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Topics About 'charge-nurses'.
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What Is a Charge Nurse? Role, Responsibilities & What to Know
Learn what a charge nurse is, what they do, and how this role functions within a healthcare team. A charge nurse is a registered nurse who oversees a specific shift or unit, coordinating patient care, managing staff, and ensuring operations run smoothly. Unlike nurse managers, charge nurses are still involved in clinical work while also handling leadership responsibilities. They act as the point person during a shift, balancing patient needs with staffing, communication, and workflow. The role sits between bedside nursing and formal leadership, which is why it is often one of the first leadership positions nurses step into. Key TakeawaysA charge nurse is responsible for overseeing a unit during a shift The role combines clinical care with leadership and coordination Charge nurses often assign patients and manage staffing Salaries are typically higher than staff RN roles The position requires experience and strong decision-making skills
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LPN Charge Nurse
I am a Unit manager on a SNF unit 55 residence. I do IVs wound VAC accordion drains JP drains we start lines DC lines. insert Foley, DC Foley's do admissions, discharges Care plan summaries. I also have a BS in health administration.. I too often see these comments in regards that RNs get paid more money because of their education, but people are yet to realize that there are LPNs that also have associates and bachelors degree and many certifications under their license qualifying them for higher PAY than RNs I have trained hundreds of RNs, who do not even have the basic foundation to take care of some residences, at times I supervise them train them so that they are productive at doing their job the idea that RNs have more education and have more authority over Lpn is more of a hospital practice we need to come to the realization that long-term care facilities are run by LPN's We have no patient to staff ratio. We have LPNs who have 30 residence responsible for their care responsible for notes, admissions, discharges plan of care, treatments, documentation behaviors, yet they are only getting paid a fraction of what RNs are getting paid. This mentality needs to stop because it is affecting our pay. We are highly skilled highly trained, and we need to be placed in situations in which our experience our skill set sets us apart from each other and not our letters LPs on average you're being paid $32-$35 an hour which is an insult to our skill set and our scope of practice. Every state is different in every facility is different in regards to what an LPN does do but maybe it's about time that these facilities start paying nursing period based on skill set experience letters don't save lives experience saves lives. I am a licensed nurse with a compact and I've worked a multitude of different settings, including Drug And Rehab, hospitals, MedSurg, long-term care, and LTAC units prior to magnet status I was a Unit Manager on a MedSurg floor for a level one hospital but they didn't deem LPN as being professional nurses. Matter of fact, LPNs are not even allowed to join certain affiliated societies due to their letters, not being recognized instead of their experience, it's about time facilities start paying LPNs their worth. There's no reason why LPN should be paid $25-$30 less than if they utilize the LPN's the way they should they wouldn't have such a shortage, start recognizing an LPN's worth by their education, history and experience, and skill set and not by our letters and maybe we wouldn't have a problem with healthcare. I really don't understand why these are hospitals that educate do not have fast track LPNs classes or partnerships into a six month program for the chance to sit for RN boards. especially those who have been nurses over 20 years with experience. These experienced nurses can really help with the shortages in a lot of these hospitals if they start paying them appropriately for their skill set nursing as a whole need to start standing up for LPNs, we are we are not glorified CNA's, we are licensed nurses and we have CEU hours and we also have to maintain our education, and skill set, We should be honored as such and not degraded in society
- Do charge nurses or ANM get paid more at your facility?
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Charge nurses vs. Asst nurse managers
Are there any other hospitals besides Kaiser that have done away with charge nurses and instead have assistant nurse managers in charge of the shifts? Does this ever work? My experience at two Kaisers has been that there is huge divide between the RNs and the managers. In fact, there is outright animosity. The asst nurse managers wear heels and skirts and thus, do not do direct patient care. So I'm wondering if there exists any hospital where this structure works. Also pondering why Kaiser has set things up this way (my cynical side says it was a very deliberate move on their part to take power from nurses). Thoughts?
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Terrible Charge Nurse, I have to do his job!!
