Charge Registered Nurse - RN

About the Role

Works with the Facility Manager, facility staff, and physicians to coordinate facility operations and patient procedures, ensuring the provision of quality patient care on a daily basis in accordance with policies, procedures, and training. Provides nursing support to patients and staff. Assists with staffing, staff training, equipment, physician and patient relations, cost containment, supply management, medical records, patient billing, OSHA, and all company, state, and federal compliance.

Responsibilities

• Quality:
  • Supports and drives quality standards through meeting regulatory requirements and practicing Continuous Quality Improvement (CQI), including the use of CQI tools.
  • Assists with implementing quality goals and develops facility-specific action plans to achieve quality standards.
  • Ensures outstanding quality of patient care by working with management to follow policies and procedures.
  • Assists with implementing appropriate training according to policy and ensures ongoing compliance with all risk management initiatives.
  • Addresses and acts on adverse events and action thresholds.
  • Ensures all Quality policies and procedures are communicated to and implemented by facility staff.
  • Maintains integrity of medical records and other administrative and operational records.
  • Complies with all data collection and auditing activities.
  • Maintains facility environmental integrity, including safety.
• Patient-Related:
  • Coordinates all aspects of patient care with appropriate staff members, from admission through discharge.
  • May confer with patients prior to procedures to obtain medical history, discuss procedures, answer questions, and perform nursing assessments.
  • Ensures patients and families are educated regarding post-procedure care of vascular access.
  • Acts as a resource for staff to address patient concerns and questions.
  • Ensures patient procedures are scheduled in a timely manner and facility capacity is utilized efficiently.
  • Assists with patient workflow, including direct patient care and monitoring pre, intra, and post-procedure.
  • Identifies and communicates patient-related issues to the Facility Manager.
  • Oversees and ensures accurate and complete documentation of patient treatments from admission to discharge.
  • Confirms written orders, consents, and lab work are completed and documented according to facility policies.
  • Assumes primary responsibility in emergencies, maintains competency with emergency procedures, and initiates CPR as needed.
  • Administers medications and IV conscious sedation as directed by physicians, complying with all regulations.
• Physicians:
  • Ensures regular and effective communication with physicians.
  • Attends and participates in Governing Body meetings, assisting with agendas and gathering data/materials.
  • Attends and participates in CQI meetings with physicians, reporting on assigned topics.
  • Works with physicians and staff to ensure possession of all necessary instruments and equipment.
• Maintenance/Technical:
  • Ensures appropriate operation of facility equipment and technology, including patient monitors, defibrillators, medical recording devices, and computers.
  • Inspects all facility equipment regularly and reports malfunctions or maintenance issues immediately.
  • Inspects all facility operating systems, including temperature checks and physical structure.
  • Maintains a clean, safe, and sanitary environment in the facility at all times.
  • Ensures all blood spills are addressed immediately according to company Bloodborne Pathogen Control Policies.
• Administrative:
  • Participates in cost control initiatives and ensures efficient utilization of medications, laboratory services, inventory, supplies, and equipment.
  • Assists in developing and revising facility policies and procedures to ensure continuous process improvement.
  • Initiates, documents, and completes ongoing CQI activities, including monthly reports and meetings.
  • Manages medications, including ordering, receiving, inventory control, and checking for expired medications.
  • Oversees maintenance of usage logs for all medications with appropriate documentation and records of drug disposal.
  • Ensures medical records are accurate, complete, and compliant with policies and procedures prior to patient discharge.
  • Performs regular chart audits.
  • Coordinates annual medical testing and competency testing for all facility staff.
  • Participates in all facility regulatory and accreditation surveys and action plans to address deficiencies.
  • Verifies records for implanted devices are completed accurately, timely, and maintained according to records management guidelines.
  • Coordinates the collection and forwarding of vendor invoices to the accounting department.
  • Acts as the Facility Manager in their absence or at the direction of management.
  • Ensures nurses' progress notes are accurate and complete.
  • Acts as the Patient Safety Officer, conducting quarterly patient safety meetings and fire drills.
  • Complies with HIPAA policies and standards regarding patient information and medical records.
  • Performs other duties as assigned.

Requirements

• Bachelor's Degree preferred; Advanced Degree desirable.
• Graduate of an accredited School of Nursing (R.N.).
• Current appropriate state licensure and ACLS certification.
• 6-8 years of related experience.
• 3+ years of supervisory or project/program management experience preferred.
• Minimum of three years of experience in an Ambulatory Surgical Center/Vascular Access Lab, or a combination of ASC, surgical, Interventional Radiology, and ICU/CCU experience.
• Minimum of three years of Interventional Radiology scrub experience preferred.
• Supervisory or management experience within a medical or vascular access environment preferred.
• Proficiency with Microsoft Office Suite and medical database software.
• Demonstrated management skills to provide leadership and supervision of facility personnel.
• Good verbal and written communication skills.
• Certified in CPR or successfully complete CPR certification.

Physical Demands and Working Conditions

Day-to-day work includes desk and personal computer work, interaction with patients, facility staff, and physicians. The position requires travel between assigned facilities and various locations within the community, including regional, Business Unit, and Corporate meetings. The work environment is characteristic of a healthcare facility with controlled air temperature and moderate noise levels. May be exposed to infectious and contagious diseases/materials.