Summary:

The Clinical Leader I Inpatient has 24/7 accountability and is primarily responsible for coordinating patient care and daily unit operations

The Clinical Leader I Inpatient promotes the continuous advancement of evidence-based safe patient-focused care that leads to the highest quality patient outcomes and patient/family satisfaction and also assists the Director with hiring orienting and scheduling staff; performance improvement projects; and other duties as assigned.

The Clinical Leader I Inpatient participates in activities to achieve clinical financial and organizational outcomes and may provide direct patient care as needed.

The position is also responsible for all aspects of the Center for Orthopedic Excellence.

Develops a strategic vision for Orthopedic Center of Excellence providing clinical and administrative oversight. Implements and promotes strategies to ensure accomplishment of objectives.

Collaborates with Senior Leadership Chief of Orthopedics and Chief of Anesthesia Strategic Communications and other key stakeholders to plan organize and manage the administrative activities of the Orthopedic Center of Excellence.

Continually evaluates in collaboration with medical leadership partner(s) core processes for redesign and reengineering to improve operations reduce cost improve quality enhance service and efficiency improve performance to enhance patient/ family satisfaction and ensure effective and efficient throughput.

Coordinates and integrates interdepartmental and intradepartmental services.

Models effective leadership behaviors to achieve organizational outcomes

KEY RESPONSIBILITIES:

Promotes the continuous advancement of evidence-based safe patient-focused care that leads to the highest quality patient outcomes and patient/family satisfaction. In addition to registered nurse responsibilities assumes supervisory tasks as assigned by the Patient Care Director.

Makes recommendations to Patient Care Director on improving quality patient outcomes
Is able to diffuse volatile situations without engaging the Patient Care Director
Utilizes "creative" scheduling to minimize overtime and agency usage
Acts a s a liaison to other hospital departments
Leads unit department or hospital committee/projects that result in operational improvements
Develops systems that measurably reduce unusual occurrences
Develops strategies that enhance patient/family or staff satisfaction
Provides leadership to promote effective communication among members of the healthcare team
Participates in evaluation of staff

Assist in coordinating staff meetings and disseminates information

Oversees the scheduling of staff to ensure fair adequate and appropriate shift coverage based on the staffing grid staff requests and the needs of the unit
Assist in the development implementation and evaluation of nursing practice standards that improve quality and patient outcomes
Facilitates the delivery of the professional practice model
Schedules staff including breaks ensuring fair and adequate coverage across all shifts
Handles staff time and attendance issues including the approval of end of shift overtime
Provides feedback to Patient Care Director regarding potential new hires
Communicates any unusual issues with the Patient Care Director
Balances personal needs with departmental needs and objectives
Coordinates with the clinical educators and preceptors to arrange for orientees/staff to attend educational activities
Monitor staff attendance punctuality and overtime
Assists with the investigation of complaints and unusual occurrences
Participates on unit department and hospital committees and projects
Participates in peer review
Assigns RNs to admissions post-ops and transfers
Assigns RNs to patients on the next shift according to unit policy
Collaborates with the clinical educator to conduct unit-based education consistent with the culture of assigned unit e.g. disease specific or age specific in-service posters etc.
Provides leadership to promote effective communication among members of the healthcare team
Monitors the workload on the unit assisting staff as needed
Coordinates ADT with Patient Registration and unit RN's to ensure timely and smooth transaction to enhance patient/family satisfaction
Monitors all CNA activities e.g. water pitchers rooms neat equipment clean and stored no excess linen/ equip. in room and call bell/IS within patient reach
Make rounds on all patients at the beginning of the shift and communicate patient care needs to the appropriate staff
Ensure that staff attends scheduled meetings/classes covering patient assignments as needed
Monitor staff adherence to unit hospital and regulatory policy and procedures
Transcribes/verify physicians' orders as needed
Checks that the night RN's have performed Glucometer quality control checked emergency carts and tested the defibrillator
Coordinates interdisciplinary rounds
Assists patients/families and physicians who have questions or complaints
Makes sure that patient call lights are answered promptly and courteously

