Washington County WI

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Charge RN (3rd Shift) 15-20 hours

at Washington County WI

Posted: 9/26/2019
Job Reference #: 1249
Keywords: nurse, nursing

Job Description

Samaritan Health Center

Washington County Wisconsin

Job Code:

# of openings:

Washington County, located in West Bend, Wisconsin currently has a great opportunity as a limited hour Registered Nurse position available on 3rd shift within the Washington County Samaritan Campus.  The mission of Samaritan Health Center and the Fields of Washington County is to plan, develop and implement the best possible programs and services which will contribute to, and meet the complex medical, physical, psychological, rehabilitative, emotional and spiritual well being needs of the elderly and disabled.   Under the general direction of the Director of Nursing for providing direct and indirect care of residents.

Shift Premium: $2.00/hr and Charge Nurse Premium: $2.50/hr in additon to base pay

Qualified candidates must possess:

  • Graduation from an accredited school of nursing.
  • RN license in the State of WI.
  • Strong supervision experience.
  • Long term care experienced preferred.
  • A negative tuberculin test results prior to the first day of employment.
  • Must pass a pre-employment physical and drug test before start of employment.

Washington County offers a comprehensive benefits package which includes:  Health, Dental, and Life Insurance; Short and Long Term Disability; Wisconsin Retirement System and Wisconsin Deferred Compensation (IRS 457); Holidays and Paid Time Off (PTO).

Our Mission at Washington County is to be a collaborative leader in providing efficient and effective public services for the well-being of our citizens. Washington County believes in the values of Respect, Optimism, Integrity, Innovation, Compassion, and Collaboration. As trusted stewards of Washington County's future, we provide innovative and cost effective core public services. Please visit our website at www.co.washington.wi.us to complete our online application. Applications will be accepted until the needs of the Department are met. If you have any questions, please call (262) 335-4633. Thank you for considering Washington County.

Position Summary:

Under the general direction of the Director of Nursing and Nurse Manager performs administrative and supervisory work in a program of professional nursing services, and provides direct supervision of the total nursing care of residents on assigned unit during an assigned shift.  Work hours are 11:00 pm - 7:30 am--Friday, Saturday, Wednesday, Sunday rotation opposite of the FT RN Supervisor.


The following duties are normal for this position.  These are not to be construed as exclusive or allinclusive.  Other duties may be required and assigned.

  • Makes rounds of nursing unit, visits patients, reviews clinical, medication, and administrative records, as well as resident care plans and directs staff assignments.
  • Medication and treatment completion on assigned wing
  • Assigns responsibility for nursing care of specific residents to other nursing personnel on unit.
  • Obtain report from the Nurse Managers and convey that information to Nursing personnel on all units
  • Monitors resident's conditions. Assesses any changes in condition on unit. Takes action to update MD or NP  on change of condition and carry out any orders received based on MD orders
  • Completion of admission assessments
  • Assist with feeding and dining room duties with emphasis on how residents are doing with meals
  • Accept delegated tasks from Nurse Manager and ensures follow up to any outstanding faxes and phone calls to MD/NP
  • Serves as liaison between nursing and other departments.  Provides for resident needs.
  • Assumes responsibility for day to day operation of the units in the absence of the Nurse Managers, .notifies Consults Nurse Manager or DON when issues arise. Consults with the DON immediately regarding potential alleged resident mistreatment, neglect,abuse or exploitation.
  • Oversees staff assignments and monitors completion of work.
  • Initiates incident paperwork for any new incidents and also ensures follow up to ongoing incidents
  • Updates families as to change of condition, new or changed medications and any incidents that occur
  • Develops and implements problemsolving approaches to resident care.
  • Modifies care plans as needed
  • Completes all necessary charting as required and in accordance with established charting and documentation policies
  • Adheres to the Employee code of ethics along with the Samaritan Campus Mission and Washington County Core Values
  • Gives insight into staff evaluations to the nurse managers
  • Insures that all physicians' orders are carried out promptly and efficiently.
  • Transcribes orders into the electronic MAR
  • Insures medications are passed accurately and in a timely fashion
  • .Maintains CPR certification
  • Performs other duties as assigned, including responding to an emergency event.
  • Communication back to the nurse Manager on pertinent issues that need to be addressed via phone call or email or Manager’s preferred method of communication
  • Communication of unit  status to oncoming shift Charge RN
  • Uses and teaches proper body mechanics and other safety precautions to prevent injury to self and others

Work Direction Received:

Works under the general direction of the Director of Nursing and Nurse Managers.

Supervision Exercised:

Supervision is given to RNs, LPNs and Nursing Assistants.  The charge nurse makes recommendations on discipline.  The charge nurse makes decisions on performance evaluation and assignment of employees.

