Charge Nurse - CICU NIGHTS

Nemours Children's Health•Orlando, FL

1d•Onsite

About The Position

The Charge Nurse is a member of the unit leadership, supervises staff, and is accountable for daily shift operations. The Charge Nurse implements the patient care delivery model for the patient and their family. This role requires utilizing and ensuring compliance with policies, procedures, guidelines, and reliable methods to make clinical practice decisions. The Charge Nurse must recognize and respond to dynamic situations, sorting out extraneous details and exercising clinical judgment based on an immediate grasp of the whole picture for the patient population of the assigned clinical area. They will independently develop, implement, evaluate, and modify clinical practice, matching formal knowledge with critical thinking and nursing skills. The role involves collecting and interpreting complex patient data with clinical events to make clinical decisions to meet individual patient and family needs. Engaging in multidisciplinary collaboration, proactively seeking expert consultation, and delegating to other clinicians, as appropriate, while using evidence-based guidelines is essential. The Charge Nurse demonstrates knowledge-seeking behaviors, identifies clinical questions, and seeks/provides advice, resources, and/or education opportunities to improve patient care. They participate in the research process and implement changes in practice based upon the evidence. Creating a safe, compassionate, supportive, and therapeutic environment for patients, family, and Associates is key. Promoting comfort and healing, preventing unnecessary suffering with vigilance, engagement, and responsiveness, and developing professional and trusting relationships that facilitate patient/family coping while maintaining appropriate boundaries are also crucial. The Charge Nurse recognizes, appreciates, and incorporates differences into the provision of patient and family-centered care, including cultural, spiritual, gender/gender identity, lifestyle, race, ethnicity, linguistic, socioeconomic status, age, developmental, and values. They demonstrate effective methods of communication as required to meet patient and family health care literacy needs, and preserve and protect the confidentiality, autonomy, dignity, and rights of patients and families. Acknowledging and adapting to the organizational culture and healthcare environment is also part of the role. Serving as a moral agent in identifying and helping to resolve ethical and clinical concerns within and outside the clinical setting, advocating on behalf of patients, families, and Associates while promoting adherence to the ANA Code of Ethics for Nurses, and acting as a resource for patients and families working towards resolution of ethical and moral issues, initiating ethics consults when appropriate, are important responsibilities. Effectively communicating and collaborating with nursing leaders and inter-professionals within the hospital system, working with patients, families, and Associates in a way that respectfully promotes each person’s contributions toward developing and achieving optimal patient and family goals across the continuum, participating in team meetings and discussions regarding patient care and/or practice issues, involving intra- and inter-professional work with colleagues and community, and participating in nursing/hospital governance, councils, committees, ad hoc teams and/or initiatives to improve clinical practice and patient care outcomes are also key aspects of the role. The Charge Nurse facilitates timeliness of patient admissions, transfers, and discharges, uses daily management systems and escalation through the chain of command, and utilizes appropriate resources to plan and provide nursing services that are safe, effective, and financially responsible. Developing, integrating, and applying strategies across the continuum of care that are driven by the unique needs and strengths of the patient and family, and contributing to the development and revision of standards of care policies and procedures are also expected. Finally, the Charge Nurse serves as a clinical resource, mentor, coach, or preceptor based upon unit needs and individual preferences and/or abilities, identifies areas of educational needs and facilitates formal and informal learning for patients, families, Associates, and the community, assesses patients' and families' readiness to learn, utilizes patient teaching plans that incorporate evidence-based practice and evaluate effectiveness, and seeks out a mentor to facilitate individual professional growth.

Requirements

Bachelor of Science in Nursing or higher nursing degree, required (from an accredited nursing program)
Active Florida or multi-state RN license, required
BLS Health Care Provider completion required on hire
PALS completion required on hire
INTERNAL CANDIDATES: ASN required; If RN does not have a bachelor’s or higher graduate degree in nursing, the RN is required to make steady progress to achieving a BSN or graduate degree in nursing (Progress is defined as enrolled in an accredited BSN program or graduate degree in nursing program and completing courses each year).

Nice To Haves

National certification in area of clinical specialty (preferred)
Minimum of three years of pediatric experience in specialty area, preferred

Responsibilities

Implement the patient care delivery model for the patient and their family.
Utilize and ensure compliance with policies, procedures, guidelines, and reliable methods to make clinical practice decisions.
Recognize and respond to the dynamic situation while sorting out extraneous detail and exercises clinical judgment based on an immediate grasp of the whole picture for the patient population of the assigned clinical area.
Independently develop, implement, evaluate, and modify clinical practice matching formal knowledge with critical thinking and nursing skills.
Collect and interpret complex patient data with clinical events to make clinical decisions to meet individual patient and family needs.
Engage in multidisciplinary collaboration, proactively seek expert consultation, and delegate to other clinicians, as appropriate, while using evidence-based guidelines.
Demonstrate knowledge seeking behaviors and identify clinical questions.
Seek/provide advice, resources, and/or education opportunities to improve patient care.
Participate in the research process and implement changes in practice based upon the evidence.
Create a safe, compassionate, supportive, and therapeutic environment for patients, family, and Associates.
Promote comfort and healing and prevent unnecessary suffering with vigilance, engagement, and responsiveness.
Develop professional and trusting relationships that facilitate patient/family coping while maintaining appropriate boundaries.
Recognize, appreciate, and incorporate differences into the provision of patient and family centered care, including cultural, spiritual, gender/gender identity, lifestyle, race, ethnicity, linguistic, socioeconomic status, age, developmental, and values.
Demonstrate effective methods of communication as required to meet the patient and family health care literacy needs.
Preserve and protect the confidentiality, autonomy, dignity, and rights of patient and families.
Acknowledge and adapt to the organizational culture and healthcare environment.
Serve as a moral agent in identifying and help to resolve ethical and clinical concerns within and outside the clinical setting.
Advocate on behalf of patients, families, and Associates while promoting adherence to the ANA Code of Ethics for Nurses.
Act as resource for patients and families working towards resolution of ethical and moral issues. Initiate ethics consult when appropriate.
Effectively communicate and collaborate with nursing leaders and the inter-professionals within the hospital system.
Work with patients, families, and Associates in a way that respectfully promotes each person’s contributions toward developing and achieving optimal patient and family goals across the continuum.
Participate in team meetings and discussions regarding patient care and/or practice issues.
Involve intra- and inter-professional work with colleagues and community.
Participate in nursing/hospital governance, councils, committees, ad hoc teams and/or initiatives to improve clinical practice and patient care outcomes.
Facilitate timeliness of patient admissions, transfers, and discharges.
Use the daily management systems and escalation through the chain of command.
Utilize appropriate resources to plan and provide nursing services that are safe, effective, and financially responsible.
Develop, integrate, and apply strategies across the continuum of care that are driven by the unique needs and strengths of the patient and family.
Contribute to the development and revision of standards of care policies and procedures.
Serve as a clinical resource, mentor, coach, preceptor, based upon unit needs and individual preferences and/or abilities.
Identify areas of educational needs and facilitate formal and informal learning for patients, families, Associates, and the community.
Assess patients and family’s readiness to learn.
Utilize patient teaching plans that incorporate evidence based practice and evaluate effectiveness.
Seek out a mentor to facilitate individual professional growth.