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Charge Nurse / Operating Room

Children's Hospital & Medical Center - Omaha Omaha, NE

Full Time 1.0FTE 40 hours/week
Weekdays 10:30a-7p (no call/no holidays)

Were  searching for an OR Charge Nurse.  If you are passionate about providing premier pediatric care, theres no better place than Childrens.  Our magnet-designated facility is growing and hiring registered nurses who will enjoy autonomy, the respect of our world-class physicians and career advancement opportunities.

The Charge Nurse will coordinates/leads daily clinical operational activities of the unit by ensuring that quality care is delivered in an efficient work environment.  Collaborates with the Clinical Manager to maintain an environment that advocates for staff and promotes individual/team engagement through clinical/administrative expertise and professional leadership.


  • Coordinates/leads daily clinical operational activities of the unit by ensuring that quality care is delivered in an efficient work environment to include:
  • Managing patient flow
  • Balances unit patient care activities while overseeing the delivery of patient care and coordinating admissions, discharges, transfers and unforeseen events.
  • In times of high census, effectively problem solves and utilizes available resources including other charge nurses, clinical manager, Administrative Coordinator and/or Director to maximize patient throughput, while maintaining quality patient care.
  • Maintains constant unit awareness, adjusting patient assignments and directing workflow according to changes in patient acuities/needs and unit activities. 
  • Utilizes clinical leadership in ensuring that patient care activities meet established unit/organizational/ practice standards of care through patient/family rounding, communication with healthcare team and in directing and/or assisting in the delivery of clinical patient care.
  • Facilitates communication between healthcare team members/departments in advocating for quality/coordinated patient care, and ensuring that patient/family needs are met.  
  • Overseeing staffing processes
  • Coordinates assignments using established staffing levels that match individualized* patient needs with staff competencies, and staff skill mix.
  •  *Individualized refers to the patients developmental, cognitive, cultural, psychosocial, spiritual, and educational/family influences and physical/medical care needs.
  • Assigns and delegates patient assignments as defined by the Nebraska State Nurse Practice Act, and according to the knowledge and skills of the staff available. 
  • Anticipates plans and adjusts staffing needs daily, 24 out, and on a weekly basis, resolves staffing issues as they arise, and updates Clinical Manager daily.
  • Consistently ensures documentation on daily staffing sheets and assignment sheets reflects accurate staffing/patient activity.
  • Ensures staff floating into unit are supported clinically, introduced/welcomed as part of the team and assigned a buddy.
  • Works collaboratively with Administrative Coordinator and other unit Charge Nurses in meeting staffing needs, taking accountability for impact of decision on  patient care in own unit. 
  • Unit staffing is adjusted consistently according to established staffing policies/procedures/guidelines/standards.
  • Unresolved staffing concerns and unique staffing adjustments are appropriately communicated to the Clinical Manager in a timely manner.
  • Monitoring unit environment
  • Ensures that staff has the supplies, equipment, information, and resources needed to provide quality patient care in a safe work environment.
  • Assesses unit supplies and equipment needs on a daily basis.  Reports correction needs, completes variances and utilizes unit tracking processes for timely resolution of identified needs. Reports unresolved environmental variances to the Clinical Manager as necessary.
  • Shift report reflects unit standards.  Delivery of report to ongoing charge nurse reflects unit activities..
  • Collaborates with the Clinical Manager to maintain an environment that advocates for staff and promotes individual/team engagement through clinical/administrative expertise and professional leadership.
  • Role models, demonstrates and promotes clinical leadership
  • Serves as a clinical/systems expert with nursing and interdisciplinary team member(s) in the assessment, development, implementation, and/or evaluation of the age-specific individualized patient/family-centered plan of care and documented actions
  • Proactively collaborates with healthcare team, in analyzing data from patient assessments, team/family communication and current clinical situations. Provides direction in prioritizing plans for patient care while considering the potential for complications.
  • Consistently implements the nursing process in accordance with the unit scope of service, policies/procedures, and standards to oversee the care of patients while utilizing critical thinking skills.
  • Demonstrates clinical competence in assigned area to support quality patient care. Uses discretionary judgment in assessing conflicting priorities and needs.
  • Regular attendance at work is an essential function of the job.
  • Perform physical requirements as described in the Physical Requirements section


  • Must possess leadership skills in verbal/written communication and organizational management (time management, problem solving, conflict resolution, and knowledge of regulatory agency/HR standards). 
  • Must possess influential/motivational leadership skills that drive/develops staff performance.
  • Ability to effectively demonstrate situational power, control, autonomy, and flexibility.
  • Must be able to perform a variety of duties, often changing from one task to another of a different nature, without loss of efficiency or composure, and be able to perform under stressful conditions when confronted with multiple requests, demonstrating prioritizing skills.


  • Diploma, Associates, or Bachelors degree from an accredited school of nursing required
  • Minimum 3 years experience as a clinical or operating room nurse required, preferably in pediatrics. 


  • Current and valid Nebraska RN license/RN Compact license required
  • Current and valid Basic Life Support (BLS) through the American Heart Association is required.
  • Current and valid certification in Pediatric Advanced Life Support (PALS) required, within 6 months of hire.




Make a meaningful difference improving the lives of children!

At Childrens, the regions only full-service pediatric healthcare center, our people make us the very best for kids. Come cultivate your passion, purpose and professional development in an environment of excellence and inclusion, where team members are supported and deeply valued. Opportunities for career growth abound as we grow our services and spaces, including the cutting-edge Hubbard Center for Children. Join our highly engaged, caring teamand join us in providing brighter, healthier tomorrows for the children we serve.

Date Posted January 29, 2023
Requisition 300000116465708
Located In Omaha, NE
SOC Category 00-0000.00

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