Med Surg-Clinical Charge Nurse (Nights)

JOB SUMMARY

The Med Surg / ICU Free Charge RN is responsible for overseeing daily clinical operations within the assigned unit(s) without a patient assignment. This role provides leadership, coordination of patient care activities, staff support, and ensures high-quality, safe, and efficient care delivery. The Free Charge RN serves as a clinical resource and liaison between staff, physicians, and leadership, including oversight of outpatient infusion services and related safety practices. SHIFT SCHEDULE 6:30p-6:30a

JOB QUALIFICATIONS:

Education/Qualification Requirements

• Current Registered Nurse (RN) license (state-specific)
• Bachelor of Science in Nursing (BSN) preferred
• Minimum 3–5 years of acute care experience (Med Surg and/or ICU required)
• BLS required; ACLS required (ICU setting), PALS required, CPI Required

Experience

• Prior charge nurse or leadership experience strongly preferred
• Experience of demonstrated competency in outpatient infusion therapy preferred

Language Skills

• Ability to read and communicate effectively in English, both verbally and in writing.
• Additional languages preferred.

DUTIES AND RESPONSIBILITIES

• Coordinate daily staffing assignments and patient flow for Med Surg and ICU units
• Act as the primary clinical resource for nursing staff during the shift
• Provide real-time problem-solving and decision-making support
• Facilitate admissions, transfers, and discharges efficiently
• Serve as the escalation point for clinical and operational concerns
• Ensure adherence to evidence-based practices, policies, and procedures
• Monitor patient acuity and staffing needs to ensure safe care delivery
• Assist with complex patient care situations as needed
• Respond to emergencies, including rapid responses and codes
• Oversee outpatient infusion services, ensuring safe and effective administration of therapies (e.g., antibiotics, biologics, blood products, hydration therapy)
• Provide clinical guidance for patient assessment, venous access, and monitoring during outpatient infusion treatments
• Ensure adherence to protocols for outpatient infusion therapy, including patient identification, medication verification, and monitoring requirements
• Promote safe administration practices for high-risk medications administered in the outpatient setting
• Monitor for infusion-related reactions and ensure appropriate intervention and escalation when needed
• Collaborate with pharmacy and providers regarding medication preparation, compatibility, and dosing
• Ensure proper use and maintenance of equipment (e.g., smart pumps)
• Verify accurate documentation, labeling, and patient education for outpatient infusions
• Mentor and support nursing staff, including new hires, float staff, and contracted staff
• Promote a positive, professional, and collaborative work environment
• Provide coaching and feedback to improve clinical performance
• Assist with conflict resolution among staff when needed
• Serve as liaison between nursing staff, physicians, ancillary departments, and leadership
• Participate in interdisciplinary rounds and care coordination
• Communicate unit updates, concerns, and operational needs to management
• Monitor quality indicators (falls, infections, patient satisfaction, medication safety, infusion-related events, etc.)
• Participate in quality improvement initiatives and audits
• Support safe medication administration and documentation practices

EOE STATEMENT

We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.