ED Charge RN - Emergency Department Charge Registered Nurse

Trinity Health•Des Moines, IA

About The Position

Position Summary The Charge Nurse is a registered nurse who provides shift leadership to ensure safe, effective, efficient, and compassionate care for patients. This role blends clinical expertise with operational oversight—supporting staff, coordinating resources, and fostering collaboration across the care team to achieve excellent patient outcomes and maintain a positive work environment. Key Responsibilities Lead daily operations of the unit, including staffing, workflow coordination, and resource allocation based on patient acuity and unit needs. Serve as the on‑shift clinical leader and primary liaison between nurses, physicians, and administrative teams. Support onboarding, education, and development of staff and students. Provide direct patient care, including assessment, planning, implementation, and evaluation of nursing interventions. Ensure compliance with organizational policies, safety protocols, Joint Commission standards, and regulatory requirements. Promote evidence‑based practice, quality improvement initiatives, and consistent documentation standards. Conduct and/or oversee audits such as chart reviews, safety checks, incident follow-up, and nursing-sensitive quality indicators. Lead daily huddles, interdisciplinary rounding, patient-family communication, and care conferences. Partner with leadership on scheduling, hiring input, and HR-related matters. Act as a resource and role model for clinical practice, teamwork, and use of the electronic medical record. Facilitate smooth patient flow through admission, discharge, and transfer processes. Function independently with sound judgment, guided by the Nurse Practice Act and organizational policies.

Requirements

Associate Degree in Nursing (ADN) required; Bachelor of Science in Nursing (BSN) preferred.
Minimum 12 months of RN experience required; 24 months preferred.
Current Iowa RN license (MercyOne Genesis: Iowa or Illinois RN license required at hire; secondary state license must be obtained within 12 months).
American Heart Association BLS and ACLS certifications required.
Completion of Mandatory Reporter—Child and/or Dependent Adult Abuse training within 3 months of hire.
Strong critical thinking, high-level language skills, and intermediate-to-advanced math proficiency.
Basic computer proficiency required.

Nice To Haves

Bachelor of Science in Nursing (BSN) preferred.
24 months [of RN experience] preferred.

Responsibilities

Lead daily operations of the unit, including staffing, workflow coordination, and resource allocation based on patient acuity and unit needs.
Serve as the on‑shift clinical leader and primary liaison between nurses, physicians, and administrative teams.
Support onboarding, education, and development of staff and students.
Provide direct patient care, including assessment, planning, implementation, and evaluation of nursing interventions.
Ensure compliance with organizational policies, safety protocols, Joint Commission standards, and regulatory requirements.
Promote evidence‑based practice, quality improvement initiatives, and consistent documentation standards.
Conduct and/or oversee audits such as chart reviews, safety checks, incident follow-up, and nursing-sensitive quality indicators.
Lead daily huddles, interdisciplinary rounding, patient-family communication, and care conferences.
Partner with leadership on scheduling, hiring input, and HR-related matters.
Act as a resource and role model for clinical practice, teamwork, and use of the electronic medical record.
Facilitate smooth patient flow through admission, discharge, and transfer processes.
Function independently with sound judgment, guided by the Nurse Practice Act and organizational policies.