Clinical Nurse Inpatient Manager Med Surge/Swingbed and OB

Clinical Nurse Inpatient Manager 601-03

This position is responsible for leadership and supervision of staff in departments of responsibility. Departments include Patient Care Unit, Nursery, Labor/Delivery/Postpartum, MDU/ICU, Swingbed, Emergency Department, Surgery, Specialty Clinic, Diabetes Education, Respiratory Therapy, Electrodiagnostics, Infusion and Cardio-Pulmonary Rehab. The positions oversee implementing and complying with the nursing and other standards of care; overseeing patient care in multiple units with patients of all ages newborns to elderly; scheduling of employees, hiring employees, employee evaluations, time and attendance management, budgeting, participating in the nursing leadership team, discipline, supervising nursing department clinical staff members, and participating in the hospital’s performance improvement program. The Clinical Nurse Manager provides support, direction, and resource for the clinical and nursing staff. The Clinical Nurse Manager utilizes clinical experts in specialty areas for resource, advice, and assigning special duties as needed. The Clinical Nurse Manager provides supplemental staffing of clinical areas if needed. The Clinical Nurse Manager makes rounds in each of their assigned departments to determine unmet needs, provide necessary tools and support, interact with patients and nursing staff, and offer employee mentoring and coaching. The position requires an experienced acute care registered nurse with innovative ideas, flexibility, effective leadership, excellent communication abilities and relationship building skills. The Clinical Nurse Manager must build close ties with the medical staff members and be available to problem solve and work through conflicts to help improve care delivery. The position embraces service excellence and Team STEPPS tools. Due to changing organizational needs, work hours may vary. Each Clinical Nurse Manager will provide backup assistance in the event of another Clinical Nurse Manager’s absence, by rounding in other departments when needed, and offering task assistance when necessary.

Clinical areas of responsibility: Patient Care Unit, Labor/Delivery, Nursery, Emergency Department, ICU, Surgery, Multi-Specialty Clinic, Cardio-Pulmonary Rehab, Infusion, Diabetes Education, and Respiratory Therapy, Electrodiagnostics

• LEADERSHIP

• A leader is a person who influences a group of people towards the achievement of a goal. They lead by example, so that others are motivated to follow him/her. A leader helps colleagues work together and ensure they’re delivering the highest level of customer service.
• Clinical Nurse Manager Accountability
• Ensures intra- and inter-departmental team work and team building
• Is engaged, sympathetic, empathetic using BBGH core values as our guide
• Upholds BBGH Mission, Vision and Values, strategies and goals through words and actions
• Ensures departmental policies and procedures reflect current standards of practice, and are reviewed annually
• Acts as a liaison between administration, other healthcare workers, patients/families, and staff
• Keeps Nursing Administration informed regarding level of care being administered, and degree of patient, family, medical staff, and staff satisfaction
• Holds staff accountable for organizational policies
• Demonstrates knowledge of, and supports organizational goals
• Works in collaboration of Chief Nursing Officer to develop operating and capital budgets that are realistic and necessary to carry out ongoing departmental operations at expected levels and achieve stated departmental strategic goals
• Responsible for evaluating performance of employees in departments of supervision, and
• completing evaluations and reviewing with employees according to BBGH policy
• Calculates statistical information to generate financial and performance reports as requested
• Clinical Nurse Manager holds staff accountable to accomplish assigned work and meet departmental goals in departments of supervision
• Collaborates with the nursing management team to adjust processes and procedures to improve service and patient experience
• Leads and participates in process improvements
• Prioritizes needs and problems for actions
• Anticipates and follows up on customer requests, questions and complaints using the approved tools available within BBGH
• Holds staff accountable for handoffs—shift-to-shift, department-to-department, and admission
• Resolves issues to improve patient satisfaction and patient outcomes using service recovery as indicated
• Integrates Clifton Strengthsfinder strengths of themselves and their teams for problem-solving and strategic planning
• Leads by example and addresses opportunities as indicated
• Actively participates in identifying department needs
• Measurement: No more than one validated complaint/issue requiring only a verbal counseling session within the previous 12 months meets standard. No validated complaints and having demonstrated a pattern of three or more quarters of exceptional performance in the previous 12 months as observed by supervisor and/or reported by either customer/patients/fellow employees exceeds standard

