Charge Nurse RN or LVN 6 AM to 6 PM
Company: Pillar Stone Healthcare Company LLC
Location: Trinity
Posted on: January 25, 2023
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Job Description:
Description:
Provide direct nursing care to the residents, and to supervise the
day-to-day nursing activities performed by nursing assistants. Such
supervision must be in accordance with current federal, state, and
local standards, guidelines, and regulations that govern our
facility, and as may be required by the Director of Nursing or
Nurse Supervisor to ensure that the highest degree of quality care
is maintained at all times.
Requirements:
Complete and file required recordkeeping forms/charts upon the
resident's admission, transfer, and/or discharge. Encourage
attending physicians to review treatment plans, record and sign
their orders, progress notes, etc., in accordance with established
policies. Receive telephone orders from physicians and record on
the Physicians' Order Form. Transcribe physician's orders to
resident charts as required. Chart nurses' notes in an informative
and descriptive manner that reflects the care provided to the
resident, as well as the resident's response to the care. Fill out
and complete accident/incident reports. Submit to Director as
required. Chart all reports of accidents/incidents involving
residents. Follow established procedures. Record new/changed diet
orders. Forward information to the Food Services Department. Report
all discrepancies noted concerning physician's orders, diet change,
charting error, etc., to the Nurse Supervisor. Fill out and
complete transfer forms in accordance with established procedures.
Ensure that appropriate documentation concerning unauthorized
discharges is entered in the resident's medical record in
accordance with established procedures. Perform routine charting
duties as required and in accordance with established charting and
documentation policies and procedures. Sign and date all entries
made in the resident's medical record. Prepare and administer
medications as ordered by the physician. Verify the identity of the
resident before administering the medication/treatment. Ensure that
prescribed medication for one resident is not administered to
another. Ensure that an adequate supply of floor stock medications,
supplies, and equipment is on hand to meet the nursing needs of the
residents. Report needs to the Nurse Supervisor. Order prescribed
medications, supplies, and equipment as necessary, and in
accordance with established policies. Ensure that narcotic records
are accurate for your shift. Notify the Nurse Supervisor of all
drug and narcotic discrepancies noted on your shift. Review
medication cards for completeness of information, accuracy in the
transcription of the physician's order, and adherence to stop order
policies. Notify the attending physician of automatic stop orders
prior to the last dosage being administered. Dispose of drugs and
narcotics as required, and in accordance with established
procedures. Direct the day-to-day functions of the nursing
assistants in accordance with current rules, regulations, and
guidelines that govern the long-term care facility. PI201976332
Keywords: Pillar Stone Healthcare Company LLC, College Station , Charge Nurse RN or LVN 6 AM to 6 PM, Healthcare , Trinity, Texas
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