Clinical Practice

Provides and coordinates direct care to patients based on the nursing process with compassion dignity and respect. Ensures efficient accurate and safe operation of the unit to promote staff and customer satisfaction follows Standards of Behavior and holds staff accountable to same
Uses knowledge of unit operations and organizational goals to guide decisions about patient care and use of resources.
Utilizes patient data to develop outcome-driven plans using theoretical and experiential knowledge
Provides consultation to nursing staff and uses opportunities in clinical setting to teach others either 1:1 or in groups
Supports innovative approaches to nursing practice roles and utilization of resources to meet challenging organization requirements
Role models and teaches cooperation teamwork collegiality interdisciplinary collaboration and successful conflict resolution
Recognizes impact of own use of productive and non-productive time on unit resources and maintains flexibility
Provides leadership for problem-solving goal formation conflict-resolution and negotiation to maximize performance of the healthcare team
Seeks or willingly accepts increased responsibility e.g. Education Liaison PI team member CPR Instructor
Consults with Physician Case Manager or other member of the healthcare team to assure consistency with the plan of care in relation to the patient�s length of stay
Reviews plan of care with designated member of the healthcare team initially and changes as patient�s condition warrants; assures patient goals are achieved within agreed upon timeframe
Evaluates patient responses to the plan of care; chooses reasonable alternative actions when existing plans are ineffective
Informs Physician and appropriate members of the healthcare team when there is a change in patient�s progress
Increases monitoring in response to warning signs and initiates preventative measures based on knowledge and experience
Identifies documents and reports to appropriate personnel deviations from clinical service or regulatory standards
Secures patient property or valuables per hospital policy
Uses all available resources to plan care and improve professional practice
Complies with changes in hospital policies and procedures within designated timeframe
Within role of Clinical Leader I Inpatient holds others accountable for their decisions actions and assignments and for clinical service regulatory and operational standards of unit and organization
Delegates aspects of patient care to assistive personnel within their skill and expertise; helps assistive personnel organize and set priorities for work
Monitors for completion of delegated tasks; provides feedback to members of the healthcare team in a positive and respectful way as necessary to improve quality of patient care
Participates in staff meetings and unit activities; keeps current with departmental activities
Recognizes behavior of self and others that hinders achievement of departmental or organizational goals and takes appropriate action to address problem
Consistently interacts with others in a manner that is perceived to be positive and supportive
Balances personal needs with departmental needs and objectives

Ethics/Code for Nurses/Patient Advocacy

Listens to and responds to the needs of patients and others in a manner that is courteous respectful and timely
Upholds and adheres to the Code for Nurses; encourages colleagues to do the same
Participates in assessing organizational performance via such mechanisms as peer review ethics committee etc.
Initiates conversation regarding organ donation advance directives and encourages formulation of the same
Consults the ethics consultation group and coordinates ethics consultation as necessary
Is accountable for maintaining the confidentiality and security of all Saint Anne�s related medical staff and patient related data and information
Understands and adheres to the Patient Bill of Rights
Communicates reports documents and seeks follow-up when questionable practice or factors in the health care delivery system threaten the welfare of patients
Participates in providing informed consent and safeguarding the rights of patients

Patient Teaching/ Discharge Planning

Uses professional judgment when providing information to patients based on the patient�s age cultural background cognition and clinical condition
Develops implements evaluates and modifies patient teaching plans using advanced knowledge
Takes initiative to collaborate with other disciplines regarding discharge planning
Anticipates and plans for patient�s discharge through ongoing conversations with patients and/or caregivers active participation in multidisciplinary patient care conferences and consulting appropriate therapeutic disciplines
Takes initiative to collaborate with physicians and other therapeutic disciplines in the development of patient and family teaching plan
Assesses patient/family learning needs according to policy and procedure taking into consideration his/her readiness to learn and the teaching modality preference of the patient/family
Identifies and documents readiness to learn and barriers to patient and family education according the SAH Patient Care Standards
Uses patient/family readiness to learn and barriers to education to individualize standard teaching plan or develop and implement a teaching plan for immediate problems
Consults with Clinical Educators and other members of the healthcare team when there are complex teaching and discharge planning needs
Collaborates with physicians and other therapeutic disciplines in the development of patient and family teaching plan
Follows appropriate policy and procedure for patient discharge and assists other staff in doing the same

