Supervisor, Clinical Nursing - Med Surg 5
Location: Omaha, Nebraska
Description: Children's Hospital & Medical Center is at the momment seeking for Supervisor, Clinical Nursing - Med Surg 5 right now, this vacancy will be designated in Nebraska. Further informations about this vacancy opportunity kindly read the description below. The House Supervisory Clinical Nurse Coordinator (HS-CNC) is the clinical supervisor for the Med-Surg patient care areas, coordin! ating shift operational flow, in conjunction with organizational and departmental strategic goals, objectives, and standards. The HS-CNC is the hospital’s in-house administrative representative/resource for patients/families and the healthcare team, at both the unit and organization levels. The HS-CNC provides clinical leadership with accountability in promoting quality patient care and an engaging work environment, during assigned shift (7a-7p or 7p-7a, including weekend rotation).
Essential Functions/Competencies
% of Time
36%
Coordinates/leads daily clinical operational activities of the unit by ensuring that quality care is delivered in an efficient work environment to include:
Managing patient flow
Balances unit patient care activities while overseeing the delivery of patient care and coordinating admissions, discharges, transfers and unforeseen events.
In times of high census, effectively problem solves ! and utilizes other unit CNCs/PCMs/Director as needed, to maxim! ize resources to continue patient flow, while maintaining quality patient care.
Maintains constant unit awareness, adjusting patient assignments and directing workflow according to changes in patient acuities/needs and unit activities.
Utilizes clinical leadership in ensuring that patient care activities meet established unit/organizational/ practice standards of care through patient/family rounding, communication with healthcare team and in directing and/or assisting in the delivery of clinical patient care.
Facilitates communication between healthcare team members/departments in advocating for quality/coordinated patient care, and ensuring that patient/family needs are met.
Overseeing staffing processes
Coordinates assignments using established staffing levels that match individualized* patient needs with staff competencies, and staff skill mix, through ongoing assessment of patient and unit needs. (*Individualized refers to th! e patient’s developmental, cognitive, cultural, psychosocial, spiritual, and educational/family influences and physical/medical care needs.)
Assigns and delegates patient assignments as defined by the Nebraska State Nurse Practice Act, and according to the knowledge and skills of the staff available.
Anticipates, plans and adjusts staffing needs daily, 24º out, and on a weekly basis, resolves staffing issues as they arise, and updates PCM/staffing coordinator, as needed.
Consistently ensures documentation on daily staffing sheets and assignment sheets reflects accurate staffing/patient activity.
Follows up with own staff floating to other areas at least once during the shift. Ensures staff floating into unit are supported clinically, introduced/welcomed as part of the team and assigned a buddy.
Works collaboratively with staffing coordinator/house supervisor and other unit CNCs in meeting staffing challenges, taking accountabi! lity for impact of decision on patient care in own unit.
Unit ! staffing is adjusted consistently according to established staffing policies/procedures/guidelines/standards.
Unresolved staffing concerns and unique staffing adjustments are appropriately communicated to PCM in a timely manner.
Monitoring unit environment
Ensures that staff has the supplies, equipment, information, and resources needed to provide quality patient care in a safe work environment.
Constantly aware of unit compliance with facility environment, equipment, and supplies by incorporating into daily routine ongoing facility/unit surveillance of unit safety and standards. Reports correction needs, completes variances and utilizes unit tracking processes for timely resolution of reported correction needs. Reports unresolved environmental variances to the PCM/Inpatient Director as necessary.
Shift report reflects unit standards. Delivery of report to unit and HS-CNC reflects unit activities, and is prepared, punctual, conci! se and efficient.
36%
Collaborate with PCM to lead, create and maintain an environment that advocates for staff and promotes individual/team engagement through clinical/administrative expertise and professional leadership.
a. Role models, demonstrates and promotes clinical leadership
Serves as a clinical/systems expert with nursing and interdisciplinary team member(s) in the assessment, development, implementation, and/or evaluation of the age-specific individualized patient/family-centered plan of care and documented actions. (Individualized refers to the patient’s developmental, cognitive, cultural, psychosocial, spiritual, and education/family influences and physical/medical care needs. Plan of care includes current and anticipated actions focused on care education, and/or discharge needs).
Proactively collaborates with healthcare team, in analyzing data from patient assessments, team/family communication and current clinica! l situations. Provides direction in prioritizing plans for patient care! while considering the potential for complications.
Consistently implements the nursing process in accordance with the unit scope of service, policies/procedures, and standards to oversee the care of patients while utilizing critical thinking skills.