Decision Making:

Decisions concerning assignment of staff, daily care of residents, monitoring changes in condition, needed PRN medications, and other daily activities are made independently.


There is significant interaction with other facility departments, physicians, patients and their families.

Essential Knowledge and Abilities:

Knowledge of current nursing theory and practice; applicable State, Federal, and County laws, rules, and regulations applying to resident care; residents' rights; and special needs of residents.  Ability to plan a program of care during a shift, supervise the work of subordinate employees in carrying out that plan of care, communicate effectively orally and in writing, and interact effectively with staff, physicians, and residents.  Able to fulfill physical demands of job, sensory demands (seeing and hearing), and cognitive demands (concentration, conceptualization, memorization).

Physical/Sensory Cognitive Requirements to Perform the Essential Job Functions

Physical Strength: ability to lift, transfer, move and turn a resident to or from a bed, wheelchair, hoyer lift, toilet, tub and occasionally the floor. Requires varying degrees of pushing, pulling and lifting due to the differences in resident weights which could be over 50 pounds.

Manual Dexterity: Must be able to perform manipulative tasks, such as the equipment listed above as well as buttons, snaps, buckles and tie strings; removing unit dose medications from packets and containers; using a pill crusher on a repetitious basis; manipulation of tubes.

Coordination: Ability to safely assist a resident with all ADL’s, transfers and ambulation requiring good hand/eye coordination, steadiness and the ability to move about in tight spaces, between objects, equipment and furniture.

Mobility:  Must be able to frequently stand and walk; frequently squat, climb stairs, bend to the floor, reach over the shoulder, kneel, twist, sit, stand and remain in uncomfortable positions for periods of time.

Speech:  Must be able to articulate clearly.

Emotional Stability:  Must be able to deal effectively with stress created by sick residents, multiple tasks, noises and interruptions, and work cooperatively as part of the interdisciplinary team while maintaining a pleasant demeanor.

Vision:  Must be able to see objects up close so as to notice a change in resident’s condition (breathing, color, skin breakdown, etc.).  Must be able to see emergency strobe lights, nurse call lights, etc.

Hearing:  Must be able to hear normal sounds and voice patterns with background noise.  Must have adequate hearing to receive verbal instructions. Must be able to hear emergency signals, alarms, call lights and be able to answer the phone.

Smell  Must be able to detect the smell of smoke, spoiled food, soiled linen, resident incontinence, etc.

Concentration:  Able to concentrate on moderate details with frequent interruptions.

Attention Span:  Frequently attends to a task/function for more than 60 minutes at a time.

Conceptualization:  Must be able to understand and relate to the theories behind related concepts.

Memory:  Must be able to remember multiple tasks and assignments over a period of 8 hours.

Employee Responsibility in an Emergency:  Expected to respond to emergency situations involving safety of the residents, other employees and the facility.  This includes the ability to assist with the evacuation of residents.

Work Setting/Environment

  1. Work is performed indoors which are well-lighted and clean with some exposure to dust.  Heat, air conditioning and humidity are controlled.
  2. There is some exposure to blood, body tissues and fluids; and occasional exposure to hazardous materials and infectious disease.
  3. Exposure to loud or unpleasant voices and bodily injury on an occasional basis.
  4. Works with sick residents and their families; residents who may be confused, irrational, highly agitated or given to abrupt mood swings.

Equipment used:

Adaptive devices, tubs, call system, cane, scales, commode, bed, thermometer, time clock, computers for documentation, wheelchair, transfer belt, geri chair, gloves, hoyer lift, isolation apparel, lapboard, linen cart, microwave oven, nail clipper, phone, razors (manual and electric), serving trays, Code Alert, tube feeding systems, syringes, needles, Blood Pressure equipment, stethoscope, IV pumps, enteral feeding equipment, oxygen equipment, blood sugar monitoring, specialized beds, suction equipment, medication distribution system and sit to stand.

All employees are expected to treat residents in a kind and respectful manner. Abuse and/or misappropriation of funds or personal belongings are strictly prohibited.  Acts considered, but may not be limited to abuse includes, kicking shaking, slapping, choking, pushing or similar actions.  Neglect includes such actions as failing to follow standard procedures for feeding, dressing, bathing and treating in accordance with instructions of a physician, supervisor or nurse.  Mistreatment includes such actions as the use of harsh, profane or obscene words, shouting, teasing or threatening gestures and the application of a restraint without an order.

Training and Experience:

Graduation from an accredited school of nursing, registration as a professional nurse in the State of Wisconsin, and a minimum of two years of professional nursing experience.  Previous supervisory nursing experience is desired.  Must possess a valid Wisconsin driver's license. Valid CPR certification.

Washington County is an Equal Opportunity Employer of Minorities, Females, Protected Veterans, and Individual with Disabilities