Emergency Department Charge Registered Nurse; RN – Emergency Department

FLSA STATUS KEY RESPONSIBILITIES Lead Nurse Responsibilities

Leadership & Oversight

• Serve as the clinical leader and primary resource for nursing staff during assigned shifts.
• Coordinate staffing assignments based on patient acuity and unit needs.
• Manage shift operations, including delegation of tasks and monitoring workflows.
• Support staff in escalating clinical concerns to providers or leadership as needed.

Patient Flow & Throughput

• Oversee the movement of patients through the ED, from arrival to disposition (admission, transfer, or discharge).
• Collaborate with bed management, inpatient units, and ancillary departments to optimize patient flow.
• Address and mitigate bottlenecks or delays in real-time.

Resource Management

• Ensure appropriate availability of supplies, equipment, and staffing resources.
• Initiate and lead code responses, disaster preparedness actions, and emergency protocols.

Communication & Team Support

• Act as a liaison between ED staff, physicians, other departments, and hospital leadership.
• Facilitate shift handoff and ensure continuity of care through effective communication.
• Provide coaching, mentorship, and conflict resolution as needed.
• Provide coverage for breaks to ensure downtime for our staff.

Initial Patient Assessment

• Perform comprehensive triage assessments using standardized triage protocols (e.g., ESI—Emergency Severity Index).
• Determine the priority level for care based on patient acuity and resource needs.

Clinical Decision-Making

• Identify high-risk patients and initiate life-saving interventions per standing orders or protocols.
• Communicate critical findings promptly to the care team.

Documentation & Data Entry

• Accurately document triage assessments, vital signs, chief complaints, and other pertinent clinical information in the EHR.

Patient Experience & Safety

• Provide clear instructions and explanations to patients and families regarding wait times, processes, and care expectations.
• Ensure infection control and safety measures are adhered to in the waiting area and triage spaces.

Minimum pay: $38.13

Maximum pay: $53.71

Nursing Services;

3 x 12H Shifts (9a-9p);

full-time;

5760

Dartmouth Health is an Affirmitive Action and Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.

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