Demonstrates clinical competence in an organized manner with speed, flexibility, and appropriate prioritization while maintaining quality patient care. Uses discretionary judgment in assessing conflicting priorities and needs.
Maintains systems necessary to implement and sustain standards for a quality and engaged work environment.
Demonstrates current knowledge of hospital/nursing systems to oversee and correctly operationalize these systems to ensure positive clinical outcomes.
Functions as an effective liaison between patients, families, staff, and other departments to foster a respectful clinical environment that promotes quality care.
Accountable for ensuring and promot! ing staff/team development.
Promotes an interactive learning environment with employees through coaching, mentoring, and providing opportunities to develop staff skills thereby enhancing job performance.
Collaborates with area CNS/educator to identify, develop, and evaluate unit/individual staff education.
Provides guidance for the employee’s development opportunities for their personal and professional growth (EE #25).
Utilizes Crucial Conversations philosophy (i.e. conflict resolution, first party communication and active listening), in enhancing employee communication techniques between peers, healthcare team members, other departments, and with leadership team.
Promotes an environment that provides real time formal and informal recognition to employees for excellence in service to our customers and coworkers including celebration of team successes, emphasizing that everyone is accountable for playing a part in recognizing i! ndividuals.
Empowers staff with the ability to make decisions ! and utilize the necessary resources and guidance to implement them.
Performance improvement plans are consistently developed for employees not meeting clinical/behavioral standards and monitored for their effectiveness with action taken as necessary.
Provides timely, ongoing and clear performance expectations, through constructive, consistent positive/negative feedback, even when the message is potentially difficult to hear.
Employee evaluations will include no surprises to the employee, and reflect an accurate description of staff’s performance including personalized SMART goals. Evaluations are completed and submitted by the due date.
Collaborates with the PCM in operationalizing staff development/annual evaluation plans.
Documentation is objective with factual, complete, and detailed information to reflect communication and follow up with the employee (i.e., behavioral corrective action plans, performance improvement plans, ! etc.)
Demonstrates and promotes professional leadership
Seeks and accepts guidance from all disciplines and incorporates this feedback into job/behavioral skills for continued leadership growth.
Leads by example â€" consistently role models and reinforces Children’s behavior and job performance expectations when coordinating patient care, daily operations and administrative responsibilities.
Emphasizes and builds good teamwork inside and outside of the department.
Demonstrates appreciation for the role’s direct and indirect leadership impact on the team/ unit and within the hospital.
Actively engages in opportunities for personal and professional growth.
Embraces creativity, innovation and “big-picture†thinking in self and others, while challenging processes and searching out opportunities/taking risks.
Inspires a shared vision amongst the team as measured by unit outcomes.
Actively co! llaborates with managers to improve systems and daily operations.
Demonstrates approachability, empathy, and support that encourage staff to seek HS- CNC assistance with difficult tasks or problems.
Accountable for managing professional boundaries of self and counseling others in the same.
Enthusiastically leads the organization in upholding the mission, vision, and values in the work environment and clinical practice.
Makes recommendations and takes action to improve structures, systems, or outcomes based on careful analysis of current processes.
Synthesizes all available information to independently resolve complex situations using multiple sources of information and appropriate resources for problem resolution.
Defines operational standards, organizes department-level activities to achieve optimum service delivery/systems/care/processes, setting high performance objectives for the department.
Acts promptly and decisively to address problems that arise on the unit, working collab! oratively with others for guidance in decision making, initiating the chain of command as appropriate.
Positively leads and supports the team through change and problem solving processes.
Mobilizes staff in emergency situations and maintains a calm demeanor while giving directions. Initiates discussion after the event to analyze how situation was handled and gives feedback for future emergencies.
23%
3. The assigned HS/CNC has the authority/accountability as the administrative representative/resource to provide direction, system expertise, decisions, resources, and leadership to ensure uninterrupted hospital operations. This is accomplished through the appropriate horizontal and vertical direct communication with all departments, outside facilities, and other disciplines as appropriate.
a. Accountable for inpatient housewide staffing and patient care/unit activities.
Works collaboratively with CNC of each unit/staffing c! oordinator to ensure that staffing is appropriate for current/following! shifts and takes into account projected needs for the current week.
Oversees and provides direction for inpatient housewide staffing plans to reflect current/projected patient/family needs, acuities, and staff skill mix according to the staffing/scheduling/cancellation procedure guidelines. Unresolved unit/housewide staffing concerns and unique staffing adjustments are appropriately communicated to Inpatient Director in a timely manner.
