Registered Nurse - Charge

Job Summary Supervises daily clinical operations of the surgery center and manages the clinical and clerical staff in accordance with established Federal, State and accreditation regulations and guidelines, as well as established Heaton Laser and Surgery Center/ HEA policies and procedures in the absence of the Clinical Director. Oversees patient care activities in preoperative, postoperative and intraoperative. Purchases required supplies, controlled drugs, and equipment. Responsible for staff development, orientation and staff discipline and appraisal. Education BSN preferred. Certifications/Licenses Current Texas RN License, ACLS and BLS required. Experience Minimum 1-year ambulatory surgery clinical experience and administrative/management experience preferred. Primary Job Duties Monitors & directs the assigned activities of ASC staff Competent in pre op, circulator, post op, and call nurse duties Participate in monthly meetings with ASC leadership Communication with MDs, anesthesia providers, HEA staff, vendors, and any other roles involved in ASC planning/procedures Patient care safety, quality assurance, and infection prevention Maintain safe work environment: equipment, supplies, knowledge, critical thinking Investigates and intervenes in problem situations, reporting appropriate information to supervisor Continuing education to maintain licensure Attendance/Punctuality and Reliability Fulfillment of Core Values All other duties as assigned Performance Standards/Responsibilities Clinical Performance Participates in patient care activities adhering to the requirement of the Operating Room RN and/or Preop/PACU RN job descriptions when providing direct patient care. Establishes and evaluates quality and standards of patient care in conjunction with medical staff and clinical staff. Develops patient care protocols, preoperative and postoperative assessment procedures, nursing policies and procedures, physician standing orders and standard discharge instructions. Evaluates nursing staff documentation and patient care through review of medical records. Management of Resources/Inventory Schedules qualified staff to provide required coverage for patient care adhering to applicable guidelines. Establishes and oversees a system to ensure adequate supplies of controlled drugs, supplies, instrumentation and equipment are available to meet patient needs 100% of the time, within budgetary constraints. Coordinates appropriate use of human and material resources, being mindful of budgetary constraints. Provides adequate staffing coverage 100% of the time. Accurately verifies time worked through regular review of time and attendance records. Assures worked FTE ratio is within approved budget or appropriate justification is provided. Cancel staff appropriately according to established protocol when census is low to remain within budgetary limits. Supply inventory is maintained within approved budget. Oversees/coordinates obtaining and returning of borrowed/rented equipment and supplies in the most cost effective and timely manner. Ensures non‑expired sterile packs and supplies are available 100% of the time for scheduled cases. Ensures no missing or unaccounted for controlled substances 100% of the time and controlled substances are accounted for in accordance with procedures established in conjunction with the pharmacy consultant. Identifies the need for and appropriately confers with the administrative staff on resource management issues. Management of Facility/Staff Identifies work related improvement opportunities and analyzes them to identify causes/find solutions. Acts decisively to implement solutions to resolve critical issues or improve processes. Communicates clear understanding of job responsibilities, task objectives, deadlines and performance expectations. Disseminates relevant information about decisions, plans and activities to people that need it for job performance. Shares up‑to‑date information on center activities and policy changes in a timely manner. Evaluates the performance of individuals through timely completion of competency assessments and skill checks. Listens attentively to others. Try to understand the meaning of the communication of others, perceives their needs and interests. Works in harmony with others as a team leader. Regularly meets deadlines related to individual as well as team performance on projects/assignments. Accepts full responsibility for his actions. Observes scheduled hours of work and puts in extra hours when necessary. Provides department orientation to staff on an ongoing basis, including safety training. Delegates tasks to qualified staff members; adheres to established policies and procedures and sets an example of appropriate behavior. Discusses changes which directly affect individuals or general staff prior to change, encourages suggestions and invites participation in decision making, incorporating the ideas and suggestions of others. Allows staff to have substantial responsibility and discretion in carrying out work activities, handling problems and making important decisions. Facilitates the constructive resolution of conflict. Encourages cooperation, teamwork and job ownership. Provides praise, recognition, and appreciation for effective performance. Fiscal Management Strives to stay within budgeted guidelines. Budgets and allocates resources according to priorities and stays within established guidelines. Professional Development/Facility Promotion Develops contacts with people who are a source of information and support. Provides timely response and resolution to client complaints. Communication Listens respectfully, gives feedback directly, honestly and talks with others to clarify differences. Effectively communicates and interacts with patients (using translation services when needed), their family, and other external and internal clients (including fellow employees) from diverse backgrounds. Quality Demonstrates a willingness to look at new ideas and work in a changing environment. Understands, verbalizes and participates in the quality improvement process. Supports initiatives designed to improve individual and organizational performance. Provides appropriate patient care across the age span. Qualifications and Skills Interpersonal: Excellent communication skills; oral, written and presentation. Above average organizational skills. Demonstrates a positive, friendly, and courteous manner. Serves as a role model to other staff members. Actively participates in the development of a healthy work environment. Critical Thinking: Demonstrates accountability, skill and knowledge to practice within scope of position responsibilities. Demonstrates the ability to organize, prioritize, analyze, anticipate, interpret, evaluate and problem‑solve to provide a safe, effective and functional environment. Ability to direct the activities of the staff and manage the personnel. Knowledge: Working knowledge and experience in ambulatory surgery environment, preferably operating room, including direct patient care. Ability to adhere to work schedule and manage time appropriately. Ability to effectively manage the activities and personnel in the surgery center. Knowledge of current nursing matters relating to healthcare management, including QAPI. Ability to utilize resources in an organized and effective manner. Machines, Equipment, Work Aides: Standard ASC supplies and equipment. Computer, printer, copier, telephone and fax. Physical Demands/Work Environment: See the Physical Demand Analysis form for information specific to this position. Benefits Affordable Health and Dental Vision Care Life Insurance PTO 401K #J-18808-Ljbffr