• CLINICAL JUDGMENT/CARE DELIVERY
• Clinical reasoning includes clinical decision-making, critical thinking and a global grasp of the situation, coupled with nursing skills acquired through a process of integrating formal and informal experiential knowledge and current standards of practice. Clinical judgment is the ongoing process of questioning and evaluating practice and promoting informed practice.
• Clinical Nurse Manager Accountability:
• Follows BBGH/Human Resources policies and processes for interviews, selection of personnel
• Discusses disciplinary issues with CNO to keep informed
• Conducts interviews, selects, participates in orientation, coaches, supervises, coordinates and evaluates nursing personnel
• Maintains proficiency in equipment operation and troubleshooting in nursing areas
• Assists with orientation of staff to equipment
• Follows algorithms, decision trees, and protocols
• Integrates formal knowledge with clinical events to make decisions
• Seeks validation for own clinical decisions
• Integrates input from other clinicians for decision making
• Displays initiative by assisting others
• Completes required documentation
• Delegates tasks/care to appropriate staff and ensures timely follow up
• Recognizes and responds appropriately to emergency, Rapid Response or Code situations. Leads or participates in debriefs following critical events
• Performs other duties as assigned or requested
• Knowledgeable of and accesses policies on-line
• Prioritizes needs and problems for actions
• Ensures Core Measure patients receive all appropriate tests, medications, education, etc. per standing orders
• Communicates effectively
• Makes suggestions to improve outcomes
• Informs peers if standards of practice not followed
• Utilizes BBGH standardized tools and behaviors in conflict resolution
• Follows the chain of command for unresolved issues
• Supports the implementation of clinical changes and evidence-based practices
• Participates in performance improvement initiatives
• Measurement: No validated incidences of non-compliance with following algorithms, protocols or BBGH policies meets standard. Active leadership in performance improvement activities related to patient care delivery exceeds standard.

• MEDICATION RECONCILIATION
• Medication reconciliation is the process of comparing the list of medications a patient is taking to the list of medications which are ordered at every point of transition of care in the health care setting.
• Clinical Nurse Manager Accountability:
• Discusses with staff any all medication reconciliation issues
• Coaches/disciplines staff regarding medication errors
• Ensures patient safety is not compromised
• Ensures medication reconciliation is performed on patients at each transition of care
• Measurement: Review of records indicate all patients records contain medication reconciliation at transition of care. No exceeds standard.

• MEDICATION ADMINISTRATION
• Medication administration is a nursing intervention which involves the preparation, administration, evaluation and documentation of ordered medications.
• RN Accountability:
• Administers medications adhering to the “6 Rights of Medication Administration”.
• Performs the appropriate assessments prior to, and after, medication administration.
• Follows the Hazardous Drugs Management procedure if handling/administering drugs under this definition.
• Communicates with other members of the health care team regarding the outcomes of medication administration, as necessary.
• Communicates with other members of the health care team regarding the outcomes of medication administration, as necessary.
• Communicates with team members regarding special precautions for patients receiving hazardous medications, following the Hazardous Drugs Management procedure.
• Measurement: 0 - 2 validated incidences of medication errors meets standards.

• ENVIRONMENT OF CARE
• It is the duty of the Clinical Nurse Manager to ensure a safe environment for patients, visitors and staff by complying with all BBGH safety and infection control policies including but not limited to, BBGH workers’ compensation and drug-free workplace policies.
• Clinical Nurse Manager Accountability:
• Communicates patients identified as moderate or high-risk to ancillary staff
• Ensures fall precautions are implemented per policy and nursing judgment
• Follows BBGH Infection Control policies and procedures
• Maintains standard precautions and additional precautions as indicated
• Holds all health care workers accountable to reduce potential falls, hospital-acquired wounds and infections, and follow BBGH protocols/policies
• Ensures Core Measures are instituted and followed
• Measurement: 0-1 validated incidences of non-compliance requiring only a verbal counseling session within the previous 12 months meets standard. No validated incidences of non-compliance plus three or more quarters of observed behavior that contributed to the safe environment in the previous 12 months exceeds standard.

