NIGHT SHIFT RN/LPN
Company: Gardner Nursing and Rehabilitation
Location: Star City
Posted on: March 18, 2023
Job Description:
Gardner Nursing and Rehabilitation - Purpose of Your Job
Position
The primary purpose of your job position is to provide direct
nursing care to the patients, and to super- vise the day-to-day
nursing activities performed by nursing assistants. Such
supervision must be in ac- cordance with current federal, state,
and local standards, guidelines, and regulations that govern our
facility, and as may be required by the Director of Nursing
Services to ensure that the highest degree of quality care is
maintained at all times.
Delegation of Authority
As a Charge Nurse / Shift Supervisor, you are delegated the
authority, responsibility, and account- ability necessary for
carrying out your assigned duties.
Job Functions
Every effort has been made to identify the essential functions of
this position. 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 an essential function of the
position.
Duties and Responsibilities
Administrative Functions
- Direct the day-to-day functions of the nursing assistants in
accordance with current rules, regula- tions, and guidelines that
govern the long-term care facility.
- Ensure that all nursing personnel assigned to you comply with
the written policies and procedures established by this facility,
it's corporate office, and governing
- Meet with your assigned nursing staff, as well as support
personnel, in planning the shifts' services, programs, and
activities.
- Ensure that the Nursing Service Procedures Manual is current
and reflects the day-to-day nursing procedures performed in
this
- Ensure that all nursing service personnel comply with the
procedures set forth in the Nursing Ser- vice Procedures
Manual.
- Make written and oral reports/recommendations concerning the
activities of your shift as
- Cooperate with other patient services when coordinating nursing
services to ensure that the pa- tient's total regimen of care is
maintained.
- 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 re-
- Periodically review the patient's written discharge plan.
Participate in the updating of the patient's written discharge plan
as required.
- Interpret the department's policies and procedures to
personnel, patients, visitors, and government agencies as
required.
- Admit, transfer, and discharge patients as
- Complete accident/incident reports as
- Write patient charge slips and forward to the Business
- Maintain the Daily Census Report and submit to the Business
Office as
- Perform administrative duties such as completing medical forms,
reports, evaluations, studies, charting, etc., as
Charting and Documentation Functions
- Complete and file required recordkeeping forms/charts upon the
patient's admission, transfer, and/ or
- Ensure that attending physicians review treatment plans, record
and sign their orders, progress notes, , in accordance with
established policies.
- Receive telephone orders from physicians and record on the
Physicians' Order
- Transcribe physician's orders to patient charts, cardex,
medication cards, treatment/care plans, as
- Chart nurses' notes in an informative and descriptive manner
that reflects the care provided to the patient, as well as the
patient's response to the care.
- Fill out and complete accident/incident Submit to Director as
required.
- Chart all reports of accidents/incidents involving Follow
established procedures.
- Record new/changed diet 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
- Ensure that appropriate documentation concerning unauthorized
discharges is entered in the pa- tient's medical record in
accordance with established
- Perform routine charting duties as required and in accordance
with established charting and docu- mentation policies and
procedures.
- Sign and date all entries made in the patient's medical
Drug Administration Functions
- Prepare and administer medications as ordered by the
- Verify the identity of the patient before administering the
medication/treatment.
- Ensure that prescribed medication for one patient is not
administered to
- Ensure that an adequate supply of floor stock medications,
supplies, and equipment is on hand to meet the nursing needs of the
Report needs to the Director of Nursing Services.
- Order prescribed medications, supplies, and equipment as
necessary, and in accordance with estab- lished
- Ensure that narcotic records are accurate for your shift, and
notify the Director of Nursing Services of all drug and
narcotic
- Review medication cards for completeness of information,
accuracy in the transcription of the physi- cian's order, and
adherence to stop order policies.
- Notify the attending physician of automatic stop orders prior
to the last dosage being
- Dispose of drugs and narcotics as required, and in accordance
with established
Personnel Functions
- Participate in employee performance evaluations as asked,
determining your shift's staffing require- ments, and making
recommendations concerning employee dismissals, transfers,
- Inform the Director of Nursing Services of staffing needs when
assigned personnel fail to report to
- Report absentee call-ins to the Nurse
- Develop work assignments and/or assist in completing and
performing such
- Provide leadership to nursing personnel assigned to your
unit/shift.
- Meet with your shift's nursing personnel, on a regularly
scheduled basis, to assist in identifying and correcting problem
areas, and/or to improve services.
- Ensure that department personnel, patients, and visitors follow
the department's established poli- cies and procedures at all
times.