Context: Assistant living, evening shift We always have a charge nurse. Occasionally it's me or "Gina" or "Thomas". Gina is wonderful. Thomas is not. Today Thomas is the charge nurse. Story: I'm passing dinner meds. When I went into this residents room, I noticed she had painful breathing. Since Thomas is charge, I went ahead and began the process of sending her out to the ER. When I went downstairs to make copies of her MAR and Facesheet, I noticed Thomas was doing absolutely nothing. Mind you, I had a med pass to do, and Thomas has a med passer, passing meds for him. He's literally paid to take care of this. So I put the paperwork in a pile and handed this to Thomas. I told him I did not to VS yet, I just immediately began working on her sending her out. I also told him that her daughter (the residents daughter) was expecting a phone call back. This was at 4pm. At 6pm, I prepare to call the residents daughter to check on mom. That's when Thomas comes in the office and begins calling her too. I told him I'm calling her to see how the resident was doing. That's when he told me he was calling the daughter to send her out!! I was choking on my own words. She's still here?? He didn't go up, didn't get VS, didn't call the daughter until now. Long story short, the resident is fine (thank goodness). I called my boss to complain about this and she told me "you're a nurse too". To which I replied "yes, I am. But so is Thomas. And he had a med passer. I did not. I also followed up with Thomas to figure out what's going on, and he told I'm not his boss". Am I wrong here??
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Feeling Overwhelmed as a Charge Nurse
Does anyone else feel overwhelmed these days as a CN? I graduated about 2.5 years ago with no prior medical experience. I was thrown to the wolves my first night with 7 COVID patients and no aid, and that continued for about the first year until COVID slowed down. After that, I was also thrown into the role of charge with no training whatsoever (I was originally told this was only temporary as CN, but that’s not how it turned out). I feel like our managers have no concern for what happens. On a usual night, I’m expected to be CN, take 7 patients, and orient the travelers and multi-facility nurses (internal travelers). This is a “med-surg” floor that regularly sees people entirely too sick, in my opinion, for our floor (I’m talking hanging blood in the hallways while transferring patients to the ICU, intubations on the floor, and etc). We are also only scheduled two aids for 21 patients at night, so they are having to care for 10-11 patients themselves and an RN is regularly performing toileting for pt’s and etc. Does anyone else feel this way about their floor and/or managers?
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Day in the Life: Charge Nurse at a FQHC
FQHC I’m the charge nurse for the women’s unit at a federally qualified healthcare center (FQHC) in San Diego. The nonprofit company has about 30 different locations throughout the region and being an FQHC means we see underserved patients for primary care. I oversee the hub of the women’s clinic, located in the heart of the Latinx neighborhood in my city, so most of my patients are poor, uninsured or underinsured, Spanish-speaking women of color. Since we’re the company’s hub for women’s health, we are also busy, usually seeing around 120 patients each day. This is my first ambulatory care job and I’ve been at it for a year and a half My primary duties include triaging patients, staying on top of compliance, keeping our equipment in working order, and, perhaps most importantly, managing a constantly changing roster of providers and MAs (medical assistants). MAs provide most of our direct patient care and my team is, for the most part, very young and new to the medical field. They need reminders to recheck high blood pressure, refrain from eating at the nursing station, use a cover sheet for faxes, comport themselves like adult professionals and not middle school mean girls, etc. I know that sounds harsh, so let me add that I adore my MAs. They require closer supervision than I would prefer but are also, without exception, bright, compassionate, and hardworking. Empowering, inspiring, and encouraging them is often the best part of my job. Barrage of questions Day to day, my job mostly consists of taking laps around the clinic and doing my best to answer the barrage of questions that arise: Why hasn’t this lab been resulted? A patient in the lobby says she’s dizzy. Can you come talk to her? Can you call someone in IT to fix the printer again? Can I have next Friday off? My provider is running 45 minutes behind; what do I do? Compliance says we should change the way we label our spray bottles; can you find all the bottles in the clinic and change the labels by this afternoon? I’m worried about this