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The following information is designed to outline the functions and position requirements of this job. It does not identify all tasks that may be expected, nor address the performance standards that must be maintained.
General Position Summary:
This is a leadership position accountable for the quality of nursing services delivered to their unit. Oversees that staff assess, plan, implement, evaluate and document nursing care of patients in accordance with facility and departmental policies and in accordance with standards of professional nursing practice. The Nursing Clinical Leader utilizes specialized knowledge, judgment, and nursing skills necessary to assess data and plan, provide and evaluate care appropriate to the physical and developmental age of patients on his or her assigned unit. Summit Healthcare core values, Service Standards, promotion of Patient Safety Standards and support of healing environment are exhibited in all aspects of the Nursing Clinical Leader’s performance.
Essential Functions / Major Responsibilities:
o Makes patient care assignments based on the acuity of the patient and number and experience of staff scheduled for the shift.
o Coordinates changes in staffing throughout shift.
o Collaborates with Administrative Shift Coordinator/One-Call Nurse to make patient bed assignments when applicable.
o Assures adequate staffing for next shift including finding coverage for sick calls, etc.
o Oversees Unit operations, patient safety.
o Enters Quantros reports, medication issues, shift activity, patient and family satisfaction issues, physician issues, acuity reports, outpatient observation charge sheets (if applicable), pharmacy supply requisitions (as indicated), and LPN oversight documentation and data collection tools.
o Participates in performance improvement data collection and chart review.
o Supervises staff performance and initiates critical conversations as needed.
o Communicates issues and concerns to department director.
o Intervenes and provides resources in critical and crisis situations.
o Mediates issues between staff members, physicians, and patient/family members.
o Oversees compliance with staff hourly rounding and bedside shift report
o Monitors appropriate hand off of care
o Researches and communicates to Department Director issues related to Quantros reports, medication issues, patient and physician complaints, and concerns identified by ancillary departments.
o Mentors, coaches and develops staff.
o Oversees the efficient functioning of the nursing care in the department.
o Participates in employee evaluation processes.
o Participates in leadership development activities.
o Monitors Bedside Shift Report
o Participates in Staff Rounding for Outcomes
o Monitors AIDET
o Reviews patient initial interview and initial assessment with patient/family, assures completion within appropriate time frame.
o Reviews available information obtained by other health care team members.
o Reviews diagnostics and laboratory data and reports abnormal results to the physician(s) and other appropriate caregivers.
o Completes assessment and reassessment according to patient need and as outlined in policy and Standards of Care.
o Initiates a plan of care based on patient-specific needs, assessment, data and the medical plan of care.
o Goals for patient are realistic, measurable, and developed in conjunction with the patient/family.
o Considers the physical, cultural, psychosocial, spiritual, age-specific, and educational needs of the patient and family in the plan of care, advocating for and supporting the patient’s rights.
o Responsible for optimal patient flow through the department.
o Collaborates with members of the multidisciplinary team.
o Reviews and revises the plan of care to reflect changing patient needs based on evaluation of the patient’s status.
o Provides care based on physician orders and the nursing plan of care, in compliance with policies and procedures, standards of care, and regulatory agency requirements.
o Promotes continuity of care by accurately and completely communicating to other caregivers the status of patients for whom care is provided.
o Assures all team members practice within their scope of care.
o Evaluates patient progress toward goals and expected outcomes in collaboration with other health care team members.
o Evaluates patient’s response and the effectiveness of patient teaching.
o Documentation is legible, timely and in accordance with policy.
o Documentation reflects objective/subjective data, nursing intervention and patient’s response to treatment
o Reviews and notes physician’s orders accurately and in a timely manner.
o Maintains clinical performance competencies appropriate to the area worked as demonstrated through annual validations
o Participates in and attends internal and external educational in-services for continuing/ongoing education, including, but not limited to leadership training.
o Incorporates, supports, and participates in concepts of shared leadership at both departmental and organizational level.
o Utilizes evidence based practice or research within clinical practice.
o Actively participates in performance/quality improvement processes including national nursing quality indicators.
o Interacts and participates in the education/orientation of hospital personnel, patients, students, families and visitors. Promotes/supports growth of others.
o Seeks opportunities for growth in the profession of nursing such as participation in professional nursing organizations and/or attaining specialty certification pertinent to the area in which they work.
Secondary Functions:
Additional Responsibilities:
Job Scope:
This job involves:
Supervisory Responsibility:
Interpersonal Contacts:
Contacts:
Specific Job Skills & Mental Activities:
This position requires general nursing skills and knowledge of general office equipment (including the nurse call system, telephone system, fax machine, copy machine, computer, and commonly used hospital programs) as well as excellent computer communication, critical thinking, problem solving, leadership, supervisory, interpersonal skills, basic math skills, and the ability to exercise independent judgment skills when necessary. This position also requires knowledge of hospital equipment and programs, including all Hospital Information Systems and department specific equipment. This position requires self-direction and self-motivation. Must be able to read, write, speak, and understand English.
Physical Demands & Job Conditions:
Exert up to 100 lbs. of force occasionally, and/or up to 50 lbs. of force frequently, and/or up to 20 lbs. of force constantly to move objects. The worker is subject to on-call status, contact with chemicals, contact with infectious fluids, heavy lifting, constant standing, and encounters with upset/disturbed individuals.
Physical motions include finger dexterity, standing, walking, stooping, crawling, talking, reaching, feeling, sitting, bending, kneeling, climbing, grasping, listening/hearing, handling, lifting up to 50-100 pounds with assistance, and repetitive motions of the hands, wrists, and feet.
This is a safety sensitive position.
OSHA Exposure Category:
Involves exposure to blood, body fluids, or tissues.
Full Time
$115k-149k (estimate)
05/02/2023
06/11/2024