Directs all nursing activities within an organized unit for the purpose of delivery of optimal nursing care in a therapeutic and cost-effective manner. Is responsible for meeting Joint Commission Standards of patient care as well as the established Standards of Nursing Practice. This is achieved by coordinating activities with other departments and assuring the availability of support services, acting as a resource to the staff, participating in the formation and the interpretation of philosophy, goals, standard and policies of the Hospital and the Department of Nursing. Is responsible for hiring competent employees, supervision of staff and involvement with relevant, strategic and operational decision making and utilizes staff retention strategies. Communication and collaboration with the Director of Nursing and ANM are essential for effective management. Has 24/7 responsibility/oversight of specific nursing units.
Performs duties and responsibilities in a manner consistent with our mission and values. It is expected that certain responsibilities be delegated to staff as needed. The Manager acts as a catalyst between hospital departments, physicians and staff to ensure continuity and quality of service and care.
Principle Accountabilities: % Of Time Spent
1. Promotes a safe environment by utilizing safety practices as established for unit and hospital-wide application. Maintains an awareness of legal issues in all aspects of patient care.
A. Implements a risk management program to prevent, minimize or correct risks to patients and staff based on hospital and nursing standards. This includes:
1. Communicates infection control and safety updates for all employees on unit on an annual basis.
2. Overseeing that hospital policy on handling and disposal of hazardous materials and infectious waste is carefully followed.
3. Reviewing and utilizing incident reports appropriately, encourage use of “Quantros” Reporting System.
4. Overseeing that safety measures are carried out to prevent patients from harming themselves or others, i.e. Standards for
Restraints, Siderails, Transportation, Suicide Prevention, etc.
5. Notifying Director of problems, which may need to be reported to Risk Management.
Supervises and adheres to the concepts of infection control by complying with standards for universal precautions
6. Reports information to Director/ADON for communicating at safety huddle.
B. Recognizes safety hazards and acts to protect patient/self, i.e. Standards for Electrical Safety, Equipment, Maintenance, etc.
C. Assumes responsibility for maintenance and proper functioning of equipment.
D. Adheres to Hospital/Department/Unit Standards for:
1. Fire reporting/drills.
2. Disaster reporting/drills.
3. Tornado protective measures.
4. Bomb threats.
F. Demonstrates that he/she is familiar with and knowledgeable of location, care, and operation
of emergency equipment.
2. Assumes responsibility for planning time for all shifts; provides individual and unit training/monitoring so that adequate skill levels
are developed for all personnel to meet the needs of the unit. 20%
Participates in the selection of new staff members using appropriate interviewing
techniques to ensure staffing standards are met. Reviews Job Description and Performance
Standards with applicants with emphasis on specific Unit Standards.
A. Approves schedule to ensure 24-hour coverage is appropriate to patient care needs and
assures that quality/quantity of staff ratios are equitable.
B. Participates in staff development.
1. Consults with Department of Education to identify needs of staff.
a) customizes education for staff needs to be met to enhance learning and career development.
2. Ensures that regular staff meetings are conducted at least monthly.
3. Collaborates with the Department of Education and ANM’s when coordinating orientation for new staff members, provides input
to determine when orientation is complete.
4. Ensures compliance with unit-specific credentialing.
D. Conducts an annual performance appraisal on all personnel assigned to unit.
1. Ensures employee attendance is reviewed monthly.
2. Utilizes appropriate process for progressive discipline by:
a) disciplining individual staff as delineated in hospital policy and nursing standards at the same time demonstrating knowledge of
labor laws applicable to hospital personnel.
b) terminating employees after review and approval of Director, Vice President - Patient Services and review by Human Resources.
4. Encourages completion of exit interviews and analysis of information.
3. Promotes cost-effective unit operations focusing on establishment of accurate nursing productivity measures and regular review of budgetary variances: 15%
A. Develops a personnel, operating, and capital equipment budget annually.
B. Reviews and evaluates daily productivity hours; justifying upon request.
C. Reviews “responsibility summaries” and reporting results of analysis monthly.
D. Using PRN nurses cost-effectively.
4. Coordinates unit functions and responsibilities relating to management of unit. 10%
A. Provides for a proper balance between administrative responsibilities and clinical involvement.
B. Demonstrates ability to adapt to changing priorities on the unit.
C. Considers the needs of other units, as well as his/her own, and includes this concern in decisions for staffing and assignment
change.