• CARING PRACTICES/TEAMWORK
• Caring practice and teamwork are nursing activities that create a compassionate, supportive and healing environment for patients and staff, with the aim of promoting comfort, healing, and preventing unnecessary suffering. These include, but are not limited to vigilance, engagement, and responsiveness of caregivers, including healthcare personnel. Teamwork is working with others (e.g., patients, families, other departments, healthcare providers) to promote/encourage each person’s contribution toward achievement of optimal/realistic patient/family goals. Both caring practices and teamwork include intra- and inter-disciplinary work with colleagues and community.
• Clinical Nurse Manager Accountability:
• Ensures a team-oriented environment
• Develops, communicates and evaluates departmental policies and procedures in accordance with the Joint Commission and accepted standards of care
• Supervises and directs staff in departments of responsibility
• Consistently seeks and responds appropriately to opportunities for exceeding the expectations of our customers—patients, families, medical providers and co-workers
• Uses BBGH standardized communication tools
• Ensures all Patient Communication Boards are updated, and hourly rounding is completed per BBGH policy
• Maintains awareness of patient satisfaction score initiatives and takes active role with improvements
• Collaborates with other departments to coordinate care issues
• Acts as a liaison between administration, other health care workers, patients/families and staff (keeps nursing administration informed regarding level of care being administered, and degree of patient, family, physician and staff satisfaction
• Assists nursing staff as needed by providing appropriate nursing care delivery
• Consistently seeks and responds appropriately to opportunities for exceeding the expectations of our customers—patients, families, medical providers and co-workers
• Maintains and promotes effective communication among physicians, staff, patients and families
• Does not engage in the 3 B’s (bickering, backstabbing and blaming)
• Participates in the 3 C’s (caring, committing and collaborating)
• Suggests process improvements as needed
• Assures adequate staffing and calls in additional staff as needed and available
• Holds staff responsible for patient care that is or is not delivered
• Holds co-workers accountable for rounding, handoffs, and shift report
• Accesses and provides education, utilizing educational information and on-line resources
• Requests educational assistance as needed
• Demonstrates cooperative, constructive complaint, problem solving techniques and offers suggestions for improvement using BBGH standardized tools and behaviors for conflict resolution
• Resolves issues to improve patient satisfaction and patient outcomes using service recovery as indicated
• Offers suggestions and actively participates in identifying department needs
• Measurement: No more than one validated complaint requiring only a verbal counseling session within the previous 12 months meets standard. No validated complaints and having demonstrated a pattern of three or more quarters of exceptional performance in the previous 12 months as observed by supervisor and/or reported by either customer/patients/fellow employees exceeds standard

• ADVOCACY
• Nursing advocacy is working on another’s behalf and representing the concerns of the patient/family and nursing staff, serving as a moral agent in identifying help to resolve ethical and clinical concerns within and outside the setting. It includes the sensitivity to recognize, appreciate and incorporate differences in the provision of care. Differences may include, but are not limited to, spiritual beliefs, gender, race, ethnicity, lifestyle, social status, age, and values.
• Clinical Nurse Manager Accountability:
• Projects a supportive, effective and professional approach in all encounters with our customers
• Tailors nursing care to meet the age specific and developmentally appropriate needs of patient/family
• Preserves and protects the patient’s family’s confidentiality, autonomy, dignity, and rights
• Completes assessments and formulates an individualized plan to accurately reflect patient/family values and goals so that they can be fully represented in care
• Seeks help to represent patient/family when they are unable to represent themselves
• Raises ethical questions and concerns with clinical team
• Seeks available resources to help formulate and understand ethical decisions
• Leads by example and addresses opportunities as indicated
• Advocates and speaks up for patients or co-workers
• Measurement: No more than one validated complaint requiring only a verbal counseling session within the previous 12 months meets standard. No validated complaints and having demonstrated a pattern of three or more quarters of exceptional performance in the previous 12 months as observed by supervisor and/or reported by either customer/patients/fellow employees exceeds standard.

