About The Position

The Registered Nurse Charge Nurse is responsible for the overall direction and supervision of nursing department personnel during the shift. The role ensures appropriate patient assignments, assists with treatments and medication administration as needed, informs physicians of changes in patients’ conditions, reviews patient care, and serves as a leader and resource for staff. The Charge Nurse provides care for adult and geriatric patients age 18 and over, coordinates patient admissions, discharges, and transfers, supports staff with clinical needs, and helps maintain safe, effective, and cost-effective care. The role also coordinates staffing, supplies, equipment, documentation, unit operations, quality activities, and communication with patients, families, physicians, and other departments.

Requirements

  • Current RN license to practice in the state of employment.
  • Knowledge of basic computer skills and word processing.
  • BLS certification upon hire or within six weeks of the hire date.
  • Obtain ACLS certification within 90 days of employment.
  • Maintain licenses and certifications for the duration of employment.
  • Ability to perform each essential duty satisfactorily; reasonable accommodations may be made for qualified individuals with disabilities.

Responsibilities

  • Provide care for adult or geriatric patients aged 18 years and over, respecting each patient's rights, dignity, and individuality.
  • Make equitable patient assignments based on staff ability and patient needs.
  • Delegate unit and patient-related tasks to Nurse Aides, LPNs, and RNs, and monitor their completion.
  • Make rounds during the assigned shift and respond to emergencies.
  • Address and document patient and family concerns and initiate resolution.
  • Coordinate patient admissions, discharges, and transfers.
  • Coordinate acquisition of unit supplies and equipment in accordance with policy and in collaboration with the materials department.
  • Review daily staffing and coordinate staffing issues while adhering to the staffing matrix and using staffing cost-effectively.
  • Complete shift reports and relay pertinent patient information to the oncoming Charge Nurse; keep the Nurse Manager or others informed as appropriate.
  • Supervise complete, timely, and accurate documentation of patient care.
  • Demonstrate required clinical skills and provide clinical assistance to staff.
  • Check and document that emergency equipment is operational during the shift.
  • Act as Team Leader during Code situations.
  • Perform iSTAT instrument testing according to approved technical procedures.
  • Maintain clean and organized unit and patient rooms.
  • Initiate nursing orders for isolation precautions on new admissions and ensure precautions and signage remain current.
  • Monitor patient telemetry, notify the nurse of alarms, document alarms, include them in shift reports, and report equipment malfunctions or failures.
  • Ensure staff change and label IV tubing, feeding bags, catheters, dressings, and related items according to hospital policies and procedures.
  • Participate in developing, reviewing, and revising policies and procedures; inform staff of changes and review proper use.
  • Participate in assigned quality assurance activities.
  • Attend monthly Charge Nurse and staff meetings and participate in unit in-service programs.
  • Participate in the Unit Performance Improvement Plan, coordinate assigned review and monitoring activities, and lead the Process Improvement team while involving appropriate staff.
  • Ensure safe, effective, and cost-effective patient care practices and report issues to a supervisor.
  • Use the chain of command to seek assistance and guidance with patient care, staffing, or unit problems.
  • Review the dietary log for accuracy and complete the daily census.
  • Use Cerner, STAR, and Healthland, including ordering or canceling physician orders.
  • Resolve Omnicell discrepancies according to policy and procedure.
  • Ensure required forms are complete, including EMTALA, Incident Reports, ROI, Lifeshare, and Record of Death forms.
  • Coordinate and plan nursing interventions with Therapies.
  • Communicate with the host hospital nursing supervisor when necessary, including about bed arrangements and dietary matters.
  • Demonstrate procedures related to nursing equipment and supplies.
  • Show willingness to try new tasks, generate ideas for change, evaluate priorities, communicate and model organizational values, and foster high performance.
  • Follow the Hospital Compliance Plan and report suspected or actual violations to the Compliance Officer.
  • Maintain professional conduct and comply with hospital and departmental policies and procedures.
  • Follow the hospital attendance policy.
  • Comply with measures to prevent exposure to bloodborne pathogens and participate in the Hazardous Material Program.
  • Follow established Safety and Patient Safety Program practices.
  • Perform other incidental and related duties as required or assigned.
  • Recognize patient abuse and follow policy for appropriate referrals and interventions.
  • Participate in Performance Improvement activities.
  • Limit access to protected health information to what is reasonably necessary for the job and share it only on a need-to-know basis for work purposes.
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