Registered Nurse Charge/Lead ICU FT 7p 7a at AdventHealth

Date Posted: 10/14/2021


Job Snapshot

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  • Date Posted:
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  • Shift
    3 - Night

Job Description


RN Charge Nurse ICU AdventHealth Wesley Chapel

Location Address: 2600 Bruce B. Downs Blvd Wesley Chapel, Florida 33544

Top Reasons to Work at AdventHealth Wesley Chapel

  • From state- of- the- art equipment to the most intricate building details, Florida Hospital Wesley Chapel was designed from the ground up to maximize healing, patient care and wellness
  • Recognized as leader in patient satisfaction and was named Top 100 Hospital in Modern Healthcare Magazine by IBM Watson Health
  • 50,000 sq ft community Health & Wellness Center
  • Comprehensive women’s health center named Inspiration Place that incorporates female physician specialists, women’s imaging, pelvic floor and female physical therapy and a boutique spa.
  • Consistently named a Top Workplace in Tampa Bay by the Tampa Bay Times
  • Opened an offsite 24 bed, 24/7 emergency room in Central Pasco to better serve the emergency health needs of residents in west and central Pasco

Work Hours/Shift:

Full time nights


•         Demonstrates effective assessment skills to ensure quality patient care is provided.

o   Performs and documents accurate initial assessment per unit standard which may include: initial observation, obtaining and interpreting information in terms of the patients' needs, safety, discharge planning, psych/social/cultural, family needs, multi-system physical assessment, patient/family level of knowledge and readiness to learn about disease process and care requirements. Reports appropriate information in a timely manner to responsible physician.

o   Observes and monitors patient lab work for trends and reports abnormal lab tests to the appropriate physician and obtains appropriate interventions.

o   Utilizes clinical data to implement appropriate interventions.

o   Performs and documents ongoing patient assessment which accurately reflects patients' physical and mental status ranging from child to geriatric according to unit standards and patient condition.

o   Initiates use of restraints per hospital policy and procedures. Demonstrates commitment in the use of safe and appropriate alternatives prior to the application of any patient restraint device. Maintains competency in the application, monitoring and care of the patient in restraints.

o   Demonstrates critical-thinking skills when analyzing basic and advanced cardiac rhythms in a safe, competent and independent manner (Unit Specific). 

•    Consistently develops an appropriate plan of care for patient from admission to discharge.

o   Develops, prioritizes, and documents a plan of care that is individualized and involves patient, family, and/or significant other in goal setting per unit standards.

o   Demonstrates knowledge and ability in the preparation of patients for tests, procedures and surgeries ordered.

•    Establishes appropriate implementation of nursing actions to ensure competent nursing care is delivered.

o   Provides individualized goal directed nursing care to patients in the nursing unit, utilizing the nursing process and standards of nursing care.

o   Documents physical assessments in on the electronic medical record.  Assesses patients for desired and undesired changes in their mental/physical condition according to unit standards.  Reports appropriate information in a timely manner to responsible physician and obtain appropriate intervention.

o   Maintains a professional rapport with physicians, patients, and families.  Utilizes communication skills appropriate to age-specific needs.

o   Provides the necessary and appropriate education to the patient and family from admission through discharge.  This includes, but is not limited to, the patient’s plan of care, medications, tests and procedures, disease process, and discharge instructions.  Initiates and documents the education provided including the patient response and outcomes on the electronic education record.  Initiates referrals to health care providers as necessary.

o   Provides general supervision and guidance of permanent licensed and non-licensed nursing personnel and temporary nursing personnel i.e. – RN, LPN, PCT U.S, M.T. in the job functions for the delivery of safe, therapeutic and quality patient care outcomes.

o   Provides competent and compassionate care to the patient with pain according to policy and our mission.

o   Maintains a safe patient care environment including following fall risk specifications.

o   Demonstrates ability to administer medications as ordered:  PO, SQ, IV, IV PUSH, IVPB, IM, SL, PR, topical, and intradermal accurately and appropriately.

o   Responds and participates in unit and hospital code situations.  Utilizes knowledge and experience to treat the patient according to the standards of BLS and ACLS protocols.

o   Demonstrates ability to provide safe, competent nursing care for the patient requiring oxygen supplementation or support.

o   Demonstrates ability to administer, adjust and monitor response to IV medication infusions and IV medications in a safe, competent and independent manner.

o   Assists the physician with the various bedside procedures performed on the unit including, but not limited to CVP placement, hemodialysis catheter insertion, thoracentesis, paracentesis, bone marrow biopsy and chest tube insertion (per unit competencies).

o   Admits, transfers and discharges patients in a professional and competent manner.

o   Verifies and signs off physician orders on all assigned patients.

o   Obtains lab specimens as ordered and per policy and procedure.

o   Accepts reassignment to a level of care deemed competent in a professional and cooperative manner.

o   Accompanies patients as assigned for transport to other facilities, hospitals, or procedures as appropriate.