• FACILITATOR OF LEARNING
• The ability to facilitate learning for patients/families, nursing staff, members of the healthcare team, and community is an important RN responsibility. This includes both formal and informal facilitation of learning, identification of personal goals, and opportunities to pursue professional growth.
• Clinical Nurse Manager Accountability:
• Actively participates in strategic planning for determining required education and competency assessment for Nursing staff
• Works with assigned and other departments to ensure patient/family education is integrated throughout the delivery of care
• Helps patient/families learn what they need to successfully transition within the healthcare environment
• Provides patient and family with appropriate information to help them participate and/or make informed decisions about their health care and treatments including health promotion and disease prevention
• Collaborates with peers in establishing individualized patient teaching plans
• Uses available educational resources for patient/families within the hospital and community
• Validates and documents patient/family learning
• Shares own knowledge with colleagues
• Participates in ongoing learning through education provided by staff, hospital-based programs/staff meetings
• Is aware of the happenings of the department by reading bulletin boards, memos, signs and meeting minutes
• Maintains current knowledge/competency of equipment
• Receptive to new ideas and knowledge
• Offers suggestions and actively participates in identifying learning needs and assists with/providing in-services/education for co-workers
• Makes suggestions for unit-based competencies based on needs identified/current research
• Measurement: No validated incidences of non-compliance with mandatory training during each calendar year meets standard. Documented completion of additional education exceeds standard.

• FINANCIAL VIABILITY
• The Clinical Nurse Manager assists in managing controllable costs by the proper and efficient use of personal time and BBGH resources, including property, equipment and supplies.
• Clinical Nurse Manager Accountability:
• Promotes cost-effective practices
• Assists in managing controllable costs by the proper and efficient use of personal time and BBGH resources, including property, equipment and supplies
• Develops the annual budget with input and suggestions from departmental employees, the CNO and Finance
• Evaluates services and volumes along with trends and patterns—recommends changes as indicated
• Supports waste reduction and LEAN process improvement activities, and actively participates when asked
• Speaks up and addresses any equipment needs

Each Clinical Nurse Manager will provide backup assistance in the event of another Clinical Nurse Manager's absence.

Qualifications:

Education:

Required: Graduate from an approved program or school of professional nursing, Bachelor of Science Degree in Nursing

Preferred: Master of Science Degree in Nursing or a related field within 5 years of employment

Experience:

Required: Five or more years of varied nursing experience as a Registered Nurse. Two or more years of supervisory or management experience.

Preferred: Clinical competence in three or more clinical areas (i.e. ICU, ER, OR, Med-Surg, OB)

License/Certifications:

Required:

• Nebraska RN license, or Nurse License Compact license
• BLS for healthcare workers
• Within one year of hire to position:

o ACLS
o PALS or ENPC
o TNCC for Manager supervising ED/ICU, Surgery

• Within two years of hire to position:

o NRP for Manager supervising OB, PCU, OR

• Valid Driver's License

Conditional:

• National Board Certification in main department of supervision or Leadership within 4 years of employment as Clinical Nurse Manager

Personal Skills:

Displays good listening skills and follows-through with assignments.

Seeks out opportunities for learning new skills and procedures.

Uses effective methods to work together with staff and supervisors to accomplish goals.

Manages conflict effectively and cooperatively. (Follows Team STEPPS Tools & Guidelines)

Demonstrates honesty and integrity in all aspects of the job.

Practices good personal hygiene and has a professional appearance wearing clothes appropriate for area of assignment.

Displays a caring approach in providing nursing care to patients and their families.

Demonstrates flexibility, effective organization, and functions well under stressful situations.

Additionally, this future member of BBGH must support a positive environment of excellent patient care and world class customer service.

All offers of employment are subject to a Background check and drug screen.

EOE