Ensures that staffing documentation reflects accurate staffing activity for all inpatient units (i.e., PTOs, ATOs, call ins, floating, preceptor, moves, etc.)
Ensures that content documented on house report sheet is accurate, including specific information related to any ongoing current patient care, unit, and/or housewide issues. House report is prepared, punctual, concise and efficient.
Ensures horizontal (other CNCs) and/or vertical (PCM/Director) communication is verbalized to the accountable person(s! ) in a timely manner for patient care, unit, and/or housewide issues including appropriate documentation.
b. Assumes direct authority and responsibility for consistency in housewide administrative/operational systems and standards.
Delivers seamless integration of the combined duties as unit CNC/HS CNC.
When assigned to HS CNC role, maintains an effective balance of housewide and unit visibility/accessibility for support, direction and conflict resolution by acting as a facilitator, coach, mentor, and clinical /administrative resource.
Performs a variety of duties independently, often changing from one task to another of a different nature, without loss of quality, efficiency, or composure, performing under stressful conditions when confronted with multiple requests, and demonstrates prioritization skills.
Functions as a systems expert and reliable resource that can provide direction to all departments as issues/needs arise (i.e.! , off-hours surgeries/scheduling; employee injuries/exposures; after ho! urs equipment/supply acquisition, etc.)
Demonstrates the ability to lead decisions that reflect organizational standards/values.
Ensures that timely, thorough, appropriate communication (direct communication, variance, concern reports, injury reports, and/or E-mail) is used to convey department/personnel issues to the appropriate department leader.
Identifies inconsistencies in implementation and gaps in hospital wide policies and procedures and communicates deficits to the appropriate person(s).
c. Accepts organizational accountability as an administrative representative/liaison.
Effectively functions as the on-site representative for the administrator on-call. Guarantees comprehensive and timely notification to the administrator on-call for administrative direction and/or awareness involving patient care/systems/emergency concerns.
Serves as an administrative liaison between patients/families and the health care team t! o address care/systems concerns, ensuring that concerns are elevated through the chain of command, up to and including administrator on-call, until resolved.
Demonstrates exemplary customer service skills and leadership in problem solving with outside agencies/customers to assist them as needed regarding Children’s services.
Assures house supervisory 24/7 coverage according to schedule guidelines.
Functions as the in-house incident commander for external/internal disasters communicating with the administrator on-call in directing hospital operations until HEICS Team arrives or situation is resolved.
Regular attendance at work is an essential function of the job.
Perform physical requirements as described in the Physical Requirements section
SECONDARY FUNCTIONS/COMPETENCIES
5%
Performs other duties assigned.
Accepts assignments to share/teach knowledge and provide clinical support as a precept! or/resource for new HS-CNCs, and relief CNCs.
Accepts assignme! nt on unit to provide direct patient care and actively seeks opportunities to help teammates/colleagues.
Collaborates with faculty and students from area schools of nursing to develop appropriate student assignments and assures a welcoming/recruiting environment.
Accepts assignment to mentor student nurse observation experience in unit.
100%
JOB STANDARDS
Achieves department/organization Outcomes
All
Patient/Customer Satisfaction
Identifies, facilitates and leads performance improvement projects that enhance patient care delivery systems and/or family/customer satisfaction. Uses patient satisfaction feedback as a factor in designing the delivery of patient care.
Meets department/organization patient satisfaction goals
Financial
Makes decisions that demonstrate sound stewardship of financial resources. Clinically operationalizes the implementation of identified systems/processe! s in order to improve efficiency and reduce expenses without compromising quality of services/mission.
Actively works in collaboration with the PCM in meeting department/organization financial goals
Quality
Identifies, facilitates, and participates in PI projects that enhance patient care delivery systems and/or family satisfaction.
Conceptualizes, promotes and evaluates new opportunities objectively and with an eye towards innovative ideas.
Dept.
Specific
Patient/Customer Satisfaction
Smile and greet everyone throughout the shift.
Call lights will be answered within three minutes.
Encourage parents to call RN and CCP phones for requests at each shift when introducing self and discussing plan of care.
Ask co-worker once per shift if I can help you.
Financial
Financial impact (personnel/equipment) is evaluated based on actual versus budgeted hours of care per ! patient day in combination with implementation of unit activities, pati! ent acuities, staffing needs and workload of unit while ensuring quality patient care.
Utilizes hospital resources in a responsible and cost effective manner, to include assisting in the development of cost saving initiatives.