•    Effectively evaluates the nursing plan of care to ensure safe, competent delivery of care is provided.

o   Evaluates and communicates patient’s response to medical nursing plan of care to appropriate team members.

o   Evaluates effectiveness of care provided by other team members and reports outcomes as necessary.

•    Assists unit and nursing managers/directors with unit operations and leadership. 

o   Assists the leader in development, implementation and evaluation of on-going service programs which assure quality nursing, and patient care programs consistent with the hospital mission.

o   Assists the leader to monitor/maintain unit compliance with regulatory, accrediting and hospital policy for patient services, and environmental and personnel safety.

o   Collaborates with director to oversee unit PI program that monitors and evaluates aspects of care.


What You Will Need:


•         Must be able to use a high level of abstract reasoning to assess patient, evaluate interventions, and revise plan of care according to patient outcomes.

•    Basic computer skills – must be able to navigate Microsoft windows based programs.

•    Supervision experience and skills required.

•    Maintains current license and knowledge of nursing care requirements for all patients on the unit.  Assesses need for personal growth and development and takes the initiative in seeking opportunities to meet this need.

•    Accurately identifies real/potential problems affecting the service and implements solutions with follow through and communication.

•    Supports staff involvement in project teams/committees as evidenced by discussion in minutes.

•    Projects are completed with consideration for quality, practice and educational components.

•    Participates in or chairs projects or committees as volunteered or assigned.

•    Consults with patients/families through primary nurse request, direct family request and/or direct assessment of patient/family response to hospitalization. Assesses patient/significant other survey responses regarding nursing care and services.

•    Collaborates with the department of education and training to plan for orientation of new personnel and unit specific education/in-service as documented.

•    Monitors the mandatory educational activities of personnel on the unit to ensure individual and unit compliance.

•    Meets with the director on an ongoing basis to discuss plans, progress, problems, and needs of unit.

•    In collaboration with the director, is responsible for effective and efficient fiscal management of department operations to ensure proper utilization of organizational and financial resources.

•    Manages hours worked, including overtime for all unit personnel.

•    Monitors and controls supply use.

•    In collaboration with the leader, is responsible for department’s operational excellence; assures department delivers quality services in accordance with applicable policies, procedures and professional standards.

•    Collaborates with the nurse leader to establish department policies and procedures that reflect the organization’s standards.

•    Manages human resources to ensure quality services and promote positive employee relations.

•    Maintains effective and appropriate staffing by monitoring employee turnover, overtime and absenteeism.

•    Employee performance appraisals are completed thoroughly and submitted on time, as assigned.

•    Follows human resources policies to implement progressive discipline, when necessary.

•    Collaborates with human resources on the recruitment and selection of qualified employment candidates.

•    Communication with staff is effective, resolving conflicts that may hamper relations and productivity, as observed by nurse leader.

•    Attends and/or leads codes according to policy.

•    Oversees scheduling as directed by leader.

•    Is recognized as a positive role model in living the AH mission.


•         Cerner


•         Graduate from an accredited school of nursing with a minimum of an Associate of Science degree upon hire

•         2 years of hospital nursing experience upon hire


•    Three years of hospital experience preferred.

•         BSN preferred.

•         Experience as an OCN (Oncology Certified Nurse) preferred

ICU Medical: (5060005100)

•    Active Florida RN or APRN license required upon hire.

•    Current American Heart Association Basic Life Support (BLS) certification or RQI upon hire.

•    Current American Heart Association Advanced Life Support (ACLS) certification or RQI upon hire.

•    Current NIHSS Certification upon hire.

•    8 hours Stroke Education within 6 months of hire date, then annually.

•    8 hours Hip & Knee Replacement / Spine Education within 6 months of hire date, then annually.

Job Summary:

The Lead/Charge Registered Nurse is responsible for the delivery of coordinated nursing care for a patient or an assigned group of patients within a patient care unit and for the day-to-day management and supervision of the related clinical activities. The Lead/Charge Nurse is responsible for supervising and responsibly directing the activities of various levels of assigned nursing personnel utilizing both professional and supervisory discretion and independent judgment. Uses the nursing skills of assessment, planning, implementation, and evaluation in their patient care delivery. Primary function is the delivery of competent, compassionate, and cost effective nursing care. To utilize the nursing process in the direction and administration of the medical and nursing plan of care. This performance is in compliance with established policies, procedures and protocols under the supervision of the Nurse Manager, Director, 

Vice President of Clinical Services, and or designee.

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

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