The Role of a Registered Nurse in a Skilled Facility

Skilled facilities, or nursing homes, provide around-the-clock care for older adults with physical and mental impairments. Registered nurses (RNs) are usually on site at all times. Their numbers vary by institution, but their roles are generally the same.

Administrative

• RNs in the administrative role arrange activities for residents, manage the budget and hire new employees. Most administrators have a bachelor's degree in nursing and a Master of Business Administration (MBA).

Supervisory

• RNs who work outside of administration are usually on the floor with staff and residents. They have at least an associate's degree and supervise licensed practical nurses (LPNs) and aides. RNs create care plans for residents and evaluate the effectiveness of interventions. LPNs and aides provide basic care like feeding and bathing.

Patient Care and Medical Procedures

• RNs perform initial assessments on residents when they are admitted to the facility. They monitor residents and look for changes in their condition. They also perform medical procedures, such as changing wound dressings or starting intravenous lines to deliver antibiotics for extreme infections.