Staff RN/Charge RN Emergency Department

St. Charles Health System•Bend, OR

About The Position

ST. CHARLES HEALTH SYSTEM JOB DESCRIPTION TITLE: Charge Nurse REPORTS TO POSITION: Varies DEPARTMENT: Varies DATE LAST REVIEWED: January 2025 JOB SUMMARY Collaborates with leadership in coordination of the assigned shift. Provides clinical support and mentorship to the assigned shift while delivering quality patient and family centered care as a member of the health care team in accordance with SCHS mission, philosophy, policies, and procedures. Applies standards for professional nursing practice and focuses clinical care to enhance the experience for patients, families, and all others. Provide direct patient care as per article 7.15.2. ST. CHARLES HEALTH SYSTEM JOB DESCRIPTION TITLE: RN – Emergency Department REPORTS TO POSITION: Department Manager/Director DEPARTMENT: Varies DATE LAST REVIEWED: July 2025 OUR VISION: Creating America’s healthiest community, together OUR MISSION: In the spirit of love and compassion, better health, better care, better value DEPARTMENTAL SUMMARY: The Emergency Department RN positions include bedside RNs on various units throughout St. Charles Health System. These departments provide 24/7 specialized care to patients during emergency visit through discharge or hospitalization. POSITION OVERVIEW: The RN provides quality patient and family centered care as a member of the health care team in accordance with SCHS mission, philosophy, policies, and procedures. Applies standards for professional nursing practice and focuses clinical care to enhance the experience for patients, families, and all others. As a nurse, this position will oversee the work of other caregivers, providing specific care to assigned patient(s) throughout the shift, as required under the scope of the RN licensure.

Requirements

Education: As required by licensure, BSN preferred.
Licensure/Certification/Registration: AHA Basic Life Support for Healthcare Provider certification.
ACLS PALS TNCC or ATCN Code Grey Training required within 6 months of hire.
Procedural Sedation competency within 6 months of hire.
Experience: Varies by department. Two years of nursing experience in the clinical area of assigned supervision required.
Previous leadership experience preferred.
Must be able to wear appropriate PPE (Personal Protective Equipment) required to perform the job safely.
Required: As required by RN licensure.
Required: Current Oregon RN license.
AHA Basic Life Support for Healthcare Provider certification.
BEND: Additional Requirements: ACLS and PALS. TNCC or ATCN Certification and Code Grey within 6 months of hire.
REDMOND: Additional Requirements: ACLS and PALS. TNCC or ATCN Certification and Code Grey within 6 months of hire. NRP and Moderate sedation within 6 months
PRINEVILLE: Additional Requirements: ACLS, TNCC or ATCN, PALS and Code Grey within 6 months. NRP and Moderate sedation within 6 months
MADRAS: Additional Requirements: ACLS, TNCC or ATCN, PALS and Code Grey within 6 months. Moderate sedation within 6 months NRP and Moderate sedation within 6 months
BEND & REDMOND: Required: 1 year of Emergency Department experience within the last 3 years, or the completion of the SCHS fellowship program.
MADRAS & PRINEVILLE: Required: N/A
Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely.
General: Must have excellent communication skills and ability to interact with a diverse population and professionally represent SCHS.
Excellent organizational and multitasking skills.
Strong teamwork and collaborative skills.
Strong analytical, problem solving and decision making skills.
Basic to intermediate ability and experience with computer applications, specifically electronic medical records system and MS Office.

Nice To Haves

BSN preferred.
Previous leadership experience preferred.
Preferred: Department specific acute care certification. (i.e. CEN, CPEN, TCRN)
Preferred: N/A
Preferred: N/A
Preferred: 1 year recent Critical Care or ED RN experience
Preferred: 1 year recent Critical Care or ED RN experience
BEND & REDMOND: Preferred: 1 year Triage experience, 1 year Trauma nursing in a Level 1 or 2 Trauma Center.
MADRAS & PRINEVILLE: Preferred: 1 year recent Critical Care or ED RN experience

