Quote from hrtprncss
1. Take 1 or no patients.
2. Get Charge to Charge unit report.
3. Make assignments.
4. Schedule breaks/Admission roster.
5. Round on every patient's room. Checking patients status, looking at monitor,
IV sites, Tube feeds, Vents...Basically a mini assesment for each patient in the
6. Confer with Nurse Manager/CNS for floor report.
7. Enter orders/Answer phones/Watch central monitor console.
8. Be a family liaison.
9. Send secretary on break/other staff on break if other nurses that's
suppose to cover is too busy.
10. Help with admission.
11. Help physically transfer patients if needed.
12. Help go to CT scans/MRI if the primary nurse is busy with other patient.
13. Assesment of ALL the patients on the unit to determine which patients
meets the criteria for transfer, and present it during attending/fellow
14. Be a resource for staff nurses.
15. Participate in patient rounds with medical staff, students, dietitian, social
workers, case manager, primary nurse...for ALL the patients in the unit.
16. Be the one to mostly help with turning and changing patients in the unit.
17. Attend hospital bed allocation daily meeting.
18. Respond to Code Blues if the staff nurse you assigned is busy.
19. CHECK ALL THE PATIENTS LAB IN THE UNIT...and remind staff nurse if
there's panic values.
20. Double check ALL charts to make sure all orders are signed/carried out.
21. Decubitus checks/skin assesments for High risk patients.
22. Tons of other QI.
23. Keep peace between the staff in the unit(sometimes the hardest thing to
24. Last hour round again and make sure the staff doesn't need help with
anymore baths or turning.
25. Figure out to staff your own unit by calling agencies/other staff for OT
if someone calls in. All the while making sure the OT is spread equally.
26. Sometimes be a preceptor for a new staff nurse while being in charge.
27. Pick up the other patient from the primary nurse if their other
patient becomes unstable and watch the patient until the nurse
is able to pick up her patient again.
XXXXX I think that's it.....ALL for an extra 1.00 dollar per hour XXXXX
Oh yesss let's not forget, be the unit gofer. Oh and care for your one patient...The wonderful world of charge nursing.
Wow. Someone like you is a lifesaver.
At my hospital, the charge nurse on the unit doesn't have QUITE that many responsibilities. But then again, the charge nurse generally has more than one patient, though generally less than what the other nurses have.
It all just varies from hospital to hospital, and sometimes even from unit to unit within the same hospital. Like I said, the night shift charge nurse on my unit is practically nothing more than a figurehead who is making a dollar more an hour. The night shift charge nurse generally assigns rooms to new patients, assigns patients to herself or the other two nurses on the floor, makes out the "accuity sheet", and is the goto person if a patient happens to have a complaint at night. That is just, about, it. Now, my hospital is currently going through an overhaul of the whole Charge Nurse position. They are revamping the job description, making it more detailed. I'm not sure that I like it; I like the way things are run on my night shift now as it is. I'm liking it that on my unit at night, if we have 18 patients, we can have three nurses and generally two techs. That's six patients to a nurse, WITH nurse techs, at night. Generally makes for pretty cushy shifts. With the new revamping of the whole Charge Nurse position, our night shift charge nurse WILL have about half the patient load that the other nurses have, if not fewer patients. So, if we have 18 patients, the charge nurse is going to have four, and the other two nurses will have seven.
Wait a minute... that's still not too bad. Never mind.
I like where I work.