Cleveland Clinic Assistant-Nurse-Manager-Specialty-ICU-* in Weston, Florida

Job Summary:

Manages the patient care unit for administrative and clinical aspects to include organizing, developing, directing and assuring the delivery of cost-effective, quality patient care. Ensures patient care is delivered in accordance with established hospital, State, Federal, and JCAHO, ANA policies, procedures, regulations, ethics and standards. Provides education to staff based on theoretical and clinical expertise. Ensures twenty-four hour accountability to provide clinical resources and the continuity of patient care.

Responsibilities:

  • Manages the patient care unit for administrative and clinical aspects to include organizing, developing, directing and assuring the delivery of cost-effective, quality patient care.

  • Ensures patient/family involvement in the development of care plans.

  • Ensures all nurses to be involved in the multidisciplinary team rounding for each patient's plan of care.

  • Monitors all care givers in the proficient prioritization and performance of direct care to patients according unit standards of care.

  • Ensures that all caregivers are effective in the education of procedures/ interventions and completion of required documentation.

  • Identifies and performs appropriately in emergent situations.

  • Ensures that nurses incorporate critical thinking in their assessment skills in order to increase the effectiveness of each plan of care.

  • Assists the clinical charge nurses in the delegation of responsibilities to staff based on patient needs, acuity, and staff competencies.

  • Ensures the appropriateness of restraint usage and completion of proper documentation.

  • Identifies staff needing further experience in the insertion of all IV skills including starts.

  • Utilizes and demonstrates ability to alter communication patterns related to patient's age and developmental level.

  • Ensures that all nurses are accurately documenting medications on MAR as required.

  • Ensures that nurses are monitoring Patient's response to medication and completion of proper documentation of results.

  • Reports medication errors and adverse reactions per hospital policy. Identifies staff needing further knowledge concerning medications.

  • Monitors nurses for the safe administration of blood and blood products per hospital policy.

  • Ensures that all nurses verifies patient ID per hospital policy.

  • Ensures that all nurses perform all Pyxis monitoring and counts as required.

  • Ensures all nurses complete the patient/family educational readiness and barriers.

  • Ensures nurses are developing plan of care based on educational assessment. Ensures that nurses are documenting educational assessment, plan, intervention, and outcome.

  • Makes decisions using critical thinking based on data.

  • Acts as a resource to Clinical Charge Nurses for the coordination of patient transfers, bed assignments, or the selection of patients for possible transfer/discharge in order to facilitate patient flow in the facility.

  • Acts as a resource to the clinical charge nurses on unit.

  • Participates in coordination/delivery of approved Facility events.

  • Collaborates with others to seek solutions to complex issues; is sensitive to the operations and feelings of others.

  • Ensures the potential positive outcomes when exploring the issues.

  • Remains objective to the view and conflicts of others. Focuses on the issues/concerns and not the person.

  • Builds common ground for points of agreement/disagreement.

  • Utilizes Chain of command as needed.

  • Acts as a liaison between any customers or staff assists in patient satisfaction rounds, addressing complaints and issues (including interdepartmental) in a timely fashion.

  • Acts with integrity; demonstrating honesty, keeping commitments and behaving consistently.

  • Discloses own position, thoughts and rationales in order to achieve understanding.

  • Acts as a role model to maintain effective communication, professional conduct, and appearance.

  • Remains open to ideas; listens to others and objectively considers other's ideas and opinions.

  • Treats people with dignity, respect and fairness.

  • Develops direction and ensures that the purpose and importance of the team are clarified; by clarifying roles and responsibilities.

  • Facilitates goal accomplishment; makes procedural or process suggestions; provides necessary resources and removes obstacles.

  • Sets performance goals and collaboratively works with direct reports to set meaningful objectives; implements system to track performance against goals; holds regular formal discussions to discuss progress toward goals and review performance.

  • Clarifies current situation and expected behaviors and level of proficiency; provides feedback and reinforcement; gives timely, appropriate feedback on performance; reinforces efforts and progress.

  • Acts as a role model in creating collaborative professional working relationships with peers, physicians, and all interdepartmental employees.

  • Creates a positive environment, promoting teamwork and high morale by always giving positive and constructive feedback.

  • Remains calm and able to function effectively during stressful situations.

  • Assists staff as well during a stressful event or situation, as needed.

  • Provides instruction, positive models and opportunities to develop skills and understanding.

  • Utilizes an approach of coaching, mentoring, guidance first prior to utilizing performance management when addressing performance issues. Identifies monitoring and improvement needs; determines what systems, processes or areas need to be monitored or improved.

  • Ensures the proper and timely completion of all PI / Safety data collections.

