Dec 23, 2025

Charge Registered Nurse (RN) - Med Surg

Job Description

46678403 Overview
Positively impact patient care and outcomes by leading staff, managing operational processes and ensuring that patient needs are met; utilizing best practices and leadership skills to reach their maximum potential as frontline leaders.

Responsibilities

Clinical Practice

  • Identifies and addresses psychosocial needs of patients and families; communicates with Case Manager regarding both in-hospital and post discharge needs.
  • Provide support to MedSurg and SCU, and to be a resource for all staff during shift.
  • Takes patient assignment when census is high or to cover sick call/vacation.

Supervisory

  • Takes charge assignment, overseeing other staff RN's, LPN's, LNA's and Health Unit Coordinators.
  • Oversees and monitors patient care/staff assignments, to include patient rounding and prioritizing staff needs for the shift.
  • Oversees, and is primary clinical resource for Staff LPNs; to include administering initial dose of IV push medications, perform initial head-t-toe assessment for LPN admissions, initiate/discontinue restraints, and any other tasks not allowed by LPN license constraints.
  • Facilitates staff breaks and meals.
  • Responds properly to changes in workload, adjusting assignments s necessary to achieve optimal productivity and efficiency.
  • Provides direction and coordination during emergency situations, i.e., disasters, fires, and code situations, including drills for such situations.

Administrative

  • Assists the nurse Manager in the planning, organizing, directing, implementation and evaluating of nursing care and activities of an assigned nursing unit.
  • Recommends and helps to implement new technology and changes in hospital policy and procedures.
  • Assists in cost containment through the appropriate ordering and conserving of supplies and equipment.
  • Assist with making scheduling adjustments to cover staffing vacancies.
  • Assists the Nurse Manager in implementation and evaluation of performance improvement indicators and quality initiatives to improve patient outcomes and the work environment.

Qualifications
  • Excellent written and verbal communication skills
  • Delegation, problem solving, and organizational skills.
  • Leadership and supervisory skills.
  • Clinical experience required with a minimum 2 years of relevant experience in acute care setting to include, but not limited to: Vascular Access Management, NG Tube Placement and Management, Wound/Skin Care, Telemetry/Cardiac Dysrhythmias, EKGs, Tube Feedings, Accessing/De-accessing Mediports
  • Supervisory experience preferred
  • Graduate of an accredited school of nursing.

Required Licensure/Certifications

REQUIRED LICENSE(S):
• Licensed RN with NH eligibilityREQUIRED CERTIFICATIONS:
• (BLS) Basic Life Support
• (ACLS) Advanced Cardiac Life Support

  • Area of Interest: Nursing
  • FTE/Hours per pay period: 0.90 - 36 hrs/per week
  • Shift: Night
  • Job ID: 36055

Dartmouth Health offers a total compensation package that includes a comprehensive selection of benefits. Our Core Benefits include medical, dental, vision and life insurance, short and long term disability, paid time off, and retirement plans. Click here for information on these benefits and more: Benefits | NLH Careers

Dartmouth Health is an Affirmative 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.