FSH RN Charge Med Surg

Fresno Surgical Hospital is an extraordinary hospital created entirely to deliver excellence and quality in surgical care to each patient. Our unique facility and staff provide a hospitality‑inspired, healing environment unlike anything experienced in a traditional hospital. Our commitment to innovation, shared values and excellence can be reflected in exceptional satisfaction scores from patients, physicians and staff.

The Charge Nurse is responsible for leading nursing staff during their shift, coordinating patient care, and ensuring that clinical standards are upheld. This position acts as a liaison between nurses, patients, and other healthcare professionals to ensure seamless communication and efficient workflows. The Charge Nurse also assists in managing patient flow, addressing staffing issues, and providing hands‑on nursing care when needed.

Salary rate: $46.00 - $66.00 (Depending on Experience)

Shift: 10hr

• Associate Degree in Nursing (ADN) or Bachelor of Science in Nursing (BSN) required; BSN preferred.
• Minimum of 2‑3 years of clinical nursing experience in the relevant department.
• Prior experience in a leadership or supervisory role preferred.

• Current California Registered Nursing License.
• ACLS Certificate required.
• BLS Certificate required.

• Strong clinical knowledge and skills relevant to the specific department.
• Excellent leadership and organizational abilities to manage staff and prioritize care.
• Strong communication and interpersonal skills to interact effectively with staff, patients, and families.
• Problem‑solving and critical‑thinking abilities to respond to urgent patient care needs.
• Ability to remain calm and composed in fast‑paced or high‑pressure situations.
• Proficiency in using electronic health record (EHR) systems and other healthcare software.

• Supervise nursing staff during shifts, ensuring effective and efficient patient care.
• Assume the responsibility for administrative and operational function of the Med Surg in the absence of the department Director/Manager.
• Assist staff in providing nursing care to the Med Surg patient in accordance with the organization’s policies, procedures and applicable law.
• Assign and oversee daily tasks, patient assignments, and staffing to meet the department’s needs.
• Provide guidance and support to nursing staff and resolve any issues that arise during the shift.
• Act as a mentor for nursing staff, assisting with problem‑solving and decision‑making.
• Serve as a clinical resource for staff.

• Monitor and coordinate the care of all patients within the unit to ensure their safety and well‑being.
• Coordinate nursing care requirements with other departments to ensure continuity of patient care.
• Collaborate with physicians, nurse practitioners, and other healthcare providers to ensure optimal patient care.
• Consult with other departments as appropriate to provide an interdisciplinary approach to the patient’s needs.
• Serve as an escalation point for complex or critical patient care issues.
• Ensure that nursing interventions are performed in a timely manner and that patient documentation is accurate.
• Review plan of care as indicated by the patient’s response to treatment and evaluate overall plan daily for effectiveness.

• Coordinate patient admissions, discharges, and transfers to maintain smooth unit operations.
• Ensure proper staffing levels, including calling in additional staff when necessary to cover gaps.
• Coordinate daily staff assignments.
• Ensure appropriate staffing level based on patient flow, surgery schedule and employee skill set.
• Ensure all staff members have required rest/meal breaks.
• Assist in managing the overall flow of patients through the department, prioritizing care as needed.
• Handle shift handovers by facilitating accurate and detailed reporting between shifts.

• Ensure compliance with hospital policies, procedures, and regulatory requirements.
• Maintain infection control practices and other safety protocols.
• Participate in quality improvement initiatives, such…