What are the responsibilities and job description for the Chief Nursing Officer (CNO) position at Stephens County Hospital?
Chief Nursing Officer
Nursing Administration
Education/Experience
Bachelor of Science in Nursing
required.
Master's Degree in Nursing or related
filed required.
Five years nursing experience; three
years of management/supervisory
experience required.
Licensure/Certification
Current Georgia License as a
Registered Nurse.
BCLS provider obtained within six
months.
Certification in Nursing Administration
preferred.
Reports to Chief Executive Officer
Provides direct and indirect nursing care to patients of the indicated ages:
_____ Infants (Newborn to One Year) _____ Adolescent (Ten to 18 Years)
_____ Toddlers (Two to Four Years) _____ Adult (19 to 69 Years)
_____ Child (Five to Nine Years) _____ Geriatric (70 and Above)
Duties and Responsibilities:
• Establish clinical goals and objectives which are consistent with hospital mission and interdepartmental
objectives.
objectives.
• Reviews goals monthly and addresses in monthly report.
• Ensures clinical compliance with regulatory agencies and all accrediting bodies of the organization.
• Develops an operating budget and capital expenditure plan.
• Reviews financial results monthly; compares to budget and takes corrective actions regarding
unfavorable variances.
unfavorable variances.
• Maintains appropriate levels of supplies/inventory.
• Selects equipment consistent with goals/budget.
• Processes departmental payroll accurately and timely.
• Ensures that departmental charges are input accurately and timely.
• Establishes policies, procedures, various records and contracts: Administrative, Infection Control, Safety, Interdepartmental, Department - Specific:
• Ensures that employees are well informed.
• Delegates and coordinates departmental workflow for optimum efficiency.
• Develops working schedules for the Assistant Director of Nursing (AD) role, Resource Pool Nurses,
Virtual RN nurses using the approved electronic scheduling program.
Virtual RN nurses using the approved electronic scheduling program.
• Steps in to cover nursing supervisor (AD) shifts when needed.
• Shares control with employees and others as related to the outcome of services provided by the
department.
department.
• Oversees all nurse managers within the organization including Emergency Department, ICU, Med/Surge,
Operating Room, Infection Control, Clinical Quality, Clinical Education, and any additional departments
as assigned by the CEO.
Operating Room, Infection Control, Clinical Quality, Clinical Education, and any additional departments
as assigned by the CEO.
• Seeks to constantly improve processes resulting in increased effectiveness and efficiency.
• Develops job descriptions and measurable performance standards; reviews and revises as needed.
• Finds an improvement opportunity. Organizes a multidisciplinary team who is familiar with the
problem.
problem.
• Proactively shares information with employees regarding mission, values goals, progress, trends,
experiments, successes and failures.
experiments, successes and failures.
• Proactively shares with administration information that could affect employees' morale, motivation and
ability to contribute to the organization.
ability to contribute to the organization.
• Provides input at Department Manager meetings and other committee meetings as assigned.
• Recruits, interviews, selects, hires and orients employees to fill vacancies in the department.
• Facilitates the hiring process by thorough, accurate and timely submission of paperwork.
• Monitors staffing levels and recommends adjustments to assure that customers' needs are met.
• Runs efficient meetings which do not waste time.
• Manages group dynamics to encourage participation by all and use of all talents.
• Recognizes and rewards team cooperation, efforts and results.
• Acts proactively rather than reactively as evidenced by taking the initiative to solve problems before
they become major crises.
they become major crises.
• Responds to suggestions of others with optimism and an eye to visionary possibilities rather than with
pessimism and negativity.
pessimism and negativity.
• Consistently treats employees as a customer rather than a resource which is expendable as evidenced
by low turnover.
by low turnover.
• Displays a high motivation to work with all employees to achieve the goals of the department and
hospital.
hospital.
• Strives to coach employees rather than reprimand.
• Encourages and provides for employee education/training opportunities which will have a direct effect on employee performance.
