Registered Nurse Clinical Nurse Lead - Med Surg - Unit 900

Registered Nurse Clinical Nurse Lead - Med Surg - Unit 900

SUMMARY :

The 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 facilitates and mentors others to grow professionally and advance their knowledge and skills. In addition, the Clinical Nurse Leader continuously assesses unit needs to ensure adequate resources for current and upcoming shifts by collaborating with other departments, clinical and non‑clinical, to coordinate admissions, transfers, and discharges of patients in a timely manner. Finally, the Clinical Nurse Leader demonstrates professionalism at all times and upholds standards of practice by holding team members accountable for continued compliance.

ESSENTIAL FUNCTIONS

Complies with legal, hospital and departmental policies, procedures and position requirements. Values: We will incorporate our values into every aspect of our organization. We have heart. We respect diversity and individuality. We honor body, mind and spirit. We work hard for our patients and each other. We are committed to professionalism and excellence. We listen, we learn, we grow. We are welcoming and friendly. We practice kindness in all our relationships. We reach out as teachers and as leaders. We tell the truth. We are responsible in how we use our resources. We have the courage to uphold our values.

COMPETENCY

Attends required classes: Unit skills fair, one mock code per quarter, ACLS, CPR, PALS (if required). Completes and turns in annual competency evaluation. Keeps individual education profile current. Demonstrates an understanding of regulatory requirements and professional practice guidelines. Has a working knowledge of organizational policies and procedures. Shows competence in the performance of department‑specific skills to be a resource and mentor for others in the department. Demonstrates active involvement in leadership activities within the past year (e.g., CNL development program, active participation in evaluations, PCI involvement). Promotes shared governance by actively participating in unit‑based council and/or hospital council.

PERFORMANCE IMPROVEMENT

Reports 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 manner. Is proactive, rounds with team members on the unit, and identifies opportunities for improvement; completes real‑time corrections. Ensures handoff communication occurs whenever a caregiver changes on the unit during a shift and at shift start/end. Assigns and delegates patient care tasks appropriately, considering staff members’ level of nursing experience, competency, and knowledge. Delegates tasks to unlicensed support staff as outlined by state board regulations and facility policies as appropriate to the clinical situation. Participates in multidisciplinary rounds and makes recommendations when appropriate. Assists in monitoring staff performance, behaviors, and competency for performance reviews and reports information to manager. Ensures all infection control precautions and procedures are followed in the department. Drives one unit‑based process improvement initiative. Attends and participates in 25 % of monthly PCI trainings. Runs debrief with team after any code and or significant events; actively participates in unit SWARM activities. Participates in Joint Commission tracers/environment of safety checks.

ACCOUNTABILITY

Is accountable for completion of work including documentation, validating accuracy every shift. Prioritizes care and completes tasks during shift. Works with staff to prepare for oncoming shift by preparing full report and stocking/tidying patient care areas. Practices/demonstrates cost‑effective behaviors: avoids unnecessary overtime, understands and implements staffing guidelines and flexes when appropriate, handles patient charges appropriately, uses supplies conscientiously. Assists other team members by providing direct patient care as needed. Assigns and coordinates patient flow to deliver safe and effective patient‑centered care. Performs other specific department tasks as assigned by members of the department’s leadership team. Rounds with patients and family members to ensure that needs are met and identifies opportunities for improvement. Ensures that appropriate staffing levels meet patient care needs; inputs hours into PMR tool to ensure department productivity standards met. Utilizes acuity tool to aid with staffing if applicable. Monitors supplies and ensures that appropriate par levels meet patient care needs without causing waste. Assists in ensuring that equipment is utilized carefully to avoid damage. Able to deliver disciplinary action at the discretion and guidance of the nursing manager. Provides real‑time service recovery as needed for patient satisfaction and escalates if needed.

COMMUNICATION

Communicates with all necessary units to coordinate care for patient. Checks e‑mail to stay current with hospital and unit communications on each work shift. Attends 75 % of staff meetings, participates on agenda topics. Does not facilitate or tolerate negative communication or foul language. Communicates with staffing office and other departments to request staff and/or flex staff overages for oncoming shift.

PROFESSIONALISM

Adheres to organizational policies and procedures. Adheres to TMCH behavioral standards policy and holds 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 guidelines. Collaborates with other departments in a professional manner as needed to provide patient‑centered care. Demonstrates effective communication, conflict resolution, team‑building, and leadership skills. Participates in updating and upholding standards of practice and serves as a role model for maintaining standards of care. Participates in WOC rounding as needed. Participates in peer interview process.

ROLE SPECIFIC FUNCTIONS

EP Coordinator Oversees EP area and coordinates with Cardiac Cath Lab lead to better evaluate staffing and schedule needs, training required, materials management, and provides recommendations for efficiencies. Perioperative Identifies patients at high risk requiring advanced nursing judgment; utilizes holistic assessment, identifies relevant aspects of situations and determines the appropriate course of action to move patient/family and staff toward expected outcome(s). Requires advanced life support certification (ACLS and PALS). Rapid Response Provides oversight and training while participating in the rapid response, stroke, and code team responses for critical patient care. Maintains NRCPR Database and runs abstracts to evaluate performance for quality control and recommends improvements as required. Receives and reviews preceding critical care shift reports and floor nurse reports; makes complete rounds of all units and notes patients' condition.

MINIMUM QUALIFICATIONS

Education: —Qualifications not specified. 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: Required. Specific certifications include ACLS, PALS, and for some positions, electrophysiology and cardiac cath lab knowledge. 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 on 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 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 communicate effectively. Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret a wide variety of instructions and deal with several abstract and concrete variables. #J-18808-Ljbffr Tucson Medical Center