Responsibilities

Assist unit leadership in the following: Coordination of the shift, bed management, and patient flow (inter and intra departmental).
Patient assignment.
Proactively monitoring and managing shift staffing to meet patient needs and productivity targets.
Determining patient acuity for download and staffing needs for next shift.
Successful handoff and communication between shifts.
Crisis management for the shift.
Serves as a mentor; teaches, guides, and supports the clinical staff.
Provides input into the evaluation process of unit caregivers.
Demonstrates ability to set priorities and adapt quickly to new situations.
Identifies work-related problems with possible solutions and implements solution(s) (within scope of practice) in collaboration with the clinical supervisor.
Responsible to manage their patient’s experience by clarifying, integrating, and coordinating the roles of the interdisciplinary team and help mentor other nurses clinical skills accordingly.
Supports and assists physicians and staff with computerized documentation.
Serves as a resource within the unit and to other departments regarding unit specific best practices.
Provides 2-way communication of the SCHS mission, vision, values, and strategic plan for the shift.
Lives, models, applies and assures care delivery philosophy in interactions, care and service.
Clinical problem solving.
Help provide coverage for breaks and other times the primary nurse needs relief.
Maintains and demonstrates an in-depth knowledge of nursing principles, practices, standards, and techniques and applies this knowledge in accordance with SCHS policies and work instructions and within laws and regulations governing nursing practice in the State of Oregon.
Assesses the patient’s condition and needs using critical thinking and clinical judgment: sets outcomes; implements appropriate nursing actions and collaborates with other disciplines to meet the patient’s/family’s physical, emotional, spiritual, social, and intellectual needs; and evaluates patient’s progress.
Calculates dosages and administers medications accurately using the “5 Rights” of medication administration.
Provides and maintains a safe environment for caregivers, patients and guests.
Ability to document in Electronic Medical Records with proficiency.
Demonstrates awareness of and supports St. Charles Health System’s departmental and operating unit goals through participation in continuous quality improvement and departmental activities.
Participates in activities that promote professional growth and development of self and others.
Communicates (both written and orally) effectively and maintains professional relationships with caregivers, medical staff, patients, and guests.
Participates in creating a healing environment that supports all aspects of the care environment and the wholeness of each individual, patient and caregiver.
Participates in creating intentional relationships and demonstrates focus attitudes and behaviors that enhance the care experience.
Provides a therapeutic presence in service to others.
Therapeutic presence is purposefully responding to the needs of patients/customers in a caring way. It includes introducing oneself and stating your purpose, asking the patient their preferred name, sitting with the patient to determine their care goals, active listening, and the skillful use of communication skills (touch, eye contact, etc.).
Performs other related work as directed by immediate supervisor.
Maintains and demonstrates an in-depth knowledge of nursing principles, practices, standards, and techniques and applies this knowledge in accordance with St. Charles Health System policies and procedures and within laws and regulations governing nursing practice in the State of Oregon.
Assesses the patient’s condition and needs using critical thinking and clinical judgment: sets outcomes; implements appropriate nursing actions and collaborates with other disciplines to meet the patient’s/family’s physical, emotional, spiritual, social, and intellectual needs; and evaluates patient’s progress.
Calculates dosages and administers medications accurately in accordance with St. Charles Health System policies and procedures for medication administration.
Documents all patient care with proficiency in compliance with hospital policies, procedures and regulatory agencies.
Demonstrates awareness of and supports St. Charles departmental and operating unit goals through participation in continuous quality improvement and departmental activities.
Participates in activities that promote professional growth and development of self and others.
Communicates (both written and orally) effectively and maintains professional relationships with caregivers, medical staff, patients, and guests.
Identifies work-related problems with possible solutions and implements solution(s) within scope of practice, as appropriate.
Supports the vision, mission and values of the organization in all respects.
Supports Value Improvement Practice (VIP- Lean) principles of continuous improvement with energy and enthusiasm, functioning as a champion of change.
Participates in creating a healing environment that supports all aspects of the care environment and the wholeness of each individual, patient and caregiver.
Participates in creating intentional relationships and demonstrates focused attitudes and behaviors that enhance the care experience.
Provides a therapeutic presence in service to others by purposefully responding to the needs of patients in a caring way, including introducing oneself and explaining role in patient’s care, asking the patient his or her preferred name, sitting with the patient to determine his or her care goals, active listening, communicating effectively and appropriately through touch, eye contact, etc.
Provides and maintains a safe environment for caregivers, patients and guests
Conducts all activities with the highest standards of professionalism and confidentiality.
Complies with all applicable laws, regulations, policies and procedures, supporting the organization’s corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings.
Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient and accurate.
Performs stand by callback as assigned.
Varies by department.
May perform additional duties of similar complexity within the organization, as required or assigned.