Registered Nurse - NOC Shift

Job Summary:
The primary purpose of the registered Nurse is to 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 Unit
Manager to ensure that the highest degree of quality care is maintained at all times.

Supervisory Responsibilities:
• Supervises LPNs/CAN
• Reports performance related issues of RNs/LPNs/CNAs to Nursing Supervisor/Director of
Nursing

Duties/Responsibilities:

CUSTOMER SERVICE
• Demonstrates positive customer service when performing the role of the Charge Nurse, with residents, family
members, facility staff and medical staff.
• Displays flexibility, team spirit, compassion, respect honesty, politeness and accountability when dealing with
residents, family members and facility staff.
• Demonstrates an awareness of and sensitivity for residents' rights in all interfaces with residents and family
members.
• Communicates effectively via open, straightforward communication, including use of listening skills and by
accessing the appropriate chain of command.
• Seeks validation of knowledge base, quality, decision-making and skill level by actively questioning when necessary.
• Participates in interdisciplinary communication activities; actively listens and actively contributes.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Administrative Functions:
• Direct/supervise the day-to-day functions of the licensed nurses and nursing assistants in accordance with
current rules, regulations, and guidelines that Govern the long-term care facility.
• Ensure that all assigned nursing personnel comply with the written policies and procedures established by the facility.
• Periodically review the department's policies, procedure manuals, job descriptions, etc. Make
recommendations for revisions.
• Meet with assigned nursing staff, as well as support personnel, in planning the shifts' services, programs, and
activities.
• Ensure that the Nursing Procedures Manual is current and reflects the day-to-day nursing procedures
performed in the facility.
• Ensure that all nursing personnel comply with the procedures set forth in the Nursing Procedures Manual.
• Make written and oral reports/recommendations concerning the activities of your shift as required.
• Cooperate with other resident services when coordinating nursing services to ensure that the resident's total
regimen of care is maintained.
• Ensure that all nursing service personnel are in compliance with their respective job descriptions.
• Participate in the development maintenance, and implementation of the facility's quality assurance program for the
nursing service department
• Participate in facility surveys (inspections) made by authorized government agencies as may be requested.
• Periodically review the resident's written discharge plan. Participate in the updating of the resident's written
discharge plan as required.
• Assist in planning the nursing services portion of the resident's discharge plan as necessary.
• Interpret the department's policies and procedures to personnel, residents, visitors, and government agencies as
required.
• Admit, transfer, and discharge residents as required.
• Complete accident/incident reports as necessary.
• Maintain the Daily Census Report and submit to the Business Office as required.
• Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc. , as
necessary.

Charting and Documentation:
• Complete and file required record keeping 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, cardex, medication cards, treatment/care plans, 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 Dietary 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 residents' medical record.

Drug Administration Functions:
• 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.
• Dispose of drugs and narcotics as required, and in accordance with established procedures.

Personnel Functions:
• Participate in employee performance evaluations, determining your shift's staffing requirements, and
making recommendations to the Nurse Supervisor concerning employee dismissals, transfers, etc.
• Inform the Nurse Supervisor of staffing needs when assigned personnel fail to report to work.
• Report absentee call-ins to the Nurse Supervisor.
• Review and evaluate your department's work force and make recommendations to the Nurse Supervisor.
• Develop work assignments and/or assist in completing and performing such assignments.
• Provide leadership to nursing personnel assigned to your unit/shift.
• Make daily rounds of your unit/shift to ensure that nursing service personnel are performing their work
assignments in accordance with acceptable nursing standards. Report problem areas to the Nurse
Supervisor.
• Ensure that all nurse aide trainees are under the direct supervision of a licensed nurse.
• Meet wi.