E.D. CHARGE NURSE - EMERGENCY DEPARTMENT
Status: Full Time
Shift: 6p-6a, 12hr shifts, includes nights, rotating weekends/holidays and possible call
Responsible for the oversight of patient care for the department/unit assigned. Coordinates the clinical care of all patients located on the unit assigned. Ensures the cohesive delivery of services, patient satisfaction and safety. Supervises staff on nursing units in the absence of the Unit Director/Coordinator to assure that nursing standards are met. Possesses the authority to make decisions necessary in crisis situation, utilizing hospital protocols and resources such as the Emergency Services Surge plan.
Graduate of an accredited school of nursing is required.
Current LA RN license is required.
2 years experience in Emergency Services.
Charge nurse experience
DESCRIPTION OF DUTIES:
1.Staffing - Validates staffing with the staffing plan and schedule. Stay within budgetary guidelines. Factors to consider:
oBoarding patients and holding area utilization
oStaffing resources- FAN or agency assigned, staff competency, and staff in orientation
oFlex down based on patient acuity and census
oOn-Coming Shift Assignments for triage, waiting area, ED treatment area, ED Annex, boarder patients and Holding area
oAssess boarder patients for appropriateness of assignment and placement.
oAssess the care of the patients assigned to an LPN.Delegates care to a Registered Nurse as needed.
oMonitors nurse assignment and changes in acuity of patients to provide optimum patient care.
3.Monitors and maintains efficient patient flow.
oWorks with Case Management, Nursing Supervisor, ED Physicians and Bed Control for optimum patient flow.
oCollaborates with external agencies (ie. Ambulance services, LERN, clinics, hospitals, nursing homes, law enforcement agencies) to meet the needs of the community.
oWorks closely with EVS staff to maintain quick bed turnover.
oRounds on patients to ensure satisfaction of patient experience.Provides immediate service recovery for noted issues.Communicates concerns to management team.
oMonitors team for compliance with service delivery initiatives.
oMonitors desk for new patient orders and timely transcription/processing.
oMonitors new orders for safety concerns (unapproved abbreviations and “blanket orders”) and works with Pharmacy and Medical Staff to clarify.
oEnsures safe work environment – frequently communicates with staff and others to address concerns as they occur.
oEnsures compliance for performance and documentation with core measures, prevention of hospital acquired conditions/infections (falls, CAUTIs, CLABSIs), pre/post-op processes, restraint utilization, critical values, changes in patient condition, medication reconciliation, PEC/CEC patients, and isolation compliance.
oWelcomes float/agency staff and ensures they are comfortable with department, patient assignment and equipment use.Provides immediate education and competency validation as needed.
oDocuments all care delivered and reassessments completed.Documents follow-up to any concerns from a patient.
oScreens outgoing call to physicians for appropriateness and staff readiness to respond to incoming returned phone calls.
oAware of physicians rounding for appropriate privileges and record access
oMonitors staff compliance with Patient Services, Department and Administrative Policies/Procedures and Programs.Provides immediate/confidential corrective action and competency demonstration and communicates concerns to management team.
oNew employees – ongoing monitoring of progression, feedback to Coordinator/Director, and evaluation input. Ensures orientation experience is met as planned and meets expectations of new staff.
oValidates physicians have privileges prior to patient record access. Verify physician special procedure privilege prior to physician performing invasive procedure.
oProvides in service education for staff members. Instruct unit personnel in new nursing technique, procedures, and annual competencies.
oMonitors meal periods and breaks to ensure adequate staffing at all times.
oMonitors staff productivity. Adjusts staffing as patient volume changes.
oMonitors general housekeeping/appearance of department.Contacts Environmental Services (EVS) as needed.Keeps hallways clear.
oAssures storage and security of equipment. Reports equipment errors/repairs timely and correctly.
oMaintains supply inventory, charging and resolution of lost charges daily.
oCompletes daily crash cart checks and weekly eye wash station flushing.
oEnsures disaster box complete with all necessary forms.
oCompletes Quantros report for all unexpected patient outcomes, unresolved patient/family complaints, unresolved physician/ancillary complaints with all known information at the time.
oNotifies Administrative Nursing Supervisor for all staff injuries.Notifies Security for visitor injuries.
oImmediately notifies management with beginning investigative findings and follow-up on all pertinent data relating to above unexpected events.
oEnsures midnight chart checks are completed accurately and follow-up on any outstanding findings is completed and/or reported.
oKeeps the Unit Coordinator/Director informed of staff, patient, and physician issues.
oPromotes positive relationships with unit staff and ancillary departments providing service to the department
oPromotes satisfactory relationships among the unit staff, other departments, the medical staff, and external agencies(ie. Ambulance services, law enforcement, etc).
oChannels suggestions, criticism, and questions to Coordinator/Director.
oAssists leadership with enforcement of professional behavioral standards and job role responsibilities for care delivery team.
oAssist with disciplinary action, according to hospital policy, after approval from ED Director or Coordinator
oAssists in maintaining ongoing preparedness for inspections/surveys.
oProvides input to employee evaluations.
oAssists with identification of learning needs for all staff.
oMaintains a positive attitude and promotes compliance with organizational and department goals at all times.
oA resource to staff and physicians for electronic medical record issues.
6.Assists with assignments as delegated by Department Management Team.