CHARGE NURSE - Emergency - Per Diem - Variable Shift

Job Description

Job Description

Charge Nurse - Per Diem - Emergency Dept

Shift: Variable 12 hour shifts

Job Description:

PATIENT POPULATION:
The patient population served can be all patients, including geriatric, adult, adolescent, pediatric, and newborn. This also includes services which affect facility staff, physicians, visitors, vendors and the general public.

POSITION SUMMARY:
With a positive manner according to Sierra View Medical Center standard of nursing, the R.N. Charge Nurse independently provides holistic, individualized care using the nursing process for patients routinely seen on the unit. Demonstrates an advanced level of clinical competency, nursing judgment, teaching skills, and a commitment to improving the quality of patient care with a positive manner. Is responsible for the coordination of quality patient care through the implementation of the nursing process on a shift basis. Specific areas of responsibility include, but may not be limited to: serving as a resource person, role model, mentor, ensuring therapies and treatments are given as ordered, immediate oversight of staff assigned to that unit. assisting in staff development, and direct communication with the Clinical Managers and Department Director of the unit as well as Administration as appropriate.

Must be able to work normal/scheduled working hours to include Holidays, call-backs, weeknights, weekends, and on-call. Agrees to participate, as directed, in emergencies and community disasters during scheduled and unscheduled hours. As a designated disaster service worker you are required to assist in times of need pursuant to the California Emergency Services Act.
(Gov’t. Code §§ 3100, 3102)

Needs to recognize that they have an affirmative duty and responsibility for reporting perceived misconduct, including actual or potential violations of laws, regulations, policies, procedures, or this organization’s standards/code of conduct.

The employee shall work well under pressure, meet multiple and sometimes competing deadlines; and the incumbent shall at all times demonstrate cooperative behavior with colleagues and supervisors.

EDUCATION/TRAINING/EXPERIENCE:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

To perform this job successfully, an individual should have positive demonstration of leadership skills, effective communication techniques, successful interpersonal relations, and increased acceptance of responsibility. Minimum two (2) years of unit specific clinical experience and/or approval of the Unit Director. A national certification will be identified and the time frame to complete the certification will be approved by the respective Leadership within 90 days of accepting the position. Must have and maintain Crisis Prevention Intervention (CPI) certification or obtain within one (1) year of assignment to department.

Ability to read and interpret documents such as safety rules, operating and m maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence if required.

Ability to calculate figures and medication dosages and solutions calculations.

Ability to use common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.

To perform this job successfully, an individual should be knowledgeable in basic computer skills."

LICENSURE/CERTIFICATIONS:
Must have and maintain current licensure as a Registered Nurse in the state of California. Must have and maintain current American Heart Association BLS, ACLS, and PALS cards or obtain prior to hands on patient care. Must have or be eligible to enroll in MICN and obtain prior to being assigned as a Charge Nurse independently. A national certification will be identified and the time frame to complete the certification will be approved by the respective Leadership within 90 days of accepting the position (applies only if Charge RN is the employee’s primary position). Must have and maintain Crisis Prevention Intervention (CPI) certification or obtain within one (1) year of assignment to department.

Responsibilities and Essential Functions:
*Indicates Essential Function

1 * Makes patient care assignments utilizing Benner's Novice to Expert. Coordinates with the Director or Clinical Manager/House Supervisor in times of high census as patients are triaged to a lower level of care to include discharge. Coordinates patient admissions, transfers, and discharges with assistance as appropriate.
2 * Coordinates staffing needs with the Clinical Manager and/or Staffing Coordinator/Nursing Supervisor. Ensures accurate reporting of census and patient acuity for staffing purposes.
3 * Coordinates breaks and lunches to provide a reasonable ratio of experienced and orienting personnel to provide ongoing patient care.
4 * Ensures appropriate staff response to all "Code" situations.
5 * Supports achievement of improvement and follows through on actions resulting from QA/QC findings. Encourages participation from coworkers.
6 * Facilitates and coordinates intra and inter departmental relationships or teamwork. Maximizes and identifies resources for quality improvement opportunities on the unit.
7 * Assists in the writing/revising of policies and procedures to keep unit current with regulatory requirements.
8 * Flexes staff up/down based on scheduled caseload, maintains appropriate resource use by monitoring staff and patient changes.
9 * Assists with addressing and diffusing patient complaints and patient conflict situations.
10 * Maintains open, two-way verbal and written communication with staff, physicians, Director/Clinical Manager and all other hospital departments.
11 * Attends daily bed meetings (0900 & 1600) to assist with patient admissions as appropriate for individual unit.
12 * Mentors staff in problem analysis/resolution, encourages freedom of expression.
13 * Is a mentor for staff and participates in leadership and management self-development. Identifies and communicates clinical issues that require management intervention.
14 * Demonstrates excellent skills in working with others and elicits their cooperation.
15 * Demonstrates and maintains current knowledge and clinical skills in area of specialty and all required competencies. Able to function in a trainer role for all staff.
16 * Participates in committee and/or task forces to improve nursing practices and/or service.
17 * Role models and encourages participative unit decision making.
18 * Assumes responsibility for the coordination of activities in the unit on their assigned shifts.

EMERGENCY DEPARTMENT DUTIES/RESPONSIBILTIES:
1 * Demonstrates competency to and successfully fulfills all duties and responsibilities of the Triage Nurse job description.
2 * Facilitates patient flow based upon EMS information and triage criteria. Ensures timely response to all radio calls, facilitates transfers while adhering to EMTALA regulations.
3 * Responds or sends appropriate delegate to all "code blue" calls on the first flow and all "code white" calls throughout the facility.
4 * Consistently involved in Professional Development Classes for further knowledge in Emergency Nursing such as: TNCCC, ENPC, NRP, National Conference related to Emergency Nursing, and CEN.