Harborview Medical Center has an outstanding leadership opportunity in our Operating Room for an Assistant Nurse Manager (ANM, RN3), Informatics. Harborview Medical Center is a level one trauma center and burn center for adults and pediatrics for a four state region; is a teaching and research hospital for the U.W.; and is a public/safety-net hospital for our diverse community.Responsibilities of this position include:* Audit intraoperative records * Work as charge nurse, as needed * Facilitate timely starts and maximize efficiency for all cases * Assist with perioperative staff education * Assist with leave reports and audit employee attendance * Perform staff evaluations and monthly rounding * Prepares schedule for pre-assigned standby * Support and promote management philosophies * Serve as a role model to staff * Work on special projects as directed by manager The ANM/RN3 performs specific leadership functions related to clinical practice, education, and/or management as delegated by and in collaboration with the OR Nurse Manager. As assigned by the Nurse Manager, assumes staff assignments and preceptor responsibility. Provides leadership for unit and departmental activities that promote : delivery of quality nursing care, effective problem solving and communication, and continued professional development for self and others. Direct Patient Care Competencies/Standards of Practice * Acquires, maintains and applies current knowledge in nursing practice. * Demonstrates competency to assess physiological health status of the patient and psychosocial status of the patient and family. * Demonstrates competency to formulate plan of care based on health status data. * Demonstrates competency to establish outcome oriented patient goals. * Demonstrates competency in developing a comprehensive interdisciplinary plan of care. * Seeks appropriate consults when necessary. * Efficiently implements the interventions identified in the plan of care. * Evaluates the patient's progress toward achievement of outcomes and intervenes as appropriate. * Demonstrates competency in documentation using the computerized medical record. * Provides patient and family teaching in accordance with practice standards. * Incorporates discharge planning into patient care. * Demonstrates knowledge and understanding of patient rights. * Maintains confidentiality of all medical, financial, or other sensitive materials and information in printed, electronic or verbal form which may jeopardize the privacy of patients. * Accesses and uses the minimum necessary patient identifiable information to perform job responsibilities and duties and only for authorized purposes. Standards of Daily Practice * Provides direction and support for preceptors and orientees. * Promotes positive image to other units, patients, families, departments and administration. * Aware of unit needs and responds effectively, (e.g., educational, clinical, operation, and teamwork). * Promotes a calm, supportive atmosphere. * Handles conflict appropriately. * Uses critical thinking skills in decision making process * Consistently demonstrates and promotes high standards of care. * Utilized as a clinical resource. * Follows Hospital and Departmental policy with regard to the use of computers, personal or professional, in the workplace Professional Growth and Development * Maintains clinical professional competence, knowledge and skills through use of appropriate resources. * Meets identified self-learning needs and annual review requirements. * Establishes clear plans and goals. * Accomplishes service-specific skill mastery. * Completes unit-specific and annual competencies on time. * Responds positively when learning needs are identified and accepts responsibility for seeking education. * Participates in own evaluation. * Attends and participates in weekly in-services and continuing education programs which directly affect own practice. * Applies research findings in the implementation of patient care. * CNOR certified. Education Unit Orientation * Mentors new employees and acts as secondary preceptor for new nurses. * Collaborates with OR Nurse Educator to develop, refine and implement unit specific clinical orientation programs. * Assists Nurse Educator to ensure that orientees are receiving continued support and exposure to relevant clinical activities. * Assures that skills checklists, evaluations, competencies and pathways are completed in a timely manner. * Facilitates orientee access to and use of e-mail, peri-op charting, and voicemail. * Facilitates student and new employee orientation in conjunction with OR Nurse Educator. Annual Mandatory/Unit Based Education * Facilitates unit based skills validation in conjunction with OR Nurse Educator. * Functions as a Qualified Observer for unit specific competencies. * Assists with needs-assessment and planning unit-based education. * Implements and evaluates program in conjunction with OR Nurse Educator. * Facilitates introduction to new products and equipment to all staff. * Plans and attends inservices for all staff related to new products and equipment. Human Resources Management * Participates in the interview process for new applicants. * Prepares annual evaluations for that represent all aspects of the performance and developmental goals of the employees in a timely fashion. * Provides appropriate and timely coaching. * Collaborates with nurse manager to implement and monitor employee development. Daily Operations * Manage case throughput and workflow for all cases to ensure maximum efficiency. * Available and accessible to staff to help facilitate OR cases. * Facilitates timely starts for all cases. * Coordinate with other specialties (radiology, angio, etc.) to ensure on-time case starts. * Ensures special instruments, supplies, implants and equipment are available upon request of surgeons. * Facilitates maximum efficiency in room turn-over. * Collaborates with CPU staff to insure necessary instruments and supplies are available for scheduled cases. * Communicates with PACU /ASU Charge Nurse to facilitate throughput. Unit Operations * Functions within safety, infection control, emergency and equipment guidelines. * Performs delegated