patient’s PHQ-9 score; can you coordinate a warm handoff with mental health? Can you huddle with the MAs and remind them hoodies are against dress code? Why hasn’t this patient’s stat referral to breast clinic been processed? Why is the A/C in the providers’ office still broken? This patient says she’s been bleeding for six weeks but can’t get an appointment; can you talk to her? Being able to address this constant stream of questions while also triaging patients, responding to the occasional code, and filing various reports makes me feel capable, and I take some pride in my ability to juggle myriad competing responsibilities. However, the amount of effort required to resolve a seemingly straightforward issue can be infuriating. For instance, I’ve been trying to get a working iPad to use for video translation in the clinic for eight months. I know that sounds absurd, and it is. It’s the kind of thing that makes my job exhausting. I can handle the never-ending questions, the upset patients and the traumatic stories they share with me, and the learning curve of being in a management position for the first time, but attempting to provide care in an environment that is unwieldy, inefficient, and controlled by people who work in offices located far away from patient care areas makes me want to scream. Knowing that I am not alone in this—that, in fact, nurses and providers the world over feel frustrated by systems designed to serve companies, not patients—does not make me feel better. It makes me feel trapped. It probably sounds like I hate my job and the company I work for ... I don’t. I took this job because I’m passionate about preventive health and patient education, I’ve always enjoyed working with Spanish-speaking patients, and I was burned out from in-patient care. I thought the work would be somewhat slower-paced, affording me the opportunity to build relationships with patients, learn from providers, hone my management skills, and deepen my clinical knowledge. Our clinic is so fast-paced and high volume that I haven’t gotten to know patients as I’d hoped, but I have learned a lot about women’s health, become a better manager, and had the opportunity to advocate for patients who our healthcare system fails. I don’t know if I want to stay in ambulatory care I realize now that what I was trying to escape wasn’t in-patient care, it was the American healthcare system’s obvious disregard for so many patients’ health and wellbeing. I hoped that by working at a FQHC I could be a small part of improving (or, ideally, overhauling) that system and helping people get the care they deserve. On good days, I feel like I get to do that, and, for now, that’s enough.
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Charge nurse soloing me out
Hi all, asking on behalf of my wife. My wife is a RN in Med/Surg and started working earlier this year. She works the night shifts. She was very excited when she started because she took a long break (moving to the US, married-kids life, etc.) She first dealt with anything that was given to her openly. She was ready to take on any challenge, and prove to herself she can still be a good nurse. But as of late, she has notice how some of the assignments are given out. She feels she is given the hard cases, and she's not alone. Even her co-workers have said it out loud that how you getting these difficult cases. Luckily her staff is very helpful. But the morning Charge Nurses who give out the assignment seem to have it out for her. But she noticed it's not just her but other minorities (especially those of the Asian decent). She's seen few have felt they were being bullied, cried at times, and in the end quit and left. She has other Asian co-workers who have been at the hospital for a long time, and they said "ya thats how it is here, not much you can do". She want's to talk to her Manager (who may understand her side). But the so-called Charge Nurses seem to play favoritisms with their friend in real life, giving them easier assignments, seem to mostly sit around, and give a hard time to the minorities. She said she'll talk to her Manager first (she has already thought about transferring to another hospital - not final yet). I suggested she take this to HR as well. She went from excited and enjoying her work to being completely burnt out.
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Is charge nurse considered supervisory position?
I am applying to a graduate school and they want three LOR from a person in managerial/supervisory role. I already secured two from my two managers and was thinking of asking my charge nurse for the third one. Is charge nurse a supervisory position? I tried asking the school and they are so ambiguous, they keep saying “someone who knows you in a supervisory capacity.”
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Charge Nurse in 6 months?
