Charge Nurse ED Hold Department

Registered Nurse – Transitional Care Unit 

A Med-Surg Role With Variety, Teamwork, and a 5:1 Ratio 

Join our Transitional Care Unit, where nurses care for admitted medical-surgical patients who are awaiting placement in an inpatient bed. This unit offers the variety of the hospital setting with a defined scope of care and a manageable 5:1 nurse-to-patient ratio. 

This is a great opportunity for nurses who enjoy medical-surgical nursing, patient education, care coordination, and working closely with a multidisciplinary team. 

What You Can Expect 

5:1 nurse-to-patient ratio 

Medical-surgical level patients 

Admitted patients who have already completed their initial emergency evaluation 

Collaboration with hospitalists, physicians, case management, pharmacy, respiratory therapy, and other support departments 

Opportunities to strengthen assessment, time-management, and care-coordination skills 

Clearly Defined Patient Acuity 

This unit does not accept: 

Stepdown patients 

ICU patients 

Patients requiring titratable drips 

Patients needing a higher level of monitoring or intervention than a medical-surgical unit can safely provide 

Patients requiring escalation of care will be transferred to the appropriate higher-acuity unit. 

Primary Responsibilities 

Complete ongoing nursing assessments 

Administer medications and treatments 

Monitor for changes in patient condition 

Provide patient and family education 

Coordinate care with the interdisciplinary team 

Prepare patients for discharge or transfer to an inpatient medical-surgical bed 

Support safe and efficient patient flow throughout the hospital 

Who We Are Looking For 

We are seeking nurses who: 

Enjoy caring for a diverse medical-surgical population 

Value teamwork and communication 

Demonstrate strong assessment and critical-thinking skills 

Provide compassionate, patient-centered care 

Thrive in an organized, collaborative environment 

Are comfortable recognizing and escalating changes in patient condition 

Why Join the Transitional Care Unit? 

Consistent 5:1 staffing ratio 

Clearly defined medical-surgical scope of care 

No ICU assignments 

No stepdown assignments 

No titratable drips 

Diverse patient population 

Supportive leadership and collaborative teamwork 

Opportunities for professional growth and skill development 

Join Our Team 

If you are looking for a medical-surgical nursing role with variety, a manageable patient ratio, and a clearly defined level of care, the Transitional Care Unit may be the right fit for you. 

Help patients move safely through the next step of their care while providing the quality, attention, and compassion they deserve. 

Job Summary 

The RN Charge oversees the operations of a nursing unit during assigned shifts, ensuring effective and efficient delivery of high-quality patient care. This role supervises nursing staff, coordinates care with healthcare teams, and maintains compliance with healthcare regulations and hospital policies while fostering a positive work environment and promoting professional development. 

Essential Functions

• Supervises and supports nursing and support staff, delegating tasks and responsibilities to appropriate personnel.
• Evaluates staff performance, providing feedback and coaching to maintain high standards of care.
• Oversees the assessment, planning, implementation, and evaluation of patient care, ensuring patient care plans are followed and adjusted as needed.
• Collaborates with healthcare professionals to coordinate patient care and resolve issues related to patient flow or care delivery.
• Ensures effective communication among physicians, patients, families, and hospital departments, including managing shift handoffs and unit huddles.
• Monitors patient flow, manages bed assignments, and optimizes resource utilization within the unit.
• Conducts employee and patient rounding to evaluate care delivery and satisfaction.
• Monitors adherence to safety standards, infection control protocols, and hospital policies, addressing non-compliance promptly.
• Participates in quality improvement initiatives and audits to enhance patient outcomes and ensure compliance with healthcare regulations.
• Ensures necessary medical supplies are available and properly utilized while maintaining cost-effective resource management.
• Facilitates ongoing education and professional development for nursing staff and ensures training needs are met.
• Leads efforts in infection prevention by conducting audits, educating staff, and ensuring adherence to protocols for hand hygiene, sterilization, and use of PPE.
• Responds to emergencies within the unit, providing leadership and direct care as necessary.
• Performs other duties as assigned.
• Maintains regular and reliable attendance.
• Complies with all policies and standards.

Qualifications

• 1-2 years of clinical nursing experience required

Knowledge, Skills and Abilities

• Strong clinical knowledge and ability to oversee complex patient care.
• Effective communication and interpersonal skills to coordinate with interdisciplinary teams.
• Leadership and mentoring skills to manage staff and promote a positive work environment.
• Ability to assess, prioritize, and manage multiple patients and tasks.
• Proficiency in using hospital information systems and clinical documentation tools.
• Knowledge of infection control protocols, safety standards, and quality improvement practices.
• Critical thinking and problem-solving skills for addressing unit challenges and emergencies.

Licenses and Certifications

• RN - Registered Nurse - State Licensure and/or Compact State Licensure required
• BLS - Basic Life Support required
• ACLS - Advanced Cardiac Life Support preferred