Charge Registered Nurse

Under general supervision of the Nursing Director, the Charge Registered Nurse supervises and provides professional nursing skills utilizing the nursing process in the delivery of patient care for the assigned shift. Assesses, plans, implements and evaluates the care for assigned patients. Serves as a patient advocate within the health care system. Responsible for supervising and performing patient care requiring specialized training and skill. Acquires and maintains knowledge and skill required to perform patient care in a specialty service/area. Accountable for assuring the safety, comfort, care, and treatment of patients according to legal, ethical, professional and institutional standards. Participates in the hospital’s Quality Improvement and Service Excellence programs. Demonstrates understanding of the philosophy and objectives, and adheres to policies and procedures of the department and organization.

1.      Completes daily assignment sheets and updates patient assignments on white board as soon as assignments are made.  Rounds on patients.

2.      Monitors patient care activities by the staff and ensuring completion- (i.e. baths, turning).  Ensures all staff members follow policy and procedure, assist with the flow of the unit including admissions and discharges, encourages staff members to work as a team, reports all concerns or disciplinary issues to manager or director.

3.      Troubleshoots problems that arise on the unit and informs management of potential problems.

4.      Provides shift report to oncoming charge nurse. Ensures change of shift rounds are done together.  

5.      Delivers appropriate care to patients, at a competent level, according to the needs of the patient and population served.  Utilizes the nursing process to assess, plan, provide, document and evaluate care.

6.      Coordinates the planning for delivery of nursing care with a multidisciplinary team and administers appropriate clinical decisions in the delivery of patient care.

7.      Collaborates and directs healthcare team in attainment of positive outcomes based on data, research, evidence and professional standards of care. Meets treatment goals; develops/implements discharge/ transfer plans; evaluates the quality of patient care and contributes to the revision of standards of care.

8.      Ensures safe care to patients adhering to policies/procedures/standards of care, within budgetary specifications, including time/supply management and accuracy of practice.

9.      Adheres to Hospital Policy on the assessment, ordering, application, consent, and monitoring of the patient when restraints are employed.

10.  Performs patient care and infection control audits as assigned, including weekly hand Hygiene audit, daily Central Line audit and ensures no narcotic discrepancies need to be resolved each shift.

11.  Demonstrates an understanding of patient rights, including those pertaining to confidentiality, informed consent and privacy.

12.  Demonstrates adaptability, problem solving and professional behavior at all times.

13.  Participates in a systemic, interdisciplinary, and ongoing evaluation of programs, process improvement, and desired client-centered outcomes.

14.  Promotes individual professional growth and development by meeting requirements for mandatory/continuing education, competence validation; supports department-based goals which contributed to the success of the organization; serves as preceptor, mentor and resource to less experienced staff.

15.  Actively participates in survey readiness activities and assures the unit is compliant with all regulatory standards.

16.  Abides by the HMH Legal Compliance Code of Conduct.

17.  Maintains patient confidentiality and appropriate handling of PHI.

18.  Maintains a safe work environment and reports safety concerns appropriately.

19.  Performs all other related duties as assigned.

Education: Graduate of a school of professional nursing required.

Experience: Three years of Med/Surg experience preferred.

Licensure/Certification: Current licensure as a Registered Nurse in the State of Texas. Basic Life Support certification required within 30 days of employment. Advanced Cardiac Life Support & Pediatric Advanced Life Support certifications required within 90 days of employment.

• Health Care Plan (Medical, Dental & Vision)
• Retirement Plan (401k, IRA)
• Life Insurance (Basic, Voluntary & AD&D)
• Paid Time Off
• Short Term & Long Term Disability
• Training & Development
• Wellness Resources