I started working in a busy ED in NY 6 months ago. This is my first job in acute care. This unit has a very high turnover rate & I still feel pretty new and just starting to get comfortable. They're starting to put me as charge some nights, and even though I say I'm not comfortable with it they dont seem to care. Ive asked for training of some kind for the role & they say its not needed....??? I'm confused as to whether this is the norm in most units...should I look for a new job? Or stick it out? What would you do? Thanks.
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Charge nurse gave an antipsychotic without an order. How should I handle this?
I work at a skilled nursing facility as an LPN. We have a charge RN who has several years of experience. She is a very capable and knowledgeable RN. Let's call her "nurse X". To be blunt she is also very good at kissing a** to administration, and she is one their "good side." Although she has good clinical skills, I have worked with her long enough to notice she isn't very ethical. We have a lot of dementia patients with frequent falls. This nurse frequently restrains patients (she will put a bedside table and position it in front of their wheelchairs so they cannot stand up or wheel themselves away). She will close the doors of known fall risk patients if they are being "too loud." About 3 days ago we received a new admission with several broken bones from a s/p fall. He has not been able to get out of bed, and has been very restless, but manageable. He yells out intermittently, but since he cannot get out of bed all we can do is reposition him, provide verbal redirection, etc. which for the most part has been working. I gave him a PRN pain medication early in my shift. About 2 hours later he fell asleep. He snored deeply and loudly throughout the entire shift. I thought it was odd that the pain pills I gave him would knock him out this much. To make a long story a little shorter, one of the nurses working on the shift told me "Nurse X went in there and gave him something. She said it was something that was gonna take care of him yelling." I looked in his MAR thinking maybe she gave him something while I was on my lunch, but there was nothing showing he was given anything. He didn't even have any PRN's available besides the pain pills I already gave him. At the end of the shift she asked me to co-sign medications that she disposed of (discontinued medications that needed to be destroyed). I noticed she disposed of a card of Seroquel. I found out that she took one of these pills and gave it to that patient WITHOUT A PHYSICIAN'S ORDER SO THAT HE WOULD "BE QUIET" DURING OUR SHIFT!! No wonder he was out cold! Looking back, I would bet my paycheck that she has done this to other patients too. I am very upset about this. I want to report her, but I know she will deny it and I have no proof that she did this. I know she will find a way to deny that she gave this medication and she will know that I reported her. What would you do in this situation? I appreciate any input :)
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I don't want to be Charge!
The title says it all, but I'll unpack. I've worked at my first job in nursing for just shy of 2 years, 1 year nights and most of the past year days. It has been a ROUGH past year, as I'm seeing everyone is experiencing. I made it through my first year of nursing constantly feeling like I wasn't keeping up, but I've found my groove. I'm still running ragged, but now I recognize that our hospital-wide acuity has increased, folks are delaying hospital services and coming in much sicker than before. Our unit has increased in physical size with a move to a different floor, but we have not increased staffing to match and we can't retain the staff we have. I don't know any different, but generally floating to other floors is a relief, and float pool says our floor is particularly rough due to patient population being minimally mobile and prone to falls, and little to no CNAs. We are severely understaffed with nurses too, but who isn't? However when I go to other floors and have the same number of patients, I don't feel as exhausted at the end of the day. I know my manager is trying to hire nurses and CNAs, but there's not been enough applicants, and we still bleed staff faster than we can get more. Few people are trained to be charge nurse, and most often a nurse will be thrown into the charge rotation because the scheduled charge called off and someone had to cover. Well, you survived once, so now you're it. The worst case of this was with a new grad RN with only 3 weeks off orientation (back when we were a much smaller unit). She did OK, but she eventually left because she was stressed all the time from being charge most of the time while still learning to be an effective and efficient RN. Recently I had to be charge on a day without CNA coverage and I had a more than full load myself with all other nurses having a 1.75 load. It was pretty awful, but fortunately one of the regular charges (a nurse that has been a nurse a little shorter time than me) came in for