  • Analyzes data for root cause analysis utilizing standard PI tools.

  • Assists with the education and implementation of new performance plans.

  • Acts as role model to all customer service standards of excellence as defined above.

  • Assists in the education and implementation of Customer Service action plans in order to maintain Customer Service scores at the required or higher level of excellence.

  • Ensures timely completion of work and call schedules (4-6 weeks) to support the efficient operations of the department.

  • Ensures weekly and daily review of department staffing to ensure adequate number of staff in each job category is available to work 24/7.

  • Supports clinical operations and patient flow to optimize LOS (inpatient, procedural, and outpatient).

  • Ensures timely completion of initial and annual performance appraisals as assigned.

  • Completes daily and weekly department payroll and confirms with all staff is assigned to correct pay code/status.

  • Accepts accountability for department productive labor with focus on maintaining budgetary guidelines.

  • Facilitates consistent compliance with all regulatory standards to include AHCA, CMS, DCF and JCAHO.

  • Other duties as assigned.

Education:

  • Graduated from an accredited school of professional nursing.

  • Bachelor's Degree in Nursing required.

  • Strong demonstrated clinical knowledge and skills; good oral, written and interpersonal skills, strong analytical and organization skills.

Certifications:

  • Current state licensure as Registered Nurse (RN).

  • Proof of Basic Life Support (BLS) certification must be presented upon hire.

  • If in a Critical Care area an Advanced Cardiac Life Support (ACLS) Certification must be presented upon hire or within first year of employment.

  • Within one year of hire RNs in Children's Hospital and Children's Hospital for Rehabilitation will achieve and maintain Pediatric Advanced Life Support (PALS) with the exception of the Neonatal Intensive Care Unit RNs who must achieve and maintain Neonatal Resuscitation Program (NRP) provider status and RNs in the Special Delivery Unit, who must achieve and maintain Advanced Cardiac Life Support (ACLS).

  • ONS Chemo/Bio course complete within 2 years of employment if employed on units inpatient and/or outpatient where chemo is administered.

  • If in an Adult/Combined EDs, ACLS upon hire or within one year of beginning work in the Emergency Department.

  • If in a Pediatric ED, PALS upon hire or within one year of beginning work in the Emergency Department.

  • In Dedicated Trauma Centers, Trauma Nursing Core Course (TNCC - adult) or Emergency Nurse Pediatric Course (ENPC - pediatric) upon hire or within 24 months of beginning work in the Emergency Department.

  • Vascular Access Registered Nurse (VARN) program attendance required and obtains either a Certified Registered Nurse Infusion (CRNI) or Vascular Access Board Certified (VA-BC) certification upon hire or within a year of hire in Peripherally Inserted Central Catheter (PICC) areas.

Complexity of Work:

  • All employees are expected to meet the standards of performance outlined in the Organizational-Wide Competencies listed below as applied to the position:

  • World Class Service Orientation: Demonstrates courteous, polite, friendly and cooperative behaviors toward others.

  • Supports and participates in activities that promote customer satisfaction. Utilizes approved hospital scripts. Courteously answers the telephone utilizing approved script (department, name and "How can I help you").

  • Assists in answering call lights when on the nursing units (includes ancillary and non-patient care personnel).

  • Answers call lights within 4 rings.

  • Acknowledges patients/guests/others immediately upon entering the department/work area.

  • Communicates and follows the organizational chain of command for notification of patient care/service issues, when appropriate. (Calls are answered within 4 rings.)

  • Attitude: Chooses to have a positive attitude every day.

  • Customer waiting: Updates waiting patient/family per protocol. (Scheduled visit every 10 minutes, unscheduled every 30 minutes. Adaptability: Exhibits good communication and listening skills. Speaks clearly, actively listens.

  • Able to work with diverse populations (patient, staff, physicians) under difficult and stressful situations.

  • Supports the team approach. Committed to Customer Service standards.

  • Encourages patients and family members to ask questions.

  • Avoids jargon.

  • Teamwork: Understands and supports the needs of individuals in other departments, works as a team to achieve mutual goals.

  • Offers assistance and promptly responds to requests (patient, physician, manager and others).

  • Performs any other duties or responsibilities that may be assigned.

  • Carries Spectralink phone at all times. Updates patient boards with numbers.

  • (Appropriate personnel). Attends 80% of all staff meetings.

  • Participates in coordination/delivery of approved Facility events.

  • Efficiency and Effectiveness: Offers suggestions for departmental and/or hospital-wide performance/process improvement.

  • Intervenes to correct problems (patient and system) as they occur.

