Registered Nurse Clinical Nurse Lead - Med Surg

• Responsible for the assessment, coordination, implementation, and evaluation of the delivery of safe and effective patient-centered care
• Facilitate and mentor others to grow professionally and advance their knowledge and skills
• 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
• Demonstrate professionalism at all times and will uphold standards of practice by holding team members accountable for continued compliance
• 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
• 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
• 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
• Adheres to organizational policies and procedures. Adhere to TMCH behavioral standards policy and hold staff accountable to them
• Adheres to professional guidelines for practice such as state board of nurses, American Nurses Association (ANA) professional standards of care and ethical practice guidelines
• Collaborates with other departments in a professional manner as needed to provide patient-centered care
• Demonstrates effective communication, conflict resolution, team building, and leadership skills
• Participates in updating and upholding standards of practice and be a role model to others for maintaining standards of care. Participate in WOC rounding as needed
• Participate in peer interview process
• Oversees EP area and coordinates with Cardiac Cath Lab lead to better evaluate staffing and schedule needs, training required, materials management, and provides recommendations for efficiencies
• Identifies patients at high risk requiring advanced nursing judgment
• utilizes holistic assessment, identifies relevant aspects of situations and determines the appropriate course of action to move patient/family, and staff towards expected outcome(s)
• Provides oversight and training while participating in the rapid response, stroke, and code team responses for critical patient care
• Maintains NRCPR Database and runs abstracts to evaluate performance for quality control and recommends improvements as required
• Receives and reviews preceding critical care shift reports and floor nurse reports
• makes complete rounds of all units, and notes patients' condition

• One (1) year of nursing experience in an acute care setting required
• Two (2) years of nursing experience in an acute care setting preferred
• Knowledge of critical care techniques, tools and responses required to ensure optimal patient care
• Knowledge of processes and procedures to follow during a rapid response, code, or stroke call
• Some Positions: Knowledge of electrophysiology and cardiac cath lab procedures and best practices
• Some Positions: Knowledge of surgery specialties and how to prepare, assess and provide post-operation patient care to ensure best practices are followed
• Some Positions: Knowledge of chart abstraction, education and marketing for the Chest Pain, CHF and Stroke programs
• Skill in evaluating performance and recommending improvements
• Skill in developing training materials and educating staff in the proper responses for critical care issues
• Skill in the use and maintenance of computer systems and programs, especially NRCPR, PC File and Folder, Word, EXCEL, e-mail and attachment capabilities, Outlook, and PowerPoint
• Skill in communicating with staff involved in critical care, and physicians to ensure the proper care of patients
• Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals
• Ability to complete routine reports and correspondence
• Ability to listen and accurately interpret others’ communication or instructions to take appropriate action
• Ability to speak and communicate effectively
• Ability to define problems, collect data, establish facts, and draw valid conclusions
• Ability to interpret an extensive variety of instructions and deal with several abstract and concrete variables
• 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

$15,000.00 Sign On Bonus