Registered Nurse (RN) Night Supervisor

About the role

Provide direct nursing care to residents and supervise the day-to-day nursing activities performed by nursing assistants. Supervision must be in accordance with current Federal, State, and Local standards, guidelines, and regulations that govern the facility, and as required by the Director of Nursing to maintain the highest degree of quality care at all times.

Responsibilities

• Direct the day-to-day functions of nursing assistants in accordance with rules, regulations, and guidelines governing long-term care.
• Confirm that all assigned nursing personnel comply with written policies and procedures established by the facility.
• Meet with assigned nursing staff and support personnel to plan shift services, programs, and activities.
• Verify that nursing personnel comply with procedures in the Nursing Policies and Procedures Manual.
• Make written and oral reports or recommendations concerning shift activities as required.
• Coordinate nursing services with other resident services to maintain the resident’s total regimen of care.
• Verify 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 department.
• Participate in surveys (inspections) made by authorized government agencies.
• Periodically review and update the resident’s written discharge plan as required.
• Assist in planning the nursing portion of the resident’s discharge plan when necessary.
• Admit, transfer, and discharge residents as required.
• Complete accident/incident reports as necessary.

Charting and Documentation

• Complete and file required forms/charts upon resident admission, transfer, and/or discharge.
• Encourage attending physicians to review treatment plans, record and sign 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, and treatment/care plans as required.
• Chart nurses’ notes in an informative and descriptive manner reflecting care provided and the resident’s response to care.
• Record new/changed diet orders and forward information to the Dietary Department.
• Report discrepancies concerning physician’s orders, diet changes, charting errors, etc., to the Nurse Supervisor.
• Complete transfer forms and document unauthorized discharges in the resident’s medical record in accordance with established procedures.
• Perform routine charting duties in accordance with established policies and procedures.
• Sign and date all entries made in the resident’s medical record.
• Write nurses’ notes to reflect that the care plan is being followed when administering nursing care or treatment.

Medication Administration Functions

• Prepare and administer medication as ordered by the physician.
• Administer IV medication/fluids as required.
• Verify the identity of the resident before administering medication or treatment.
• Ensure prescribed medication for one resident is not administered to another.
• Verify that adequate supply of floor stock medications, supplies, and equipment is on hand to meet nursing needs; report shortages to the Nurse Supervisor.
• Order prescribed medications, supplies, and equipment as necessary and in accordance with established procedures.
• Verify 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, accuracy in transcription of physician’s orders, and adherence to stop order policies.
• Notify the attending physician of automatic stop orders prior to the last dosage being administered.
• Immediately notify the Nurse Supervisor and attending physician of any medication administration errors.

Nursing Care Functions

• Perform physical assessment through observation, inspection, palpation, percussion, and auscultation.
• Deliver and maintain optimum resident care and comfort by demonstrating knowledge and skills of current nursing practices.
• Promptly respond to call lights and other resident needs.
• Make rounds with physicians as necessary.
• Consult with the resident’s physician in providing care, treatment, rehabilitation, etc., as necessary.
• Review the resident’s chart for specific treatments, medication orders, diets, etc., as necessary.
• Make periodic checks to confirm prescribed treatments are being properly administered by CNAs and to evaluate the resident’s physical and emotional status.
• Notify the resident’s attending physician when the resident is involved in an accident or incident.
• Notify the resident’s attending physician and responsible party when there is a change in the resident’s condition.
• 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, etc., as required.
• Monitor seriously ill residents as necessary.
• Review care plans daily to confirm appropriate care is being rendered and that CNAs are aware of and refer to the resident’s care plan prior to administering daily care.

Other Duties

• Attend in-service education programs to meet facility educational requirements.
• Be familiar with Standard Precautions, Exposure Control Plan, Fire Drill and Evacuation Procedures and know how to use the information.
• Maintain confidentiality of resident and facility records/information.
• Protect residents from neglect, mistreatment, and abuse.
• Protect the personal property of the residents.
• Perform other duties as directed by the supervisor or administrator.

Requirements

• Registered Nurse with current state license.
• Excellent technical, assessment, and documentation skills.
• Good leadership qualities.
• Organized and detailed in work performance.
• Good communication skills with excellent self-discipline and patience.
• Genuine caring for and interest in elderly and disabled people in a nursing facility.
• Comply with Residents Rights and Facility Policies and Procedures.
• Perform work tasks within the physical demand requirements as outlined by the facility.