Leadership Charge Nurse: Creating a Culture of Safety


The Joint Commission and the Institute for Healthcare Improvement (IHI) recognize that safe patient care begins when hospital units have such extensive teamwork in place that all staff feel safe bringing concerns and ideas to improve care. This advanced class for charge nurses focuses on the role of the nurse leader in creating and developing this atmosphere. The course will briefly review key concepts taught in Charge Nursing: Leading from the Middle, then expand its focus to help nurses improve customer service, continuous survey readiness and response to critical events.


Following this course, the student will be able to:

  • Discuss the relationship of the charge nurse to all team members, including physicians, hospital leadership team members and staff from other areas. 
  • Discuss the role of the charge nurse regarding patient satisfaction.
  • Evaluate unit readiness for any type of survey (i.e. The Joint Commission)
  • Discuss measures that improve a unit’s safety culture, including hourly rounding, effective shift reporting, simulation drills for critical events, debriefing after critical/unusual events, and delivering effective feedback to frontline staff.
  • Respond to critical events in a unit, and follow up with appropriate action after. 


Mark Kaliher, RN, has been teaching Flex Ed for more than three years. Kaliher is formally trained in ER nursing, and has worked as a staff nurse and relief charge nurse. Since 1988, he has utilized his extensive skill set to conduct in-services and employee orientations. His experience includes working in the ER, ICU, PACU, Outpatient Surgery and as the House Supervisor at Glendora Community Hospital in 1990. He also began teaching CPR and donating time to teach Basic Life Support classes at community education centers. 

Sylvia Swager CRRN, BHA, has provided instruction for FlexEd since 2012, focusing on leadership classes, critical thinking, case management and other educational needs to improve the quality of patient care and help others deal with the vast changes and challenges of today’s health care. Swager has a bachelors degree in health administration and a certification in rehabilitation nursing (CRRN).

Who Should Attend? 

Charge nurses looking to develop and strengthen their leadership skills. 

Sherita Rogers