Charge Nurse - RN

General Information
Location  6640 Iola Ave.
Lubbock, TX 79424
United States
Employee Type  Non-Exempt FT
Job Category  Health Care - Direct Care Staff
Contact Information
Name  Veronica C. Knott
Phone  806-687-6640

Purpose of this position:

The purpose of this position is to supervise, provide and coordinate nursing care in compliance with facility policies and procedures and to assess residents’ care needs and take appropriate action.


Must possess a current, unencumbered, active RN/LVN license issued by the Board of Nurse Examiners for the State of Texas. On- the- job training is provided.

Delegation of authority:

Authority is delegated to the individual in this position to:

  • Take appropriate action to assure adequate staffing to provide resident care.
  • Supervise and assess resident care and take appropriate action.
  • Implement facility procedures to provide resident care.

Quality Assurance/Performance Improvement Responsibilities:

  • Recognize your role as part of the QAPI efforts of your organization.
  • Attend trainings to build understanding and capacity to undertake QAPI work.
  • Carry out QAPI roles and responsibilities as assigned.
  • Follow established policies and procedures in support of QAPI efforts.
  • Look for and share with leadership ideas for improvement in the organization.
  • Communicate to leadership upon witnessing a positive outcome of a QAPI project or detecting barriers preventing project success.
  • Support QAPI efforts both verbally and non-verbally (i.e., via actions and attitude), including adjusting performance and practice in accordance with QAPI initiatives and findings.

Compliance Responsibilities:

  • Observe all facility policies and procedures to assure resident and employee safety.
  • Observe infection control procedures to assure resident and employee safety.
  • Observe facility Residents’ Rights policies and procedures.
  • Observe facility safety policies and procedures to assure resident and employee safety.
  • Agree not to disclose assigned user I.D. codes and passwords for accessing resident/facility information and promptly report suspected or known violations of such disclosure to the Administrator.
  • Agree not to disclose resident’s protected health information and promptly report suspected or known violations of such disclosure to the Administrator.
  • Report any known or suspected unauthorized attempt to access facility’s information system.
  • Report suspected or known incidence of fraud relative to false billings, cost reports, kickbacks, etc.
  • Ensure that computer workstations are properly logged off when left unattended.
  • Immediately report all suspected or alleged abuse, neglect exploitation and/or misappropriation to the Administrator and/or designee. 

Job duties include but are not limited to:

  1. Follow established standards of nursing practices and implement facility policies and procedures.
  2. Interpret existing policies and procedures to nursing assistants, restorative nursing assistants, residents, families and physicians.
  3. Supervise and evaluate all direct resident care and initiate corrective action as necessary.
  4. Obtain report from nurse being relieved and record sufficient information to implement appropriate follow-up action as necessary.
  5. Provide report to nurse coming on duty, including sufficient information for follow-up action as necessary.
  6. Take appropriate action to assure adequate staffing to meet residents’ needs.
  7. Conduct resident rounds daily, reporting problems to nursing supervisor and initiating corrective action.
  8. Identify safety hazards and initiate corrective action immediately.
  9. Identify resident problems and emergency situation and initiate emergency care and “life-saving” measures in the absence of a physician.
  10. Participate in facility education programs.
  11. Provide supervision to Nursing Assistant providing direct resident care.
  12. Supervise the answering of resident call lights.
  13. Supervise the use of proper hand hygiene.
  14. Attend staff meetings, interdisciplinary team meetings, rehabilitation meetings, in-service classes and committee meetings as assigned.
  15. Follow staffing guidelines and make nursing assignments according to qualifications of staff and characteristics of the resident population.
  16. Assume responsibility for compliance with federal, state and local regulations within the assigned unit.
  17. Counsel Nursing Assistants and recommend disciplinary action to the Director of Nursing Service, when necessary.
  18. Participate in the employee evaluation process by providing information on the performance of Nursing Assistants.
  19. Administer and document direct resident care, medications and treatments per physicians’ orders and accurately record all care provided.
  20. Supervise Certified Medication Aides in the administration of ordered medication.
  21. Provide instruction for appropriate nursing care to licensed nurses and Nursing Assistants.
  22. Perform and document comprehensive assessment of residents as assigned.
  23. Implement an accurate comprehensive care plan based on each resident’s needs and his/her comprehensive assessment.
  24. Promptly report changes in residents’ conditions to the physician, Director of Nursing Service and responsible party, and take follow-up action as necessary.
  25. Follow facility admission procedures and communicate resident admission to other departments, physicians and ancillary service providers.
  26. Competently perform basic nursing skills.
  27. Follow facility discharge/transfer procedure and coordinate discharge/transfer with other departments, physicians and ancillary service providers.
  28. Complete documentation related to the resident’s discharge/transfer.
  29. Listen to resident, family, or physician concerns and initiate corrective action and/or report concerns to Nursing Supervisor.
  30. Count narcotics, check emergency kit and exchange keys.
  31. Check meal trays and nourishment to ensure proper diet is served and residents are assisted as necessary.
  32. Supervise the application and removal of all restraints and devices used to position and enable residents to function as independently as possible.
  33. Order, receive and store medications appropriately.
  34. Notify physician, when necessary, of changes in residents’ conditions, weight, medication errors, medication not available, abnormal laboratory/X-Ray results and any other unusual observations.
  35. Document resident progress notes as required.
  36. Document daily notes on unstable residents, Medicare residents and recently admitted residents.
  37. Consistently work cooperatively with residents, nursing staff, physicians, families, consultant personnel, community agencies and ancillary service providers.
  38. Obtain continuing education required to maintain licensure.
  39. Be responsible for the safety of residents under his/her supervision.
  40. Come to work in a clean, neat uniform and consistently present an appropriate professional appearance.
  41. Come to work as scheduled and consistently demonstrate dependability and punctuality.
  42. Assume accountability for data contained in the employees’ handbook.
  43. Perform all duties assigned in an effective, cooperative, timely and professional manner.
  44. Perform other related duties as directed by his/her supervisor.
  45. Consistently work cooperatively with residents, residents’ representatives, facility staff, physicians, consultants and ancillary service providers.
  46. Periodically review the department’s policies, procedure manuals, job descriptions, etc. Make recommendations, as needed for revisions.
  47. Meet with your assigned nursing staff, as well as support personnel, in planning the shifts’ services, programs, activities and changes in routine or policies.
  48. Encourage attending physicians to review treatment plans, record and sign their orders, progress notes, etc., in accordance with established policies.
  49. Notify the Nurse Supervisor of all drug and narcotic discrepancies.
  50. Report and investigate all allegations of resident abuse and/or misappropriation of resident property.
  51. Follow fire and disaster procedures during a drill and actual occurrence.


