ER Charge Nurse
Odessa Regional Medical Center was founded in 1975 by 14 obstetricians, pediatricians, and family practitioners as Odessa Women’s and Children’s Hospital. Through the years, the hospital grew and evolved into a full-service healthcare facility and the name was changed to Odessa Regional Hospital in 1995.
In June 2007, Odessa Regional Hospital purchased Alliance Hospital and changed its name to Odessa Regional Medical Center to reflect its larger campus and more comprehensive services. In 2015, ORMC acquired Basin Healthcare Center. The hospital has 225 beds and has approximately 250 physicians on staff and has over 700 employees.
Today, ORMC offers a wide spectrum of healthcare services, including advanced diagnostic imaging technology, emergency care, innovative surgical procedures, maternity care, comprehensive cardiac services and general medical care.
About the Shift:
7p - 7a - Charge RN - Nights - Rotating Weekends and Holidays
About the Position:
The charge nurse will assume responsibility of the entire unit. They are responsible for overseeing the care provided to each patient, including the waiting room patients. To do so they will provide leadership and management thru consistent support, decision making and example.
The unit flow will be managed by assignment of rooms based on acuity taking into consideration all aspects of patient safety, comfort and privacy. Each decision impacts each patient and each staff member and will be made with caution.
Upon arrival on the unit, the on-coming charge nurse will review the unit huddle book to familiarize themselves and staff with changes as well as review the tracking board for appropriate assignments.
Prior to leaving shift, all EKG’s will be assigned to patient properly and all chart for the designated shift will be checked for charges and disposition in addition.
The Charge Nurse is also responsible for being a conduit for the physician and providers to facilitate flow and patient care. Additional duties will include decisions for productivity and staffing challenges. As an example to the staff the charge nurse must be able to provide copies of all up to date required competencies and will jeopardize their position with any lapse in certification.
Demonstrates Competency in the Following Areas:
Provides direct patient care, evaluates outcomes, consults with other specialists as required and adjusts nursing care processes as indicated to ensure optimal patient care.
Ability to perform a head-to-toe assessment on all patients and reassessments as per policy. This includes neonate, pediatric, adolescent and geriatric patients and the general patient population.
Ability to adequately assess and reassess pain. Utilizes appropriate pain management techniques. Educates the patient and family regarding pain management.
Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors.
Ability to monitor hemodynamic status of patient and correctly interpret the results.
Demonstrates knowledge of cardiac monitoring, identifies dysrhythmias and treats appropriately.
Accurately assigns triage categories following the ESI Module
Maintains accurate and continued nursing documentation including patient histories, conditions, treatments, responses and assessment of changes.
Ability to interpret the results of waived tests; takes appropriate action on waived test results.
Treats patients and their families with respect and dignity. Identifies and addresses psychosocial, cultural, ethnic and religious/spiritual needs of patients and their families. Functions as liaison between administration, patients, physicians and other healthcare providers.
Follows the five (5) medication rights and reduces the potential for medication errors.
Cooperates with other personnel to achieve departmental objectives; maintains good employee relations and interdepartmental objectives
Responds promptly to changes in workload, adjusting assignments as necessary to achieve optimal productivity and efficiency
Assists the Emergency Department Nurse Manager in the development, implementation and evaluation of performance improvement indicators to improve patient outcomes and the work environment
Maintains patient confidentiality at all times.
Demonstrates knowledge of the principles of growth and development over the life span and the skills necessary to provide age appropriate care to the patients served. Able to interpret data about the patient’s status in order to identify each patient’s age specific needs and provide care needed by the patient group.
Interacts professionally with patient and family and involves patient and family in the formation of the plan of care.
Prepares, hangs, monitors and discontinues IV fluids.
Maintains established departmental policies and procedures, objectives, performance improvement program, safety, environmental and infection control standards.
Maintains a safe, comfortable and therapeutic environment for patients and families in accordance with hospital standards.
Assists in cost containment through the appropriate ordering and conserving of supplies and equipment.
Maintains current knowledge of medications and their correct administration based on age of the patient and his/her clinical condition
Maintains comprehension of: Chest Pain Accreditation Guidelines, Stroke, Trauma and Sepsis and assist staff with compliance of such.
Provides resource information to other staff throughout the shift
Demonstrates the ability to assist physicians with procedures in the Emergency Department.
Supervises temporary employees and allocates and monitors work of others; leads one or more employees performing similar work.
Orients new charge nurses to the Emergency Department.
Assists the Emergency Department Nurse Manager in the development, implementation and evaluation of performance improvement indicators to improve patient outcomes and the work environment.
Enhances professional growth and development through participation in educational programs, current literature, inservice meetings and workshops; shows responsibility for own professional practice and ongoing education.
Works at maintaining a good rapport and a cooperative working relationship with physicians, health plans and staff.
Provides care appropriate to condition and age of the patient, including neonate to adult and general population. (See Age-Related Competency)
Demonstrates ability to use EMS radio and appropriately document report.
Maintains clinical knowledge and skills for the stroke patient population. Completes on going staff educational opportunities including competencies for all levels and departments interacting with Stroke population.
Resource of the hospital for the care of the stroke patients regardless of the admitting diagnosis of the patient.
Ability to manage and coordinate stroke patient care during and post hospitalization
Performs other related duties as assigned or requested.
Adheres to dress code, appearance is neat and clean.
Completes annual education requirements.
Maintains regulatory requirements.
Reports to work on time and as scheduled, completes work within designated time no later than 15min prior to shift and prepared to assume charge positin when staff arrives.
Wears identification while on duty, uses computerized punch time system correctly.
Completes inservices and returns in a timely fashion.
Attends annual review and department inservices, as scheduled.
Attends at least 75% staff meetings annually, reads and signs all monthly staff meeting minutes and huddle book
Represents the organization in a positive and professional manner.
Actively participates in performance improvement activities.
Complies with all organizational policies regarding ethical business practices.
Communicates the mission, ethics and goals of the facility.