Receive 17% weekday nights, 26% weekend nights, or 15% weekend day shift differentials Department: Nursing Services Administratio - SRMC FTE: 0.05 Casual Pool (as needed) Shift: Rotating Position Summary: Responsible for the overall operations, and implementation and evaluation of activities for inpatient and emergency care at SRMC. Devotes a majority of work time to supervisory duties and regularly directs the work of two or more other employees. Role accountabilities will ensure the delivery of optimal and safe patient care which includes fiscal management, standards compliance, clinical practice, staff development, oversight and active participation in clinical practice, and performance improvement activities that evaluate program effectiveness. Role includes frequent new and varied work situations. The role involves a high degree of complexity. Role operates independently with minimal supervision. Role works to determine own practices and procedures and also contribute to the development of new concepts. Ensure adherence to Hospitals and departmental policies and procedures. Patient care may include Neonate, Adolescent, Adult, and Geriatric age groups. Detailed responsibilities: PATIENT SAFETY 1 - Follow patient safety-related policies, procedures and protocols PATIENT SAFETY 2 - Demonstrate proactive approach to patient safety by seeking opportunities to improve patient safety through questioning of current policies and processes PATIENT SAFETY 3 - Identify and report/correct environmental conditions and/or situations that may put a patient at undue risk PATIENT SAFETY 4 - Report potential or actual patient safety concerns, medical errors and/or near misses in a timely manner PATIENT SAFETY 5 - Encourage patients to actively participate in their own care by asking questions and reporting treatment or situations that they don't understand or may "not seem right" COORDINATION - Collaborate with Admitting Office, physicians, and patient care areas when needed as consultant to facilitate appropriate patient placement based on admitting service, diagnosis, acuity, census, and staffing considerations DECISION MAKING - Participate in key decision making regarding overall planning, work redesign, and staff development associated with implementing changes in patient care delivery MISCELLANEOUS - Perform miscellaneous job-related duties as assigned UTILIZATION - Facilitate between hospital/system administration, departments, and medical staff ensuring cost-effective utilization of products, services, processes and resources COMPLIANCE - Ensure compliance with all regulatory agencies, governing health care delivery and the rules of accrediting bodies by continually monitoring Hospital operations and programs and physical properties; initiate changes as required EVALUATION - Administers or makes recommendations regarding performance evaluations, promotions, administration of personnel policies with staff, hiring or discipline POLICIES AND PROCEDURES - Maintain established departmental policies and procedures, objectives, and quality assurance programs PROFESSIONAL DEVELOPMENT - Enhance professional growth and development through participation in educational programs, reading current literature, attending in-services, meetings and workshops GUIDELINES AND STANDARDS - Organize and direct clinical practice in collaboration with the program medical director through development, implementation and maintenance of practice guidelines/standards QUALITY - Actively participate in nursing strategic initiatives such as quality improvement and monitoring, regulatory compliance, recruitment and retention of staff and patient and employee satisfaction LIAISON - Act as a resource & liaison among the hospital, department, health system entities, other institutions and agencies TRANSFERS - Participate and authorize transfers to and from other facilities with appropriate physicians, and reviewing all paperwork prior to ensure EMTLA guidelines are met REPORTING - Reports any incidents, and convey staff concerns and identified problems to Administration PATIENT CARE - Assign duties in accordance in conjunction with the unit director or designee with the plan of care, patient needs, and within the scope of staff qualifications and licensure/certification/registry, being able to reallocate staff via floating, implementing census management as necessary to balance patient care needs with decisions that reflect concern for the quality of care and cost effective use of resources SUPERVISION - Supervise and direct staff providing patient care; accountable for care provided to patients on assigned shifts. Round on all departments on responsible shifts, meeting with Charge Nurse to evaluate unit needs PATIENT CARE - Assist with or institute emergency measures for sudden, adverse developments in patients as Lead Rapid Response nurse; respond to all Code Blue events and initiate ACLS protocols as necessary LIAISON – Act as liaison as necessary between physicians, staff, patients, families, and other departments to promote and facilitate communication, problem solving, decision-making, crisis intervention, resource utilization, and conflict management PATIENT SAFETY - Report potential and actual patient safety, concerns, medical errors and or near misses in a timely manner thru the chain of command and document within the PSN system PATIENT CARE - Establish a compassionate environment by providing emotional psychological and spiritual support to patient, friends and families Qualifications Education: Essential: Program Graduate Nonessential: Bachelor's Degree Education specialization: Essential: Nationally Accredited Nursing Graduate Nonessential: BSN or MSN Experience: Essential: 3 years directly related experience Nonessential: Credentials: Essential: Basic Arrhythmia Cert w/in 1 year PALS w/in 6 months of position RN in NM or as allowed by reciprocal agreement by NM CPR for Healthcare/BLS Prov or Prof Rescuers w/in 30 days Advanced Cardiac Life Support Certification w/in 6 months Trauma Nursing Core Course (TNCC) w/in 6 months of hire Nonessential: Instructor in BLS, ACLS, PALS and/or TNCC National Certification Physical Conditions: Medium Work: Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Physical Demand requirements are in excess of those for Light Work. Working conditions: Essential: Med Haz: Dirt, dust, fumes, odors, bad weather, noise Department: Registered Nurse