Registered Nurse (RN) Clinical Nurse Lead-Cardiac Unit 600
This is a 40 bed unit. The Cardiac Medical Unit offers 2 Bariatric rooms, and 38 private rooms. The unit is fast paced with staff that are highly motivated, patient focused and team players. The patient to nurse ratio is 1:5 on day shift and 1:6 on night shift. We require ACLS, BLS certification along with telemetry competency sign off. We specialize in cardiac conditions and care for patients with: Heart failure; Heart rhythm problems; chest pain and breathing problems associated with heart problems. Cardiac Medical also cares for patients who are waiting for Angiography or Angioplasty, Coronary Bypass Surgery, Cardiac Testing or Cardiac Procedures, Pacemaker Insertions, and ICD (Implantable Cardioverter Defibrillator) Insertions. Medical overflow can occur on this unit as well.
The clinical nurse leader is responsible for the assessment, coordination, implementation, and evaluation of the delivery of safe and effective patient-centered care. The Clinical Nurse Leader will facilitate and mentor others to grow professionally and advance their knowledge and skills. In addition, the Clinical Nurse Leader will 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. Finally, the Clinical Nurse Leader will demonstrate professionalism at all times and will uphold standards of practice by holding team members accountable for continued compliance.
Complies with legal, hospital and departmental policies, procedures and position requirements.
. Values: We will incorporate our Values into every aspect of our organization. Our values will provide the essence of who we are and how we provide the best possible customer service.
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We have heart
We respect diversity and individuality
We honor body, mind and spirit
We work hard for our patients and each other
We are committed to professionalism and excellence
We listen, we learn, we grow
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We are welcoming and friendly
We practice kindness in all our relationships
We reach out as teachers and as leaders
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We tell the truth
We are responsible in how we use our resources
We have the courage to uphold our values
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.
3. Performance Improvement
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 (10)
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 TMC 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
ROLE SPECIFIC FUNCTIONS:
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). Requires advanced life support certification (ACLS and PALS).
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.
EDUCATION: Graduation from a qualified, nationally-accredited nursing program.
EXPERIENCE: Two (2) years of nursing experience in an acute care setting required.
LICENSURE OR CERTIFICATION: Current RN licensure permitting work in the state of Arizona, Basic Life Support (BLS) certification required. Additional certifications may be required per department.
KNOWLEDGE, SKILLS AND ABILITIES:
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.