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Scheduled Weekly Hours: 40
Work Shift: Days/Evenings (United States of America)
Provides direction, supervision and leadership to Nursing employees, in collaboration with the Nurse Managers and Directors, to maintain standards of care/practice in the delivery of quality patient care on the day/evening/night shifts, weekdays, weekends and holidays. Functions as a representative of Administration and provides resource and guidance to Nursing and the ancillary/support departments, as well as the community.
1) Models "expert" professional nursing knowledge, skills and judgment, able to use expertise to guide staff in providing quality care, patient safety and efficient care.
2) Assures unit/department leaders' coordinate activities, oversee care for patients based on established clinical practice standards, code of professional ethics and regulatory compliance for designated and/or other shift as assigned. Interact with physicians, ancillary healthcare staff, other departments to assure patient follow-up and continuity of care. Records maintained according to policy/procedures, confidentiality of Protected Health Information (PHI) and accurate and timely standards. Daily staffing practices coordinated, includes allocating, assigning and monitoring staffing needs based on fluctuating unit/department staffing levels. Internal disaster procedures coordinated with the Emergency Department and staffing resources allocated to assure safe effect and timely care of patients. Hospital, nursing and regulatory standards used to guide practice: Joint Commission, ODH, OSHA, CMS and OBN. Emergency protocols/procedures followed, based on education and patient needs. American Nurses Association (ANA) Code of Professional Ethics followed.
3) Provides leadership and assist off-shift/weekend employees to develop a collaborative and cohesive team; fosters positive working relationships. Demonstrates listening skills, responds with understanding to others' concerns/suggestions; approachable and creates trust. Facilitates timely and accurate communication. Provides counseling to employees, as needed, and documents unusual situations for Nurse Manager(s) and/or Directors for corrective action. Maintains positive relationships with all consumers and providers of services. Assigns employees (licensed/unlicensed), as appropriate to patient's condition and employee's education/competency skill. Assures Ohio Board of Nursing (OBN) Nurse Practice Act regulations implemented and nursing activities are delegated appropriately to STNAs. Collaborates with Charge RNs and assures appropriate assignments, coordinated shift operations and/or team activities, breaks/lunch assigned and promotes communication with next shift(s). Inspires confidence from co-workers, visitors, physicians and community by remaining well-informed and prepared at all times.
4) Assures unit/department leaders' coordinate activities, oversee care for patients based on established clinical practice standards, code of professional ethics and regulatory compliance for designated and/or other shift as assigned. Interact with physicians, ancillary healthcare staff, other departments to assure patient follow-up and continuity of care. Records maintained according to policy/procedures, confidentiality of Protected Health Information (PHI) and accurate and timely standards. Daily staffing practices coordinated, includes allocating, assigning and monitoring staffing needs based on fluctuating unit/department staffing levels. Internal disaster procedures coordinated with the Emergency Department and staffing resources allocated to assure safe effect and timely care of patients. Hospital, nursing and regulatory standards used to guide practice: Joint Commission, ODH, OSHA, CMS and OBN. Emergency protocols/procedures followed, based on education and patient needs. American Nurses Association (ANA) Code of Professional.
5) Provides leadership and assist off-shift/weekend employees to develop a collaborative and cohesive team; fosters positive working relationships. Demonstrates listening skills, responds with understanding to others' concerns/suggestions; approachable and creates trust. Facilitates timely and accurate communication. Provides counseling to employees, as needed, and documents unusual situations for Nurse Manager(s) and/or Directors for corrective action. Maintains positive relationships with all consumers and providers of services. Assigns employees (licensed/unlicensed), as appropriate to patient's condition and employee's education/competency skill. Assures Ohio Board of Nursing (OBN) Nurse Practice Act regulations implemented and nursing activities are delegated appropriately to STNAs. Collaborates with Charge RNs and assures appropriate assignments, coordinated shift operations and/or team activities, breaks/lunch assigned and promotes communication with next shift(s). Inspires confidence from co-workers, visitors, physicians and community by remaining well-informed and prepared at all times.
