Full-Time

Charge Nurse

Confirmed live in the last 24 hours

Pillar Stone Healthcare Company

Pillar Stone Healthcare Company

No salary listed

Mid, Senior

Huntsville, TX, USA

Category
Nursing & Allied Health Professionals
Medical, Clinical & Veterinary
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.
Pillar Stone Healthcare Company

Pillar Stone Healthcare Company

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