Company: Berkshire Nursing and Rehabilitation Center
Location: West Babylon
Posted on: November 25, 2022
Berkshire Nursing and Rehabilitation Center - TITLE: Charge
REPORTS TO: NURSING SUPERVISOR
The purpose of your job as a Registered Nurse is to perform a
variety of care practices under the direction of the Nurse
Supervisor of the unit/shift. This includes, but not limited to
taking charge of a unit and administering medication as ordered.
You are also responsible for documentation/care planning in the
Every effort has been made to make your job description as complete
as possible. However, it in no way states or implies that these are
the only duties you will be required to perform. The omission of
specific statements of duties does not exclude them from the
position if the work is similar, related, or is a logical
assignment to the position.
1. Currently licensed by the State of New York.
2. Mentally and physically capable of performing job duties.
3. Possesses leadership and supervisory qualities.
4. Possesses assessment skills that enable the recognition of
condition changes in the resident.
5. Ability to coordinate all functions in the operation of a
resident unit through effective team nursing assignments.
6. Maintain meaningful and accurate documentation of services
7. Prior computer skills in (Excel, Word, and Microsoft Office) a
1. Required uniform is to be worn.
2. Wear clean, well-fitting uniform with name tag and title.
3. Shoes must be clean, white rubber soled, and nursing
4. Makeup must be in good taste and moderate in amount.
5. Hair, hands, fingernails must be neat, well-kept and clean.
6. Jewelry should be restricted to simple ring and wristwatch.
7. Proper, acceptable, personal hygiene must be maintained at all
1. Count and sign for controlled drugs with the nurse going on/off
duty. Report any discrepancies to the supervisor immediately. Do
not pre-sign for the end of your shift and do not pre-pour
2. Receive report via EMR and nurse going off duty. Be sure you
have the keys. Be present for the Charge Nurse's report to the
3. Establish priorities of care, assess unstable patients and make
provisions for appropriate care in coordination with the Supervisor
of the shift.
4. Visits each resident at least twice during work shift to make
sure that appropriate care is being rendered. Makes corrections as
5. Supervises and directs the total nursing activities on the
assigned unit during your tour of duty, including, but not limited
to, assignment of nursing staff and patient care.
6. Assists the nursing personnel in performing procedures as
7. Evaluates emergencies, consults with Supervisor and determines
emergency measures to be used.
8. Notifies the patient's/ resident's physician, as well as the
resident's legal guardian and Social Worker, of any changes in
patient's condition, sustained injury or transfers to another
facility, as outlined with our established policies.
9. Makes necessary rounds with attending physician, as
10. Processes Physician's orders and assures that all orders are
carried out. Assures that all diagnostic studies, including
specimen collection are completed in a timely manner.
11. Ensures that each resident's rights to fair and equitable
treatment, confidentiality, self-determination, individuality,
privacy, property and civil rights, including the right to wage a
complaint, is followed by all nursing personnel.
12. Develops and maintains a good working rapport with
interdepartmental personnel, as well as other departments within he
facility, to assure the nursing services and activities can be
adequately maintained to meet the needs of the
13. Adheres to established infection control procedures and
isolation techniques in accordance with established policy and
procedure. Utilize universal precautions (body substance isolation)
and wash hands before and after caring for each resident to prevent
cross contamination and spread of infection.
14. Meets with nursing personnel, as needed to assist in
identifying and correcting problem area and/or the improvement of
services. Involves the resident's/patient's family in planning
objectives and goals for resident.
15. Assures that the unit/shift area is maintained in a clean and
safe manner for resident comfort and convenience.
16. Participates in in-service education through on-the-job
training and orientation programs for newly assigned departmental
personnel. Makes recommendations concerning training needs.
17. Reviews patient/family complaints and takes corrective action
or refers complaints to appropriate person.
18. Completes accident/incident reports and notifies appropriate
person at time of occurrence.
19. Assumes responsibility for coordination of the total care for
the 7.5 hour period of all patients on assigned unit
20. Check temperature of the medication refrigerator as well as
expiration dates on medications in the refrigerator (temperatures
should range between 3 and 46 degrees). Never store food items or
specimens in medication refrigerator
21. Sign for medications delivered by vendor pharmacy.
22. Observes, records and reports to head nurse or supervisor, as
indicated, all pertinent changes in medical condition and/or
incidents which involve residents, staff or visitors.