Self/Organizational Improvement

Continually strives to suggest and implement ways to improve personal departmental and organizational performance
Makes at least one recommendation per year to reduce cost through more efficient or effective use of supplies or equipment or more productive use of staff time
Participates in the assessment of departmental performance as it relates to desired clinical and financial goals
Is an active member (85% attendance) of a hospital or nursing committee and participates in all aspects of the project such as data collection benchmarking etc.
Uses critical thinking skills to systematically and continually improve patient care
Assesses patient and departmental needs and suggests cost-effective use of resources to achieve equal or superior results
Develops innovative approaches to practice roles and resources to meet changing organizational needs
Identifies own areas of development and seeks opportunities for personal and professional growth
Communicates to appropriate person when deadlines can�t be met and suggests alternative actions to achieve outcome in acceptable time limit
Completes annual education requirements in a timely manner
Identifies opportunities for improvement in departmental operation and offers resolutions
Participates in development of corrective action and/or takes steps to prevent recurrences in consultation with Director and members of the healthcare team
Responds to requests from co-workers and other departments in a mutually agreed upon time frame
Participates in unit-based performance improvement initiatives and projects when the opportunity is presented
Shares information and job knowledge with members of the healthcare team
Provides input into process of forming unit goals
Limits the discussion of negative issues; offers resolutions to problems
Keeps appropriate people informed of relevant issues and events
Recognizes that clutter is a safety concern and takes appropriate action to keep hallways clear

Demonstrates respect and regard for the dignity of all patients families visitors and fellow employees to ensure a professional responsible and courteous environment.

Commits to recognize and respect cultural diversity for all customers (internal and external).
Communicates effectively with internal and external customers with respect of differences in cultures values beliefs and ages utilizing interpreters when needed.

Demonstrates respect and regard for the dignity of all patients families visitors and fellow employees to ensure a professional responsible and courteous environment.

Commits to recognize and respect cultural diversity for all customers (internal and external).
Communicates effectively with internal and external customers with respect of differences in cultures values beliefs and ages utilizing interpreters when needed.

Customer Commitment:

Practices and engenders a superior customer service philosophy
Responds to customer complaints and requests immediately.
Ensures employees understand what is expected of them relative to excellent customer service for both internal and external customers; deals with inappropriate customer service immediately.
Defines a plan for measuring customer satisfaction; creates a process for annual improvement; continually searches for ways to increase customer satisfaction.
Advocates customer's point of view in developing departmental or system plans and projects.
Utilizes positive teamwork in developing system goals; promotes goals and teamwork over individual gain.

Performance Improvement:

Assures quality of the Orthopedic Center of Excellence through quality control and performance improvement processes that meet standards established by Joint Commission DPH and AORN.
Responds to Federal State and local inspections in order to remain in compliance with acceptable standards.
. Is responsible for compliance with appropriate external regulatory requirements including Joint Commission CMS HIPPA and the DPH. Continuously maintains regulatory readiness.
Supports performance improvement processes and encourages participation by staff through the use of analytical and reporting tools.
Participates in and manages performance improvement initiatives in own and other areas.
Upholds the mission and philosophy of Saint Anne's Hospital and Steward Health Care System and holds employees accountable for the same.

Forecasting and Planning:

Develops a process that allows for and creates meaningful dialogue with physicians regarding operational and strategic decisions and planning.
Assures seamless delivery of services across the system and care continuum.
Develops business plans for new program initiatives as appropriate or requested.
Collaborates with representatives from Strategic Communications in the development and implementation of annual communications and marketing plans.
Evaluates new products and equipment and forwards recommendations for purchase based upon research.
Ensures that services address patient family and referring community needs as well as being easily accessible.

