notifies the Director of Nursing, Assistant Director of Nursing, and Scheduler/Central Supply of urgent concerns during the shift. When the concern is non-urgent, notify the manager by phone message or e-mail.
Receives employee, resident, and family grievances. Refers information to the appropriate manager.
Assists nurses in completing risk assessments and investigations of injury.
Notifies the Assistant Director of Nursing and Human Resources Director of identified learning needs.
Receives employee call-offs. Records call-offs and updates schedule. Notifies managers/supervisors of call-offs in their units via voice mail. Replaces for absences and vacancies for upcoming shift(s). Assists staff with pick-up hours (call-in phone, e-mail, vacancy lists, 72-hour availability list).
Works with the Staffing Coordinator and Director of Nursing to assure that vacancies are filled in advance.
Performs rounds to monitor the conditions and care of acutely ill patients.
Supervises staff and assures survey compliance daily. Provides guidance and support to staff to better plan workflow.
Receives reports throughout the shift. Completes reports as needed and required.
Assists nurses in assessing residents who are experiencing acute changes.
Provides clinical expertise in the management of medical and psychiatric emergencies.
Responds to code blue, medical assistance situations. Assists staff, as needed.
Provides clinical expertise in medical management, crisis, and behavior management techniques.
Audits charts routinely. Provides clinical expertise in documentation, including MDS, Medicare PPS, acute illness charting, weekly summaries, and care planning.
Ensures timely notification of MD/Family Representatives where warranted.
Obtains supplies from the medical supply after hours.
Restocks the crash cart immediately after use.
Directs staff response to emergencies, such as severe weather, fire, or other disaster scares. Participates in fire drills. Directs disaster evacuation plan, as needed.
Meets routinely with the Director of Nursing and Assistant Director of Nursing.
Assists with the development and implementation of nursing policies and procedures.
Attends facility Quality Assurance and Performance Improvement Meetings.