- Develop and maintain a good working rapport with
inter-departmental personnel, as well as other departments within
the facility to ensure that nursing services and activities can be
adequately maintained to meet the needs of the patients.
- Create and maintain an atmosphere of warmth, personal interest
and positive emphasis, as well as a calm environment throughout the
unit and
- Review complaints and grievances made or filed by your
assigned
- Make appropriate reports to the Director of Nursing Services as
required or as may be
- Follow facility's established
- Ensure that departmental disciplinary action is administered
fairly and without regard to race, color, creed, national origin,
age, sex, religion, handicap, or marital
- Receive/give the nursing report upon reporting in and ending
shift duty
- Report occupational exposures to blood, body fluids, infectious
materials, and hazardous chemicals in accordance with the
facility's policies and procedures governing accidents and
Nursing Care Functions
- Inform nursing personnel of new admissions, their expected time
of arrival, room assignment,
- Ensure that rooms are ready for new
- Greet newly admitted patients upon Escort them to their rooms
as necessary.
- Participate in the orientation of new patients/family members
to the
- Make rounds with physicians as
- Requisition and arrange for diagnostic and therapeutic
services, as ordered by the physician, and in accordance with our
established
- Consult with the patient's physician in providing the patient's
care, treatment, rehabilitation, etc., as
- Review the patient's chart for specific treatments, medication
orders, diets, , as necessary.
- Make periodic checks to ensure that prescribed treatments are
being properly administered by certi- fied nursing assistants and
to evaluate the patient's physical and emotional
- Notify the patient's attending physician and next-of-kin when
the patient is involved in an accident or incident, when there is a
change in the patient's condition, and in the event of
- Carry out restorative and rehabilitative programs, to include
self-help and
- Inspect the nursing service treatment areas daily to ensure
that they are maintained in a clean and safe manner.
- Administer professional services such as; catheterization, tube
feedings, suction, applying and changing dressings/bandages, packs,
colostomy, and drainage bags, taking blood, giving massages and
range of motion exercises, care for the dead/dying, , as
required.
- Use doctor-prescribed restraints when necessary and in
accordance with established policies and
- Obtain sputum, urine and other specimens for lab tests
as
- Take and record TPRs, blood pressures, , as necessary.
- Monitor seriously ill patients as
- Check foods brought into the facility by the patient's
family/visitors to ensure that it is within the pa- tient's dietary
allowances. Report problem areas to the Director of Nursing
Services and Dietary Su-
- Ensure that patients who are unable to call for help are
checked
- Meet with patients, and/or family members, as necessary. Report
problem areas to the Director of Nursing
- Assist in arranging transportation for discharged patients
as
- Call funeral homes when requested by the family. Ensure that
established post-mortem procedures are
Staff Development Functions
- Participate in developing, planning, conducting, and scheduling
in-service training classes that pro- vide instructions on "how to
do the job," and ensure a well-educated nursing service
- Maintain an effective orientation program that orients the new
employee to your shift, its policies and procedures, and to his/her
job position and duties.
- Attend and participate in annual OSHA and CDC in-service
training programs for hazard communica- tion, TB management, and
blood borne pathogens standard, advance directive in-service
training programs for the staff and community, and any and ALL
other in-service
- Attend and participate in continuing education and training
programs designed to keep you abreast of changes in your
profession, as well as to maintain your license on a current
Safety and Sanitation Functions
- Monitor your assigned personnel to ensure that they are
following established safety regulations in the use of equipment
and supplies, and ALL departmental and facility policies
and
- Ensure that all personnel performing tasks that involve
potential exposure to blood/body fluids par- ticipate in
appropriate in-service training programs prior to performing such
tasks, and that an ade- quate supply of personal protective
equipment are on hand and are readily available to personnel who
perform such procedures.
- Monitor departmental personnel for adherence to all safety and
infection control policies and proce-
Equipment and Supply Functions
- Recommend to the Director of Nursing Services the equipment and
supply needs of your unit/shift.
- Ensure that only trained and authorized personnel operate your
unit/shift's equipment, and that they do so in a safe
manner.
- Monitor nursing procedures to ensure that nursing service
supplies are used in an efficient manner to avoid
- Ensure that appropriate MSDSs are on file for hazardous
chemicals used in the nursing service de-
Care Plan and Assessment Functions
- Review care plans daily to ensure that appropriate care is
being
- Inform the Director of Nursing Services of any changes that
need to be made on the care
- Ensure that your nurses' notes reflect that the care plan is
being followed when administering nurs- ing care or
- Ensure that your assigned CNAs are aware of the patient care
plans. Ensure that the CNAs refer to the patient's care plan prior
to administering daily care to the patient.
