Charge Nursing

CHARGE NURSING
CRYSTAL MAE E. BERSABAL, MAN ,RN

Objectives
✓ Have an overview of what is Charge Nursing

✓ Learn about the Technical and Interpersonal Skills of
a Charge Nurse
✓ Learn and practice how to transcribe/reading
doctors orders.
2
CHARGE NURSE
✓ “nurse in charge” on the

unit
✓ most experience and
knowledge.
✓ leader of the team
3
CHARGE NURSE
✓ coordinates the activities of the unit

✓ oversee patient care
✓ assigning work to the nursing staff.
✓ staff management
✓ … The captain of the shift
4
SKILL SET
• Charge Nurse as clinical • be a clinical expert - basic
specialist procedures and skill in
your unit
• at least 6 months
• Enhanced clinical eye -
candidate for CNT power to suggest
• being a charge nurse you • able to give safe clinical
should be a role model judgement - be part of the
(good qualities) clinical management
• able to anticipate possible

orders
5
Technical skills
❑ Rounding
❑ Transcribing orders
❑ Chart checking
❑ Role of CN during
emergency situation
6
Rounding
❑ Should be done once or

twice every shift
❑ Non-negotiable should be
done
❑ Practice IPSG # 1
❑ Explore what the patient
feel
❑ Rounds with doctors
7
Transcribing Orders
❑ Prioritize referrals
❑ Verbal and telephone orders are limited
only to urgent and emergent situations in
which immediately written and electronic
communication is not feasible
❑ Verbal orders should be complete
❑ Verbal orders should be written after
code
❑ Doctors shall countersign 24 hours from
the time the order was made
❑ Carry out only complete orders
❑ Telephone order for pain is acceptable
8
Chart Checking
❑ To ensure all orders were

carried out during the
entire shift and no orders
were missed.
❑ Must be done within the
start, during and after the
end of the shift,
9
Interpersonal Skills
❑ Role Model
❑ Safe and Effective
Communication
10
Role Model
❑ Remain calm
❑ Avoid anger outburst
❑ Engage and communicate effectively during
the shift
❑ Be the charge nurse you want when you
were a bedside.
❑ Be a charge nurse were bedside nurses will
be comfortable to be with and they will feel
secured
❑ Communicate in a professional way
❑ Proper grooming
❑ Initiate Acknowledgement of people
consultants
11
Safe and Effective Communication
❑ Authority and delegation in a

right way, with proper tone of
voice.
❑ Be sensitive to what tour
bedside nurses needs
❑ Collaborative Approach
12
7 Essential Charge Nurse
Communication Skills
❑Nonverbal communication
❑Active listening
❑Inspire trust
❑Show compassion
❑Patient education
❑Verbal communication
❑Collaborative communication
13
14
Tips for New Charge Nurses
Tip #1: Know The Policies
✓ How it Works
✓ includes policies related to the admission,

discharge, and transfer process;
medication administration policies,
transfusion policies, and more.
15
Tip #2: Know Your Backup
✓ resources that are available to you if you

just don’t know the answer
✓ there should be a “higher-up” that you
have access to
16
Tip #3: Good at Throughput
✓ primary responsibility is to keep the unit

moving.
✓ help minimize many of these delays and

keep the department moving by being
proactive.
17
Tip #4: Help Out
✓ help out your nurses wherever they need

it.
18
Tip #5: Charge Nurse by Example
✓ lead by example
✓ conduct yourself with professionalism and
integrity
19
Tip #6: Stay Calm in Crisis
✓ Staying calm is easier said than done, but

one thing that helps you stay calm is
KNOWING YOUR STUFF.
20
Tip #7: Good Team Player
✓ Be a hard worker and willing to help out

other nurses. Don’t expect them to return
the favor later, but if they are a good team
player they eventually will.
21
Tip #8: Stay Organized
✓ make lists and prioritize what needs to be

done. Chart in real-time to avoid the
backlog .
22
Tip #9: Good at IVs and Procedures
✓ As the charge nurse, you will be used as a

resource. Your nurses will come to you if
they have difficulty placing an IV or other
procedure, or if they have never done the
procedure before.
23
Tip #10: Good at Rhythms and Codes
✓ the pressure of knowing what to do during

emergency situations
✓ You should also be familiar with
the basics of how to recognize a
STEMI.
24
EXERCISES
25
EXERCISES
26
EXERCISES
27
EXERCISES
28
EXERCISES
29
Thank You!

Charge Nursing

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CHARGE NURSING

CRYSTAL MAE E. BERSABAL, MAN ,RN

✓ Have an overview of what is Charge Nursing

✓ “nurse in charge” on the

✓ coordinates the activities of the unit

• able to anticipate possible

❑ Should be done once or

❑ To ensure all orders were

❑ Authority and delegation in a

✓ includes policies related to the admission,

✓ resources that are available to you if you

✓ primary responsibility is to keep the unit

✓ help minimize many of these delays and

✓ help out your nurses wherever they need

✓ Staying calm is easier said than done, but

✓ Be a hard worker and willing to help out

✓ make lists and prioritize what needs to be

✓ As the charge nurse, you will be used as a

✓ the pressure of knowing what to do during

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