Charge Nurse - Renal Unit - Weekends

Department: 34417 Wake Forest Baptist Medical Center - Nursing Med Surg: 8 North Renal Status: Full time Benefits Eligible: Yes Hou rs Per Week: 35.1 Schedule Details/Additional Information: Weekend program Fri-Sat-Sun Pay Range: $41.10 - $61.65 Charge Nurse - Renal Unit - Weekends Licensure , Education/Experience Required: ADN Required BSN Preferred 3 years of RN Experience Major Responsibilities- Operational Accountability: Supports the operational accountability for nursing unit during assigned shift. Remains aware of patient flow at all times and facilitates admissions, transfers and discharges of unit Coordinates and evaluates daily operations to ensure the delivery of quality patient care on the nursing unit Assists the unit manager to monitor productivity on a regular basis in alignment with department budgetary goals Participates in the evaluation of unit compliance with regulatory agency requirements (i.e., Accrediting Organization, CMS, etc.) Unit issues, problems and concerns are effectively communicated to Unit Manager or designee if unable to resolve. Ensures department supply inventories are monitored carefully, replacement items are ordered to insure no interruption in patient care Assures all defective equipment is reported to appropriate department and ensures policy adherence Ensure Bedboard is aware of all available beds, pending discharges and isolation rooms Monitors and adjusts staff assignments as required to assure patient safety and to optimize efficiency, incorporating ANA staffing guidelines Demonstrates leadership for unit clinical and operational responsibilities which reflect direct line supervision for quality, patient satisfaction, associate satisfaction, physician partnership, and financial stewardship. Makes daily rounds with RN’s to determine acuity/workload of unit Assign patient acuity levels based on patient and staff rounding, determine appropriate patient assignments for oncoming shift Recruit staff to work when needed Low-census/float staff according to policy and record appropriately Record call-in’s and refer staff member to Unit Manager or Administrative Manager Assign breaks and lunches to staff Facilitates coverage for staff to attend meetings/educational programs during shift Monitor observation patients on unit and change status as warranted Ensure daily patient charges are captured and entered accordingly Turn off main oxygen in event of emergency Complete daily discharge call-backs to patients Attend daily Bed-flow meetings Assign PCA duties and monitor for completion Leadership Accountability: - Demonstrates clinical leadership for unit during assigned shift. Provide report of all patients to oncoming Charge Nurse, remain aware of patient acuity, patient assignments, unit activity and unstable patients Demonstrates the ability to provide assistance in critical situations Assists unit manager with 90 day and annual performance evaluations with developmental goals for staff on a timely basis Coordinate with CNS to assign preceptors for new employees and students Coordinate Disaster Plan specific to unit Use prudent judgment in making patient assignments, ensuring appropriate patient load as deemed necessary for safe staffing Assign admissions and transfers appropriately to staff Demonstrates competence in all aspects of patient care Maintains unit and hospital-based competencies Serves as a mentor/preceptor in developing new staff members Ensure all associates are held accountable for performing their appropriate roles and responsibilities Promotes a professional atmosphere and supports administration to associates Participates in the interviewing, hiring, and competency assessment of staff in conjunction with the unit manager. Review State of the Unit Report for outliers, completes follow-up with staff to achieve compliance Quality patient care and satisfaction: Facilitates associate critical thinking and clinical skills to optimize patient outcomes, customer satisfaction and resource management. Performs the principle duties and responsibilities of the RN position and serves as a role model for professional practice. In collaboration with the unit CNS, identifies educational needs of nursing staff and implement formal and bedside education geared toward enhancing nursing knowledge and the advancement of nursing practice. Provides direct patient care as a staff RN as needed. Serves as a clinical resource and mentors unit staff to develop critical thinking and psychomotor skills. Collaborates with the CNS and unit manager on processes to improve patient satisfaction. Monitors and communicates patient expectations and complaints to appropriate personnel to insure the highest level of care and satisfaction Ensure hourly rounds are performed on all patients by unit staff Round on all patients (modified on nights) utilizing key words and questions to assess patient’s perception of hospital experience Responsible for first line Service Recovery of patient, family and physician complaints and effective communication of unresolved issues to Unit Manager Support quality improvement monitoring by: a. Auditing crash cart b. Resolve Pyxis discrepancies at end of each shift c. Audit Pyxis on the first Monday of each month d. Audit Blood Glucose monitor controls are completed e. Monitor Core Measures compliance, follow-up with staff accordingly f. Monitor sitter usage for relevance and appropriateness g. Check contents of restraint bag are intact and accessible Participate in monitoring process of process improvement measures through assistance with data collection, and support of performance improvement measures Works with Bed Board and Administrative Managers to assure proper placement of patients admitted to unit. Demonstrate effective time management by meeting deadlines and renegotiating timeframes as new priorities present themselves Profe