Registered Nurse (RN) - Clinical Nurse Lead - Main ED Days

Tmc Emergency Department Clinical Nurse Leader

The TMC Emergency Department is the busiest Emergency Department in Southern Arizona, seeing at least 95,000 patients a year between both the adult and pediatric ED. We have a total of 54 beds separated into 4 pods (North, South, East, and West). Patients are placed into pods based on their triage acuity. The staffing ratio follows ENA standards for a 1:4 ratio that flexes based on acuity. We follow the Emergency Severity Index (ESI) Guidelines for triage of all ER patients. We see a variety of patients within the department – everything from sore throats and simple lacerations to respiratory failure and STEMI patients. TMC has earned certification as a Comprehensive Stroke Center, accreditation as a Chest Pain Center, and the Gold Plus Achievement Award for stroke programs from the American Heart Association/American Stroke Association. The ED embraces the Lean Methodology and strives for a culture of continuous process improvement to create the best patient care experience for our community and a work environment that excels in teamwork and collaboration. All nurses are required to be CPR, ACLS, PALS, Vistelar, and NIHSS certified.

Tucson Medical Center (TMC) is Tucson's only non-profit community owned hospital. Employees choose to work at TMC because of our values of integrity, community, dedication, and compassion which we show through the exceptional care we provide to our patients and our community. Our passion for caring for the Tucson community has expanded over the last 75 years to include community partnerships, new medical specialties, and medical clinics to further provide the care our community deserves.

Why Join Tucson Medical Center?

We don't only care for our patients, we care for our TMC family too. As a member of our family you can expect to enjoy a wide variety of benefits. In addition to all the benefits you would expect from a leading medical facility (medical, dental, vision, 401K with match) we also provide:

• Family Style Atmosphere with a Supportive Team
• Competitive Pay
• Career Growth Opportunities
• Tuition Reimbursement
• Health and Wellness Coaching
• Extensive Onsite Gym for $12.00 a Month

Unit Information: The TMC Emergency Department is the busiest Emergency Department in Southern Arizona, seeing at least 95,000 patients a year between both the adult and pediatric ED. We have a total of 54 beds separated into 4 pods (North, South, East, and West). Patients are placed into pods based on their triage acuity. The staffing ratio is 1:2 to 1:4 depending on the acuity of the patient. We follow the Emergency Severity Index (ESI) Guidelines for triage of all ER patients. We see a variety of patients within the department – everything from sore throats and simple lacerations to respiratory failure and STEMI patients. TMC has earned certification as a Comprehensive Stroke Center, accreditation as a Chest Pain Center, and the Gold Plus Achievement Award for stroke programs from the American Heart Association/American Stroke Association. There is a separate Behavioral Health Observation Unit located within the Emergency Department. The ED embraces the Lean Methodology and strives for a culture of continuous process improvement to create the best patient care experience for our community and a work environment that excels in teamwork and collaboration. All nurses are required to be CPR, ACLS, PALS, CPI and NIHSS certified.

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 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.

Essential Functions:

Complies with legal, hospital and departmental policies, procedures and position requirements.

Values:

• Compassion: 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.

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 in order to be a resource and mentor for others in the department
• Demonstrates 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 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 correction.
• Ensures that handoff communication occurs any time there is a change in caregivers on the unit during shift and at start/end of shifts
• Assigns and delegates patient care tasks as appropriate, 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 make recommendations when appropriate
• Assists in monitoring staff performance, behaviors, and competency for performance reviews and reports information to manager
• Ensures that all infection control precautions and procedures are followed in the department
• Drives one unit based process improvement initiative
• Must 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 checks

Accountability:

• Is accountable for completion of work including documentation, validates 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
• Practice/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. Input hours into PMR tool to ensure department productivity standards met. Utilization of 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
• Real-time service recovery as needed for patient satisfaction and escalating if needed

Communication:

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