Registered Nurse - Charge

Job Summary

Supervises daily clinical operations of the surgery center and manages the clinical and clerical staff in accordance with established Federal, State and accreditation regulations and guidelines, as well as established Heaton Laser and Surgery Center/ HEA policies and procedures in the absence of the Clinical Director. Oversees patient care activities in preoperative, postoperative and intraoperative. Purchases required supplies, controlled drugs, and equipment.

Responsible for staff development, orientation and staff discipline and appraisal.

BSN preferred.

Current Texas RN License, ACLS and BLS required.

Minimum 1-year ambulatory surgery clinical experience and administrative/management experience preferred.

• Monitors & directs the assigned activities of ASC staff
• Competent in pre op, circulator, post op, and call nurse duties
• Participate in monthly meetings with ASC leadership
• Communication with MDs, anesthesia providers, HEA staff, vendors, and any other roles involved in ASC planning/procedures
• Patient care safety, quality assurance, and infection prevention
• Maintain safe work environment: equipment, supplies, knowledge, critical thinking
• Investigates and intervenes in problem situations, reporting appropriate information to supervisor
• Continuing education to maintain licensure
• Attendance/Punctuality and Reliability
• Fulfillment of Core Values
• All other duties as assigned

• Participates in patient care activities adhering to the requirement of the Operating Room RN and/or Preop/PACU RN job descriptions when providing direct patient care.
• Establishes and evaluates quality and standards of patient care in conjunction with medical staff and clinical staff.
• Develops patient care protocols, preoperative and postoperative assessment procedures, nursing policies and procedures, physician standing orders and standard discharge instructions.
• Evaluates nursing staff documentation and patient care through review of medical records.

• Schedules qualified staff to provide required coverage for patient care adhering to applicable guidelines.
• Establishes and oversees a system to ensure adequate supplies of controlled drugs, supplies, instrumentation and equipment are available to meet patient needs 100% of the time, within budgetary constraints.
• Coordinates appropriate use of human and material resources, being mindful of budgetary constraints.
• Provides adequate staffing coverage 100% of the time.
• Accurately verifies time worked through regular review of time and attendance records.
• Assures worked FTE ratio is within approved budget or appropriate justification is provided.
• Cancel staff appropriately according to established protocol when census is low to remain within budgetary limits.
• Supply inventory is maintained within approved budget.
• Oversees/coordinates obtaining and returning of borrowed/rented equipment and supplies in the most cost effective and timely manner.
• Ensures non‑expired sterile packs and supplies are available 100% of the time for scheduled cases.
• Ensures no missing or unaccounted for controlled substances 100% of the time and controlled substances are accounted for in accordance with procedures established in conjunction with the pharmacy consultant.
• Identifies the need for and appropriately confers with the administrative staff on resource management issues.

• Identifies work related improvement opportunities and analyzes them to identify causes/find solutions.
• Acts decisively to implement solutions to resolve critical issues or improve processes.
• Communicates clear understanding of job responsibilities, task objectives, deadlines and performance expectations.
• Disseminates relevant information about decisions, plans and activities to people that need it for job performance.
• Shares up‑to‑date information on center activities and policy changes in a timely manner.
• Evaluates the performance of individuals through timely completion of competency assessments and skill checks.
• Listens attentively to others. Try to understand the meaning…