23. Review physician's orders for any changes and check to see that
these changes have been carried over in EMR or other appreciate
24. Be aware of residents who are fasting for lab work, etc.,
making certain that this information is communicated to the staff.
Tube feeders that receive insulin will require their coverage
following lab work.
25. Assemble supplies for medication administration including fresh
water, juice, and applesauce, which must be dated. Supplies will
also include hand spray for hand washing in between each resident,
souffl cups, medicine cups, drinking cups, straws, spoons, tissues,
paper towels, etc.
26. Maintain a system to check all medication labels for incorrect
labeling and/or expired dates.
27. Medication that has been discontinued must be removed from the
medication cart or other areas and brought to the Nursing office as
soon as possible for return to the pharmacy. Expired medication is
handled in the same manner. Vaccines and PPD does that have expired
or vials that are empty are discarded into the used needle and
28. Medication and Treatment carts are to remain closed and locked
when not in use and keys are to be carried on your person at all
29. Wash your hands before starting out with medication cart.
30. The resident's arm band and or positive identification of the
resident are to be made prior to medication administration.
Medications are to be administered individually (one at a time) and
then documented in EMR. All rules and protocols for medication
administration are to be followed. Never pre-pour medications.
Medication is not to be left at bedside. Do not administer
medications that are poured by another nurse.
31. PRN medications are documented in EMR. Medication refusals are
to be documented in EMR.
32. Hand washing must take place in between each resident receiving
medication. Hand washing using soap and water is required in
between dispensing ENT medications following glove removal.
33. Discipline subordinate staff when necessary.
34. ENT medications are to be dispensed at separate times from oral
medication. Eye drops are to be administered at least five minutes
apart. Gloves are to be worn when administering eye
35. No medications are to be left on top of the medication and/or
treatment cart or at the bedside at any time.
36. When administering medications via feeding tube, injections or
performing finger-sticks, privacy of the resident must be
maintained. Take the resident back to his/her room, a private area
or use a screen to allow for privacy in common areas.
37. Perform finger-sticks as ordered and provide insulin coverage
if ordered and document the results via EMR.
38. Assist in feeding of the residents during meal times.
39. No medications are to be administered during meal times unless
they indicated/ordered to be given during meals.
40. The medication room is to be kept locked at all times.
41. Perform all treatments and document via EMR.
42. Medication and Treatment cart are to be left clean and
re-stocked at the end of the shift.
43. Soiled dressings are to be discarded in a red plastic bag.
44. Administer tube feeding as per procedure and physician
45. Assist with documenting and picking up orders via EMR.
46. Attend in-service classes and staff meetings when scheduled.
Assist in the orientation of new nursing personnel.
47. Check emergency drug box as per procedure.
48. Report any medication incidents that are unusual and/or
refusals to the supervisor. Assist in filling out any required
forms pertaining to this or any accident/incident which may
49. Must know the action/side effects of the medications she/he is
dispensing and follow the list of non-crushable medications as per
50. Perform other nursing functions as designated by your
51. During inclement weather or emergencies, staff is to remain on
duty until adequate staff has arrived and the Supervisor approves
52. Medication is not to be administered without a physician/NP/PA
53. Discard any medications that have fallen on the floor. When
wasting control drugs, a witness must be present when discarded and
both parties must sign the control sheet.
54. All liquid medications are to be shaken adequately and poured
at eye level away from the label.
55. Pill crusher is to be cleansed after each use. Use two cups to
56. PRN medications that have not been administered for long
periods of time; the physician is to be notified for the order to
57. All newly opened vials of injectable medications are to be
58. Allergies are to be entered in EMR.
59. Notify Supervisor immediately upon discovery of missing
medications and/or any other discrepancies in dosage.
60. All open vials of injectable medications are to discarded after
Keywords: Berkshire Nursing and Rehabilitation Center, West Babylon , Charge Nurse, Healthcare , West Babylon, New York
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