The Charge Nurse provides clinical supervision of patient care and job performance supervision of all employees on an assigned shift. Plans, coordinates and provides for optimum patient care on the unit. Maintains the Standards of Nursing Care as established. Assures utilization of the nursing process based on research and evidence based outcomes. Identifies the number and level of personnel needed to provide patient care and adjusts staffing and assignments appropriately. Evaluates the capabilities of other professionals prior to delegating duties. Facilitates and encourages staff nurse participation in shared governance councils by assuring appropriate schedule availability and provides staff nurse relief to leave unit for on-duty meetings. In addition to the above, provides nursing care in accordance with the Nurse Practice Act, utilizes the nursing process to incorporate rehabilitation nursing interventions to meet patient care needs on the acute inpatient rehabilitation unit. The population served is the adolescent, adult, and geriatric patient with rehabilitation diagnoses and associated deficits. Essential Functions:
Supervises nurses and caregivers on their assigned shifts.
Exercises independent judgments in making patient assignments and adjusts these assignments based on the competencies of the care-giver, patient acuity, continuity of care and environmental factors.
Initiates the ‘Chain of Command’ policy and procedure when indicated.
Provides direction and leadership in critical emergency situations ensuring patient safety is maintained. Manages census including decisions on when to flex off staff and who should be flexed.
Determines when additional staffing is needed (even if above required staff ratios) and documentation of staffing levels.
Maintains established unit budget for the assignment of personnel.
Manages impact of call-ins on scheduling. Evaluates staff and delivers evaluations including float and registry personnel.
Interviews and makes hiring recommendations. Evaluates all staff.
Counsels staff and has authority to take corrective action pursuant to hospital policy. Makes recommendations on terminations.
Makes recommendations on department budgets including supplies, training and headcount.
Assigns preceptors to staff as needed, provides training and reviews staff competencies. Is responsible for identifying and providing learning experiences for the staff as documented in the daily staff assignments and annual performance evaluation goals.
Keeps abreast of current concepts and research in relation to general practice of nursing, specialty area and management.
Takes personal responsibility for improving patient satisfaction with the quality of care and service.
Attends monthly hospital-wide Management Staff meeting as well as required department meetings. Conducts staff meetings.
Considered a Leader and/or Unit Facilitator who is responsible for keeping clinical staff updated on workflow and system changes.
Considered to be a Super-User for Epic and has the ability to use advanced features which may be beyond the abilities of regular users.
Demonstrates competency in Functional Improvement Measure (FIM) scoring.
Completes mandatory stroke specific requirements for certification.
Collaborates with clients and caregivers to facilitate post-acute care transitions through promotion of optimal health, self-management, quality of life, risk reduction and harm prevention.
Audits the Plan of Care to ensure short and long term goals are identified, realistic and individualized to the patient, and either achieved or revised by the primary registered nurse within appropriate time frames.
Demonstrates understanding and carry through on therapists’ plan of care for patient to include transfers, mobility, self-care and swallowing techniques.
Clinical Care: Ensure that quality patient care is delivered to all patients on a 24-hour basis, and the unit is maintained in accordance with professional and regulatory standards and the philosophy and goals of Hoag.
Performs other duties as assigned.
Education, Training and Experience
Required: Bachelor’s of Science in Nursing from an accredited school of nursing.
Preferred: Master’s of Science in Nursing. 3-5 years of acute clinical experience, at least 1 of those in a rehabilitation setting. Previous successful supervisory experience of 1 year. Inpatient acute rehabilitation experience; FIM training; CARF experience.
Skills or Other Qualifications
Required: Demonstrates effective communication, interpersonal skills, organizational ability, knowledge of proper body mechanics, safety measures and infection control, ability to follow instructions, knowledge of age of population served, and additional skills and knowledge of equipment may be required for hire into some patient care departments.
Qualified bilingual or multilingual candidates. Working knowledge of Microsoft Office Suite, including Outlook, Word, Excel, and PowerPoint, plus healthcare database systems. Previous rehabilitation nursing experience.
License and Certifications
Required: Registered Nurse in the State of California. Current BLS. ACLS within 30 days of hire. NIHSS certification within 30 days of hire. CRRN certification within 2 years of hire.
Hoag Memorial Hospital Presbyterian has been the community’s beloved hospital and destination for state-of-the-art sub-specialty medicine. This combination of world-class clinical excellence and close-knit neighborhood care has long distinguished us. When you join Hoag, you become a member of our family. We believe being a member of the Hoag family requires you to give and Hoag is committed to those who work with us to provide patient care.