Notifies Supervisor of medications not available; Preparing, administering and documenting medications as prescribed; Observing and reporting resident responses to medication; Identifying and promptly communicating adverse drug reactions; Initiating enteral or parenteral therapy as ordered; Maintaining narcotic records accurately; Ordering or arranging for ordering of pharmaceuticals; Notifying physicians of automatic stop order; and/or. The primary role of the Registered Nurse is to supervise staff, monitor patients, implement treatments, develop patient care plans for long-term needs, administer medications, follow-up with families and provide the highest quality of care to all residents/patients.