• Accurately and realistically evaluates employees based on job descriptions and performance standards.
• Submits evaluations to Human Resources on or before annual review date or end of probationary
period.
period.
• Participates in evaluating, selecting and integrating healthcare technology and information management
systems that support patient care needs and the efficient utilization of nursing resources.
systems that support patient care needs and the efficient utilization of nursing resources.
• Develops hospital-wide patient care programs, policies and procedures that describe how the nursing
care needs of patient or patient populations are assessed, evaluated and met.
care needs of patient or patient populations are assessed, evaluated and met.
AGE SPECIFIC COMPETENCIES
Infant (Newborn-One Year)
• Provides protective environment; does not leave unattended.
• Assesses and interprets data relative to patient's age.
• Involves parents in administration and planning of care.
• Evaluates for age appropriate behavior, motor skills and physiological norms.
• Determines and documents head circumference.
• Evaluates and documents for signs/symptoms of abuse and neglect.
• Determines and documents immunization status.
• Demonstrates sensitivity to cues that indicate infant is overstressed and initiates appropriate soothing
measures.
measures.
• Prepares and administers medications based on weight, age and sensitivity.
• Provides equipment specific to patient's age and size.
• Assesses nutritional status according to age; intervenes if appropriate.
Toddler (2 to 4 Years)
• Assesses and interprets data relative to patient's age.
• Involves parents in administration and planning of care.
• Evaluates for age appropriate behavior, motor skills and physiological norms.
• Evaluates and documents for signs/symptoms of abuse and neglect.
• Determines and documents immunization status.
• Prepares and administers medications based on weight, age and sensitivity.
• Involves child in own care when possible.
• Recognizes comprehension level and verbal ability.
• Speaks and plays with the toddler to effectively reduce stress.
• Provides equipment specific to patient's age and size.
• Assesses nutritional status according to patients age; intervenes if appropriate.
Child (5 to 9 Years)
• Assesses and interprets data relative to patient's age.
• Involves parents in administration and planning of care.
• Evaluates for age appropriate behavior motor skills and physiological norms.
• Evaluates and documents for sign/symptoms of abuse and neglect.
• Determines and documents immunization status.
• Prepares and administers medications based on weight, age and sensitivity.
• Provides equipment specific to patient's age and size.
• Recognizes child's need to exercise some control.
• Provides for privacy.
• Assesses for non-verbal needs for support.
• Keeps an explanation short, simple and logical using correct terminology.
• Anticipates possible need for homebound education.
• Recognizes the child's need for independence and potential for being attracted to dangerous situations.
• Assesses nutritional status according to age; intervenes if appropriate.
Adolescent (10 to 18 Years)
• Assesses and interprets data relative to patient's age.
• Evaluates for age appropriate behavior, skills and physiological norms.
• Evaluates and documents for signs/symptoms of abuse and neglect.
• Determines and documents immunization status.
• Prepares and administers medication based on weight, age and sensitivity.
• Provides equipment specific to patient's age and size.
• Involves patient in decision making and planning for care and teaching.
• Allows for privacy and anticipates fear of embarrassment.
• Uses proper medical terminology.
• Allows adolescent to maintain control and realizes there may be resistance.
• Encourages questions regarding "fears".
• Evaluates self-care abilities/limitations and identifies need for additional safety measures.
• Assesses nutritional status according to age; intervenes if appropriate.
Adult (19 to 69)
• Evaluates self-care abilities/limitations and identifies need for additional safety measures.
• Assesses and interprets data relative to patient's age.
• Evaluates and documents for signs/symptoms of abuse and neglect.
• Prepares and administers medication based on weight, age and sensitivity.
• Provides equipment specific to size of patient.
• Involves patient in planning of care and educational needs.
• Recognizes anxiety regarding potential changes in lifestyle resulting from illness.
• Addresses patient appropriately.
• Explains procedures using correct terminology.