Quality
Supports/participates in the Quality Initiative, which is based on continuous quality improvement of department performance goals, ensuring incorporation of staff’s input.
Coordinates and oversees unit/hospital based formal/informal auditing processes, through tool development, accurate data collection and analysis, and appropriate follow up.
Leads/participates in improvement activities by supporting change strategies.
Demonstrates pattern of attention to detail and performing work correctly the first time.
Takes personal responsibility to adhere to department/organization policies and procedures, compliance and regulatory agency requirements
All
Leads unit, and! as assigned HS-CNC leads the organization in emergency situations (i.e. CPR, internal/external disaster, disruptive individuals, Code Adam).
Develops, reviews, revises and implements policies and procedures on an ongoing basis, to assure department consistency and compliance with hospital standards/safety and accrediting bodies including: Joint Commission, OSHA, HIPAA, Infection Control, Environment of Care, National Patient Safety Goals. Understands the linkage between department requirements and those of the integrated delivery system. Develops risk reduction and error prevention strategies by ensuring staff compliance with policy/procedures, i.e. patient identification, med administration, infection control guidelines.
Manages staff in addressing non-compliance with standards and develops an action plan as necessary.
Administers policies, performance evaluations, and disciplinary actions with consistency and without regard to personal agendas ! or beliefs.
Ensures self and staff meet department/ organizati! on job requirements/standards within established time frames (i.e. licensure/certification, CPR for direct care providers, physicals, PALS/NRP, annual mandatory reviews, participates and physically attends 75% of required staff meetings, NVI Training).
Maintains non-violent intervention training renewal requirements.
Maintains nursing administration or unit specific certification.
Keeps current with department/organization policies/regulations, as well as industry knowledge through technical publications, newsletters, personal networks and professional affiliations.
Dept.
Specific
Understands and supports the Children’s Hospital Compliance plan by ensuring the reporting of illegal and/or unethical acts to the Compliance Officer.
Conducts responsibilities in accordance with all laws and regulations.
Continually assesses, reports and/or corrects work conditions and equipment as outlined by the Hazardous! Surveillance guidelines.
Participates in safe work environment training, ensuring staff participation and compliance with e.g. hazardous spills, proper body mechanics, and visitation policy.
Promptly responds to employee BBF exposure and other exposures and initiates follow up procedures. Notifies management, infection control, and other departments as appropriate.
Takes responsibility for making difficult or unpopular decisions. Acknowledges when a decision or plan is not working, without making excuses or blaming others.
Ensures the fundamental values of nursing are practiced as defined in the nine ANA Code of Ethics into daily practice and teaching activities at Children’s including:
1-3
: Establishing professional relationships with compassion and respect for human dignity, worth, and the uniqueness of individuals, while demonstrating a primary commitment to the patient in advocating for patient privacy, health, s! afety, and rights.
4-6
: Identifying the boundaries o! f the profession by accepting responsibility and accountability for own actions, delegating tasks appropriately to optimize patient care. Maintenance of competence with continued pursuit of activities for personal/professional growth. Influencing the patient care/work environment with the values of nursing to promote respectful interactions, the promotion of safe practices, and creating a care setting that expects high quality, compassionate nursing care.
7-9
: Collaborates with all disciplines/the community in promoting nursing excellence in meeting health care. Seeks opportunities beyond patient care to advance profession by involvement in developing, maintaining, implementing professional standards through practice/education i.e. involvement with internship/preceptor programs, committees, awareness of broader heathcare issues such as JCAHO National Patient Safety Goals, integrating nursing values into daily practice (articulates and practices).
! Supports a work environment that focuses on staff, customer, patient/families through safe practices and effective communication.
All
Demonstrates and enforces staff/visitor/ patient/vendor identification policy.
Directs employees to complete reported incidents involving patients, employees, or organization ensuring the accuracy of documentation. Follows through with employee/organization recommending system changes or employee education as appropriate.
Ensures that privacy and confidentiality is protected in patient relationships and all other appropriate work-related areas.
Delegates responsibilities to others, giving staff the authority, resources, and guidance to make decisions and accomplish tasks independently.
Collaborates with other departments to maintain effective communication channels by gathering and exchanging information, obtaining solutions to problems, and coordinating services to ensure optimal outcome! s are achieved.
Drives changes with an enthusiastic “can-doâ! € attitude for department/organization initiatives. Sets an example that inspires superior performance while instilling confidence and trust in others.
