CHARGE NURSE (RN)- Emergency Department ($30,000 Recruitment Compensation & $5,000 Relocation Assistance Available)

Emergency Department Charge Nurse

The Emergency Department Charge Nurse is a registered professional nurse who is assigned specific management responsibilities by the nurse manager/director. S/he is directly responsible to the nurse manager and provides continuity of leadership. S/he is responsible for the evaluation and prioritization of activities to meet the changing unit demands on a shift-to-shift basis. The Charge Nurse has the authority, responsibility, and shift accountability for the delivery of nursing care through the use of the nursing process. The Charge Nurse accepts accountability, applies competent clinical knowledge, skills, and uses independent nursing judgment for care provided by self and by health care providers to whom care is delegated to achieve quality patient care outcomes. The Emergency Department Charge Nurse is responsible for leading the ER team in the Triage, assessing, directing, evaluation and delivery of patient care in the Emergency Department in acute and often critical situations. The Charge Nurse has adaptability to work in an environment for which the required workload may be fast-paced and stressful.

The Charge Nurse must demonstrate the knowledge and skills necessary to provide care that is relevant to the patient(s) under their care, as well as apply principles of growth and development over the life span. The Charge Nurse also must possess the ability to assess and interpret patient data needed to identify each patient's requirements relative to his or her age-specific needs.

Essential Functions:

• Makes assignments for the shift taking into consideration patient needs and staff skill mix. Adjusts assignments as needed throughout the shift as patient volumes/acuity dictate.
• Functions as a resource for knowledge and clinical skills, teaching/coaching staff. Seeks out additional resources as need.
• Rounds with Physicians, communicates with primary nurse any important or relevant information. Assists with coordination of interdisciplinary team.
• Coordinates with House Supervisor on bed availability and assists with patient bed assignment based on diagnosis of the patient, as well as psycho-social needs of the patient.
• Performs ongoing monitoring of the unit, balancing and assisting with tasks to prevent staff feelings of being overwhelmed or omissions/gaps in patient care.
• Coordinates and/or assists in the completion of admissions, discharges, and transfers; assures timeliness of patient flow and accuracy in patient data collection/documentation.
• Addresses minor performance issues (behavioral, code of conduct, policy infractions); documents occurrence and resolution for Director. Discusses/updates Director regarding any major issues. Fosters a culture of accountability.
• Assists Director with focused Patient and Employee rounds using specified tools and pre-determined rounding criteria
• Monitors to assure indicators for Core Measures, Quality Outcomes, and Patient Experience are being met (i.e. noise level in/around patient room, visitor accommodations patient centric per policy).
• Monitors unit for Joint Commission requirements and readiness as applicable.

Standards:

I. Assessment: The Registered Nurse Collects Health Data.

II. Diagnosis: The Registered Nurse analyzes the assessment data in determining diagnoses.

III. Outcome Identification: The Registered Nurse identifies expected outcomes individualized to the patient.

IV. Planning: The Registered Nurse develops a care plan that prescribes interventions to attain expected outcomes.

V. Implementation: The Registered Nurse implements the interventions identified in the care plan.

VI. Evaluation: The Registered Nurse evaluates the patient's progress toward attainment of outcomes.

VII. Quality of Care: The Registered Nurse systematically evaluates the quality and effectiveness of nursing practice.

VIII. Performance Appraisal: The Registered Nurse evaluates his/her own nursing practice in relation to professional practice standards and relevant statutes and regulations.

IX. Education: The Registered Nurse acquires and maintains current knowledge in nursing practice.

X. Collegiality: The Registered Nurse contributes to the professional development of peers, colleagues, and others.

XI. Ethics: The Registered Nurses decisions and actions on behalf of patients are determined in an ethical manner.

XII. Collaboration: The Registered Nurse collaborates with the patient, significant others, criminal justice system personnel, and health care providers in providing patient care.

XIII. Resource Utilization: The Registered Nurse considers factors related to safety, effectiveness, and cost in planning and delivering patient care.

XIV. Training: The Registered Nurse (Charge Nurse) will be required to train, educate, supervise and evaluate students from outside entities or organizations with whom GRMC has an Affiliation Agreement.

• Current New Mexico or multi-state Registered Nurse license
• BLS (AHA)
• ACLS (AHA)
• PALS (AHA)
• GRMC approved EKG course within 3 months of hire and annually
• Moderate Sedation Certification within 3 months from hire date
• CEN preferred
• ENPC preferred
• NRP preferred
• TNCC within 1st year or available class
• Approved de-escalation/crisis prevention training annually
• 2 years Emergency Department/critical care experience preferred

Note: Job description available upon request. All required documents must be presented at time of hire. Employment is contingent upon successful completion of pre-employment drug and alcohol testing. GRMC is an Equal Opportunity Employer.