Registered Nurse (RN) Clinical Nurse Lead - Peds ED
The Pediatric ED consists of 15 private beds, divided into 2 pods. Patients are placed into beds based on acuity. We follow the Emergency Severity Index (ESI) Guidelines for triage. We have a separate 24/7 staffed arrival desk and 2 triage booths. We take a team approach to care for our patients, and assign 2 nurses to each pod, a nurse to arrival, and dependent on volume 1-2 nurses to triage. Our charge nurse is a working charge and takes a full assignment. We have 6 monitored beds and a specialized sensory integration room. We see more than 30,000 patients per year. We care for patients aged 0- 17 years of age with chief complaints ranging from earaches, sore throats, vomiting, diarrhea, lacerations, headaches, SI/HI, overdose, newborn sepsis, asthma, croup, DKA, fractures, sedations with reductions at bedside, to respiratory failure. All nurses are dedicated pediatric nurses and required to have BLS, ACLS, PALS, CPI and ENPC certification. All are required to have 16 CEU’s every 2 years.
Supervises and coordinates activities of nursing personnel in one or more patient care units, perioperative OR specialty or specialty project or program areas. Verifies that patients’ needs are met and evaluates nursing care provided. Assigns duties to professional and auxiliary nursing personnel in accordance with patient needs. Oversees maintenance of patient clinical records and compiles reports on medical services rendered. Maintains established inventory standards for medicines, solutions, supplies and equipment and accounts for narcotics discrepancies.
ESSENTIAL FUNCTIONS :
Provides leadership during schedule conflicts, unplanned changes in activity, last minute deadlines and crisis situations.
Plans, directs, and implements care to patients in accordance with physicians’ orders, policies and procedures; serves as monitor and scrubs for diagnostic and interventional procedures.
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).
Provides, manages and coordinates care; applies analytical reasoning, rational problem-solving skills, using evidence-based information and clinical judgment; acts as clinical resource to other staff members
Works closely with Directors, Support Services, Materials Management, Supervisors and other personnel to establish and maintain inventory levels, medicines, specialty supplies and equipment.
Consults and communicates with physicians to ensure proper care and follow up of patients.
Assist with unit needs assessment of equipment, environment, new technology, for the development of capital budgeting in conjunction with unit manager.
Maintains knowledge of standards of care, job performance and hospital/department polices and procedures demonstrated through leadership of self and staff.
Assists in the orientation of new personal demonstrated in skills list assessment completion, incidental and planned education of staff.
Adheres to TMC organizational and department-specific safety, confidentiality, values, policies and standards.
Develops, executes and coordinates nursing orientation program.
Plans education around new and existing hospital-wide nursing policies and procedures.
Formulates and develops plans, procedures and programs to meet specific training needs and problems.
Acts as clinical role model through 1:1 clinical time with staff to assess and teach critical thinking, priority setting, time management and “culture of patient safety” practices.
Maintains records of training activities and employee progress; monitors effectiveness of programs.
Performs related duties as assigned.
EDUCATION: Graduation from a qualified, nationally-accredited nursing program.
EXPERIENCE: Two (2) years of related experience, or preferred five (5) years of current critical care y in an acute care setting.
LICENSURE OR CERTIFICATION: Current RN licensure permitting work in the state of Arizona, CPR, or advanced life support certifications such as ACLS and PALS; and any necessary Unit Specific certificates/licenses.
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.