Jan 22, 2021

Charge Nurse (RN) - Center for Medically Fragile Children

  • Providence St. Joseph Health
  • Portland, OR, USA

Job Description


Providence is calling a Charge Nurse (RN) for the Center for Medically Fragile Children (0.9 FTE, Nights) at the Providence Child Center in Portland, OR

We are seeking a Charge Nurse (RN) that will provide unit/department leadership and supervises clinical staff. Provides and supervises professional, independent evidence-based nursing care for Child Center residents using the nursing process, consistent with an Oregon RN license. Under the Oregon Nurse Practice Act, the professional registered nurse is legally accountable for 'diagnosing and treating human responses to actual or potential health problems'. The Providence staff RN applies knowledge drawn from broad, in-depth education in the social and physical sciences in assessing, planning, ordering, giving, delegating, teaching and supervising nursing care that promotes patients' optimal health and independence. All Providence professional nursing practice requires a broad range of general nursing knowledge and competency. In addition, development and validation of knowledge and skills essential the assigned department, patient population and/or practice area are essential.

This RN participates in and leads clinical teams and may supervise or delegate to licensed practical nurses (LPNs), certified nursing assistants (CNAs), certified medication aides (CMAs), and other health care workers.

In this position you will have the following responsibilities:

  • DOMAIN: Diagnostic and Monitoring Function:
  • Use independent, critical judgment in all aspects of resident care delivery
  • Assure nursing assessments are completed in a timely manner, including admission, initial shift and ongoing assessments
  • Manage clinical information by:
  • Reviewing clinical findings [data]
  • Interpreting and transforming those data to information
  • Applying professional knowledge
  • Derive appropriate nursing diagnoses though critical information synthesis
  • Create and implements a nursing plan of care for patients, based on assessment synthesis, nursing diagnosis and the patient's unique needs
  • Provide leadership in the interdisciplinary patient care team in integrating the nursing plan of care into the patient's interdisciplinary plan of care
  • Coordinate, assign and supervise appropriate activities involved in the nursing plan of care to CNA's and other nursing care team members
  • Document all assessments, plans and interventions in the patient's clinical record
  • DOMAIN: Caring:
  • Respect and support the patient's Sacred Space through presence and creating a healing environment
  • Provide safe passage by ensuring safe care processes and healing environments throughout the stay
  • Provide comfort measures through selection and implementation of evidence-based strategies for pain and symptom management
  • Provide consistent emotional and informational support to residents and families
  • Tailor caring processes to the individuality and uniqueness of each resident and family
  • DOMAIN: Teaching/Coaching Function:
  • Assess the resident and family's capability and readiness to learn
  • Provide resident and family education that is appropriate to the health care setting and that facilitates recovery, health maintenance, health promotion or a peaceful, comfortable death
  • Teach, mentor and precept other nurses and interdisciplinary team members
  • DOMAIN: Administering and Monitoring Therapeutic Interventions and Regimens:
  • Determine most appropriate, evidence-based nursing interventions for the specific resident.
  • Implement evidence-based interventions according to the Nursing Plan of Care.
  • Protect vulnerable residents from complications by evaluating risks, monitoring for early signs of complications, and individualizing the Nursing Plan of Care based on the resident's vulnerability
  • Administer medications accurately and safely, and monitors and documents adverse effects, reactions, therapeutic responses, toxicity and incompatibilities
  • Document interventions and resident responses in the medical record
  • Evaluate effectiveness of the Nursing Plan of Care and alters as indicated
  • DOMAIN: Monitoring and Ensuring the Quality of Health Care Practices:
  • Consistently evaluate resident care interventions, effectiveness and efficiency of the resident's plan of care, and clinical and personal outcomes of the hospitalization
  • Constantly focus on improving nursing care quality by readjusting care strategies and priorities reflecting critical evaluation of patient care and outcomes
  • Advocate for resident rights and responsibilities
  • Follow evidence-based standards and practices and maximize safe resident care
  • Know about, complies, and translates to others internal and external regulatory resident care requirements
  • Participate in quality improvement and nursing research activities at the unit/facility level
  • Honor resident and family values even when they differ from the nurse's personal values
  • DOMAIN: Organizational and Professional Development:
  • Communicate in a positive and constructive manner
  • Work collaboratively with others, maintaining communication and behaviors that facilitate teamwork
  • Demonstrate flexibility and creativity in response to unexpected changes in workload and/or patient status within a shift
  • Reassign resources as a response if needed
  • Participate actively as an interdisciplinary team member, team leader and the unit leader
  • Incorporate conflict management skills in resolving issues within the clinical team
  • Coordinate, order, and meet multiple patients' needs by realigning priorities as needed
  • Recognize personal learning needs and sets goals for further clinical and professional development for self and others


Required qualifications for this position include:

  • Current, unencumbered Oregon RN license
  • Current Basic Life Support certification (BLS) for Healthcare Providers
  • National Certification from ANA -OR- Professional Organization in relevant field of clinical expertise strongly recommended
  • One (1) year of nursing with experience in care of medically fragile children

Preferred qualifications for this position include:

  • Bachelor's Degree in Nursing
  • Pediatric Advanced Life Support (PALS) certification
  • Charge Nurse experience

About Providence in Oregon

As the largest healthcare system and largest private employer in Oregon, Providence offers exceptional work environments and unparalleled career opportunities.

The Providence Experience begins each time our patients or their families have an encounter with a Providence team member and continues throughout their visit or stay. Whether you provide direct or indirect patient care, we want our patients to feel that they are in a welcoming place where they can be comfortable and free from anxiety. Our employees create the Providence Experience through simple, caring behaviors such as acknowledging and welcoming each visitor, introducing ourselves and Providence, addressing people by name, providing the duration of estimated wait times and updating frequently if timelines change, explaining situations in a way that puts patients at ease, carefully listening to their concerns, and always thanking people for trusting Providence for their healthcare needs. At Providence, our quality vision is simple,

"Providence will provide the best care and service to every person, every time."

Providence is consistently ranked among the top 100 companies to work for in Oregon. It is also home to two of our award-winning Magnet medical centers. Providence hospitals and clinics are located in numerous areas, ranging from the Columbia Gorge to the wine country to sunny southern Oregon to charming coastal communities to the urban setting of Portland. If you want a vibrant lifestyle while working with a team highly committed to the art of healing, choose from our many options in Oregon.

For information on our comprehensive range of benefits, visit:


Our Mission

As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.

About Us

Providence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and services continuing a more than 100-year tradition of serving the poor and vulnerable. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

Schedule: Full-time

Shift: Night

Job Category: Medical/Surgical Nursing

Location: Oregon-Portland

Req ID: 274185