The Charge Registered Nurse is a professional nurse who coordinates, supports and supervises other Registered Nurses in the delivery of nursing care. They ensure the nursing unit runs smoothly and efficiently and oversees the transition between shifts.
Requirements
- Institutes and initiates a plan of care for patient based on the initial assessment within the shift, documents; implements and continuously evaluates interventions; reassesses patient needs on an on-going basis as required per unit or procedure
- Develops, discusses and communicates a realistic problem list (plan of care) for each patient, in collaboration with each patient/family/significant other to address identified needs
- Recognizes changing patient condition and modifies plan by using resources, chain of command and Rapid Response Team (RRT) promptly and appropriately
- Assimilates and prioritizes information sources to take immediate and decisive patient-focused action by routinely performing patient rounds and addressing concerns timely
- Maintains a safe environment and responds with confidence and adapts to rapid changing patient conditions and emergent situations
- Demonstrates the skills and judgement necessary to implement plan of care, nursing interventions and procedures necessary for the care of the patient
- Appropriately documents all assessments, plans of care specific to patient and identified problem for care provided accurately
- Demonstrates proper documentation of narcotics
- Demonstrates effective communication skills to convey information in a concise, accurate and understandable manner while adhering to confidentiality
- Identifies and develops the need for education of patients, family and/or significant others and provides education, individualized instruction, the use of written materials and/or other available resources from admission to discharge
- Assigns nursing care to licensed staff, delegates nursing care to unlicensed staff and coordinates the flow of work
- Calculates and administers medications and blood products via 7 Rights of medication; demonstrates knowledge of documentation
- Coordinates and collaborates with multidisciplinary team members in the planning and management of patient care to meet patient needs, to include discharge and/or referrals based on patient needs
- Responds to the unique needs of patients and families coping with unanticipated treatment, quality of life, and end-of-life decisions
- Monitors and allocates patient care services, recognizing the fiduciary role of nurses working in a resource intensive environment
- Maintains and promotes professional standards with a constructive, proactive approach and development by participating and managing Performance Improvement needs, in-services, committees and staff meetings
- Serves as a role model for compassionate care and service excellence and commits to Studer Principles and āmust havesā
- Facilitates team collaboration, utilizing strengths of team members, seeks and offers suggestions and shares the credit with team members putting the teamās interest above own interests
- Facilitates problem resolution and team collaboration among staff and physicians by coordinating, recognizing and assessing needs as well as assisting leadership by mentoring and coaching staff
- Serves as a resource, anticipates the needs of others and offers positive suggestions and productive feedback
- Facilitates patient movement within the department and through the facility, maintains awareness of all patients on unit and proactively managing patient admission, discharges and transfers including the ability to prioritize to maximize efficiency and recognize acuity levels
- Demonstrates ability to maintain appropriate staffing based on acuity/volumes and the ability to work effectively and make effective use of resources and capabilities
- Demonstrates ability to appropriately maintain/update online platform for patient census/acuity in a timely manner with balanced assignments
- Effectively manages patient hand-offs at shift change and between department and facilities; utilizes documentation tools for hand-offs as required
- Originates, develops or implements new methods to accomplish objectives with minimal prompting
- Assists department leader by providing input for purpose of progressive disciplinary process and/or evaluations as well as assisting with staffing schedule as needed
- Abides by regulatory agencies standards and provides every patient the defined standard of care (ie; core measures, chest pain protocol)
- Utilizes resources efficiently and effectively by demonstrating independence and resourcefulness
- Adheres to Tenet Standard of Conduct/Ethics as well as hospital policies and procedures
- Attends safety training programs and demonstrates adherence to proper hospital exposure procedures
- Actively pursues personal and professional development including a constructive approach with colleagues
- Addresses patient population-specific including an inclusive culture
- Performs all responsibilities/duties required by the specific unit as defined in the scope of service and demonstrates effective unit specific skills
- Maintains required competencies, certifications, online education and assures orientation to floating unit is completed
- Balances team and individual responsibilities and is objective and open to othersā views
- Demonstrates dependability/flexibility and assumes other duties and responsibilities as assigned
- Performs all responsibilities/duties required by specific unit/department to include quality improvement duties such as chart reviews and reduction of patient falls
- Verbalizes and demonstrates ability to escalate unsafe conditions throughout the hospital
- Respects privacy and confidentiality of sensitive information and situations
Benefits
- Medical, dental, vision, and life insurance
- 401(k) retirement savings plan with employer match
- Generous paid time off
- Career development and continuing education opportunities
- Health savings accounts, healthcare & dependent flexible spending accounts
- Employee Assistance program, Employee discount program
- Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance
