Med Surg Clinical Charge Nurse (Nights)

About the role

The Med Surg / ICU Free Charge RN oversees daily clinical operations on the assigned unit(s) without a patient assignment. The role provides leadership, coordinates patient care activities, supports staff and ensures high-quality, safe and efficient care. It also acts as a clinical resource and liaison between staff, physicians and leadership, including oversight of outpatient infusion services and related safety practices. The shift runs 6:30 p.m. to 6:30 a.m.

Key responsibilities

• Coordinate daily staffing assignments and patient flow for Med Surg and ICU units
• Act as the primary clinical resource for nursing staff during the shift, providing real-time problem-solving and decision-making support
• Facilitate admissions, transfers and discharges and serve as the escalation point for clinical and operational concerns
• Ensure adherence to evidence-based practices, policies and procedures, and monitor patient acuity and staffing needs
• Respond to emergencies, including rapid responses and codes
• Oversee outpatient infusion services, including safe administration of therapies such as antibiotics, biologics, blood products and hydration therapy
• Provide clinical guidance on patient assessment, venous access and monitoring, and ensure adherence to infusion protocols (patient identification, medication verification, monitoring)
• Monitor for infusion-related reactions and collaborate with pharmacy and providers on medication preparation, compatibility and dosing
• Maintain equipment such as smart pumps and verify accurate documentation, labeling and patient education for infusions
• Mentor nursing staff, including new hires, float and contracted staff, and provide coaching and feedback
• Serve as liaison between nursing staff, physicians, ancillary departments and leadership, and participate in interdisciplinary rounds and quality improvement initiatives
• Monitor quality indicators (falls, infections, patient satisfaction, medication safety, infusion-related events) and report unit updates to management

Required profile

• Current registered nurse (RN) license (state-specific); BSN preferred
• Minimum 3-5 years of acute care experience (Med Surg and/or ICU required)
• Prior charge nurse or leadership experience strongly preferred
• Demonstrated competency in outpatient infusion therapy preferred
• Ability to read and communicate effectively in English, verbally and in writing; additional languages preferred

Required skills

• BLS required
• ACLS required (ICU setting)
• PALS required
• CPI required