6) Collaborates with patient/significant others, interdisciplinary team and departments to ensure effective and efficient patient care delivery, desired patient outcomes and continuity of care. Demonstrates excellence in customer service with all contacts (patients, families, physicians, colleagues, other departments and community). Interacts with customers (patients, families, physicians, staff, community) and assesses satisfaction with care. Assures resources to provide patient/family care needs (other disciplines, Care Management, Spiritual Care, LOOP, police, etc.). Critical values/results reported by staff to MD for timely action. Coordinates inter-departmental patient care systems and processes, e.g., troubleshoots, emergency/disaster procedures and equipment/supply availability. Promotes continuity of care with internal, regional and external agencies. Facilitates smooth patient flow and bed availability for admission from Emergency (ED) and Admitting Departments to appropriate nursing units. Updates family with plan of care; provides opportunity for family presence and involvement. Facilitates patients' care management to achieve desired length-of-stay (LOS) and identifies appropriateness/intensity of service issues.
7) Promotes staff consideration for special needs and behaviors of specific age groups across the lifespan and individuals served and models same. Education provided regarding procedures to patient and/or significant other. Information explained using correct, understandable and age-appropriate terminology. Equipment and/or procedure explained. Address child by name and uses the last name for adult patients, if over 19 years. Patient involvement in procedure and care planning, appropriate to age. Privacy/modesty maintained. Time sequencing and individual variances explained, as appropriate to age.
8) Participates in performance improvement initiatives to enhance care delivery processes, nursing practice quality and patient safety. Promotes use of quality of care and patient safety activity results for initiating changes in nursing practice. Participates with nursing leadership to develop and monitor performance improvement and competency assessment action plans to surpass standards of excellence, Joint Commission requirements and other required standards/regulations. Identifies quality and customer service issues to monitor/evaluate, report to Nurse Manager. Identifies recommendations to improve nursing care of patient outcomes. Participates or contributes to root cause analysis (RCA). Supports and promotes hospitals' programs for infection control, patient safety and risk management. Medical therapies/medications safely initiated per order, patients' response evaluated and physician notified as needed. Adverse patient reaction and/or unusual occurrence reported in timely manner. Handwashing protocol, standard precautions followed and personal protective equipment used. Knowledge of hazardous waste management plan demonstrated. Safety policies (fall precautions, restraint use, skin integrity) and disaster plans followed. Clean, safe, secure and healing environment maintained.
9) Meets hospital continuing education requirements, assesses own knowledge and maintains professional growth/development by participating in seminars, workshops and professional affiliations to keep abreast of latest healthcare trends. Facilitates orientation, in-service training and continuing education opportunities for employees on designated shift, as needed. Seeks continuing education experiences to maintain/enhance clinical skills. Seeks credentials and/or specialty certification; completes formal educational degree (BSN and MSN preferred). Promotes work environment supporting clinical education/learning (orientees, students, resource team and floats). Shares knowledge and skills with colleagues; learns from others. Assists others in achieving yearly competency requirements. Provides peers with constructive feedback regarding their practice. Facilitates preceptor role for clinical education/learning activities to promote continuous learning.
11) Coordinates and facilitates competent/safe use of medical equipment (invasive/non-invasive), procedures and patient education and patient's response monitored, appropriate to patient population
12) Makes rounds on all units to assess the unit's status in terms of workload and staffing. Responds to all Code Blue and Rapid Response calls. Assists with family and patient concerns. Collaborates with the Nurse Managers to prepare the staffing board for all shifts ensuring adequate staffing both in number and skill mix. Oversees maintenance of the master schedules and their long term retention. Schedules after hour surgeries. Manages the Float Pool ensuring there are adequate numbers and appropriate skill mix to cover vacancies created by FMLA, illness, etc. in full and part-time staff. Creates and maintains policies and procedures for the Float Pool. Ensures adherence to policies, procedures, and regulatory standards 24 hours per day. Manages clinical and administrative issues after hours, contacting the Administrator-on-Call when needed.
Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served on his or her assigned unit.
Demonstrates knowledge of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to his or her age, specific needs and to provide the care needed as described in departmental policies and procedures.