- Assist the Patient Assessment/Care Plan Coordinator in
planning, scheduling, and revising the MDS, including the
implementation of RAPs and
Patient Rights' Functions
- Maintain the confidentiality of all patient care
- Ensure that all patients are treated fairly, and with kindness,
dignity, and
- Ensure that all nursing care is provided in privacy, and that
personnel are aware of and uphold pa- tients'
- Knock before entering the patient's room, and adhere to all
facility patient rights and privacy poli- cies and
procedures.
- Review all grievances and complaints made by the patients and
report to the Director of Nursing
- Report and investigate all allegations of patient abuse and/or
misappropriation of patient
- Ensure that patients' refusal of treatment requests are
Miscellaneous Functions
- Provide data to the Quality Assurance & Assessment Committee
as
Working Conditions
- Works in office area(s) as well as throughout the nursing
service area (i.e., drug rooms, nurses' sta- tions, patient rooms,
), moving intermittently during working hours.
- Is subject to frequent interruptions by patients, personnel,
visitors, government agencies/personnel, , under all conditions and
circumstances.
- Is subject to hostile and emotionally upset patients, family
members, personnel, and
- Communicates with nursing personnel and other
department
- Works beyond normal working hours, on weekends and holidays, in
other positions, and in call-back situations (e.g., severe weather,
evacuation, post-disaster, ), when necessary.
- Attends and participates in continuing educational
- Is subject to injury from falls, burns from equipment, odors,
etc., throughout the work day, as well as to reactions from dust,
disinfectants, tobacco smoke, and other air
- Is subject to exposure to infectious waste, diseases,
conditions, , including TB, Covid variants, AIDS, Hepatitis B
viruses, and may be subject to the handling of and exposure to
hazardous chemicals
- Maintains a liaison with the patients, their families, support
departments, etc., to adequately plan for the patients' needs.
Education
- Must possess, as a minimum, a Nursing Degree from an accredited
college or university, or be a graduate of an approved LPN/LVN
- On-the-job training provided.
Experience
Specific Requirements
- Must possess a current, unencumbered, active Arkansas RN or LPN
license to
- Must be able to read, write, speak, and understand the
English
- Must possess the ability to make independent decisions when
circumstances warrant such
- Must possess the ability to deal patiently, tactfully, with a
cheerful disposition and enthusiasm with personnel, patients,
family members, visitors, government agencies/personnel, and the
general pub- lic based on whatever maturity level they are
currently
- Must be knowledgeable of nursing and medical practices and
procedures, as well as laws, regulations, and guidelines that
pertain to long-term
- Must possess leadership and supervisory ability and the
willingness to work harmoniously with and supervise other
personnel.
- Must possess the ability to plan, organize, develop, implement,
and interpret the programs, goals, objectives, policies and
procedures, , that are necessary for providing quality
care.
- Must be able to relate information concerning a
patient's
- Must not pose a direct threat to the health or safety of other
individuals in the
- Must be willing to follow all company, state and regulatory
policies related to Infection Control and Vaccination
requirements.
Physical and Sensory Requirements
(With or Without the Aid of Mechanical Devices)
- Must be able to move intermittently throughout the
work
- Must be able to speak and write the English language in an
understandable
- Must be able to cope with the mental and emotional stress of
the position due to relating to and working with the ill, disabled,
elderly, emotionally upset, and, at times, hostile
- Must be able to see and hear or use prosthetics that will
enable these senses to function adequately to ensure that the
requirements of this position can be fully met.
- Must function independently and have flexibility, personal
integrity, and the ability to work effectively with patients,
personnel, and support agencies.
- Must meet the general health requirements set forth by the
policies of this
- Must be able to push, pull, move, and/or lift a reasonable
minimum of pounds to a reasonable height and be able to push, pull,
move, and/or carry such weight a reasonable
- May be necessary to assist in the evacuation of patients during
emergency
Job Position Analysis Information
YES Tasks assigned to this position do involve potential and/or
direct exposure to blood, body fluids, infectious diseases, air
contaminants, and hazardous chemicals
YES Functions Require Repetitive Motion
YES Weight Lifting requirements do apply.
YES Functions Require Prolonged Sitting, Standing, and/or
Bending
Keywords: Gardner Nursing and Rehabilitation, Little Rock , NIGHT SHIFT RN/LPN, Healthcare , Star City, Arkansas
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