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

UT Health San Antonio•San Antonio, TX
•Onsite

About The Position

The Operating Room Charge Nurse fosters an environment for managing and delivering safe patient care in a hospital setting. Alongside clinical nursing duties, the charge nurse serves as a role model, coach, mentor, and clinical resource for department personnel, helping develop their knowledge and skills. The position provides nursing care to a diverse patient population and models compassionate communication with physicians and the interprofessional healthcare team. It also carries leadership responsibilities contributing across the institution. The role coordinates nursing care throughout the shift based on patient acuity, staff skills, and safety; supports patient and family-centered care; promotes effective patient flow; and responds to urgent and emergency situations. The charge nurse contributes to quality, safety, service, staffing, operational efficiency, and resource-use goals, and participates in unit projects, shared governance, and evidence-based practice initiatives. A Bachelor of Science in Nursing is required. Candidates must hold a current Texas Board of Nursing 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 certification is required within seven days of hire. The position is full-time, with a stated schedule of 6:30 a.m. to 3:00 p.m. UT Health San Antonio offers eligible employees medical, dental, vision, disability, life and accidental death and dismemberment coverage, flexible spending accounts, retirement plans, paid time off, extended illness leave, paid family leave, paid holidays, and discounts on services, tickets, and gym membership. Benefits eligibility applies to employees working at least 20 hours per week with an appointment of at least 4.5 months.

Requirements

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

Responsibilities

  • Foster staff engagement by listening to feedback, making equitable decisions, explaining decisions, and supporting organizational goals.
  • Anticipate staff needs and proactively offer assistance.
  • Model interprofessional communication, active listening, and teaching; assist with staff stress management and help improve turnover and retention measures.
  • 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 the care team and care plan.
  • Provide input into staff performance reviews.
  • Mentor and serve as a resource to unit staff, oversee students and new employees, support preceptorships, and resolve concerns, complaints, and disputes involving patients, families, physicians, and interprofessional team members.
  • Lead patient- and family-centered care standards and mentor staff regarding specialty populations; audit plans of care.
  • Practice in accordance with cultural diversity and inclusion principles.
  • Conduct leader rounding and interact with patients, families, and staff to improve patient care.
  • Collaborate with other departments to address patient process issues and drive service standards and patient satisfaction improvements.
  • Model nursing-process standards and participate in improving nurse-sensitive quality indicators and patient safety goals.
  • Participate in creating a continuous improvement environment.
  • Coordinate nursing care across the shift based on 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 across the continuum.
  • Ensure patient care plans are accurate and timely; coach staff on documentation deficiencies and coordinate with OAs and bed management on timely patient placement.
  • Recognize emerging situations, determine an action plan, and respond to rapid responses, CERTs, and emergency codes.
  • 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 and implement department strategies to meet financial targets and unit scorecard goals.
  • Monitor documentation, length of stay, efficiency, overtime, and other resource use; attend daily care coordination rounds and follow up on identified concerns.
  • Manage productivity according to the staffing grid and oversee shift-by-shift resource utilization.
  • Provide input on unit resource utilization and capital and operational budget needs.
  • Identify and implement innovative practice or operational changes through unit projects and shared governance activities.
  • Investigate and incorporate evidence-based practices presented to shared governance and leadership.
  • Support change initiatives and adapt to unexpected changes.
  • Expand nursing knowledge, coach staff development, and serve as a clinical resource.
  • Develop and disseminate informational and educational resources and programs to improve quality and professional practice.
  • Perform other job-related duties as assigned.

Benefits

  • UT SELECT medical insurance, offered free for employees.
  • Group term life insurance and basic accidental death and dismemberment insurance provided at no cost, with options to purchase additional coverage.
  • Three dental insurance plan options through Delta Dental.
  • Two vision plan options through Superior Vision Services.
  • Disability insurance enrollment option providing income if a non-work-related illness or injury prevents the employee from working.
  • Flexible spending accounts for qualifying dependent day care and out-of-pocket health care expenses.
  • Retirement plan eligibility through TRS or, for eligible faculty staff employees, ORP; voluntary retirement programs are also available.
  • Front-loaded paid time off of 128 to 208 hours annually based on years of service, prorated in the first year when applicable.
  • Extended Illness Bank accrual of eight hours per month, usable for illness or injury after one day of PTO is taken.
  • Paid family leave of up to 240 hours after six months of consecutive employment.
  • Twelve set paid holidays each year.
  • Discounts on services, tickets, and gym membership.
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