Clinical Support, Charge Nurse

The Charge Nurse is responsible for the delivery of high-quality patient focused care through precepting and observation of clinical support staff to evaluate and provide feedback to improve performance. Assists Center Nurse Manager through completion of duties as assigned to include vaccine inventory, supply ordering, log completion, monthly reconciliation of labs, documents nursing encounters, diagnostic imaging and scheduling. Serves as backup to Center Nuse Manager in their absence.

• Current certification as a Registered Nurse or Licensed Practical Nurse is required.
• Prefer experience in a medical setting.
• Individual must demonstrate mature judgment, be energetic, flexible and self-motivated with strong attention to detail, communication, teamwork, customer service and computer skills.
• Requires the ability to use clinical assessment skills and perception to determine the needs of the patient while working with the medical provider.
• Must maintain current CPR for all life cycles and CEU credits required for licensure.
• Must demonstrate excellent internal and external customer service skills.
• Employee must demonstrate an understanding of the intent, and follow standards, guidelines and protocols related to achieving and maintaining certifications by outside agencies.
• Must demonstrate a personal and professional commitment to Eastern Shore Rural Health and its Mission Statement.
• Ability to provide bilingual patient care is a plus.

• Expected to proactively collaborate and integrate with all members of the teams to achieve optimal care for the patient in the Medical Home model as designated Charge Nurse.
• Must be able to perform all essential functions of a nurse.
• Responsible for overseeing the functions and duties of assigned nursing staff, Pharmacy Assistant staff, Lab Technicians and X-ray staff, and provide input towards their evaluations.
• Ensures staff assigned to Center Nurse Manager (CNM) successfully attain their goals.
• Responsible for evaluating patient flow pertaining to the nursing aspects, and make appropriate adjustments and recommendations to the CNM.
• Assists in developing agenda for staff meetings and huddles.
• Assumes the responsibility of CNM in their absence, except in performing disciplinary action.
• May perform fact finding pertaining to occurrences in the absence of the CNM and gather statements for review upon their return.
• Assumes responsibility for daily scheduling/team assignments and overview of all nursing duties performed by teams.
• May serve as backup for immunization tracking and ordering. Orders medical supplies with knowledge of formulary/340B ordering.
• Reinforces updated clinical changes/requirements to ensure necessary adaptations are implemented.
• Assists in pulling clinical metrics on Clinical Support Staff (CSS) on a quarterly basis. Able to direct clinical training to best meet goals set by CNM with assistance from the Clinical Nurse Educator.
• Serves as Dickson One alarm backup.
• Serves as a preceptor and assists CNM in assigning team preceptor for newly assigned employees.
• Serves as clinical “validator” in Performance Manager for 30/60/90 and annual competency skills checkoff. Works closely with Clinical Nurse Educator on annual competency skills check off.
• Assists in monthly EOC as directed.
• Escorts patients to exam room, and prepares them for examination by provider.
• Obtains nursing intake as listed in the procedure manual to include measuring vital signs, documentation in electronic medical record and initiating standing orders as appropriate.
• Provides patient/family education regarding vaccines and may recommend care-coordination opportunities when situation presents itself.
• Prepares for and assists provider with procedures prn (e.g. sutures, toenail removal, pelvic exam, splinting).
• Administers and documents vaccines, medications and treatments including allergy shots as ordered by provider and within scope of practice. Able to determine state versus private vaccines.
• Performs specimen collection (e.g. phlebotomy, capillary draws, and catheterized and clean catch urine) and CLIA waived labs according to our lab competency and document accordingly.
• Performs DOT and non-DOT drug screens.
• Performs technical procedures (e.g. EKG, hearing & vision) according to competency.
• Prepares specimens and orders for send out labs per lab formulary.
• Takes telephone messages and provides feedback to patients/providers/pharmacy calls and documents in electronic medical record.
• Must follow proper Triage procedure per policy utilizing the electronic protocols.
• Performs mentor duties to visiting clinical staff and new employees per Worksite Checklist.
• Attends and participates in all nursing in-service educational programs.