Effectively uses a variety of communication skills in achieving positive/optimum outcomes, to include confronting issues with tact and diplomacy.
Fosters an open environment for raising concerns/ideas, and for providing constructive feedback.
Leads and/or participates in appropriate committees and workgroups, actively assuring effective group/team meetings.
Dept.
Specific
Follows supervisory schedule guidelines and adjusts individual schedule to meet leadership needs of unit.
Ensures Shared Governance Philosophy is incorporated in unit operations.
Effective communication:
Reports significant clinical/unit issues to appropriate team members (PCM, director, physician, etc.)
Accepts direction from PCM/leadership and adds input respectiv! ely.
Always demonstrates respect for other charge nurses and leadership decisions.
Addresses sensitive issues in a constructive and composed manner, maintaining confidentiality.
Communication focuses on finding solutions, achieving desirable outcomes, protecting and advancing collaborative relationships inviting and hearing all relevant perspectives.
Enforces zero tolerance policies to eliminate disrespectful behavior in the workplace.
BEHAVIORS
Excellence in Service to Children, Families, Colleagues and Other Customers
Anticipates customer needs, understands their expectations and responds appropriately.
Respect for Human Dignity
Treats others with compassion, fairness, courtesy and respect while honoring their uniqueness.
Cooperative Work Relationships
Willingly works with others to identify and achieve common goals.
Positive Attitudes and Behaviors
Enthusi! astically approaches their role and displays pride in the organization !
Honesty and Integrity
Takes personal responsibility for doing the right thing.
Wise Use of Resources
Optimizes the talents of self and others and the use of time, materials and equipment.
KNOWLEDGE, SKILLS AND ABILITIES:
Must possess leadership skills in verbal/written communication and organizational management (time management, problem solving, conflict resolution, and knowledge of regulatory agency/HR standards).
Must possess influential/motivational leadership skills that drive/develops staff performance.
Ability to effectively demonstrate situational power, control, autonomy, and flexibility.
Must be able to perform a variety of duties, often changing from one task to another of a different nature, without loss of efficiency or composure, and be able to perform under stressful conditions when confronted with multiple requests, demonstrating prioritizing skills.
EDUCATION AND ! EXPERIENCE:
Bachelor’s degree from an accredited college or university in nursing required.
Minimum of three (3) years nursing experience required, preferably in pediatrics
Minimum 1 year supervisory or lead experience preferred
CERTIFICATIONS/LICENSURE REQUIREMENTS:
Current and valid Nebraska RN license/RN Compact license required
Current and valid certification in Basic Life Support (BLS) required.
Current and valid certification in Pediatric Advanced Life Support (PALS) preferred
Current and valid certification in Certified Pediatric Nurse (CPN) preferred or must be able to obtain within 1 year.
SPECIAL REQUIREMENTS:
Non-violent Intervention preferred
REQUIRED TRAINING & EMPLOYEE HEALTH REQUIREMENTS
Annual Physical
Annual Mandatory Review
Hepatitis B
TB Mask Fit
PHYSICAL REQUIREMENTS/WORKING CONDITIONS:
Physical R! equirements
N/A
Less than 10%
11% to 49%
Greater than 50%
Work Environment
N/A
Less than 10%
11% to 49%
Greater than 50%
Stand
X
Blood and body fluid exposure*
X
Walk
X
Sharps, needles, etc.
X
Sit
X
Wet, humid conditions (non-weather)
X
Talk or hear
X
Work near moving mechanical parts
X
Displays manual dexterity
X
Fumes or airborne particles
X
Climb or balance
X
Toxic or caustic chemicals
X
Stoop, kneel, crouch or crawl
X
Outdoor weather conditions
X
Reach with hands and arms
X
Extreme cold (non-weather)
X
Taste or smell
X
Extreme hot (non-weather)
X
Lifting/pulling/pushing
X
Risk of electrical shock
X
! Visual: Looking at computer screen
X
Medical Equipment
X
Other: Walk Briskly
X
Risk of radiation
X
Weight Demands:
Vibration
X
Up to 10 lbs.
X
Loud noise
X
Up to 20 lbs.
X
Quiet environment
X
Up to 40 lbs.
X
Environmental noise
X
Up to 100 lbs.
X
Other:
More than 100 pounds
X
- .
If you were eligible to this vacancy, please send us your resume, with salary requirements and a resume to Children's Hospital & Medical Center.
Interested on this vacancy, just click on the Apply button, you will be redirected to the official website
This vacancy will be started on: Thu, 18 Jul 2013 02:20:40 GMT
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