White Rock Medical Center is a community-based hospital located near the historic White Rock Lake community, that serves the Dallas, Garland, Mesquite and surrounding areas. The Emergency Department Charge Nurse/Supervisor provides clinical leadership and operational oversight of the Emergency Department during assigned shifts. This role ensures safe, efficient, and high-quality patient care delivery while managing daily operations, staff coordination, and regulatory compliance. As part of a 24/7 leadership team, the Charge Nurse serves as the administrative and clinical authority for the department during their shift.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Clinical Leadership

• Provide direct oversight of all clinical activities in the Emergency Department during assigned shift
• Ensure appropriate patient triage, assessment, and treatment protocols are followed
• Assist with critical patients and complex clinical situations as needed
• Monitor patient flow and implement strategies to optimize throughput and reduce wait times
• Ensure proper handoff communication between shifts and with admitting units

Operational Management

• Manage daily staffing assignments based on patient acuity and volume
• Coordinate with nursing staff, physicians, ancillary services, and support departments
• Address patient and family concerns, complaints, and service recovery needs
• Ensure adequate supplies, equipment, and resources are available
• Manage bed placement and coordinate with admitting departments for patient transfers

Staff Supervision

• Supervise, mentor, and support ER nursing staff and support personnel during shift
• Conduct real-time performance feedback and coaching
• Address attendance, behavioral, or performance issues as they arise
• Facilitate communication between staff and leadership
• Participate in staff recruitment, onboarding, and competency validation

Quality and Safety

• Monitor and enforce compliance with regulatory standards (CIHQ, CMS, state regulations)
• Ensure adherence to infection control protocols and environmental safety standards
• Participate in quality improvement initiatives and safety reporting
• Investigate incidents, near misses, and adverse events; complete required documentation
• Support culture of safety initiatives

Administrative Responsibilities

• Participate in daily operational huddles and communicate shift priorities
• Document shift activities, incidents, and staffing challenges
• Support EMR optimization and proper documentation practices
• Contribute to departmental policies, procedures, and strategic planning

QUALIFICATIONS

Required:

• Current Texas RN license in good standing
• Minimum 5 years of emergency nursing experience
• Minimum 2 years of charge nurse or supervisory experience in emergency setting
• BLS, ACLS, PALS, and TNCC certifications (or ability to obtain within 90 days)
• CEN (Certified Emergency Nurse) certification required within 1 year of hire
• Strong knowledge of emergency nursing standards, EMTALA regulations, and CIHQ requirements
• Demonstrated leadership, critical thinking, and conflict resolution skills

Preferred:

• Bachelor of Science in Nursing (BSN)
• Experience with EMR systems (facility currently implementing new system)
• Previous experience in multi-facility healthcare systems
• Experience with quality improvement methodologies

COMPETENCIES

• Clinical expertise in emergency and trauma care across all age groups
• Strong communication skills with patients, families, physicians, and interdisciplinary teams
• Ability to make sound decisions under pressure and manage multiple priorities
• Proficiency in conflict resolution and difficult conversations
• Commitment to fostering positive team culture and employee engagement
• Understanding of regulatory compliance and accreditation standards
• Flexibility and adaptability in dynamic healthcare environment

PHYSICAL DEMANDS

• Ability to work 12-hour shifts with extended periods of standing and walking
• Capability to lift, turn, and position patients (up to 50 lbs with assistance)
• Manual dexterity for clinical procedures and computer documentation
• Visual and auditory acuity to monitor patients and equipment
• Ability to respond quickly to emergency situations

WORK ENVIRONMENT

• Fast-paced emergency department with varying patient volumes and acuity levels
• Exposure to infectious diseases, bodily fluids, and hazardous materials
• Potential exposure to combative or emotionally distressed patients
• 24/7 operation requiring shift work including nights, weekends, and holidays
• On-call expectations for staffing emergencies or critical incidents

ORGANIZATIONAL EXPECTATIONS

• Uphold White Rock Medical Center's mission, values, and anchor mission commitments
• Participate in Hospital Week activities, town halls, and employee engagement initiatives
• Support nursing culture improvement efforts and leadership development
• Contribute to strategic planning and transition from reactive to proactive operations
• Maintain professional development and continuing education requirements

QUALIFICATIONS:

Experience: 

• Communication, organizational, computer skills, team player, work independently and under quickly. 

Education:  

• Graduate of accredited school of nursing. 1 -2 years of ED experience preferred. BSN preferred. Licensure/Certifications: 
• Current professional RN license issued and/or recognized by Board of Nurse examiners for the State of Texas. BLS and ACLS required. PALS or ENPC certification is required within 6 months of hire. TNCC is preferred. 

Note: Nothing in this job description restricts managements right to assign or reassign duties and responsibilities to this job at any time.