the last few hours to help me wrap up paperwork and set assignments. My manager took some time to train me for charge and the plan was that I would be ready if that happened again. Now one of our full-time day shift charges just quit and I'm terrified that I'm going to be charge every time I work. My manager knows I don't want to be charge, but I don't know who else can do it. For the day shift, there is only one other RN with more experience than me (but less time on this unit and hospital), and the rest are all less experienced and frankly ill-suited for this role. There's a few PRN nurses with more experience, but being PRN means they can't be charge under our pay structure. The experienced full-time RN has charge experience, but doesn't want it any more than I do. I know I'm a competent RN, but the situation of our staffing and the accuity has made everything so much harder. I frequently have trouble keeping up with charting because I'm doing all the CNA work for total care patients and my load is usually 1.5 to 1.75 of the staffing ratio on our staffing grid. But I'm not ready to be charge. I don't have the breadth of experience to be charge. I generally know what to do or who to call in an emergency, but that is according to my experience of 2 years. For more complicated things that aren't a clear emergency, I really don't know that I can be a resource for the rest of the nurses. I'm also worried about the patients I have as charge. Generally we give charge the "easy" patients, but I've seen those go downhill fast too, and sometimes there's just no "easy" patients. Our charges also consistently take a full load, while everyone else takes a more than full load. I'm not done with my BSN (took the COVID year off and had some delays getting back into the program due to the long break), and I wanted to finish that before moving on to a new job. I do like my work, but I know that it isn't what I want to do forever. The unit I want to go, Oncology, is occasionally hiring, but not as often and not the ideal shifts/FTE for me. My manager is fully aware that this unit is not my forever home and supports my growth towards my preferred nursing goals. I think she even knows that I may leave if she overextends me as charge. And in truth, I am already looking. We had an open round table with upper management yesterday and I attended after a particularly difficult day. I brought up my concerns of new grads being charge and all the other nurses at the table from various units chimed in about how dangerous this is and how much faster these new nurses burn out and leave the hospital or nursing all together. The upper management rep reworded the suggestion to "consider not putting new grads in charge position until they are several weeks off orientation". I stopped her and said "No, my suggestion is to not put new nurses in the charge position until they have years of experience, not weeks or months. Ideally these nurses should have 3 years of experience." The suit pursed her lips and didn't amend her notes. This really bothers me. I don't care if this is the way it is done. It isn't safe. I don't care that they don't have the staff. It isn't safe. They should work more on retaining our experienced nurses, not burning out the new nurses, and providing fair pay all around. Finding nurses is their job, not mine, but I am tired of being put into unsafe situations and being told it is normal. Ugh. I wrote another book, and as usual I'm not looking for any specific answers. Mostly I just want reactions from those that have been there.
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How do you decide what to do with a difficult charge nurse?
Kinda long - see the TL;Dr (too long, didn't read) sentence at the bottom of this post if it's long for you atm.. appreciate any helps! Hey, So, I could appreciate some feedback here... I'm an experienced ICU nurse (8yrs total) trying to figure out how to deal with a very experienced long term charge nurse (20 years on this unit, over 30 years nurse experience total) who I am having problems with. It's a pattern of behavior issue... Compared to other charge nurses, she does very little bedside care and only assists other nurses on the unit until she absolutely has to. She's valuable because she knows how to manage people, heads committees, has A TON of knowledge and experience, + she knows people (like, upper management). She knows how to phrase things and get things done, too. What's upsetting is when I clock into work, I work HARD. I'm a busy body. I check on on my neighbor nurses. I say yes to even the most undesirable tasks (help fellow nurse with a clean up - it's an ISO patient, and there's poop everywhere).I'm very good at paying attention to details and whats going on in the unit. I complete requirements / education / audits / whatever extra is asked of me - on time. Meanwhile, this charge nurse is sitting on her fat butt most of the time just chit-chatting with other people, being 'entertaining', laughing, joking, sharing stories, plans, vacations, whatever... When I approach her, she initially ignores me, and then