Hospital Director of Nursing
JOB SUMMARY:
Directs, develops, and guides areas of responsibility in strategic planning and overall efficient operations to ensure quality department outcomes which support the organization’s mission, visions and values.
QUALIFICATIONS:
Education and/or Experience
- Graduate of an accredited school of nursing; Bachelor’s degree required
- Three years supervisory experience preferred
- Previous Registered Nurse (RN) experience required
Certificates, Licensure, Registrations
- Currently licensed as a Registered Nurse (RN) the State of Nebraska
- Basic Life Support (BLS)
- Advanced Cardiac Life Support (ACLS) within 6 months of employment
- Pediatric Advanced Life Support (PALS) within 6 months of employment
- Trauma Nursing Core Course (TNCC) within 6 months of employment
Knowledge, Skills and Abilities
- Must be able to take call and respond within 30 minutes
ESSENTIAL JOB DUTIES & RESPONSIBILITIES
- Directs all aspects of department operations effectively and efficiently.
- Oversees day-to-day operations, which includes problem solving issues and ensuring effective processing.
- Develops and documents department procedures to ensure consistent and accurate processing.
- Works with other departments in providing services and resources.
- Monitors workflow and department processes.
- Develops and maintains department policies.
- Sets and achieves department goals and objectives.
- Maintains the Material Safety Data Sheet (MSDS) in GMF’s MSDS book for the department.
- Oversees the Continuous Quality Improvement, Medical Staff and Pharmacy and Therapeutics committees.
- Develops, reviews and revises the Nursing Department organizational structure under the direction of the Administrator (CEO) to delineate authority, functional responsibilities and lines of communications.
- Reviews organizational planning objectives each fiscal year and develop department goals compatible with institutional goals.
- Participates in the planning, policy development and activities at the institutional level; ensure that nursing services policies are consistent with organizational goal and philosophy.
- Ensures that nursing practice within the department of nursing is consistent with the Nurse Practice Act for the State of Nebraska.
- Establishes, approves, supports and monitors standards for patient care and nursing practice within the department of nursing.
- Participates in the initiation, support and/or evaluation of professional nursing Quality Assurance projects and studies.
- Serves on department, multi discipline, administrative and medical committees as outlines in department and/or administrative policy.
- Collaborates with other departments and/or community agencies in the utilization of educational resources support services, environment and facilities planning and materials management.
- Represents nursing within the local community and promote continuity of care between the institution and other health care providers.
- Maintains positive and effective working relationships with other departments, medical staff and local, state and federal health agencies to assure maximum benefits for patient care and the institution.
- Develops and maintains an active interest in local, state and national professional organizations/activities/education opportunities.
- Utilizes the nursing process, for the performance of patient care, to assess, plan, intervene, and evaluate patient care to achieve prioritized patient outcomes according to the RN scope of practice.
- Performs complete admission assessment.
- Gives medications: oral, rectal, parental, and sub-lingual according to hospital policy, using the “Five Rights” of medication administration.
- Performs patient rounding for all patient assignments.
- Performs patient/family teaching for assessed knowledge deficits.
- Evaluates patient progress toward desired outcomes prior to discharge.
- Demonstrates personal accountability in the delivery of patient care in a competent, professional and compassionate manner.
- Performs comprehensive nursing assessments in an efficient and effective manner.
- Conducts full body system analysis.
- Identifies and recognizes abnormal symptoms/changes in patient condition, established priorities and takes appropriate action.
- Administers and performs nursing assessment in accordance with the applicable patient type which may include; Medical, Surgical, Pediatric, and or Telemetry/Cardiac patients.
- Collaborates with Medical Staff, management and other health care providers to coordinate medical and nursing management of patient care.
- Promotes team concept through effective communication regarding patient condition, patient care plan and patient satisfaction with appropriate individuals that are involved in the patient’s care.
- Works effectively with ancillary areas as part of the team approach to patient care.
- Directs patient support team members effectively and appropriately.
- Demonstrates initiative and flexibility in the provision of patient care.
- Informs and involves the Medical Director and Administrator (CEO) regarding patient care issues in a timely and appropriately manner.
- Assists in making patient assignments, coordinating admissions, and meeting staffing needs for unit.
- Collaborates with Social Services and Utilization Management.
- Completes patient and family education throughout the patient’s stay and at discharge.
- Performs emergency treatment as required.
- Initiates or assists in patient care in an effective and responsive manner as each situation requires.
- Triages each emergency situation appropriately and involves other resources as appropriate.
- Administers and performs emergent care in accordance with the applicable patient population type.
- Follows emergency policies, procedures and protocols in an effective manner.
- Performs, maintains and audits documentation.
- Documents accurate and ongoing assessments of patient status that reflect nursing interventions, patient responses, patient teaching and status of outcomes at discharge.
- Completes shift end check prior to leaving duty.
- Completes audits on medical records to ensure staff compliance with documentation.
- Communicates effectively.
- Communicates and collaborates effectively with other health team members regarding patient condition, nursing plan of care, patient satisfaction needs and recommendations for meeting identified outcomes.
- Follows approved shift report format when communicating patient information.
- Identifies and recognizes abnormal symptoms/changes in patient condition, established priorities, and takes appropriate action. Appropriately reports condition changes to health care provider.
- Promotes and ensures patient and staff safety in all aspects of responsibilities.
- Administers medications, treatments and procedures in a timely and safe manner according to health care provider orders and nursing policy, including appropriate performance of standard precautions, using two patient identifiers, and performing patient risk assessments every shift.
- Utilizes proper body mechanics, transfer/lifting techniques to minimize fall risk to patient and injury to self.
- Implements infectious disease controls as appropriate including isolation procedures, proper use of hand washing and gloves.
- Follows proper procedures for wasting narcotics and disposal of sharps and hazardous materials.
- Directs and performs employee relations functions effectively to promote a positive work environment, influence retention and enhance communication.
- Develops, supports, and actively seeks activities and establishes an environment that promotes recognition and retention for employees.
- Communicates effectively and provides feedback to staff which may include department meetings, individual employee meetings, rounding, etc....
- Addresses employee issues in an effective and timely manner.
- Communicates with Administrator (CEO) and HR regarding employee issues appropriately in an effort to obtain guidance and reduce potential organizational liability.
- Enforces and interprets policies and procedures with employees, as necessary.
- Administers annual performance appraisal process for staff, with feedback for positive reinforcement of strengths and opportunities for growth/improvement.
- Recruits and develops a qualified and productive workforce.
- Maintains and creates reporting job descriptions.
- Recruits effectively for department positions by following established hiring practices and guidelines.
- Orients new employees in a thorough manner to department and organizational operations and procedures.
- Provides training to department staff in an appropriate and thorough manner.
- Offers opportunity for continuing education by sharing own knowledge, accessing internal opportunities, and considering external opportunities to support the continued development of department staff.
- Monitors and verifies the compliance of staff in regards to maintaining required licenses and certifications, as applicable.
- Directs departmental financial operations.
- Maintains, develops, monitors and reports budgets, expenses, variances and strategic planning for department.
- Maintains timekeeping records and updates appropriately and accurately for department staff.
- Works with vendors and management, as appropriate, to negotiate best value purchases.
- Guides and participates in annual budgeting planning process for areas of responsibility.
Salary/Compensation: $100,000 - $130,000 per year
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