  • Notifies manager/director of actions and outcome.

  • Participates in the performance/process improvement process.

  • Completes required logs and quality controls as per hospital/department requirements (crash cart, 24 hour chart check, narcotic count, point of care testing, etc.).

  • Work Habits: Readily accepts work assignments in a positive manner.

  • Performs work that is accurate, neat and consistent.

  • Documentation is legible.

  • Safety: Keeps work area neat and maintains equipment in accordance with health and safety codes.

  • Uses Standard precautions in all patient contacts.

  • Provides a safe environment for patients/family and visitors, and reports safety issues and equipment failures appropriately.

  • Confidentiality: Sensitive information including, but not limited to, patient records, charts, hospital documents and employee information is kept confidential without exception, according to HIPAA guidelines.

  • Ensures that the rights of all patients are respected and maintained by allowing for privacy, cultural diversity and dignity in the provision of care.

  • Demonstrates organizational skills in the form of prioritization and time management.

  • Essential Job Requirements: Policies/Procedures: Is aware of and follows all hospital, corporate, regional, and departmental policies and procedures.

  • Appearance: Projects a professional image, follows the hospital dress code policy and/or department requirements.

  • Wears hospital ID badge at all times on duty.

  • Attendance: Employee reports to work each regularly scheduled work day.

  • Does not take advantage of sick time.

  • Punctuality: Clocks in by the scheduled start time of the shift and is ready for work.

  • Continues working until scheduled departure time.

  • Leaves as scheduled unless overtime is approved by supervisor.

  • Managerial Responsibilities: Makes suggestions to reduce waste.

  • Ensures that personnel and supplies of the organization are used in a cost effective manner.

  • Identifies cost saving strategies for department/hospital.

  • Submits accurate and timely hospital charges for department/hospital.

  • Offers opinions and information that reflect positively on Cleveland Clinic Florida.

  • Will take the time to speak with an employee (privately) if they observe or overhear that an employee is not being an ambassador of the hospital.

  • Understands how individual job performance affects department and hospital growth.

  • Identifies and communicates opportunities to improve service or care.

  • Participates in hospital/departmental committees to improve service and streamline organizational processes.

  • Note: The above stated duties are intended to outline those functions typically performed by individuals assigned to this classification.

  • This description of duties is not intended to be all-inclusive or to limit the discretionary authority of supervisors to assign other tasks of similar nature or level of responsibility.

Work Experience:

  • Minimum two year recent clinical nurse experience required.

  • Working knowledge of Quality Improvement process and JCAHO standards.

  • Managerial experience.

  • Able to relate to a large variety of individuals.

  • National certification program that includes management concepts.

  • Clinical, and operational experience in the respective field or specialty.

Physical Requirements:

  • The position requires a considerate amount of physical work not to exceed 50 pounds.

  • Any workload exceeding 50 pounds will require assistance.

  • The individual will be required to pull up or re-position patients in bed, lift supplies, place equipment or supports, push beds throughout the hospital and perform external cardiac compressions.

  • The individual must be able to bend over to perform certain duties such as check chest tube drainage, check urine output, etc.

  • The individual must be able to quickly maneuver throughout halls, stairways and patient rooms in response to hospital emergencies.

  • Interpretation of environmental input requires visual and auditory skills. In the event there is a need to evacuate the building, heavy lifting will be required to carry patients to safety.

  • Mental Demands: Ability to work at a fast pace and to prioritize multiple assignments/projects and respond to numerous requests; ability to resolve conflicts among staff and to work collaboratively with department directors, physicians and other members of the Healthcare team; ability to ensure operational efficiency; ability to problem-solve and make decisions; ability to exercise self-control and tolerate stress when dealing with multiple requests and/or conflicting demands from multiple customers.

  • Special Demands: Needs minimal sustained direction in assessing needs, directing staff, and carrying out departmental and professional responsibilities; self-starting and self-motivating; working hours may exceed eight (8) hours per day and is based on what is needed to accomplish work at hand.

Personal Protective Equipment:

  • Follows Standard Precautions using personal protective equipment as required for procedures.

The policy of Cleveland Clinic and its system hospitals (Cleveland Clinic) is to provide equal opportunity to all of our employees and applicants for employment in our tobacco free and drug free environment. All offers of employment are followed by testing for controlled substance and nicotine. Job offers will be rescinded for candidates for employment who test positive for nicotine. Candidates for employment who are impacted by Cleveland Clinic’s Smoking Policy will be permitted to reapply for open positions after 90 days. Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic facility.

Cleveland Clinic is pleased to be an equal employment employer: Women/Minorities/Veterans/Individuals with Disabilities