I stand there until Im noticed by her. Side note - its really uncomfortable, and especially when other people are giving her subtle cues to be like "hey, she needs to speak to you' and then even that goes ignored for a lil while. When this charge nurse does acknowledge me, first response 95% of the time, is to give me a glare followed by a sigh... and then she asks what I need. When I tell her, she tries to delegate to someone else. When that cant happen and I truly need her help, her glares last longer and her sighs get louder. I can't even count the number of times this charge nurse brags about how mean she could be towards other nurses or family members. She brags about how much harder she could have come down on them. I've received patients from the ED and other units, and the nurse giving me bedside report are nearing tears, telling me how mean this charge nurse is. Charge nurse will say things that communicate her intent to belittle people, to shut up, and leave her alone. It's hard to explain... I don't get it. Other info: I get along with the other charge nurses and don't have issues with them. It's just this particular charge nurse I have a problem with. I've ignored the charge nurses's behavior and moved on before. I've balled up multiple times and approached this charge nurse - again, she just uses tactics that I don't know how to navigate around... I've brought this to my nurse directors attention before and things seemed to go well for awhile... now we are back to this charge nurse treating me like crap. I respect my nurse director and she would be totally willing to address this again, but our unit is going through a rough patch and I am trying to get creative and hold off until absolutely necessary because my nurse director has a lot going on right now and many things to juggle (not words from her... just my own observations and its all very matter of fact). At what point do you just decide to go back to nurse director? what are things you can say to tell a charge nurse that uses intimidation when all you wanna do is communicate "XYZ makes me feel disrespected and it's unhelpful to me in just doing my job" at what point do you go to HR? is any of that of any use? am I missing something? I'm not at the point of quitting because of this one charge nurse. sometimes it's tempting... but I've dealt with worse. So, I can tolerate it. TL;Dr: Difficult charge nurse situation who is blatantly belittling and disrespectful towards me and others + causes other nurses from different units to become very upset. Goal here is to learn something about navigating around difficult people especially those who have leverage and much more experience than me. What do? Help?
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Starting dialysis charge nursing, already feel like I'm drowning
I started nursing in the ER as a new grad for 2 years ago, wasn't for me, and was looking for a change. I found dialysis interesting and was keen to leave the chaos of the ER in favor of a more predicrable and consistent day. I started with Davita 5 months ago and was told off the bat they need me to be charge nurse capable in 9 months. They assured me that it would not be sooner per policy. Before then, I would do 12 weeks of training (2 weeks class, 10 weeks on the floor being trained by pct). By month 4, as I'm getting the hang of med nursing, one of the 2 RNs that works here quit. He was a charge nurse and clinical coordinator so that was a huge blow to the clinic. In May my FA let us know were moving ahead of schedule and that I should be charge ready by July. I've been doing on the job training for charge for about 7 shifts total since the beginning of may with the only other RN, with one of those shifts being mostly by myself due to the RN training me having to leave early in the day for medical reasons. Now I start next week and I'm not feeling totally confident in my ability to charge. Yes, I can do the basics like round with the doctor, start and end the day, and handle a code if need be, but I havent had that much training on alot of our charting programs (we have 3 charting programs), I don't know these patients very well since I've been switched between tts and mwf every other week simce I started, and to top ot all off, the last RN who was suppose to be my med nurse/backup charge is gonna be gone for the next month right when I start due to medical reasons. So now its gonna be me, an lvn or float RN as my med nurse, my fa who has no clinical skills, and an in-house pd nurse. I left the ER to escape the chaos and I'm deeper than before: I've been doing online training this week before the week I charge and I'm learning all these policies and procedures that we haven't even covered on the floor. This is mostly a rant, but I'm looking for feedback or insight on this situation cause as much as I hate to say it, I'm probably gonna look for another job at this rate. I feel like the amount of work put on the charge nurse, much less a new charge nurse who has no prior experience, is too much.
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ED Charge Nurses?
