Registered Nurse - Critical Care Charge Nurse

We're glad you are thinking about joining us.

Grand Itasca is a non-profit organization with a clear vision of being the leader in transforming rural health care by achieving the highest levels of quality, access, and value. Our strength stems from teamwork and collaboration among a talented and diverse group of professionals. With over 700 employees in hundreds of different roles, Grand Itasca can offer a variety of career opportunities.

• POSITION: Critical Care Services Charge Nurse
• EMPLOYMENT TYPE: .6-.75 (48-60 hours / pay period)
• WORK SCHEDULE: Days / Nights
• DEPARTMENT: Critical Care Services
• Internal posting through: 2/3/2026

JOB SUMMARY:
A clinically competent, registered, professional nurse who has demonstrated expertise in critical care. Effectively delivers critical care to the patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. In addition, the Charge Nurse possesses the following skills: demonstrated leadership ability, ability to process multiple sources of information independently utilizing critical thinking, is adaptable to frequently changing situations, understands and responds to the needs of a multi-disciplinary team, works to build trust, is passionate about the needs of the customer (patient, family, providers, team members), demonstrated communication skills, and works to empower all members of the team to work toward their full potential. This position is responsible to ensure that timely, accurate, and professional nursing care is provided to the patients and families.

Here's what you'll do when you join us:

1. Assists and supports unit employees:
   1. ER/ICU RNs, Monitor Tech's and Critical Care Unit Coordinators
2. Performs daily rounds in ER/ICU and leads ongoing "huddles" as necessary to ensure smooth patient flow.
3. Collaborates with Manager/House Supervisor to obtain updated census of other hospital units and discuss plan of potential hospital admissions.
4. Assists in maintaining patient and organizational flow; admission and discharge coordination
   1. Collaborates with the MSP and Surgical Services Charge Nurses to assist with any needs of coordinating patient flow.
   2. Ensure the process of reporting patient status to the following shift of nursing personnel.
   3. Ensure rounds on patients in the department and waiting room are being managed and that they are kept informed and updated on the patient's condition and/or situation.
5. Staffs the unit according to organizational guidelines, ensure meal breaks for all staff, and facilitate to reduce overtime.
6. Evaluates the effectiveness of care and addresses issues that may affect the desired patient outcomes. Promotes the delivery of safe effective and appropriate care in a timely and accurate manner.
   1. Assists/supports staff with all levels of patient care delivery.
   2. Oversee and directs the planning and distribution of patient assignments.
7. Address patient and/or family issues/concern and communicates to the Manager. Understand and utilizes the online variance reporting system.
8. Assesses risk, responds and solves issues that may arise in the ER/ICU and provides a safe working environment for the entire department.
9. Performs and/or delegates the completion of quality review, regulatory observational/chart audits; actively contributes to quality and development including compliance, core measure and documentation.
10. Demonstrates ability to provide immediate professional practice feedback to staff.
11. Interacts with and contributes to the professional growth of peers, colleagues and unit. .
12. Collaborates and supports staffs to ensure the completion of annual unit specific trainings, and organizational required education.
13. Responds and assists all Trauma, STEMI, Stroke activations.
14. Participates in the development and planning of goals and objectives related to Trauma/STEMI/Stroke/Emergency Operation Plan programs and compliance.
15. Collaborates with the ED Nurse Manager, Trauma Program Medical Director, Stroke Medical Director, and Quality data abstractor in the development, implementation and evaluation of a Trauma/STEMI/Stroke/EOP quality care and programs
16. Monitors team's compliancy according to the Trauma/STEMI/Stroke/EOP regulatory requirements, policies and standards.
17. Participate in state and regional Trauma/STEMI/Stroke/EOP activities.
18. Ensure completion of the daily/monthly checks (i.e Crash carts, accuchecks).
19. Provides quality care to all patients and ensures patient safety throughout the continuum of patient care, advocates for family-centered approach, in accordance with established policies, procedures of the healthcare organization, as well as guidelines of profession organization.
20. Oversees and directs the delivery of patient care through the process of assessment, diagnosis, planning, implementing and evaluation according to the Minnesota Nurse Practice Act, physician's orders, recognized nursing techniques, policies, procedures, and established standards.

QUALIFICATIONS:
1. Registered with the Minnesota Board of Nursing. BSN preferred.

2. Equivalent of two (2) years Critical Care experience, three (3) years preferred within the past five years.
a. ECG recognition/interpretation
b. Certified Emergency Nurse (CEN) and/or CCRN certification preferred or willing to obtain within 24 months

3. Basic Life Support (BLS) and Advance Cardiac Life Support (ACLS) certifications required and maintain certification.

4. Pediatric Advance Life Support (PALS) certification or attain certification within six months of employment and maintains certification.

5. Trauma Nursing Core Course (TNCC) or Comprehensive Advance Life Support (CALS) certification or attain certification within 12 months of employment and maintains certification.

6. Demonstrated abilities to manage large volumes of multiple patient, family, staff and physicians priorities within short time frames and organize workload; includes critical thinking, teaching/delegation skills and respectful communication.
a. Demonstrates mature judgment, initiative and proficiency in nursing skills
b. Demonstrates leadership qualities, executive and organizational abilities
c. Ability to lead and mentor change in culture of patient care team
d. Ability to adapt resources to the need of the situation
e. Leads by example in displaying consistent behaviors reflective of GICH standards of conduct

7. Demonstrated ability to follow and adhere to Grand Itasca and Hospital policies, vision, mission and values.

8. Maintains reliable and consistent attendance.

*The posted compensation range corresponds to the minimum and maximum pay rates outlined in your union agreement for the respective job classifications at the time of job posting. An individual's pay rate within this range may be influenced by various factors, including FTE, skills, knowledge, educational background, and qualifying experience as specified in the contract.

EEO/AA Employer/Vet/Disabled All qualified applicants will receive consideration without regard to any lawfully protected status.

Built by Itasca County in 1917, Itasca Memorial Hospital was designed to serve the booming Mississippi River paper mill town of Grand Rapids and surrounding wilderness. While we have been growing to serve the community for 95 years, our mission has remained the same - Patient-Centered Excellence.