The Wesley Community RN Charge (Full Time, Day) in Saratoga Springs, New York

Job Overview: The Wesley Community is currently seeking an RN Charge Nurse for Full Time/Days. The Wesley Community’s distinctive continuum of care offers a unique balance of community living and care-giving that ensures quality of life at every stage of life. An integral part of the vibrant and diverse city of Saratoga Springs, New York, our beautiful campus is located on 36 acres and offers Adult Day Services, Assisted Living, Independent Living, Long Term Care, Outpatient Therapies and Short Term Rehabilitation.

Job Description:

The primary purpose of the RN Charge Nurse is to assist the Unit Coordinator by participating in the planning and directing of care, supervising and organizing staff assignments to assure that each resident receives care as planned and to act as the Unit Coordinator in his/her absence.
The RN Charge Nurse is directly accountable to the Unit Coordinator.
A.Educational Requirements
1.Graduation from an accredited School of Nursing.
Associate or Bachelor Degree preferred.
2.Must have a current RN license.
3.Current enrollment in RN program if LPN.
1.Head Nurse/Charge Nurse experience.
2.Rehabilitation nursing experience with geriatric or chronically ill preferred.
Administrative Functions
1. Support the Health Care Center Administration and promote good-will by
interpreting Nursing Service and Facility Policies and Procedures to residents,
families, visitors and personnel.
2. Assist in directing the day-day nursing functions on your unit, in accordance with
current rules, regulations and guidelines that govern the long-term care facility.
3. Develop good communication with other departments to provide quality life for
4. Participate in surveys/inspections made by authorized government agencies.
5. Make written and oral reports/recommendations to the Unit Coordinator, as
necessary/required, concerning the operation of the unit.
6. Maintain communications with staff from other shifts to assure continuity of care.
B. Committee Functions
1. Attend skin committee meetings monthly.
2. In the absence of the Unit Coordinator attend various standing and ad hoc committees as requested, ie Policy/Procedure, falls, med concerns.
3. Assist in the implementation of recommendations from facility committees.
C.Personnel Functions
1. Provide leadership which stimulates and encourages a team approach to promote
interest and pride in high quality resident care.
2. Help develop work assignments for personnel according to skills and training in
relation to resident needs.
3. Assure that nursing service personnel follow their job descriptions.
4. In the absence of the Unit Coordinator, make daily rounds to ensure that nursing
service personnel are performing their work assignments in accordance with
acceptable nursing standards. Report findings to the Unit Coordinator or shift
5. Assist in investigations of complaints and grievances made or filed by residents or
6. Assure that disciplinary action is administered fairly and without regard to race,
color, creed, national origin, age, sex, religion. handicap or marital status.
7. Create and maintain an atmosphere of warmth, personal interest and positive
emphasis, as well as a calm environment throughout the unit or facility.
8. Assist with preparing staff evaluations, counselling and warnings.
D. Nursing Care Functions
1.Evaluate, plan and organize nursing care according to established policies by such
activities as daily unit rounds, making rounds with physicians, assuring prompt implementation of doctor's orders, assuring informative and pertinent charting, MDS+ completion and reporting as directed by the Unit Coordinator.
2. Assist in assuring continuity of good nursing care of residents on all shifts by
establishing individual 24 hour nursing/comprehensive care plans.
3. Review, analyze and modify nursing/comprehensive care plans to meet changing
resident conditions on a monthly basis as assigned by the Unit Coordinator.
4. Participate in on-going Quality Assurance on unit:
a. Meal Site Surveillance
b. Skin Care - prevention, early detection, treatment
c. Restraint use
d. Falls prevention/safety
e. Infection Control
f. Environmental surveillance (report card checklist)
g. Looking at outcomes of care - grooming, personal equipment condition
5. In the absence of the Unit Coordinator is responsible for directing any clinical
emergency situation which may arise.
6. Share the responsibility of assuring that supplies and equipment are properly
used, stocked and available on the unit; equipment is in good working order and
location of supplies and equipment is familiar to staff.
7. In the absence of the Unit Coordinator advise the Day Supervisor of changes in
resident status/resident needs and unit needs throughout the day.
8. Attend unit staff meetings.
9. Consult with the resident's physician in planning resident care, treatment,
rehabilitation, etc., as necessary.
10.Notify the resident's attending physician and next-of-kin when there is a change in
the resident's condition.
11.Work with the facility's consultants and implement those changes authorized by
the Director.
12.Authorize the use of restraints when necessary and in accordance with our
established policies and procedures.
E.Staff Development
1. Participate in the development, planning, conducting, and scheduling of inservice
training classes that provide instructions on "how to do the job", and ensure a
well-educated nursing services department.
2. Assist in orienting new employees to your shift, policies, procedures and routines.
3. Provide leadership training that includes the administrative and supervisory
principles essential for Staff Nurses.
4. Encourage the Staff Nurses to attend and participate in outside training programs.
