Charge Nurse/RN – Medical/Surgical -- Nights

Ntmconline; Gainesville (TX); Hybrid; USD 75,000 - 105,000; Full time

Job summary

North Texas Medical Center in Gainesville, TX, is seeking a Charge Nurse/RN for the Medical/Surgical unit (Nights). The role requires coordinating care, leading a nursing team, and ensuring quality patient outcomes within a fast-paced setting.

Responsibilities include direct patient care, admission assignments, and multidisciplinary collaboration with physicians and social services. Strong assessment and communication skills are essential for success on this shift.

Qualifications

• Associates or better in Nursing.
• Current RN license in the State of Texas.
• Current BLS Certification.
• ACLS Certification within first 90 days.
• NIHSS certification within first 90 days.
• PALS certification preferred.

Responsibilities

• Provide direct and indirect patient care in the medical-surgical setting.
• Makes Assignments and assigns admissions.
• Coordinate and supervise patient care as necessary.
• Serves as a role model for staff through professional communication.
• Perform head-to-toe assessments and reassessments as per policy.
• Assist physicians with procedures and nursing treatments.

Skills

Basic computer skills

Education

Associates or better in Nursing

Job description

Charge Nurse/RN - Medical/Surgical -- Nights

Job Category: Clinical

Requisition Number: CHARG003703

• Posted : September 22, 2026
• Full-Time

Locations

Showing 1 location

North Texas Medical Center
Gainesville, TX 76240, USA

Provides direct and indirect patient care in the medical-surgical setting. The charge nurse is responsible for the quality of care during the shift. A charge nurse helps to facilitate multi-disciplinary communication including social services, physicians, and other departments to optimize patient outcomes. Provides patient care when census dictates it. Makes Assignments and assigns admissions

• Serves as a role model for staff through professional and effective communication.
• Practices within the standards and standards and scope of the American Nurses Association including but not limited to collaboration, leadership, communication, and quality of practice.
• Provides direct and indirect patient care in the medical-surgical setting. The charge nurse is responsible for the quality of care during the shift. A charge nurse helps to facilitate multi-disciplinary communication including social services, physicians, and other departments to optimize patient outcomes. Provides patient care when census dictates it. Makes Assignments and assigns admissions
• Serves as a role model for staff through professional and effective communication.
• Practices within the standards and standards and scope of the American Nurses Association including but not limited to collaboration, leadership, communication, and quality of practice.
• Ability to perform a head-to-toe assessment on all patients and reassessments as per policy. This includes: pediatric, adolescent, geriatric and the general patient population.
• Ability to adequately assess and reassess pain. Utilizes appropriate pain management techniques. Educates the patient and family regarding pain management.
• Ability to revise plan of care as indicated by the patient’s response to treatment and evaluate overall plain daily for effectiveness.
• Ability to perform waived testing (point-of-care testing, glucometers) per Clinical Laboratory’s and the resident care unit’s policies and procedures.
• Ability to interpret results of waived tests; take appropriate action on waived test results.
• Performs patient care responsibilities considering needs specific to the standard of care of patient’s age.
• Knowledge of medications and their correct administration based on age of the patient and their clinical condition.
• Follows the six (6) medication rights and reduces the potential for medication errors.
• Formulates a teaching plan based upon identified learning needs and evaluates effectiveness of learning, family is included in teaching as appropriate.
• Demonstrates an ability to assist physicians with procedures and performs services requiring technical and manual skills.
• Demonstrates ability to perform treatments and provide services to level licensure.
• Demonstrates knowledge of the principles of growth and development over the life span and the skill necessary to provide age appropriate care to the patient population served. Able to interpret data about the patient’s status in order to identify each patient’s age specific needs and provide care needed by the patient group.
• Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/healthcare errors. Supports a culture of quality and safety.
• Consults other departments as appropriate to provide for an interdisciplinary approach to the patient’s needs.
• Communicates appropriately and clearly to Nurse Director/Supervisor, co-workers and physicians.
• Identifies and addresses psychosocial needs of patients and family; communicates with Social Services regarding both in hospital and post discharge needs.
• Documentation meets current standards and policies.
• Manages and operates equipment safely and correctly.
• Coordinates and supervises patient care as necessary.
• Performs other related duties as assigned or requested.

BASIC SKILLS

• Basic computer skills

REGULATORY REQUIREMENTS

• High School diploma or equivalent (GED)
• Current RN license in the State of Texas
• Current BLS Certification
• ACLS Certification within first 90 days
• NIHSS certification within first 90 days
• PALS certification preferred

LANGUAGE SKILLS

• Ability to communicate effectively in English both verbally and in writing
• Additional languages a plus

PHYSICAL REQUIREMENTS

• Must be able to lift 50lbs. alone and 150 lbs. with assistance
• Must be able to stand and walk 75% of shift on hard surfaces.
• Must be able to sit, bend, stoop and reach above one’s head
• Environment is a temperature controlled indoor environment
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position without compromising patient care.

NTMC is a tobacco and drug free workplace. We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

Qualifications

Education

Required

Associates or better in Nursing.

Licenses & Certifications

Required

Basic Life Support

RN

Preferred

ACLS

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.