Charge Nurse - Main OR/Surgery

TriHealth•Montgomery, OH
•Onsite

About The Position

The Charge Nurse supports patient care and department operations in TriHealth Bethesda North Hospital’s high-volume Main OR/Surgery. The operating room includes 20 suites—17 ORs, two hybrid rooms, and a dedicated cystoscopy room—and averages 35–40 cases per day across specialties including urology, gynecology, vascular surgery, neurosurgery, orthopedics, ENT, plastics, ophthalmology, and robotic surgery. The role offers a collaborative, collegial environment, strong nurse-physician partnerships, and opportunities to develop rapid assessment and decision-making skills while providing holistic, evidence-based nursing care. The department supports professional development, including BSN attainment and specialty certification, and emphasizes patient dignity, safety, and frontline nurse input. This is a full-time day-shift position scheduled for 72–80 hours biweekly. Call is every fourth weekend, either Saturday or Sunday, and includes two holiday shifts per year. Within each six-week scheduling period, there are three to four nights of call. OR nurses receive $11 per hour for call and time-and-a-half pay when called in, with a minimum of three hours paid. The position offers a $5,000 sign-on bonus to qualified external candidates who commit to 12 months.

Requirements

  • Associate degree in Nursing.
  • New hires are required to obtain a BSN within five years of hire.
  • At least 1–2 years of relevant OR/Surgery RN experience.
  • Registered Nurse licensure.
  • Basic Life Support (BLS) is required.
  • ECG interpretation competency and ACLS certification within 12 months of assuming the role; ECG competency and ACLS certification must be maintained while in the role.
  • Knowledge, judgment, and skills derived from biological, physical, behavioral, social, and nursing sciences to meet complex healthcare needs across the life cycle.

Nice To Haves

  • Previous Charge Nurse experience is preferred.
  • Active participation in an applicable specialty professional organization is preferred.
  • PALS may be required depending on the unit or department.
  • Advanced Cardiac Life Support (ACLS) certification is listed as preferred; the posting also requires ECG interpretation competency and ACLS certification within 12 months of assuming the role.

Responsibilities

  • Coordinate patient care delivery and collaborate with the healthcare team to achieve desired outcomes.
  • Serve as a resource to staff regarding standards of care, policies, and procedures.
  • Identify and address actual or potential patient care concerns.
  • Support instructors, students, and new staff in maintaining high-quality care.
  • Create and adjust patient assignments and staffing based on patient acuity and staff competency.
  • Participate in unit and organizational committees and quality-improvement initiatives.
  • Implement evidence-based practice changes and promote best practice.
  • Include patients and families in care planning and decision-making.
  • Provide clinical guidance and perform nursing skills according to policy and specialty competencies.
  • Accurately interpret and carry out physician orders.
  • Delegate appropriately and ensure safe, effective team-based care.
  • Maintain clinical competence through continuing education and professional development.
  • Model effective, efficient, patient-centered nursing practice.
  • Support department operations, including orienting float and agency staff.
  • Demonstrate critical thinking, accountability, and appropriate use of the chain of command.
  • Facilitate patient flow, including rapid admissions, discharges, and transfers.
  • Maintain timely, clear communication and positive relationships with the healthcare team.
  • Promote staff development through coaching, mentoring, and ongoing feedback.
  • Encourage participation in the clinical ladder and continuing education.
  • Assist in performance evaluation and support fair, consistent disciplinary processes when needed.

Benefits

  • Comprehensive benefits package, including medical, dental, and vision coverage.
  • Paid time off.
  • Retirement plans.
  • Tuition reimbursement.
  • Student loan repayment options.
  • $5,000 sign-on bonus for qualified external candidates with a 12-month commitment.
  • $11 per hour in call pay.
  • Time-and-a-half pay when called in, with a minimum of three hours paid.
  • Advanced certifications such as CNOR and ACLS are fully covered.
  • Professional development support, including BSN attainment and specialty certification.
  • Career growth opportunities.
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