Charge Nurse - Observation Unit

Registered Nurse Observation Unit

At TriHealth, our nurses are at the center of delivering compassionate, patient-focused care across the system. In the Observation Unit, you will play an essential role in providing both direct and indirect holistic care for patients requiring short-term monitoring and rapid evaluation. You'll collaborate closely with physicians and the care team, ensuring safe, efficient, and high-quality clinical decision-making that directly impacts patient outcomes and flow.

Why You'll Love This Role

• Meaningful, fast-paced patient care with a focus on rapid diagnostics and short-term treatment.
• Highly collaborative team culture with physicians and interdisciplinary staff.
• Professional growth opportunities through hands-on practice, care planning, and clinical pathway utilization.
• Supportive leadership and structured nursing standards that empower you to excel.
• Opportunity to mentor and educate others within your specialty as your skills grow.

Key Responsibilities

• Perform initial and ongoing patient and family assessments and document findings according to unit and TriHealth standards.
• Develop and update individualized plans of care based on assessments, patient input, and established clinical pathways.
• Communicate assessment findings and care plans effectively with physicians and the healthcare team.
• Provide a safe, therapeutic care environment while upholding patient autonomy, dignity, and rights.
• Respond appropriately to emergency situations and escalate concerns as needed.
• Complete all documentation and patient care tasks within expected timeframes.
• Deliver patient and family education and health counseling as part of routine care.
• Serve as a resource by training or guiding other staff within the specialty when appropriate.

Qualifications

Must-Have

• Associate's Degree or Diploma in Nursing.
• New hires must obtain BSN within 5 years.
• BLS/CPR for Healthcare Providers.
• Active Registered Nurse licensure.
• Strong clinical judgment and skills grounded in biological, physical, behavioral, social, and nursing sciences.

Preferred

• Membership in a related professional organization.
• 1+ year full-time or 2+ years part-time acute care RN experience.
• Specialty certification.

Schedule & Location

• FTE: Full-Time - 36 Hours weekly
• Shift: Full-Time Days 6:30am-7:00pm
• Work Arrangement: Onsite, inpatient hospital setting - Observation Unit
• Address: 375 Dixmyth Avenue, Cincinnati, OH 45220

Benefits Snapshot

TriHealth offers a comprehensive benefits suite including medical, dental, vision, retirement contributions, paid time off, tuition assistance, and wellness resources.

Learn more:

Hourly Incentives & Bonus

$1hr Weekend Incentive

$2hr Charge Pay

$5,000 Sign on Bonus

Acute Care Incentive Pay- Hourly Pay Based on Previous RN Experience

Job Overview

This position applies the nursing process in providing direct and indirect holistic care to patients and their families. The position also collaborates, in a collegial manner, with physicians and other health care team members in meeting the patient's needs. This position may delegate certain aspects of care to those under their direct supervision, within the scope of nursing practice.

Job Requirements

Associate's Degree or Diploma in Nursing

New hires required to obtain BSN within 5 years of hire.

BLS/CPR (Basic Life Support for Healthcare Providers)

Registered Nurse

Knowledge, judgment, and skills derived from the principles of biological, physical, behavioral, social, and nursing sciences to meet complex health care needs at various stages of the life cycle

Preferred membership in related professional organization

RNs with more than 1 year full-time or 2 years part-time acute care experience

Preferred certification in specialty

Job Responsibilities

Performs initial and ongoing assessment of patient and family. Completes initial assessment tool. Documents ongoing assessment per unit/TriHealth guidelines. Communicates assessment findings to other health care providers as appropriate. Includes health counseling and health teaching needs in assessment.

Plans care for patient and family based on assessment, standards of care, and optimal specific outcomes. Initiates and individualizes appropriate patient care guidelines/plan of care or clinical pathways. Updates current plan of care as needed based on patient/family input and healthcare needs. Develops both short- and long-term goals with patient/family and healthcare team including discharge planning. Communicates plan of care to others.

Provides a safe, therapeutic environment, maintains patient's autonomy, dignity, and rights, and is sensitive to patient diversity. Seeks resources to help formulate ethical decisions. Balances priorities of the patient's needs and those of the unit/facility. Recognizes emergency situations and takes appropriate action. Completes patient assignment including documentation within scheduled timeframe. Bases interventions on clinical data and desired outcomes and documents accordingly. Trains/educates other staff and acts an expert resource in specialty area through abilities in existing and newer knowledge and skills. Effectively communicates and understands/executes physician orders.

Evaluates the plan of care for patient based on optimal specific patient outcomes. Documents the patient/family response to care including teaching. Collaborates with the patient/family and with other members of the health care team, including physicians, to revise plan of care as needed. Supervises the care that was delegated to other health care team members.

Performs technical skills according to policy and procedure and accepted standards within their area of practice. Safely administers medications/treatments and monitors their effects. Uses all equipment in a safe, appropriate manner.

Demonstrates organizations responsibilities: Identifies areas for self-improvement, functions in relief charge / resource role as requested, completes assignments within scheduled timeframes, cooperates with instructor to facilitate effective learning experiences for students, maintains current knowledge in area of practice, demonstrates knowledge of organizational and department changes.

Other Job-Related Information

The TriHealth Nursing Vision, Mission, and Philosophy speaks to professional development, collaboration, and our nursing culture. To achieve excellence in nursing care, TriHealth encourages: pursuit of improved knowledge through continuing education classes, formal education leading to advancement of degrees, and the attainment of specialty certification; nurse membership in local, regional, and national nursing organizations related to the appropriate nurse specialty; involvement in activities that better the health of our community; nursing research activities and use of evidence-based practice, and all nurses to foster, support and personally model collaborative relationships amongst nurses, physicians, and other caregivers for the betterment of patient care.

Working Conditions

Bending - Frequently

Climbing - Rarely

Concentrating - Consistently

Continuous Learning - Consistently

Hearing: Conversation - Consistently

Hearing: Other Sounds - Consistently

Interpersonal Communication - Consistently

Kneeling - Occasionally

Lifting <10 Lbs. - Consistently

Lifting 50+ Lbs. - Consistently

Lifting <50 Lbs. - Consistently

Pulling - Consistently

Pushing - Consistently

Reaching - Consistently

Sitting - Occasionally

Standing - Consistently

Stooping - Consistently

Talking - Consistently

Thinking/Reasoning - Consistently

Use of Hands - Consistently

Color Vision - Consistently

Visual Acuity: Far - Consistently

Visual Acuity: Near - Consistently

Walking - Consistently

TriHealth SERVE Standards and ALWAYS Behaviors

At TriHealth, we believe there is no responsibility more important than to SERVE our patients, our communities, and our fellow team members. To achieve our vision and mission, ALL TriHealth team