Nurse Supervisor

Nurse Supervisor

Works under the direction of the Assistant Director of Nursing to oversee and manage nursing care provided in the MD area or infusion area as assigned at CCSI facilities, including coordination, training and scheduling of nursing staff (LPNs, certified Medical Assistants, and RNs). Is responsible for establishing and maintaining staff compliance with all patient care standards, regulatory rules, and CCSI standards and procedures. Serves as a liaison between staff, patients, and management; provides patient care to medical oncology and hematology patients.

Essential Duties and Responsibilities

Nurse Supervisor Duties:

• Plans, directs, and coordinates Nursing services for the front office or Infusion area as assigned at CCSI hub and satellite clinics as appropriate while ensuring compliance with Federal, State and local laws.
• Coordinates day-to-day nursing operations for assigned areas at assigned clinics and communicates necessary patient care related and operational information with Assistant Director of Nursing.
• Serves as a liaison between Nursing staff and physicians, management, other healthcare providers and other members of the healthcare team with the CCSI clinics to coordinate and improve care of shared patients.
• Serves as a liaison between patients, their families/significant others, other healthcare staff, nursing students, vendors, and management; acting as a patient advocate for issues and/or complaints.
• Coordinates with the Assistant Director of Nursing to maintain and order appropriate medical supplies to ensure all clinical procedures and treatments can be performed when scheduled.
• Assists the Assistant Director of Nursing in completing the nursing staffing schedules to ensure adequate staffing is provided for patient care and overstaffing is minimized.
• Participates in training, development, and evaluation of nursing staff. Ensures continued competency of nursing staff in daily nursing duties.
• Supervises nursing staff for the assigned clinic and ensures staff comply with CCSI employee policies and procedures for assigned clinics.
• Serves as a resource person for staff, physicians and patients.
• Will maintain knowledge of chemotherapy administration.
• Utilizes EPIC to document all clinical data.
• Is competent in filling out genetic testing forms, FMLAs, and prior authorizations.
• Works collaboratively as a health care team leader.
• Assists with tasks necessary for the general operation and organization of the nursing areas.
• Maintains a positive attitude with patients, family/significant others, and co-workers.
• Will become OCN certified.

Clinical Practice:

• Assessment:
• Assists patients as needed with completion of history and physical form.
• Assesses patient vital signs, as needed.
• New Patients: height, weight, blood pressure, pulse, respirations, and temperature.
• Rechecks: height, weight, and blood pressure.
• As needed, checks pulse oximetry and blood sugar per glucose monitor.
• Documents and reconfirms in each visit the patient's current medications and allergies.
• Utilizes the electronic medical record (EMR) system to accurately chart all patient visit information.
• Assesses physical, psychological and educational needs of patients according to guidelines, standards of care and individual needs.
• Assesses patient care needs and/or changes in condition throughout treatments and procedures, and communicates findings to the provider.

Planning:

• Coordinates plan of care for patients, including follow up treatments and appointments.
• Coordinates scheduling of chemotherapy and other treatments, facilitates processing of provider orders, and coordinates with pharmacy staff on provider orders.
• Assists in preparation and transfer of patients within the facility or for transfer to other facilities.

Implementation:

• Provides professional nursing care to patients based on patient needs and plan of care.
• Assists the provider as needed in complex interventions, examinations, and procedures.
• Completes or coordinates with laboratory or hospital staff to collect specimens, label, and transport specimens to laboratory.
• Administers treatments as ordered by the provider, including fluids, antibiotics, chemotherapy treatments, and other treatments as indicated.
• Administers injections, including subcutaneous and intramuscular injections.
• Accesses, draws blood samples, and provides routine maintenance care for all types of central lines, including infusaports, Hickman's, Groshong's, PICC's and any other tunneled or non-tunneled catheter.
• Monitors, evaluates and documents patient responses to treatments.
• Communicates any changes in patient condition during treatments to the provider and implements revised plan of care as needed.
• Revises patient medication profiles and assists provider with medication refill orders as needed.
• Ensures documentation is complete and accurate and entered into the EMR or Pharmacy systems or in paper charts.

Patient Education:

• Provides and reinforces patient and family/significant other teaching, such as providing appropriate brochures on treatment, potential side effects, etc. and answering questions.
• Documents patient and family/significant others educational needs and documents intervention and understanding.
• Refers to other members of the healthcare team as necessary for assistance to meet patient and family / significant others' needs.

Evaluation and Documentation:

• Documents all observations, interventions, and patient responses to interventions.
• Witnesses' patient or authorized person's signature on consent forms, as needed.
• Takes, records and follows-through on provider orders as needed.
• Follows-through on provider messages, "PANIC"-level reports, "STAT" orders, etc.

Other:

• Rooms patients and enters visit documentation into the EMR or pharmacy systems or into paper charts for providers, as needed.
• Directs patients, families, significant others to exam and/or procedure rooms and treatment areas as needed.
• Cleans exam and infusion rooms, disinfects surfaces, and ensures exam rooms are ready for patients, as needed.
• Inspects oxygen tanks, Oximeter, and Glucometer monitors and documents results.
• Stocks supplies in nursing areas and patient rooms and arranges with the appropriate individual to replenish stock.
• Provides nursing support to the radiation oncology department on an as-needed basis, including: patient assessment, administration of pre-medications, and coordination of patients' treatments with medical and radiation services.
• Complies with all applicable safety and health regulations, policies and procedures. Complies with established personal protective equipment requirements necessary for protection against exposure to chemotherapeutic agents, blood and body fluids, other potentially infectious material, chemical disinfectants, and other hazardous substances.
• Performs all duties in a safe, responsible manner using required safety devices and personal protective equipment and following appropriate safety guidelines, including use of Universal Precautions, proper hand washing technique, and other work practice controls which minimize occupational exposure.

Professional Communication:

• Maintains confidentiality in matters relating to all aspects of employment, including patient/family/significant other confidentiality.
• Interacts with patients/family/significant others with a variety of developmental and sociocultural backgrounds in appropriate manner.
• Provides information to patients and family/significant others that reduces anxiety and conveys an attitude of acceptance, sensitivity and caring.
• Maintains professional relationships and conveys relevant information to other members of the health care team.
• Communicates and coordinates with other healthcare professionals to obtain and follow through on provider orders, such as blood orders, occupational therapy, physical therapy, medical equipment, etc.; Hospice consults; case management, such as pre-certifications for drugs or tests; and, provider referrals.
• Relays information appropriately over computers, telephones, facsimiles, pagers, and other communication devices, and follows-through as needed.
• Maintains and prioritizes messages, gathers appropriate information needed to respond (such as patient chart, lab results, etc.), communicates appropriate information to providers, and follows-through on provider orders and requests as needed. In provider's absence, checks and assesses provider messages regularly and addresses as needed.
• Initiates / coordinates with insurance companies to obtain pre-certifications and pre-authorizations for patients