About The Position

The Registered Nurse Charge Nurse provides overall direction and supervision of nursing department personnel during the assigned shift. The role ensures appropriate patient assignments, assists with treatments and medication administration as needed, informs physicians of changes in patient condition, reviews patient care, and serves as a leader and resource for staff. The nurse provides care to adult and geriatric patients aged 18 and older, coordinates patient admissions, discharges, and transfers, and supports safe, effective, and cost-effective care. The Charge Nurse oversees staffing, delegation, clinical tasks, documentation, emergency readiness, patient telemetry, isolation precautions, equipment and supplies, and communication among staff, patients, families, physicians, and other departments. The role participates in quality assurance and performance improvement activities, policy review, staff meetings, and in-service programs. The position supervises nursing staff including LPNs, CNAs or PCTs, Unit Assistants, and Telemetry Technicians.

Requirements

  • Current RN license to practice in the state of employment.
  • Basic computer skills and word-processing knowledge.
  • BLS certification upon hire or within 6 weeks of hire.
  • Obtain ACLS certification within 90 days of employment.
  • Maintain required licenses and certifications throughout 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 while 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 that assigned tasks are completed promptly and efficiently.
  • Make rounds during the assigned shift and respond to emergencies.
  • Address patient and family concerns, document them, and initiate resolution.
  • Coordinate patient admissions, discharges, and transfers.
  • Coordinate the acquisition of unit supplies and equipment from Central Supply in accordance with policy and in collaboration with the materials department.
  • Review daily staffing schedules, address staffing issues, follow staffing algorithms, and use staffing cost-effectively in accordance with the staffing matrix.
  • Give shift reports at designated times 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 the clinical skills required on the assigned unit and provide clinical assistance to staff.
  • Check and document the operational status of emergency equipment during the assigned shift.
  • Act as Team Leader during Code situations.
  • Perform iSTAT instrument testing according to approved technical procedures.
  • Ensure the unit and patient rooms are clean and organized.
  • Initiate nursing orders for isolation precautions for new admissions and maintain current precautions and signage.
  • Monitor patient telemetry procedures, notify the nurse of alarms, document alarms, include them in shift reports, and report malfunctions or equipment failures.
  • Ensure staff change and label IV tubing, feeding bags, catheters, dressings, and related items according to hospital policy and procedure.
  • Participate in developing, reviewing, or revising policies and procedures; inform staff of revisions 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 reviews and monitoring, involve staff where feasible, and lead a Process Improvement team.
  • Ensure safe, effective, and cost-effective patient care practices and report concerns to a supervisor.
  • Use the chain of command to obtain assistance and guidance on patient care, staff, or unit problems.
  • Review dietary log information 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 regarding beds and dietary matters.
  • Demonstrate procedures for using nursing equipment and supplies.
  • Show willingness to take on new tasks, generate ideas for change, evaluate priorities, model organizational values, and foster high performance.
  • Follow the Hospital Compliance Plan and report violations or suspected violations to the Compliance Officer.
  • Maintain professional conduct and comply with hospital and departmental policies, procedures, and attendance requirements.
  • Follow measures to prevent exposure to bloodborne pathogens and comply with the Hazardous Material, Safety, and Patient Safety programs.
  • Recognize potential 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 for work-related, need-to-know purposes.
  • Perform other incidental and related duties as required or assigned.
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