duties in absence of nurse manager. * Unit specific projects and assignments are completed in a timely manner without need for prompting. * Serves as a role model and mentor to staff. * Ensures patient property procedures are followed properly. * Alerts nurse manager to actual or potential problems in a timely manner. * Initiates/assists with projects, based on unit needs. * Acts as a liaison between anesthesia, staff and surgeons. * Supports and promotes Management philosophies. * Communicates with Nurse Manager regarding problems and issues on the weekends and week days. * Supervises, supports, and works on special projects with hospital assistants. * Coordinates with staff and is in charge of the preassigned standby assignment schedule. * Participates in audits (formal and informal) to monitor unit standards. * Supports research activities. * Facilitates and supports interdisciplinary care. * Recognizes ethical dilemmas and initiates use of appropriate resources. * Collaborates with patients, significant others, and health care providers in providing patient care. * Acts as an advocate for on-going care management initiatives. * Proactively facilitates discharge planning from the OR and anticipates obstacles and intervenes effectively. Leadership/Management/Role Modeling * Effectively solves problems without assistance. * Contributes to the professional development of staff, colleagues and others. * Meets attendance standards. * Arrives to work on time and stays until end of scheduled shift. * Adheres to break times. * Uses management time effectively. * Provides nursing care in accordance with professional practice standards. * Continually seeks to improve own professional nursing practice. * Consistently wears identification badge. * Functions within HMC policies, procedures and guidelines. * Considers factors related to safety, effectiveness and cost in coordinating patient care for the unit. * Is a role model for clear and courteous communication with staff and other departments. * Willingly offers assistance and expertise to others. * Contributes to positive staff morale. * Effectively works with medical staff to promote positive patient outcomes. * Is identified as a role model and clinical resource by other staff. * Exhibits dependability, promptness and accountability by providing proper notification for absences or tardiness. * Demonstrates responsibility in ensuring that all licenses/certifications are current including professional license. Safety and Response to Emergencies * Demonstrates knowledge of emergency evacuation routes, location of MSDS information, locations of emergency information flipcharts. * Demonstrates knowledge of and responds to hospital-wide emergency codes. * Knows current location of and proper use of emergency equipment, emergency exits and FIRE alarms. * Maintains a safe work environment, including keeping floors free of clutter, securing electrical cords, and cleaning spills. * Monitors for safety of patient and staff in the room. * Wears OSHA-approved personal protective equipment, including appropriate eye protection and x-ray coverage. * Demonstrates ability to set up and work in a crash room, including use of defibrillator. * Remains calm, accurately identifies emergency situations, offers assistance when emergencies arrive. Communication * Presents ideas, information and viewpoints clearly, both verbally and in writing. * Provides timely, constructive feedback that contributes to the development of others. * Identifies any problems with employees in a timely and professional manner. * Demonstrates open, honest and effective communication. * Has a UW email account and is responsible for the information sent by email. * Participates and conducts unit rounding on staff members Patient Confidentiality and Dignity * Demonstrates knowledge of and complies with all applicable HIPAA regulations and objectives of corporate compliance. * Has completed HIPPA training. * Provides for patient's privacy throughout perioperative period. * Protects dignity of patients throughout perioperative period. * Regards patient under general anesthesia with respect; models high standard for other team members to follow. Quality Improvement * Assures Pre-Procedure Verification is performed for all procedures, and is documented on computer or paper charting as appropriate. * Identifies and reports verbally and online all unusual occurrences according to policy. * Participates in QA programs. Scrub Nurse Skills * Demonstrates proficiency in the preparation of sterile field. * Prepares sterile setup, checks that proper supplies and equipment are available for case. * Performs needle counts and supply counts in accordance with departmental policy. * Demonstrates proficiency in knowledge of instrumentation, supplies and equipment. * Demonstrates knowledge of sterilization methods, including gravity and pre-vac steam, gas, Steris and Sterrad. * Performs draping as necessary. * Maintains sterile field and reports breaks in sterile field technique. Charge Nurse * Coordinates, organizes and assigns patient care delivery based on skill, staff, patient needs and cost containment issues. * Knows general description of patients on the unit and uses the information to make appropriate changes and to reprioritize as necessary. * Available to staff for consultation and assistance. * Reevaluates nursing team assignments to ensure patient care needs are met on an ongoing basis. * Monitors less experienced staff and gives direct feedback. * Ensures facility safety for patients and staff. * Reports issues to appropriate persons consistently and in a timely fashion. * Utilizes chain of command appropriately. * Manages the OR Electronic Whiteboard effectively and efficiently. * Demonstrates calm, efficient demeanor; is tactful and positive. * Assists, resolves, or appropriately refers customer service issues. * Is courteous and helpful on the phone; identifying unit and self. * Follows up to be sure that shift activities are completed. * Utilizes and follows pre-assigned standby call guidelines * Coordinates with staff and is responsible for the pre-assigned standby call schedule.
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