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Department:  Nursing
Status:  Full Time
Shift:  1st

The Charge Nurse (RN) provides clinical supervision of patient care and job performance supervision of all employees on an assigned shift.  The Charge Nurse (RN) plans, coordinates and provides for optimum patient care on the unit, while maintaining the Standards of Nursing Care as established.  Assures utilization of the nursing process based on research and evidence based outcomes.  Identifies the number and level of personnel needed to provide patient care and adjusts staffing and assignments appropriately.  Evaluates the capabilities of other professionals prior to delegating duties.  Facilitates and encourages staff nurse participation in shared governance councils by assuring appropriate schedule availability and provides staff nurse relief to leave unit for on-duty meetings.

In addition to the above, provides nursing care in accordance with the Nurse Practice Act, incorporates critical care modalities and utilizes the nursing process based on evidence based outcomes to meet patient care needs.  The Charge Nurse ensures that nursing staff provides direct patient care and collaborates with other disciplines of the health care team to ensure the delivery of safe, timely and appropriate quality patient care.

The Charge Nurse (RN) displays and practices a work-style reflecting the mission, vision and values of the HVI Cardiothoracic Surgery Clinic as well as the Organization. Participates in the continuous quality improvement process. Maintains a working knowledge of departmental standard operating procedures, including the use of specialized instrumentation, Quality Control requirements, and preventive maintenance.


Essential Functions

  • Supervises registered nurses, licensed vocational nurses, certified medical assistants and ambulatory care assistant on their assigned shifts.
  • Facilitates, anticipates and manages daily patient and surgeon/physician schedule.
  • Exercises independent judgements in making patient assignments, adjusting based on competencies of the employees, patient acuity, continuity of care, Safety and environmental factors.
  • Initiates the ‘Chain of Command” policy and procedure when indicated.
  • Provides direction and leadership in critical emergency situations ensuring patient safety is maintained.
  • Manages staffing levels including decisions on when to flex off staff, who should be flexed, when additional staffing is needed (even if above required staffing ratios), and documentation of staffing changes.
  • Maintains established productivity and/or documents all productivity variances for the assignment of personnel.
  • Evaluate staff and deliver evaluations.
  • Interviews and makes hiring recommendations.
  • Counsels staff and has authority to take corrective action pursuant to hospital policy and make recommendations on terminations.
  • Makes recommendations on department budgets including supplies, training and headcount.
  • Assigns Preceptors/Mentors to staff as needed, provides training and reviews staff competencies.  Is responsible for identifying and providing learning experiences for the staff as documented in daily staff assignments and annual performance evaluation goals.
  • Keeps abreast of current concepts and research in relation to general practice of nursing, specialty area and management.
  • Attends required department meetings and attends other meetings as requested.
  • Assists with staff meetings.
  • Performs preventative maintenance, initial training and annual competencies.
  • Assures charges are entered on all patients daily
  • Verifies patient orders are correct and signed. 
  • Clinical Care:  Ensure patient care is delivered and the unit is maintained in accordance with professional regulatory standards. Demonstrate the knowledge and skills necessary to provide care appropriate population as outlined in the job description and competencies.


Education, Licensure, Training and Experience


  • Current licensure as a Registered Nurse, in good standing, in the State of California. 
  • Bachelor’s Degree in Nursing (BSN)
  • Current BLS certification. 


  • Clinic practice experience.
  • Current ACLS certification.


Skills or Other Qualifications


  • Minimum two (2) years experience in cardiac nursing in an acute healthcare system environment.
  • Minimum one (1) year supervisory experience in an acute or outpatient healthcare system environment.
  • Basic knowledge of Microsoft Office Suite, including Outlook and Word, plus healthcare database systems.
  • Self-directed individual with ability to prioritize multiple tasks and meet deadlines, excellent attention to detail, and maintain a high level of work quality.
  • Strong team player with excellent oral, verbal and presentation communication skills.
  • Proven ability to interface with all customer levels (physicians, Organizational staff, insurance companies, patients and family members).
  • Decisive and capable of exercising good judgment under pressure.



  • Qualified bilingual or multilingual candidates.
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