Job Description

Registered Nurse (RN) Clinical Nurse Lead - Ortho/Neuro OR
Job CategoryNursing
ScheduleFull time
Shift1 - Day Shift

The Ortho/Neuro Surgery Department is located on the third floor of Tucson Medical Center’s tower. There are 12 operating suites and a 24 bed PACU, staffed 24/7 with call to accommodate surgeries.  We provide inpatient and outpatient care to a population that serves infants to geriatrics with all types of ortho & neuro specialties.


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. dentifies 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).



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

  • Dedication

  • 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

    2.   Competency


  • 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


    4.   Accountability

  • 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


    5.   Communication

  • 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


    6.   Professionalism


  • 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.


  • 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.

Application Instructions

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