Charge Nurse

Come be a part of our Cheyenne Regional family!

Cheyenne Regional has a long-standing reputation for high-quality, compassionate care and has continued to lead and inspire healthcare excellence in the region.

Visit our benefits page:

https://www.cheyenneregional.org/staffemployees/benefits/

ROLE SUMMARY

The Registered Nurse assesses, plans, implements, evaluates and supervises individual patient care according to unit policies and procedures. Accepts responsibility for direction of co-workers in the implementation of care plans. May be required to work on other units according to distribution of staff and patients.

CORE RESPONSIBILITIES

• Completes nursing assessment of patient and documents appropriately into patient chart.
• Develops and reviews and revises a plan of care, including a discharge plan, based upon the assessment of patient's needs.
• Implements medical and nursing orders per plan of care and documents appropriately.
• Evaluates patient's response to care and engages in patient and family teaching as appropriate.
• Oversees staff (LPN, CNA, and PSA) assigned for providing patient care.
• Participates in Bedside Shift Report.
• Collaborates with the Clinical Nurse Manager to assure the integration of the ANA’s Scope & Standards of Practice, assuring that these standards are identified as the measurement criteria for nursing practice on the unit.
• Coordinates patient care in collaboration with providers and ancillary departments to achieve quality outcomes.
• Completes Unit specific orientation and ongoing training and competencies as assigned based on department role, scope of services, and organizational standards.

DEPARTMENT/ROLE SPECIFIC RESPONSIBILITIES

ARU: Attends family conferences, patient care Conferences, and daily stand up meetings.

CARE CLINIC, SAME DAY SURGERY, and PACU: Collaborates with the Clinical Nurse Manager to assure integration of the American Society of PeriAnesthesia Nurses (ASPAN) Standards of Nursing Practice.

CHARGE NURSE: Facilitates immediate and direct complaint intervention and resolution. Participates in ongoing evaluation of patients, assuring efficiency of communication with patients, follow-up and flow through the system. Performs daily rounds on the floors to assess patients and possible critical situations to determine patient care needs and outcomes. Assists in the identification and management of staff, patient, and family educational needs. Responsible for staff management, to include sending staff home in the interest of safe patient care, in the absence of Clinical Nurse Manager. Oversight of charging and documentation accuracy, including review and analysis of effectiveness of nursing interventions.

CLINICAL EDUCATION: Instructs Nurse Residency or clinical certification classes as directed by the program director. Deliver clinical curriculum utilizing various methods.

FORENSIC NURSING: Provides timely, non-judgmental, compassionate care to victims of trauma and violence, to include but not limited to Intimate Partner Violence, Child Abuse, Strangulation, Elder Abuse and Sexual Assault and Abuse. Follows established forensic nursing protocols. Triages and assesses patients, provides prophylaxis for pregnancy and STI’s, coordinates medical and psychological care, provides advocacy, community resource and law enforcement referrals. Performs complete head to toe physical, document patient history, collect forensic evidence including photographic documentation. Be available for call coverage according to forensic nursing protocol. Maintains forensic nursing competences and participate in quality assurance projects, community education and peer review.

HOSPICE: Serves as patient case manager and focuses specifically on the physical, spiritual, and emotional needs of the patient and family in a nurturing and supportive role. Attends the first available hospice volunteer training after acceptance of employment.

MEDICAL IMAGING: Procedural Nurse: Provides IV moderate sedation and pain relief. Assists with biopsies, the placement of drains for abscesses, and the insertion of chest tubes. May assist with Peripheral Runoffs, PAS port placements and removals, Nephrostomy/Biliary tube placements, AV Fistulograms with and without angioplasty, IVC Filter placement and removal, Discograms and thrombolytic infusion therapy.

VASCULAR ACCESS NURSE: Hard stick IVs, ultrasound guided IVs, PICC insertions, mid-line insertions, arterial line insertions, port accesses, and dressing changes.

The above statements are intended to describe the general nature and level of work performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified and employees may be required to perform other duties as assigned.

KNOWLEDGE, SKILLS, AND ABILITIES

• Demonstrates effective leadership and professional/clinical skills according to Standards of Care, to include drug calculations.
• Ability to assess a patient’s condition
• Ability to utilize critical thinking to formulate plan of care, select appropriate interventions, and evaluate patient’s response to plan of care and problem solve as needed.
• Ability to explain to patient/family the nursing process and how it helps meet the patients’ needs and improve patient outcomes.
• Verbal, written, and interpersonal communication skills

MINIMUM REQUIREMENTS

• Wyoming Registered Nurse License or enhanced Nurse Licensure (eNLC)
• Cheyenne Regional AHA RQI within 14 calendar days of start date
• One (1) year or more of nursing experience required for the following units:
  • Medical/Oncology, Medical, Telemetry, Surgical/Ortho/Neuro, Pediatric, ICU, OB/GYN, Nursery II, Acute Rehab, Emergency Department, Labor and Delivery, Care Clinic, PACU, and Same Day Surgery
• 30 Days to 2 years: Additional requirements/certifications as noted in the Specialty Certification Requirements and Mandatory Requirements for Specialty Units lists below

PREFERRED QUALIFICATIONS

• Bachelor’s degree or higher from an accredited school of nursing

SPECIALTY CERTIFICATION REQUIREMENTS

• Specialty certifications grace periods, unless otherwise specified per department (see mandatory requirements for specialty units below):
• AHA ACLS, AHA PALS, and AAP NRP should be obtained within 6 months of hire or transfer as required by specialty unit.
• TNCC and ENPC should be obtained within 1 year of hire or transfer as required by specialty unit.

MANDATORY REQUIREMENTS FOR SPECIALTY UNITS

• Candidates must meet the following mandatory requirements for specialty units once hired or transfer, unless alternate arrangements made with the Clinical Manager:
• Administrative Rapid Response (ARR) – NIHSS within 30 days; AHA ACLS, TNCC, ENPC or AHA PALS, AAP NRP, and CPI within 1 year
• Ambulatory Infusion Center, Hematology/Oncology Clinic, and Radiation Oncology – ONS biotherapy/chemotherapy within 6 months
• Behavioral Health – CPI training within 90 days
• Cardiac Services – AHA ACLS
• ED – NIHSS within 90 days; CPI, AHA ACLS, and TNCC within 6 months; and ENPC within 1 year
• Forensic Nursing – IAFN approved SANE training within 2 months of hire. Complete forensic orientation training within 6 months of hire
• ICU – NIHSS within 90 days; AHA ACLS and TNCC within 1 year
• Labor and Delivery – AAP NRP within 6 months of hire; AHA ACLS within 6 months of completing L&D orientation; Fetal Heart Monitoring within 6 months of completing L&D orientation; and PeriOp 101 within 1 year of hire/transfer to L&D
• MBU – AAP NRP and AHA ACLS within 6 months of hire
• Medical Imaging – Procedural Nurse: AHA ACLS, AHA PALS, and Moderate Sedation within six months of hire
• Nursery – AAP NRP within 6 months
• PACU– AHA ACLS, AHA PALS, CPAN within 2 years, minimum of six months critical care experience
• Peds – AHA NRP within 6 months; AHA PALS or ENPC within 6 months of finishing specialized orientation
• Same Day Surgery – CAPA within 2 years, AHA ACLS within 1 year of hire.
• Telemetry – AHA ACLS within 1 year of hire