Personal Commitment:

Maintains clinical competencies and strives to keep current with new technology and concepts in area of responsibility.
Maintains competencies necessary to provide direct care or service to the age of patients served in assigned service area if applicable.
Completes annual mandatory education requirements and participates in appropriate hospital management training and development workshops.
Continually learns and develops staff and self; keeps current in trends; participates in professional development opportunities and encourage staff participation;
Develops and implements a department specific education plan.

Employee Commitment:

Encourages cooperation and teamwork in accomplishing results.
Supports individual and program achievement through the use of recognition methods.
Actively seeks and acts on ways to improve team effectiveness.
Provides training and development for program members to support professional and personal growth enhance job performance and improve operational effectiveness.
Creates commitment and ownership encourages responsibility helps others to set proper goals and priorities delegates with clear expectations.

Organizational Commitment:

Selects appropriate form of communication to convey information.
Creates an atmosphere in which clear and timely information flows between self and others and interdepartmental.
Maintains positive attitude and fosters effective relationships within own and other departments.
Adheres to hospital policies and procedures and identifies how policies and procedures can be modified to improve/strengthen organization al performance.
Monitors all processes to insure that all compliance and regulatory standards are met.
Fosters and maintains a safe working environment.
Demonstrates managerial courage by using direct open and honest communication methods; gives feedback on issues participates in management meetings and provides feedback into operational and strategic decisions.

Growth and Program Development:

Demonstrates knowledge of organizational awareness by promoting system needs in planning and in practice.
Uses sensitivity to both the people and technical needs of change processes considers the impact of change on the needs of people and the nature of the work.
Seeks opportunities for integrating programs and services that will support Saint Anne's Hospital.
Translates business strategies into concrete objectives and business plans.
Identifies supports and uses new technologies and methods to improve productivity and a competitive edge.
Coordinates and implements affiliation relationships with other disciplines departments including clinical services and community partners.
Collaborates with key internal and external leaders to identify strategic and tactical market opportunities utilizing market research.

REQUIRED QUALIFICATIONS:

Five years nursing experience preferred; previous supervisory experience preferred. For specialty areas related experience and or certification may be required.
Knowledge of Meditech/Epic software
Able to analyze data synthesize and summarize information and make judgments regarding patient care and daily unit operations.
Able to support and mentor staff promote outstanding customer service encourage interdisciplinary/interdepartmental collaboration and contribute to the collegial governance process.
Knowledgeable of hospital policies and procedures
Knowledgeable of performance improvement methodologies
Requires effective use of problem solving negotiating conflict management team leading and team building skills
Must possess expert organizational skills

EDUCATION:

BSN strongly preferred; MSN a plus.
BLS and MA RN License required

PHYSICAL REQUIREMENTS:

The physical demands described here are representative of those that must be met by an employee to successfully perform the main duties and responsibilities of this job.

The employee may perform or have exposure to the following 75% or more:

Talk or hear

The employee may perform or have exposure to the following 50 - 75%:

Stand / walk
Use hands to finger feel reach with hands climb or balance
Stoop kneel crouch or crawl

The employee may perform or have exposure to the following 25 - 50%:

Taste or smell
Lift up to 50 lbs
Risk of Electrical Shock
Risk of Radiation
Exposure to blood-borne pathogens
Flammable Explosive Gases
Toxic or caustic Chemicals
Dust or Other Irritants
Infectious/Contagious Diseases
Cleaning Agents/Chemicals
Hot or Noisy Equipment
Exposure to a moderate noise level

Vision Requirements:

Close vision
Distance vision
Color vision
Peripheral vision
Depth perception
Ability to adjust focus

Safety equipment used while performing this job:

Safety eye glasses
Face shields
Surgical mask and gown
Gloves

Brown University Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race color religion sex national origin age ethnicity sexual orientation ancestry genetics gender identity or expression disability protected veteran or marital status. Brown University Health is a VEVRAA Federal Contractor.

Location: Saint Annes Hospital USA:MA:Fall River

Work Type: Full Time

Shift: Shift 1

Union: Non-Union

Apply