Registered Nurse (RN) Clinical Nurse Lead - CVICU
ACCU has 12 beds. The focus of the 480 unit is Cardiac Intensive Critical Care. We generally have 2-4 open hearts six days per week (CABG, AVR, MVR, TVR, TAVR). Our patient population consists of open hearts, TAVR’s,
thoracotomies, MI's, IABP, Impella, CRRT, ECMO, swans, sepsis, post codes, hypothermia, unstable heart blocks, unstable cardiac patients, post pacemakers, post lead extractions, heart failure, patients requiring vasopressors, intubated patients, vascular surgeries and EKOS. We also will have medical ICU overflow. All staff is CPR and ACLS certified. Other certifications include FCCS, CCRN, CSC and CMC.
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.
- < >
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
- < >
We are welcoming and friendly
We practice kindness in all our relationships
We reach out as teachers and as leaders
- < >
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
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.