Charge Nurse Emergency Department

Intermountain Health

1d•$41 - $62•Onsite

About The Position

The RN Charge Nurse provides leadership and clinical expertise for the Emergency Department on their assigned shift, working with the department manager. The role coordinates unit resources and staffing based on patient needs and financial considerations, supports clinical staff, and serves as a model of competency and professionalism. The position is full time, 36 hours per week, on the night shift from 1900 to 0700, at Intermountain Health St Vincent Regional Hospital in Billings, Montana. The Charge Nurse leads unit operations and interdisciplinary care, supports staff development and accountability, and helps ensure safe, high-quality, compliant patient care. The role requires completion of Charge Nurse training.

Requirements

Current license to practice as a Registered Nurse in the state of practice; valid compact licenses must be transferred to the state of practice within 60 days of employment start.
Basic Life Support (BLS) certification for Healthcare Providers.
Unit-specific certifications as required, such as ACLS or PALS.
Experience in the assigned clinical area.
Mentoring experience.
Bachelor’s degree in nursing (BSN) from an accredited institution; RNs hired or promoted into the role must obtain a BSN within four years of the hire or promotion date, unless an existing education agreement takes precedence.
One year of licensed RN experience in an Emergency Department.
Ability to perform the physical requirements of the role, including reading and assessing information, communicating and hearing in emergency situations, manipulating equipment, lifting and transferring patients, moving supplies and equipment, and standing for extended periods.

Nice To Haves

Previous charge nurse experience in an Emergency Department or critical care.
One year of clinical nursing experience.

Responsibilities

Assess patients’ physical, social, and psychological status, including cognitive, communication, and developmental needs as appropriate.
Gather and evaluate information from patients, families, physicians, interdisciplinary team members, and support staff.
Collaboratively develop individualized plans of care, involving patients, families, the care team, and physicians, including in planning needed education.
Prepare patients for support needs after the current episode of care, including teaching, referrals, and follow-up.
Direct interdisciplinary care through delegation, coordination, and collaboration, and provide or delegate care consistent with plans, guidelines, and licensure requirements.
Set priorities and coordinate patient care by managing time, supplies, and resources.
Evaluate patient responses to interventions and outcomes, revise plans of care as needed, and reassess changes.
Model professional behavior, hold staff to professional standards, and coach and develop colleagues.
Integrate legal and ethical standards, comply with regulatory requirements, practice within licensure scope, and provide accurate and timely documentation.
Estimate staffing needs for current and subsequent shifts and match nurse skill levels to patient requirements.
Manage premium pay and overtime efficiently and allocate resources appropriately.
Provide operational and clinical leadership for the department, set clear expectations, and hold staff accountable for outcomes and behavior.
Mediate conflicts involving staff, families, physicians, and other departments.
Support clear expectations for hourly rounds, communication boards, and joint bedside reports.
Guide staff in resolving problems, promoting accountability, and supporting professional growth.
Support and enforce Intermountain and unit policies and procedures for safety, quality, compliance, and patient care.
Activate the chain of command, rapid response, or code alerts when appropriate.
Participate in and facilitate continuous quality improvement in clinical care, service experience, and operational effectiveness.
Complete Charge Nurse training.