D. Delegates duties based on competence, using support personnel in an efficient and cost-effective manner.
E. Assigns staff responsibilities to enhance knowledge and develop new skills.
5. Establishes and maintains rapport and working relationships with nursing staff, patients and other members of the healthcare
team. 10%
A. Addresses the healthcare team, patients, families, and visitors with human dignity and respect.
B. Facilitates feedback sessions with new hires to identify areas of frustration or concern. Seeks communication in informal and
unstructured settings.
C. Develops working relationships that are characterized by mutual support, open communications, trust and respect, which promote positive attitudes and good morale on the unit. Provides
frequent informal feedback and comprehensive annual performance appraisals.
D. Communicates problems to appropriate individual and/or Director.
E. Accepts suggestions for change or growth in a positive, self-development manner.
F. Offers suggestions for growth or change to others in a private, constructive manner, confronting co-workers on a 1:1 basis with
issues of concern.
G. Projects positive image of self and hospital when dealing with physicians, other departments, patients, families, and visitors.
H. Keeps personal bias and private life separate from work issues that might have a negative impact on unit functions.
I. Promotes open communication within the unit, with other units and departments, as well as other members of the healthcare
team.
J. Maintains confidentiality of information related to staff, patients, and their families.
K. Provides a means for communications to all staff members, such as a communication book, bulletin board, etc.
L. Acts as liaison between physician and patient care team.
M. Acts as a staff advocate.
N. Provides mechanism for staff to provide feedback of nurse manager’s performance.
6. Provides leadership and direction in accordance with organization and department goals and objectives. 10%
A. Works towards ensuring staff satisfaction and retention.
B. Develops an understanding of the current JCAHO requirements for nursing.
C. Serves as a member of an interdepartmental or departmental committee.
D. Portrays to staff an informational and highly positive posture toward administrative programs, policies, and changes.
E. Informs staff of administration responses to employee requests and concerns; for example, benefits changes, positions available,
equipment update, social events, etc.
F. Utilizes formal channels of communication to report unit problems/operations and employee status changes; resolving
interdepartmental and intradepartmental problems through positive confrontation and negotiation.
G. Apprises Director or Vice President of Patient Services of all matters which may require administrative attention, distinguishing between matters requiring prompt attention and those that can wait.
H. Makes clinical/administrative decisions by obtaining and analyzing all pertinent information available in order to make the most informed decisions based on factual and objective data.
I. Promotes a collaborative practice with other healthcare disciplines to assure an integrated approach to care of the patient.
J. Coaches and teaches staff, consistently provides leadership and clinical expertise.
7. Participates in ongoing Quality Assessment/Improvement 5%
A. Utilizes the information obtained through the Quality Assessment/Improvement Program to further enhance the quality and
satisfaction of patient care.
B. Shares results of studies with staff at staff meetings; encourages staff participation in quality assessment/improvement activities.
C. Develops and maintains a monthly nursing dashboard, which details unit specific employee objectives, financial objectives,
patient/community objectives and internal business objectives.
8. Coordinates and participates in department/unit standards development, interpretation and implementation. 5%
9. Assesses own skills knowledge, and identified personal objectives in order to improve overall performance as well as to enhance professional growth and knowledge. 5%
A. Participates actively in continuing education activities relevant to nursing practice by acquiring a minimum of 20 contact hours.
B. Attends required management meetings.
Performs other work duties as assigned. 5%
11. Supports organizational goals for patient and employee satisfaction. 5%
A. Shares results of patient satisfaction surveys with employees, action plans are discussed.
B. Participates/ensures that daily management rounds are completed.
C. Participates/ensures that discharge calls are made.
D. Evaluates HR Solutions Employee Satisfaction scores, and ensures an action plan is developed
with employee input.
E. Performs daily rounding on employees, utilizing information to foster division
Improvements.
F. Role Model for FACES culture, ensuring employees have adequate training and display FACES culture
expectations. Total 100%
Employee is required to sit frequently and walk occasionally. Employee must lift/carry a light (1-20 lbs.) medium (21-50 lbs.) load occasionally and heavy (50lbs. +) load frequently. Employee may be required to lift over 100 lbs with assistance. Employee is frequently required to bend, squat, crawl, kneel, climb, lift waist to overhead. Employee is occasionally required to reach forward and reach overhead. For repetitive action, employee is required to perform simple grasping and pushing/pulling. Employee is occasionally exposed to electrical hazards and CRT terminal work.
(Occasionally: 1-33%, Frequently: 34-66%, Continuously: 67-100%)
The most significant of duties are included but this does not exclude occasional work assignments not mentioned or developmental duties.
Bachelors degree in Nursing required. Minimum 3 years current RN experience required.
