Help! Nursing Chain of Command

  1. Hey everyone, I am a nursing student and I need to do a little speech on the nursing chain of command, like staff nurse, PCC, charge nurse, nurse manager, etc., and I don't know how exactly it goes (what I just said may be right... I really don't know) but I can't find a breakdown of it anywhere online, does anyone know where I could find a breakdown like that or can anyone break it down for me? Thanks!!
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  2. 3 Comments

  3. by   Tweety
    Where I work it's a little like this: CNAs and LPNs are supervised (by the Nurse Practice Act of Florida) by the Registered Nurse, then the chain of command is this: Charge Nurse (who supervises the unit the particular shift she/he works), Nurse Manager (in charge of the unit, with 24/hour accountability), Director (the boss of several managers), Vice President of Patient Care Services (the boss of all of nursing, and other areas like respiratory, radiology, pharmacy - i.e. the boss of many directors) and finally Chief Executive Officer (everyone's boss), who answers to the Board of Directors (who are only interested in the $$ bottom line).

    Nights and weekends there is an "Administrator on Duty", or "House Supervisor" that acts on management's behalf during those off hours.
    Last edit by Tweety on Jan 28, '07
  4. by   TrudyRN
    Just an aside - Nurse Managers used to be called Head Nurses.

    Charge Nurse = Lead Nurse in some places.

    I think Tweety's statement is right on.
  5. by   jennyfyre
    Trudy... you just reminded me of a funny! One of the older docs I work with came in and asked where the "head nurse" was... without thinking, I stated that the headcase was in the breakroom! Good thing he is well acquainted with all of us and our weird sense of humor!

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