NOTE: The job description for Charge Nurse may include any function delegated by the Director of Nursing Services and the Assistant Director of Nursing Services.        


Working Conditions

  • Works in office areas as well as throughout the facility.
  • Moves intermittently during working hours.
  • Is subject to frequent interruptions.
  • Is involved with residents, personnel, visitors, government agencies/personnel, etc., under all conditions and circumstances.
  • Is subject to hostile and emotionally upset residents, family members, etc.
  • Communicates with the medical staff, nursing service, and other department directors.
  • Works beyond normal working hours, on weekends, and in other positions temporarily, when necessary.
  • Is subject to call back during emergency conditions (e.g., severe weather, evacuation, post-disaster, etc.).
  • Attends and participates in continuing educational programs.
  • Is subject to injury from falls, burns from equipment, odors, etc., throughout the workday, as well as to reactions from dust, disinfectants, and other air contaminants.
  • Is subject to exposure to infectious waste, diseases, conditions, etc., including TB and the Aids and Hepatitis B viruses.
  • May be subject to the handling of and exposure to hazardous chemicals.


Specific Requirements

  • Must be able to read, write, speak, and understand the English language.
  • Must demonstrate the knowledge and skills necessary to provide care appropriate to the age-related needs of the residents served.
  • Must possess the ability to make independent decisions when circumstances warrant such action.
  • Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel and the general public.
  • Must possess leadership ability and willingness to work harmoniously with other personnel.
  • Must have patience, tact, cheerful disposition and enthusiasm, as well as be willing to handle residents based on whatever maturity level at which they are currently functioning.
  • Must possess the ability to seek out new methods and principles and be willing to incorporate them into existing activity services.
  • Must be able to relate information concerning a resident’s condition.
  • Must not pose a direct threat to the health or safety of other individuals in the workplace.


Physical and Sensory Requirements

(With or Without the Aid of Mechanical Devices)

  • Must be able to move intermittently throughout the workday.
  • Must be able to speak and write the English language in an understandable manner.
  • Must be able to cope with the mental and emotional stress of the position.
  • Must possess sight/hearing senses or use prosthetics that will enable these senses to function adequately so 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 residents, personnel, and support agencies.
  • Must meet the general physical and health requirements needed to perform all job duties.
  • Must be able to relate to and work with ill, disabled, elderly, emotionally upset and at times, hostile people within the facility.
  • Must be able to push, pull, move, and/or lift a minimum of 25 pounds to a minimum height of 5 feet and be able to push, pull, move, and/or carry such weight a minimum distance of 50 feet.
  • May be necessary to assist in the evacuation of residents during emergency situations.