Travel Cart Nurse - LPN/RN

Monitor resident activity and provide nursing care in accordance with physician orders, resident care plans, applicable regulations, professional nursing standards, and established facility policies and procedures. Administer medications and treatments accurately and timely in accordance with physician orders, medication administration records, treatment administration records, pharmacy instructions, and facility protocols. Document all medications, treatments, assessments, interventions, observations, and resident responses accurately and within the required timeframe. Maintain responsibility for the assigned medication cart throughout the shift, including medication security, cleanliness, organization, stocking, and proper storage. Count controlled substances with the off-going and on-coming licensed nurse at the beginning and end of each shift and immediately report any discrepancy according to facility policy. Review the Medication Administration Record and Treatment Administration Record for accuracy and completeness and promptly address any missing medications, unavailable treatments, order discrepancies, or documentation concerns. Order medications and supplies from the pharmacy in a timely and accurate manner. Notify nursing leadership or administrative staff immediately of any barrier that may delay medication availability or the timely processing of an order. Carry out physician orders accurately and promptly, including completing laboratory requests, diagnostic imaging requests, medication changes, treatment orders, and updates to the Medication Administration Record. Monitor residents for medication effectiveness, adverse reactions, side effects, contraindications, allergies, and changes in condition. Notify the physician, nursing supervisor, administrative on-call staff, pharmacy, and resident representative as appropriate. Receive a complete nursing report at the beginning of each shift and provide an accurate and timely report to the on-coming nurse at the end of the shift. Shift report shall be a primary focus to ensure resident needs, new orders, changes in condition, follow-up requirements, and pending concerns are communicated appropriately. Review the 24-Hour Report and other required