I consider it the CNs role to ensure the team perform this order of things in completing whatever tasks are necessary to reach discharge. The aims are usually the same - admit assess&diagnose plan treat evaluate discharge. The more or less the subordinate/junior staff do - the less or more the CN has to do.Ī unit generally has a specific clinical role. The more or less a CN's manager does in this pivotal role - the less or more they have to do. Just as a general guide on how I worked as a CN - it has a lot to do with the relationship you have with your senior and junior staff.ĬN is a pivotal role in turning theory/policy into action/practice. I'm sure there are others, but I can't think of them right now. *Assist with checking off charts and noting orders. *Deal with narcotic discrepency count according to pharmacy policy. *Deal with family complaints or call in patient relations if needed. *Assist in crisis ie code blue, rapid response. *Communicate pertinent infomation to the Nursing Supervisor, pharmacy, other floors, *Assist with settling disputes among other employees *Cover desk when other nurses are at dinner Or changes in conditions or follow up that the primary nurse did so. *Communicates pertinent information to the doctors on rounds (advocates for patients) *Make sure each nurse has a phone or beeper and that the clerk has a copy of the *Might have to take patients if short staffed *Make sure your unit is covered ie nurses, aides, clerk. One of the most important criteria is that the individual be honest, ethical and fair. These are some of the things I do and I have seen other charge nurses do. I would welcome any thoughts, and would appreciate any resources that spell out charge nurse duties. I am having a charge nurse meeting next week for current and aspiring charge nurses. Secretaries were entering orders and putting the charts away assuming nurses were going through charts regularly and signing off their own orders (doesn't work), there were no checks and balances. Am I wrong, or is this their job! They have been working as overpaid CNA's for the nurses for too long. I was told this took too much time and kept them at the desk instead of on the floor. We have started a charge nurse report book and I have instructed charge nurses to keep track of labs, procedures, history and any other pertinent information in this book for staff and doctors. Orders were missed on a daily basis and we were losing the trust of doctors and patients. ![]() ![]() The 42 bed unit has been without a director for the last 6 months, there was no monitoring of what the charge nurses were doing (director of m/s was trying to supervise both floors). I have recently been promoted to Director of PCU, I love the position but am facing problems from staff.
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