RN Clinical Staff Leader, Psychiatry

Job Summary:
A registered professional nurse who is responsible for direct and indirect coordination and management of patients who present to Erlanger Baroness ED requiring psychiatric care and behavior management. Responsible for assigned shift and formulate a plan and execute with department leadership.


Education:
Required:
- Graduate from an accredited School of Nursing.


Preferred:
- BSN


Experience:
Required:
- Clinical experience required. Evidence of leadership abilities required.
- Knowledge of general nursing principles and practice skills
- Knowledge of organizational functions, policies and regulations
- Knowledge of current trends and new developments
- Knowledge of principles and practices of nursing; and applicable knowledge of those areas requiring special education.
- 1 year or more of Psychiatry experience.

Preferred:
- Minimum of 2 years' clinical experience.

Position Requirement(s): License/Certification/Registration
Required:
- Current licensure to practice nursing in the State of Tennessee.
- BLS completed prior to going to the unit/department and to be maintained going forward.
- ACLS certified required.
- Unit specific approved certification.
- Certified training as required by area of practice.

Note: certification by specialty within 1 year of exam eligibility for area of practice.


The Nurse Licensure Compact will not change how to obtain or renew a Tennessee license. However, the Tennessee nursing license will be a single state license for Tennessee Residents or non-compact state residents. Tennessee licensure or multistate licensure from a compact state must be obtained within three months of hire for non-Tennessee residents.

Department Position Summary:
The employee must be able to demonstrate the knowledge and skill necessary to provide care appropriate for the age and diagnosis of the patients served. The individual must demonstrate knowledge of the principles of growth, development, and aging over the life span. The individual must possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirement relative to his or her age-specific needs and to provide the care needed.


The employee is responsible for the coordination and management of patients who present to the Erlanger Baroness ED requiring psychiatric care and behavior management.

From a patient care perspective, the individual will perform nursing assessments and acute behavioral management as required. Provide detailed information about behavioral health management plans and any special considerations to the ED team. Assist with escalating patients with primary or secondary psychiatric conditions. Administer emergency medication for aggression. Assist/direct care when indicated for 4 point restraints and/or seclusion and obtain orders as needed from the provider. Ensure all behavioral health protocols and policies are consistently followed as ordered. Ensure CONs are properly managed and always accompany those patients. Assist patients with communication/contacts with family as needed. The employee will be a primary responder to BERT alerts.

In order to provide the aforementioned care, the employee will need to work closely with the ED staff and physicians, security and officers to coordinate care, symptom management and evolving treatment and discharge plans to address any specific behavioral needs.

The employee will regularly update the ED team on treatment progress and level of care needs as well as sitter needs. They will provide clear instructions for behavioral care and any changes in patient management.

Daily operations of unit when scheduled to include but not limited to:


Quality/Safety:
- Accountable for HCAHPs initiatives are implemented
- Ensure Hand Hygiene is completed 'wash in and wash out', and bare below the elbows in clinical areas
- Participates and leads committees and quality initiatives
- Ensure that the area is maintained according to established standards and guidelines at all times
- Accountable for TJC/DNV compliance and appropriately escalates problems relating to rules and regulations in a timely and effective manner.


Service Excellence:
- Deescalate situations and implement service recovery
- Accountable for unit specific metrics and tracks progress in meeting goals and objectives.

People:
- Assist in recruitment and retention of staff on unit
- Assist with on boarding of new staff to the department
- Identify and monitors staff to develop as Clinical Staff Leaders.
- Facilitate open and effective communication with ancillary departments and medical staff
- Communicate areas of concerns appropriately to leadership and actively identify solutions for correction
- Appropriate delegation of tasks based on skill level of individual
- Identify clinical staff leaders and develop plan of action to assist in their growth
- Coach and counsel staff to enhance performance
- Conducts performance reviews in collaborative Department management
- Collaborates with Director/Manager to facilitate monthly staff meetings

Education:
- Facilitate appropriate orientation opportunities/experiences for new staff
- Identify all education opportunities for self and staff members
- Assist in the development of staff members by continuously reviewing the care they provide and offer constructive feedback

Finance:
- Manage productivity by flexing staffing based on census and acuity
- Analyze adequate staffing for shift and next 24 hours
- Monitors supply cost to maintain within budget
- Adhere to established PAR levels
- Responsible for timely patient placement according to department matrix
- Complete Kronos per guidelines
- Updates daily schedule timely to reflect actual staffing
- Monitor time and attendance and take corrective action with staff not adhering to policy

Growth:
- Communicate effectively with Physicians and service lines

Community:
- Assist with community outreach programs and opportunities (i.e. Health Fairs, community events, etc.)

Leadership:
- Demonstrates mastery of patient care, including assessment, treatment, care planning, patient education and evidence-based practice.
- Leads by example of good work habits and effective professional relationships.
- Actively embraces change emphasizing positive interactions.