Join Harborview Medical Center for an outstanding opportunity as RN3/Assistant Nurse Manager (ANM), Critical Care Float Pool.
Provide leadership and clinical expertise in critical care as RN3/ANM for the float pool.
This position reports to the Nurse Manager of the Float Pool and is responsible for assisting the manager in all aspects of hiring, educating and counseling nurses in these areas as well as being a role model for excellent patient care.
CORE VALUES: This job description is based on the following core values:
CORE VALUE COMPETENCIES: 1. QUALITY OF WORK 2. MISSION CENTERED PROFESSIONAL PRACTICE 3. INTERPERSONAL SKILLS 4. INTEGRITY AND COMPASSION 5. PATIENT CARE ADVOCACY 6. TEAM WORK/COLLABORATIVE PRACTICE 7. PATIENT/FAMILY SATISFACTION/CUSTOMER SERVICE 8. RESPECT FOR PATIENT CONFIDENTIALITY
SUMMARY: Under general direction, the professional nurse at the Registered Nurse III level utilizes the nursing process (assessment, planning, implementation, and evaluation) to prescribe, prioritize, delegate, coordinate, and provide safe, therapeutic allocation of nursing resources to patients/families. Makes independent judgments/decisions and takes action regarding a wide range of routine and complex staffing issues. Collaborates with appropriate disciplines to coordinate continuity of patient care from admission through discharge in support of the medical and nursing plans of care.
The Registered Nurse III performs specific leadership functions related to clinical practice, education, and/or management as delegated by and in collaboration with the Nurse Manager. As assigned by the Nurse Manager, assumes patient placement 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.
Serves as role model and provides guidance to other staff including review and evaluation of performance.
Direct Care Competencies / Standards of Practice 1. Acquires, maintains and applies current knowledge in nursing practice. 2. Demonstrates competency to assess physiological health status of the patient and psychosocial status of the patient and family. 3. Demonstrates competency to formulate plan of care based on health status data. 4. Demonstrates competency to establish outcome oriented patient goals. 5. Demonstrates competency in developing a comprehensive interdisciplinary plan of care. 6. Seeks appropriate consults when necessary. 7. Efficiently implements the interventions identified in the plan of care. 8. Evaluates the patient’s progress toward achievement of outcomes and intervenes as appropriate. 9. Demonstrates competency in documentation using the computerized medical record. 10. Provides patient and family teaching in accordance with practice standards. 11. Incorporates discharge planning into patient care.
Education Unit Orientation 1. Mentors new employees and acts as primary preceptor for charge nurses. 2. Collaborates with Clinical Education to develop, refine and implement the unit specific clinical orientation programs 3. Coordinates efforts of assigned preceptors on the unit. 4. Assures that orientees are receiving continued support and exposure to relevant clinical activities. 5. Assures that skills checklists, evaluations, and pathways are completed in a timely manner. 6. Facilitates access to and use of e-mail, CIS, and voicemail. Annual Mandatory Education 7. Assures that all staff are scheduled for mandatory education. 8. Facilitates unit based skills validation. 9. Functions as a Qualified Observer. 10. Monitors completion and provides follow-up of mandatory education. Unit Specific Education 11. Assists with needs assessment and planning unit-based education. 12. Implements and evaluates program. 13. Facilitates introduction to new products and equipment. 14. Implements education regarding standards of care, clinical pathways, and other care management guidelines.
Human Resources Management 1. Participates in the interview process for new applicants. 2. Completes payroll process as necessary. 3. Prepares annual evaluations that represent the performance and developmental goals of the employees. 4. Coordinates volunteer/ancillary staff. 5. Provides appropriate and timely coaching and counseling. 6. Collaborates with nurse manager to implement and monitor employee development. 7. Develops and maintains master schedules. 8. Develops and maintains weekly schedules. 9. Approves vacation and holiday requests appropriately. 10. Proactively assesses staffing needs, resources and takes appropriate actions.
Daily Operations Unit Operations 1. Ensures supply levels meet unit needs. 2. Functions within safety, infection control, emergency and equipment guidelines. 3. Performs delegated duties in absence of nurse manager. 4. Facilitates student orientation. 5. Unit specific projects and assignments are completed in a timely manner without need for prompting. 6. Serves as a role model and mentor to charge nurses. 7. Ensures patient property procedures are followed properly. 8. Alerts nurse manager to actual or potential problems in a timely manner. 9. Initiates projects, based on unit needs. CQI 10. Conducts audits (formal and informal) to monitor unit standards. 11. Reviews incident reports and follows up in an appropriate and timely manner. 12. Monitors documentation of fire and other drills and follows up as indicated. 13. Supports research activities. Care Coordination 14. Facilitates interdisciplinary care. 15. Recognizes ethical dilemmas and initiates use of appropriate resources. 16. Collaborates with patients, significant others, and health care providers in providing patient care. 17. Acts as an advocate for on-going care management initiative (e.g. pathways) 18. Proactively facilitates discharge planning; anticipates obstacles and intervenes effectively.
Leadership/Management/Role Modeling 1. Effectively solves problems intra and inter departmentally. 2. Contributes to the professional development of staff, colleagues and others. 3. Meets attendance standards. 4. Provides nursing care in accordance with professional practice standards. 5. Continually seeks to improve own professional nursing practice. 6. Current licensure. 7. Consistently wears identification badge. 8. Functions within PCS, HMC policies, procedures and guidelines. 9. Considers factors related to safety, effectiveness and cost in coordinating patient care for the unit. 10. Is a role model in clear and courteous communication with staff and other departments. 11. Willingly offers assistance and expertise to other departments 12. Contributes to positive staff morale. 13. Effectively works with medical staff to promote positive patient outcomes.
Charge Nurse Skills 1. Assigns patients based on skill mix of staff, patient needs, and cost containment issues. 2. Knows general conditions of patients on the unit and uses the information to make appropriate changes and reprioritizes as indicated. 3. Demonstrates calm, efficient demeanor, and is tactful and positive. 4. Available to staff for consultation and assistance. 5. Supervises less experienced staff and gives direct feedback. 6. Assists, resolves, or appropriately refers customer service issues. 7. Ensures shift activities have been completed. 8. Reports environmental safety issues to appropriate persons in a timely manner. 9. Utilizes chain of command appropriately.
Standards of Daily Practice 1. Practices equitable scheduling and approves requests on posted schedule while meeting unit needs. 2. Provides direction and support for preceptors and orientees. 3. Promotes positive image to other units, patients, families, other departments and administration. 4. Aware of unit needs and responds effectively, (e.g., educational, clinical, operation, and teamwork). 5. Promotes calm, supportive atmosphere. 6. Handles conflict appropriately. 7. Uses critical thinking skills in decision making process. 8. Consistently demonstrates and promotes high standards of care. 9. Utilized as a clinical resource. 10. Charge nurse skills are effective.
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