I am currently a back up charge in the ED, we get about 2 shifts a month (lately more due to sick leaves). The way we run things are the main charges have 2 of 3 shifts as charge and one shift on the floor so they don't "lose their skills". One CRN is returning from leave and is refusing to be on the floor as a staff nurse and she basically "stole" my back up charge shifts because we create the schedule and can change anyone's shifts so she moved me to staff and her to charge... reason being is she can't handle it on the floor anymore because it's too stressful. Do your charges only do charge or do they switch between staff? Additionally how can you trust someone to be a leader when they themselves can't even handle it on the floor. I don't feel comfortable with someone who can't handle a basic two ED patient load telling me to take 4 or 5. You should lead by example. All the other charges will also put each other on "easier" spots like fast track. If your in charge, have you lost your skills or do you still participate on the floor. And if you're in the ED on the floor what do you look for in a charge? I see both worlds equally now but am feeling disdain towards the "main" charges for how incompetent they are on the floor. Looking to see what other EDs do.
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Medication nurse vs. Charge Nurse
There’s quite a debate at my work regarding the responsibilities of the RN charge nurse vs. LVN medication nurses. When any change of condition happens (falls, vomiting, new pain onset, falls etc) the medication nurses immediately call on the charge nurse to attend to the patients. Their argument is that they have too many meds to pass and they don’t have time for anything else. The charge nurses say while they don’t have meds to pass (besides the occasional IV) they also have a full plate, and the medication nurse should at least take some kind of action to help the patients. Often times, if something happens to a patient, the medication nurse will chart “informed charge nurse” or “charge nurse aware” and then nothing gets done for the patient. For example, we had a patient that was alert x 4, for angry at another patient (confused) and began yelling at the confused patient. The medication nurse saw this, but was in the middle of passing meds and told a staff member to tell the charge nurse. Now this can of worms has been opened, medication nurse vs charge. What are your thoughts? I know every facility is different, but generally shouldn’t medication nurses take some kind of action with changes in condition? It’s seems a prudent nurse would do something to help patients, not just expect the charge nurse to do everything.
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Charge nurse hears me but doesn't listen
How do you deal with your charge nurse who tells you to “watch the patient” when you should be speaking with the doctor to report changes? My charge has more experience than I (me 8 years, her 20+) . But I believe she has forgotten that a part of our jobs is to monitor and report changes in patients. I know some issues could wait until morning/next shift, but some should be addressed, immediately. The oncoming nurses ask me, "why didn't you call the MD or does the MD know?" I've also posted situations here in the past and the census was to RRT the patient or call the MD. I need some advice on how to approach this. I don't think she is real receptive to anything I have to say because she's got more experience than I do. And that ego is out of control. Should I tell my manager? She's new and seems to be receptive to discussion. Though I know when I DO NEED HELP, she'll hang me out to dry if I bring this to my managers attention.
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Is the charge nurse the boss of unit secretary?
Friend of mine is doing secretary work at a hospital. She says she has been getting bullied by a charge nurse. The nurse has yelled at her and even said things in front of other nurses like basically calling her incompetent. The nurse has also said racist remarks. My friend tried to go to her bosses but nothing has been done and it is getting worse. Any suggestions on what to do? She also says that when she has went to supervisors, things get back to the nurse and it gets really bad.
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Am I the only one who does NOT want to be a charge nurse?
Am I the only one who does NOT want to be a charge nurse!? I've been a Med/Surg Nurse for just over 6 years. I worked as a charge nurse as a new nurse but have graciously turned down the position as the years go on. I prefer to come to work, take care of my patients and go home. I don't care to get involved with the politics of the job. But because I have the experience, its assumed that I should be the one in charge. Its something that I have been dodging. Can anyone relate?! or does anyone have some advice on making that transition to charge easier?!
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What is the role of charge nurse?
Hi, I haven't been oriented to charge RN, but what is the role of the charge nurse? The day shift charge RN seems to make assignment, sit at the front desk and gossip, read her email and snaps at me saying she doesn't have time to help when I'm drowning. The day charge RN doesn't even take patients.