As a leader of the health care team, directs shift-to-shift and/or departmental operations and provides professional nursing care, including utilizing the nursing process in accordance with established standards of care, policies, and procedures. Participates in effective resource allocation by assuring appropriate patient assignments, staffing, and scheduling. Remains flexible to changing systems; is expected to demonstrate quality and effectiveness in work habits and clinical practice; and treats coworkers, patients, families, and al members of the health care team with dignity and respect.

• The Charge Registered Nurse demonstrates proficiency by exhibiting the following skills, competencies, and behaviors:


• Formulates a goal-directed plan of care when and where appropriate to do so.


• Implements care in a thorough, skillful, consistent, and continuous manner.


• Establishes patient care priorities based on essential patient needs and availability of unit resources (time, personnel, equipment, and supplies).


• Identifies patient/family learning needs and acts to meet them.


• Demonstrates an awareness of and sensitivity to patient/family rights, age specific needs, cultural and ethical beliefs.


• Establishes effective working relationships with members of the health care team, patients, and families.


• Prioritizes, delegates, and supervises work assignments appropriately to ensure completion of patient care activities.


• Evaluates effectiveness of care given by team members.


• Utilizes effective communication methods and skills, following lines of authority, as appropriate.


• Demonstrates knowledge of and applies safety principles as identified by the institution.


• Performs efficiently in emergency situations following established protocols, remaining calm, informing appropriate persons, and documenting events.


• Demonstrates responsibility and accountability for own professional practice.


• Participates regularly in staff development activities for unit and department personnel.


• Participates in unit and department Performance Improvement activities.


• Identifies and solves problems effectively.


• Demonstrates a service philosophy in all interactions with patients, families, and all members of the health care team.


• Demonstrates proficiency in the use of computers and telecommunication modalities in documenting, tracking and conveying information.


• Leadership


• Upholds Kaiser Permanentes Policies and Procedures, Principles of Responsibilities, and applicable state, federal and local laws.


• Provides professional leadership and direction of department personnel in order to maintain efficient delivery of effective patient care.


• Demonstrates a professional, supportive attitude.


• Champions new ideas.


• Leads and directs others through the change process.


• Mentors, orients, and coaches others in unit specific operations and patient care activities.


• Shares responsibility and authority with subordinates and holds them accountable for performance.


• Demonstrates ability to identify and resolve problems in collaboration with work team and with other departments.


• Complies with regulatory requirements, policies, procedures, and standards of practice.


• Customer Service


• Practices customer service standards as defined by the Service Area, Medical Center, and specified department.


• Assists members who are less than satisfied with their experience by listening and taking responsibility within their scope to ensure that the issue is resolved.


• Makes appropriate referrals and facilitates the customers ability to utilize resources.


• Maintains and protects patient confidentiality.


• Assures a clean, orderly, and functional work environment.


• Supervisory Responsibilities


• The incumbent motivates and provides clinical direction to other employees, but does not have the authority to hire, fire, discipline, nor effective input into such.


• Nursing Process (Provides clinical support to staff RN in these functions)


• Provides competent Emergency nursing care, for all ages, acuities and conditions in the population the facility serves.


• Within scope of role, demonstrates initiative, followup and flexibility in the resolution of staffing issues.


• Leadership:


• Ensures provision of care is consistent with EMTALA, Nurse Practice Act, Title 22 and other applicable regulations and laws, including patient confidentiality and risk management.


• Supports and ensures teamwork with all internal and external departments and agencies involved in the provision of care.


• Serves as a leader of the health care team; delegate tasks appropriately, and demonstrates appropriate accountability. Must be charge over five (5) or more employees, of which at least 1 must be another Registered Nurse, unless this requirement is waived by the employer.


• Maintains knowledge of Emergency Department functions in a disaster scenario.


• Maintains all required licenses, certifications and professional development/ continuing education requirements per department and facility standards.


• Works within scope of practice, including standardized procedures, and communicates clearly with all members of healthcare team.


• Performs other related duties as necessary.


• Provides MSE reflecting sound clinical knowledge and judgment, and consistent with Standardized Procedure and State/ Federal regulations.


• Performs assessment/data collection in an on-going systematic manner, focusing on physiologic, psychosocial, cultural, spiritual and cognitive status; also nutrition, pain, patient/family education, family involvement and patient advocacy.


• Proficient in emergency responses such as resuscitation/ codes, hazmat response, and emergency childbirth.


• Provides care consistent with National Patient Safety Goals, medication safety procedures and other standards adopted by the facility to ensure patient safety.


• Completes duties with regard to safety practices and policies, including infection control, workplace safety, and management of aggressive behaviors.


• Documentation


• Documents patient care in a timely, accurate, and concise manner. Documentation reflects nursing process including reassessments in evaluating effectiveness of care.


• As leader, keeps current on new relevant information related to electronic records, including downtime procedures.