Under the general supervision of the Emergency Department (ED) Nurse Manager, the ED Senior Clinical Nurse (SrCN) is accountable for the department and staff’s coordination of care for patients and their families including, direct patient care, patient education and discharge planning. Ensures they and staff adhere to established emergency department policies, protocols, regulations, and standards. The ED SrCN ensures they and the staff provide nursing care, within scope of practice to patients in accordance with standards of nursing care and provider orders. The ED SrCN is required to ensure efficient and effective delivery of patient care in the Emergency Department environment by all staff. The ED SrCN will function as a real time leader and mentor in the ED clinical setting. The ED SrCN will function as the ED Nurse Manager when needed. The ED SrCN ensures they and the staff uphold the principles of DMC's Vision, Mission, and Value Statements. The ED SrCN ensures they and staff maintain confidentiality of all privileged information at all times.
This list of duties and responsibilities is illustrative only of the tasks performed by this position and is not all-inclusive.
Essential Duties & Responsibilities:
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Maintains regular attendance and punctuality.
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Provides safe, high quality patient centered care
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Provides direct care to tribal members and service eligible patients in the Emergency Department setting.
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Greets patients and provides nursing care to patients with a variety of injuries and illness.
- Is familiar with and adheres to the essential duties and responsibilities described in the Emergency Room Clinical Nurse job description.
In addition to the above, the following will apply to the ED SrCN:
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Assures staffing and medical equipment meet work demands, safety requirements, and accreditation standards.
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Oversees the daily nursing schedules and makes changes as appropriate to patient care levels and acuity.
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Provides daily oversight of nursing staff including delegation of tasks and duties relevant to positions and the needs of the Emergency Department setting.
- In collaboration with multi-departments and the ED Nurse Manager, the ED SrCN develops, implements, evaluates and revises department specific objectives, priorities, QI activities and standards of care and practice which are consistent with those for the overall emergency clinical nursing and WIHCC programs.
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Participates in the overall Risk Management activities for the Division of Nursing in collaboration with CNO, ACNO, ED Nurse Manager, and Nurse Educator to assure timely follow up and action plan.
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Provides orientation to new staff members and students as well as providing guidance, direction and training.
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Maintains professional knowledge and proficiency in nursing through continuing education, staff meetings, workshops, internal training programs, and serving on nursing committees, teams and functions.
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Participates in clinical and peer review to evaluate current practice, and modify and improve practice as needed.
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Oversees direct nursing employees in the performance of nursing tasks related to the care of patients.
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Continuously studies nursing staff operations to identify areas to improve care, meet patient satisfaction and efficient resource utilization with recommendations of action and consideration given to the ED Nurse Manager.
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Assists the nursing administration in maintaining, updating and implementing policies and procedures.
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Assists in coordinating admissions, discharges, and transfers (intra- and inter-facility) using the patient acuity system as a basis to determine patient needs.
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Assists with resolving simple, informal complaints of patients and refer other, such as formal grievances and appeals, to the ED Nurse Manager or follow the proper chain-of-command.
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Maintains a clean and safe patient environment.
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Requires completion of tasks or duties assigned by a supervisor.
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Serves as medical interpreter for Navajo-speaking patients as needed,
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Adheres to all professional and ethical behavior standards of the healthcare industry.
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Adheres to DMC’s Personnel Policies and Procedures, departmental policies, rules, and regulations.
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Interacts in an honest, trustworthy and dependable manner with patients, employees, visitors, and vendors.
- Possesses cultural awareness and sensitivity.
- Maintains compliance with all Human Resources requirements.
- Performs other duties as assigned.
Minimum Qualifications:
Bachelor of Science or Associate Degree in Nursing is required. Five years nursing experience required, with the most recent three years in an emergency room setting. Prior Charge Nurse or Leadership ER experience preferred.
Current BLS/CPR, ACLS, and PALS certifications are required. NRP certification required or attained within six months of hire; TNCC or ATCN and ENPC certifications required or attained within one year of hire; Basic dysrhythmia and 12-lead EKG interpretation training required within six months of hire.
For all positions, RNs must have passed the National Council Licensure Examination (NCLEX). In addition, they must possess a current, active, full, and unrestricted license or registration as a professional nurse from a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States.
Bilingual skills in English and Navajo language preferred. Must maintain a valid unrestricted and insurable driver's license. Must successfully pass a background investigation and maintain suitable requirements for a Child Care position. This position is considered as a Child Care position, which requires a satisfactory background check investigation and is subject to the requirements of the Indian Child Protection and Family Violence Prevention Act, as amended (henceforth referred as the ICPFVP Act).
Knowledge, Skills, Ability
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Knowledge of the concepts, principles, and practices of personal patient care, patient teaching and documentation.
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Knowledge of use of medical equipment and supplies for diagnostic and treatment procedures.
- Knowledge of health related issues, medical terminology, and health and child care education.
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Knowledge of strong work ethics in the workplace.
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Knowledge of basic application of confidentiality.
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Knowledge of basic computer skills, e.g. Outlook, Word, Excel, PowerPoint.
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Knowledge of and ability to independently assess the patient's educational need for the purpose of assisting the client toward his/her goal, preventing complications, and improving quality of life.
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Knowledge of documentation standards and ability to accurately and completely document clinical data relating to the patient and/or family.
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Knowledge of, and skill sufficient to recognize deviations from normal; sufficient to warrant immediate medication of the patient care plans, with delayed notification of the team leader for concurrence in the modification of the plan.
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Knowledge of clinic accreditation requirements (including patient education, GPRA standards) and other regulatory agencies.
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Knowledge of practices and procedures, medical equipment and supplies for the purpose of carrying out nursing care for patients.
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Knowledge of pharmacology and skill sufficient to administer prescribed medications and observed or the desired action, dosage and adversities of the medications.
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Knowledge of established professional nursing principles, practice and procedures.
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Ability to analyze situations and adopt appropriate courses of action.
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Ability to work independently and meet strict time lines.
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Ability to make solid decisions and exercise independent judgment.
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Ability to dress appropriately.
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Ability to be dependable in attendance and job performance.
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Ability to meet attendance, overtime (if necessary), and other reliability requirements of the job.
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Ability to accept and learn from feedback.
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Ability to communicate effectively both verbally and in writing.
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Ability to provide exemplary customer service at all times.
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Ability to interact positively with others and possess great interpersonal skills.
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Ability to multitask and perform well under pressure.
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Ability to have self-confidence.
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Ability to be a great team player.
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Ability to accept and learn from supervisor/peer critique.
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Ability to be flexible and adaptable to the changing needs of the organization.
Physical Demands:
While performing the essential functions of this position, the employee is regularly required to walk, sit, use hands and fingers, handle, or feel objects and equipment, reach with hands and arms, and communicate effectively by talking and hearing. The employee frequently must stand, climb, balance, stoop, kneel, crouch, or crawl and may occasionally use taste or smell. The employee must occasionally lift and/or move objects weighing up to 50 pounds.
Work Environment:
Work is performed in an office setting or outdoor work environment with moderate noise levels. Work environment may involve exposure to physical risks, such as blood borne pathogens, hazardous chemicals, or operating potential dangerous equipment, and requires adherence to all safety protocols. Required work schedules may include evening, weekend, overnight shifts, extended hours, or irregular schedules as operational needs dictate.
As required by P.L. 93-638, absolute preference will be given to qualified Navajo applicants. If there is no qualified Navajo applicant, preference will be given to qualified American Indian applicants.
