Prime Healthcare

Charge Nurse - ER

Facility Paradise Valley Hospital
Location
US-CA-National City
ID
2021-82193
Category
RN
Position Type
Full Time
Shift
Nights

Overview

The Emergency Department (ED) Charge Nurse is responsible and accountable to the Department Director for the quality of nursing staff and the delivery of patient care during his/her shift and assists the Director in the daily operation of the respective unit(s)/department. He/she provides direct communication with the Director and/or House Supervisor of unanticipated patient care events and/or risk management activities within patient care unit(s); Utilizes nursing personnel effectively, assisting with required scheduling, staffing and assignments; Provides direction, supervision and evaluation of staff and/or staff education as necessary; Assists with performance evaluations, progressive discipline of staff and other related HR activities as needed; Assesses supplies and equipment availability, ensures their proper use and functionality and assists in the daily maintenance of par levels; Collaborates with other department managers/supervisors to ensure smooth coordination of services to patients; enhanced patient flow within the facility and efficient admission/discharge/transfer processes; Assesses patient care delivery and quality of care/documentation on a consistent basis; directs staff members to make immediate changes in the plan of care, as appropriate to ensure patient safety and adherence to regulatory guidelines, hospital policies, procedures, protocols and/or clinical pathways and notifies Department Director, House Supervisor and/or Medical Staff as appropriate utilizing the chain of command. Interviews patients/families on admission and during rounds to enhance positive patient experiences, provide comprehensive orientation to the patient care unit and increase patient/family awareness on how to access services and/or the charge nurse, if necessary. The Charge Nurse may perform direct patient care within scope of practice and clinical competency to ensure patient safety and patient/nurse ratios; he/she shall be temporarily relieved of Charge Nurse duties during such times by Director/designee and shall document details of same on patient care assignment record.

Responsibilities

  • Accurately records and / or processes orders in a timely manner, i.e. ASA administration and EKG and Troponin POC for all Chest
  • Pain patients immediately upon presenting in ED.
  • Ensures the completion of accurate pertinent triage/initial assessments consistently on new patients, in a timely manner, by staff.
  • Monitors wait list for patients needing to be triaged. Implements bedside triage when appropriate.
  • Demonstrates ability to adequately assess and reassess pain on triage, after giving pain medication and upon discharge and proper documentation on the patient record.
  • Monitors hemodynamic/cardiac status of patient and correctly interprets the results. Reports to the physician any abnormal results.
  • Initiates discharge and patient / family education planning with proper documentation on the patient record. Ensures car seat release is signed for pediatric patients less than 6 years of age or less than 60 pounds. Ensures Homeless Plan of Care is documented on discharge for all homeless patients.
  • Supervises staff to ensure compliance with all regulatory requirements for clinical pathways, clinical assessments, interventions and documentation, as appropriate.
  • Complies with and is able to fulfill the duties and responsibilities of department-specific Registered Nurse staff position when required.
  • Collaborates with and assists the Department Director on age-specific issues, clinical practice, unit operations, human resources management and/or regulatory requirements.
  • Serves as a role model and provides positive influence to facilitate change, managing interpersonal concerns through chain of command in a professional manner.
  • Does not use unacceptable abbreviations in documentation, (uses read back on all telephone orders).
  • Follows medication reconciliation policy consistently and ensures compliance by all licensed staff.
  • Ensures Crash Cart, including defibrillation function, have been checked per protocol and after each code, ensures appropriate items are immediately replaced and crash cart checklist is complete with appropriate signatures.
  • Demonstrates knowledge of and compliance with information contained in Infection Manual (i.e. OSHA blood borne pathogen standards, CDC Guideline), appropriate use of personal protective equipment (i.e., gloves, masks, goggles) and hand hygiene techniques.
  • Gives thorough, detailed efficient change of shift report to oncoming charge nurse to ensure consistency in the plan of care and assignment of nursing personnel. Uses the SBAR communication methodology in all reporting.
  • Assists physicians with special tests and procedures in the unit. Uses Universal Protocol "time out" on all patients for any invasive bedside procedures and ensures staff compliance.
  • Avoids and prevents injury to self and patients by applying the principles of body mechanics and use of safe patient handling devices. Maintains a safe environment, functioning with an awareness and application of safety issues identified within the unit/facility.
  • Assesses and documents pain assessment and reassessment consistent with hospital policy and/or upon discharge or transfer of patients.
  • Recognizes signs of abuse and reports appropriately to Social Services and/or the Child (CPS) or Adult Protective Services (APS) per county and state regulations.
  • Monitors staff resources to reflect the needs of the department. Has the authority to send staff home for illness, facility need, or performance issues in collaboration with Department Director/House supervisor.
  • Evaluates performance of staff in the Department through verbal and written counseling’s along with participation in performance evaluations.
  • Participates in interviews effectively and provides recommendation for hire to the Director for open positions.
  • Performs other management duties requiring independent judgment as assigned by the Director or CNO.
  • Performs all other duties as assigned or required.

Qualifications

Education and Work Experience

  1. Current and valid state RN License.
  2. Current BLS (AHA) certificate upon hire and maintain current.
  3. Current ACLS (AHA) certificate 30 days upon hire and maintain current.
  4. Current PALS (AHA) certificate and/or ENPC required 30 days upon hire and maintain current.
  5. Previous supervisory experience, preferred.
  6. Minimum of one year as a staff nurse in an acute care hospital setting, E.D. setting preferred.
  7. Trauma Nurse Core Course (TNCC) certificate within 12 months of hire and Certified Emergency Nurse (CEN) within 2 years of hire, preferred.
  8. Bachelor�s degree in Nursing (BSN) preferred.
  9. Behavioral Violence Prevention (BVP) certificate within 6 months of hire and maintain current annually.

Facility Specific Requirements (facility may require items listed below):

  1. In Paramedic Base Station ED, MICN, within 12 months of hire.
  2. EDAP Certified Facilities: Completion of emergency pediatric course 1 & 2 within 30 days of hire.
  3. Minimum of 4 hours of CEU in Pediatric Training Classes per year ENPC preferred.
  4. Non OB facilities: NRP (AHA) certificate within 30 days upon hire and maintain current.
  5. Non OB facilities: Advanced or AWHONN Intermediate Fetal Monitoring certificate within 30 days upon hire.



We are an Equal Opportunity/ Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources. EEO is the Law: https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf

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