Registered Nurse; RN

Registered Nurse (RN) – Topaz Fiscal Services LLC General Purpose

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

• Direct day‑to‑day functions of the nursing assistants in accordance with rules, regulations, and guidelines that govern the long‑term care industry.
• Confirm all nursing personnel assigned to you comply with facility policies and procedures.
• Meet with assigned nursing staff and support personnel in planning the shift’s services, programs and activities.
• Verify compliance with procedures set forth in the Nursing Policies and Procedures Manual.
• Make written and oral reports/recommendations concerning the activities of your shift, as required.
• Cooperate with other resident services when coordinating nursing services to maintain the resident’s total regimen of care.
• Verify 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 the resident’s written discharge plan and participate in updating it, as required.
• Assist in planning the nursing portion of the resident’s discharge plan, as necessary.
• Admit, transfer, and discharge residents, as required.
• Complete accident/incident reports, as necessary.

• Complete and file required forms/charts upon resident admission, transfer, and/or discharge.
• Encourage attending physicians to review treatment plans and record/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 plans, as required.
• Chart nurses’ notes in an informative and descriptive manner that reflects the care provided to the resident and the resident’s response to care.
• Record new/changed diet orders and forward information to the Dietary Department.
• Report all discrepancies noted concerning physician’s orders, diet changes, charting errors, etc., to the Nurse Supervisor.
• Fill out and complete transfer forms in accordance with established procedures.
• Enter appropriate documentation concerning unauthorized discharges in the resident’s medical record in accordance with established procedures.
• Perform routine charting duties as required.
• 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.

• Prepare and administer medication as ordered by the physician.
• Responsible for IV medication/fluid administration.
• Verify the identity of the resident before administering the medication/treatment.
• Verify that prescribed medication for one resident is not administered to another.
• Verify adequate supply of floor stock medications, supplies, and equipment is on hand and report needs to the Nurse Supervisor.
• Order prescribed medications, supplies, and equipment as necessary, in accordance with established procedures.
• Verify 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 and accuracy in transcription 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.

• Perform physical assessment through observation, inspection, palpation, percussion, and auscultation.
• Deliver and maintain optimum resident care and comfort by demonstrating knowledge and skills of…