Registered Nurse (RN)

The Floor/Cart Registered Nurse (RN) is responsible for providing direct nursing care to residents in a skilled nursing facility, ensuring safe medication administration, accurate documentation, and adherence to Pennsylvania Nurse Practice Act regulations. The RN functions as a clinical leader on the unit, supervising LPNs and CNAs while promoting high-quality, resident-centered care.

Essential Duties and Responsibilities

Clinical Care

• Perform comprehensive nursing assessments and ongoing evaluations of resident conditions

• Develop, implement, and update individualized care plans in collaboration with the interdisciplinary team

• Administer medications and treatments accurately using the medication cart (“cart nurse” duties)

• Monitor residents for changes in condition and promptly notify physicians and supervisors

• Provide wound care, tube feedings, IV therapy (if applicable), and other skilled nursing services

Medication Management

• Safely prepare, administer, and document medications per physician orders and facility policy

• Ensure compliance with the “Five Rights” of medication administration

• Monitor for adverse drug reactions and medication effectiveness

• Maintain proper storage, security, and inventory of medications

Supervision & Leadership

• Supervise and support LPNs and CNAs on the floor

• Delegate nursing tasks appropriately based on scope of practice

• Provide guidance, coaching, and real-time clinical support to staff

• Participate in shift reports and ensure continuity of care

Documentation & Compliance

• Accurately document assessments, medications, treatments, and resident responses in the medical record

• Ensure compliance with federal, state (PA DOH), and facility regulations

• Participate in audits, care plan meetings, and quality assurance activities

Communication

• Communicate effectively with physicians, families, residents, and interdisciplinary team members

• Respond to resident and family concerns professionally and compassionately

• Provide resident and family education as appropriate

Safety & Infection Control

• Follow infection control policies, including standard and transmission-based precautions

• Ensure a safe environment for residents, visitors, and staff

• Report incidents, accidents, and variances per facility policy

Qualifications

Required

• Active Registered Nurse (RN) license in the state of Pennsylvania

• Graduate of an accredited nursing program

• Current CPR/BLS certification

• Ability to work effectively in a fast-paced SNF environment