• Recognizes patient's level of psychosocial development and modifies interventions accordingly.
• Provides for patient's privacy.
• Respects patient's right to refuse treatment.
• Assesses nutritional status according to age; intervenes if appropriate.
Geriatric (70 Years and Older)
• Evaluates self-care abilities/limitations and identifies need for additional safety measures.
• Evaluates and documents for signs/symptoms of abuse and neglect.
• Assesses and interprets data relative to patient's age.
• Prepares and administers medications based on weight, age and sensitivity.
• Provides equipment specific to size of patient.
• Recognizes anxiety regarding potential changes in lifestyle resulting from illness.
• Addresses patient appropriately.
• Explains procedures using correct terminology.
• Provides for patient privacy.
• Respects patient's right to refuse treatment.
• Recognizes patient's level of psychosocial development and modifies interactions accordingly.
• Assesses for limiting conditions (vision, hearing, elimination, etc.).
• Implements skin integrity and/or risk to fall protocols.
• Provides for patient warmth due to decreased heat regulation.
• Allows patient to discuss thoughts and plans related to death and dying.
• Assesses nutritional status according to age; intervenes if appropriate.
Knowledge, Skills, and Abilities
• Ability to review, analyze and interpret managed care contracts, billing guidelines, and state and federal
regulations.
regulations.
• Financial analysis application skills, including database development and report generation.
• Advanced Excel skills required.
• Well-developed, formal presentation skills.
• Comfort in presenting to and interacting with senior levels of hospital management and with physician
leaders.
leaders.
• Excellent organizational and project management skills.
• Strong time management, attention to detail, and follow through.
• Well-developed research skills.
• Ability to compile, code and categorize, or verify information/data
• Strong organizational and interpersonal skills
• Ability to determine appropriate course of action in more complex situation
• Ability to work independently, exercise creativity, and maintain a positive attitude
• Ability to manage multiple and simultaneous responsibilities and to prioritize scheduling of work
• Ability to maintain confidentiality of all medical, financial, and legal information
• Ability to complete work assignments accurately and in a timely manner
• Ability to communicate effectively, with excellent verbal and written communication skills
Other Functions
• Perform other duties as assigned or requested.
Professional Requirements
• Adhere to dress code, appearance is neat and clean.
• Complete annual education requirements.
• Maintain patient confidentiality at all times.
• Report to work on time and as scheduled.
• Wear identification while on duty.
• Maintain regulatory requirements, including all state, federal and local regulations.
• Represent the organization in a positive and professional manner at all times.
• Comply with all organizational policies and standards regarding ethical business practices.
• Participate in performance improvement and continuous quality improvement activities.
• Attend regular staff meetings and in-services as needed.
Physical/Mental Requirements and Environmental Conditions
• Must have the cognitive ability to perform in this role. Critical and executive level thinking is required
• Must have strong analytical skills with the ability to collect, organize, analyze, and disseminate
significant amounts of information with high-level attention to detail and accuracy
significant amounts of information with high-level attention to detail and accuracy
• Have near normal hearing - able to hear alarms/telephone/ normal speaking voice/ webinars
• Have near normal vision - clarity of vision (both near and far) either corrected on non-corrected, ability
to distinguish colors
to distinguish colors
• Have good manual dexterity and eye-hand-foot coordination
• Sitting - continuously within the shift (55-90%)
• Standing - frequently within the shift (30-50%)
• Walking - frequently within the shift (30-50%)
• Climbing - occasionally within the shift (1-33%)
• Bending/stooping - frequently within the shift (34-66%)
• Twist at the waist - occasionally with the shift (1-33%)
• Pushing/pulling - frequently within the shift (34-66%)
• Lift/carry - 20lbs with assistance - occasionally within the shift (1-33%)
• Reaching above the shoulders - frequently within the shift (34-67%)
• Lift/carry - 50lbs with assistance - occasionally within the shift (1-33%) jessica.blalock@stephenscountyhospital.com
