Registered Nurse (RN) Clinical Nurse Lead - Peds ED
Tucson Medical Center
Pediatric Emergency Department Clinical Nurse Leader$15,000.00 Sign on bonus with 2+ yrs of similar experienceThe newly remodeled Pediatric Emergency Department is designated as a certified pediatric advanced prepared emergency center, consisting of 14 private beds. Our department is located in between the inpatient pediatric unit and the Pediatric ICU, which facilitates a great working relationship amongst the pediatric service line. In our department we see approximately 30,000 patients a year with a wide range of chief complaints from sore throats and lacerations to SI/HI, overdoses, fractures with reductions at the bedside, respiratory distress and full codes. We work together as a team consisting of physicians, midlevel providers, registered nurses, medics, patient care techs and a unit clerk. All nurses in the department are dedicated pediatric nurses and are required to have BLS, ACLS, PALS, CPI and ENPC Certifications. All RNs are required to have 8 CEUs a year to maintain our designation.Job ResponsibilitiesThe clinical nurse leader is responsible for the assessment, coordination, implementation, and evaluation of the delivery of safe and effective patient-centered care. The Clinical Nurse Leader will facilitate and mentor others to grow professionally and advance their knowledge and skills. In addition, the Clinical Nurse Leader will continuously assess unit needs to ensure adequate resources for current and upcoming shifts by collaborating with other departments, clinical and nonclinical, to coordinate admissions, transfers, and discharges of patients in a timely manner. Finally, the Clinical Nurse Leader will demonstrate professionalism at all times and will uphold standards of practice by holding team members accountable for continued compliance.Core ValuesCompassion: We have heart. We respect diversity and individuality. We honor body, mind and spirit.Dedication: We work hard for our patients and each other. We are committed to professionalism and excellence. We listen, we learn, we grow.Community: We are welcoming and friendly. We practice kindness in all our relationships. We reach out as teachers and as leaders.Integrity: We tell the truth. We are responsible in how we use our resources. We have the courage to uphold our values.CompetencyAttends required classes: Unit Skills fair, One mock code per quarter, ACLS, CPR, PALS (if required)Completes and turns in annual competency evaluationKeeps individual education profile currentDemonstrates an understanding of regulatory requirements and professional practice guidelinesHas a working knowledge of organizational policies and proceduresShows competence in the performance of department-specific skills in order to be a resource and mentor for others in the departmentDemonstrates an active involvement in leadership activities within the past year (E.g. CNL development program, active participation in evaluations, PCI involvement)Promote shared governance by actively participating in unit based council and/or hospital council.Performance ImprovementReports significant events such as near misses, adverse events, patient/family complaints, and any situation that affects the safe delivery of patient-centered care in a timely mannerIs proactive, rounds with team members on the unit, and identifies opportunities for improvement; completes real time correction.Ensures that handoff communication occurs any time there is a change in caregivers on the unit during shift and at start/end of shiftsAssigns and delegates patient care tasks as appropriate, considering staff members' level of nursing experience, competency, and knowledgeDelegates tasks to unlicensed support staff as outlined by state board regulations and facility policies as appropriate to the clinical situationParticipates in multidisciplinary rounds and make recommendations when appropriateAssists in monitoring staff performance, behaviors, and competency for performance reviews and reports information to managerEnsures that all infection control precautions and procedures are followed in the departmentDrives one unit based process improvement initiativeMust attend and participate in 25% of monthly PCI trainings.Run debrief with team after any codes and or significant events, etc. Actively participates in unit SWARM activities.Joint Commission tracers/environment of safety checksAccountabilityIs accountable for completion of work including documentation, validates accuracy every shift.Prioritizes care and completes tasks during shiftWorks with staff to prepare for oncoming shift by preparing full report and stocking/tidying patient care areasPractice/demonstrates cost-effective behaviors: avoids unnecessary overtime, understands and implements staffing guidelines and flexes when appropriate, handles patient charges appropriately, uses supplies conscientiouslyAssists other team members by providing direct patient care as neededAssigns and coordinates patient flow to deliver safe and effective patient-centered carePerforms other specific department tasks as assigned by members of the department's leadership teamRounds with patients and family members to ensure that needs are met and identifies opportunities for improvementEnsures that appropriate staffing levels meet patient care needs. Input hours into PMR tool to ensure department productivity standards met. Utilization of acuity tool to aid with staffing if applicableMonitors supplies and ensures that appropriate par levels meet patient care needs without causing wasteAssists in ensuring that equipment is utilized carefully to avoid damageAble to deliver disciplinary action at the discretion and guidance of the nursing managerReal-time service recovery as needed for patient satisfaction and escalating if neededCommunicationCommunicates with all necessary units to coordinate care for patientChecks e-mail to stay current with hospital and unit communications each work shift.Attends 75% of staff meetings, participates on agenda topicsDoes not facilitate or tolerate negative communication or foul languageCommunication with staffing office and other departments to request staff and/or flex staff overages for oncoming shiftProfessionalismAdheres to organizational policies and procedures. Adhere to TMCH behavioral standards policy and hold staff accountable to them.Adheres to professional guidelines for practice such as state board of nurses, American Nurses Association (ANA) professional standards of care and ethical practice guidelinesCollaborates with other departments in a professional manner as needed to provide patient-centered careDemonstrates effective communication, conflict resolution, team building, and leadership skillsParticipates in updating and upholding standards of practice and be a role model to others for maintaining standards of care. Participate in WOC rounding as neededParticipate in peer interview processMinimum QualificationsEducation: Bachelor's degree preferred.Experience: One (1) year of nursing experience in an acute care setting required. Two (2) years of nursing experience in an acute care setting preferred.Licensure or Certification: Current RN licensure permitting work in the State of Arizona and Basic Life Support (BLS) certification required. Additional certification may be required per department.Knowledge, Skills and Abilities:Knowledge of critical care techniques, tools and responses required to ensure optimal patient care.Knowledge of processes and procedures to follow during a rapid response, code, or stroke call.Some Positions: Knowledge of electrophysiology and cardiac cath lab procedures and best practices.Some Positions: Knowledge of surgery specialties and how to prepare, assess and provide post-operation patient care to ensure best practices are followed.Some Positions: Knowledge of chart abstraction, education and marketing for the Chest Pain, CHF and Stroke programs.Skill in evaluating performance and recommending improvements.Skill in developing training materials and educating staff in the proper responses for critical care issues.Skill in the use and maintenance of computer systems and programs, especially NRCPR, PC File and Folder, Word, EXCEL, e-mail and attachment capabilities, Outlook, and PowerPoint.Skill in communicating with staff involved in critical care, and physicians to ensure the proper care of patients.Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.Ability to complete routine reports and correspondence.Ability to listen and accurately interpret others' communication or instructions to take appropriate action.Ability to speak and
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