Hospital - OR Charge RN (6:30am-3:00pm, Full Time)

UT Health San Antonio•San Antonio, TX

About The Position

The Operating Room Charge Nurse fosters an environment for managing and delivering safe patient care in a hospital setting. In addition to fulfilling the duties and responsibilities of a clinical nurse, the charge nurse serves as a role model and coach to department personnel and assists in developing their skills and knowledge. The role provides nursing care to a diverse patient population, models compassionate communication with physicians and the interprofessional health care team, and assumes leadership responsibilities with high-level contributions across the institution. The charge nurse supports staff engagement, effective team dynamics, patient- and family-centered care, patient flow, quality and safety, and efficient resource use. The role coordinates nursing care throughout the shift, mentors and develops staff, supports regulatory and professional practice standards, and contributes to continuous improvement and departmental goals.

Requirements

  • Bachelor of Science in Nursing.
  • Current Texas Board of Nursing RN license or Compact State RN license, or a Temporary Texas RN License with a permanent Texas license obtained within 90 days of hire.
  • American Heart Association Basic Life Support (BLS) certification within 7 days of hire.

Responsibilities

  • Foster staff engagement by listening actively, requesting and acknowledging feedback, making equitable decisions, providing appropriate rationale, and supporting organizational goals.
  • Anticipate staff needs and proactively offer assistance.
  • Role model interprofessional communication, active listening, and teaching; assist with staff stress management as needed.
  • Improve departmental turnover and retention scores on unit-based scorecards.
  • Model fair and consistent leadership and effective team dynamics through problem-solving, coaching, and staff development.
  • Coach staff in efficient communication and in including patients and families in care planning.
  • Provide input into staff performance reviews.
  • Mentor and serve as a resource to unit staff, and oversee students, new employees, and preceptorships.
  • Identify organizational conflict and use appropriate tools to resolve concerns, complaints, and disputes involving patients, families, physicians, and interprofessional team members.
  • Lead patient- and family-centered care standards and mentor others regarding specialty populations; audit plans of care.
  • Practice in accordance with cultural diversity and inclusion principles.
  • Interact with patients, families, and staff through leader rounding to improve patient care.
  • Collaborate with other departments to address patient-process issues and drive service standards and activities that improve patient satisfaction scores.
  • Model nursing-process standards by participating in efforts to improve nurse-sensitive quality indicators and patient safety goals.
  • Participate in creating a continuous improvement environment.
  • Coordinate nursing care throughout the shift, considering patient acuity, staff skill levels, and safety.
  • Model standards related to regulatory requirements and professional practice.
  • Facilitate patient flow to, from, and through the department and lead quality family-centered care throughout the continuum.
  • Ensure patient care plans are accurate and timely, and coach staff when documentation deficiencies are identified.
  • Work with OAs and bed management to support timely patient placement.
  • Recognize situations such as rapid responses, CERTs, and emergency codes, determine a plan of action, and respond.
  • Participate in quality and safety initiatives through peer accountability, near-miss reporting, and collaboration to identify solutions.
  • Model situational awareness and use teachable moments to improve safety; assist with audits.
  • Implement department strategies to meet financial targets, including documentation, length of stay, efficiency, and overtime measures.
  • Attend daily care coordination rounds to facilitate patient progression and ensure follow-up on concerns identified by the team.
  • Manage productivity according to the staffing grid.
  • Provide input on unit resource utilization, including capital and operational budget needs, and oversee shift-by-shift resource utilization.
  • Identify and implement innovative practice or operational changes through unit projects and shared governance, including efforts to reduce readmissions or improve department-specific measures.
  • Investigate and incorporate evidence-based practices presented to shared governance and leadership.
  • Support change initiatives and adapt to unexpected changes.
  • Expand nursing knowledge and coach staff to develop their knowledge, abilities, and skills.
  • Serve as a clinical resource.
  • Develop and disseminate informational and educational resources and programs, as appropriate, to improve quality and professional practice.
  • Perform other job-related duties as assigned.
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