Schedule times as appropriate.
5. Act as a liaison to education department.
6. Attend and participate in continuing educational programs designed to keep you
abreast of changes in your profession, as well as to maintain your license on a
current status.
F.Safety and Sanitation
1.Monitor your unit's nursing service personnel to assure that they are following
established safety regulations in the use of equipment and supplies.
2.Ensure that nursing service work areas (i.e., nurses' stations, medicine
preparation rooms, etc.,) are maintained in a clean and sanitary manner.
3.Ensure that all resident care rooms, treatment, areas building and grounds are
maintained a clean, safe and sanitary manner.
4.Ensure that nursing personnel participate in and conduct all fire safety and disaster
preparedness drills in a safe and professional manner.
5.Participate in the implementation and maintenance of the Infection Control
program for monitoring communicable and/or infectious diseases among the
residents and personnel.
6.Ensure that all unit personnel follow established infection control procedures.
7.Assure that all personnel follow established procedures for the use and disposal of
personal protective equipment.
8.Report hazardous conditions or equipment.
G.Equipment and Supply Functions
1.Recommend to the Unit Coordinator the equipment/supply needs of the
2.Assure that a stock level of medications, medical supplies, equipment, etc., is
maintained on premises at all times to adequately meet the needs of the resident.
Monitor supplies and equipment to assure that they are properly stocked, in good
working order and that the staff is familiar with use and location.
3.Assure that appropriate personal protective equipment is accessible to personnel
performing tasks involving exposure to blood/body fluids.
4.Participate in the development and implementation procedures for the safe
operation of all nursing service equipment.
5.Ensure that only trained and authorized personnel operate the department's
6.Ensure that all personnel operate nursing service equipment in a safe manner.
7.Assist in the evaluation and initiation of new supplies and equipment.
8.Monitor nursing procedures to ensure that nursing service supplies are used in an
efficient manner to avoid waste.
9.Assure that personnel follow established procedures for the use and disposal of
personal protective equipment.
H.Care Plan and Assessment Functions
1.As assigned complete MDS+, RAPS, write/revise care plans.
2.Observe, record and report resident conditions, complaints, or problems.
3.Insofar as practical, encourage the resident to participate in the development and
review of his/her plan of care.
4.Ensure that all personnel involved in providing care to the resident is aware of the
care plan and that care plans are used in administering daily care to the resident.
5.Review nurses' notes to determine if the care plan is being followed.
I.Budget and Planning Functions
1.Recommend to the Unit Coordinator the equipment needs of the unit.
J.Resident Rights
1.Maintain confidentiality of all resident information.
2.Monitor nursing care to assure that all residents are treated fairly, and with
kindness, dignity, and respect.
3.Ensure that all nursing care is provided in privacy and that nursing service
personnel knock and announce before entering the resident's room.
4.Ensure that all nursing service personnel are knowledgeable of the residents'
rights and responsibilities.
5.Review complaints and grievances made by the resident and make a written/oral
report to the Director indicating what action(s) has been taken to resolve the
complaint or grievance.
6.Maintain a written record of the resident's complaints and/or grievances that
indicates the action taken to resolve the complaint and the current status of the
1.In the absence of the Unit Coordinator handle any unit emergency situation which
may arise.
2.Review the Fire/Disaster Plan periodically and be able to respond appropriately in
the event of a fire/disaster or drill.
3.Assist the Infection Control Nurse in identifying, evaluating, and classifying tasks
that involve potential exposure to blood/body fluids.
4.Provide information to the Quality Assurance Committee as requested.
5.Assist the RN Educator in planning clinical supervision for nurse aides-in-training.
6.Participate in evaluations and implementation of all new equipment and supplies.
7.Participate in studies pertinent to the unit.
8.Assist in maintaining a clean, safe, pleasant environment for staff, residents and
visitors on the unit.
9.Perform all other related duties as designated.
L.Working Conditions
1.Works primarily on a nursing unit as well as throughout the facility and its
2.Sits, stands, bends, lifts, and moves intermittently during working hours.
3.Is subject to frequent interruptions.
4.Is involved with residents, family members, personnel, visitors, government
agencies/personnel, etc., under all conditions/circumstances.
5.Is subject to hostile and emotionally upset residents, family members, personnel,
visitors, etc.
6.Works beyond normal working hours and on weekends and holidays when
7.Is involved in community/civic health matters/projects as appropriate.
8.Attends and participates in continuing educational programs.
9.Is subject to falls, burns from equipment, odors, etc., throughout the work day.
10.May be subjected to infectious diseases, substances, contaminated articles,
conditions, etc. including the potential exposure to the AIDS and Hepatitis B
11.Communicates with the medical staff, nursing personnel, and other department
12.Maintains a liaison with the residents, their families, support personnel, etc., to
assure that the residents' needs are continually met.