Job Description Clinical Managers are transformational, transparent, and tribal leaders. Clinical Managers advocate for and allocate available resources to promote efficient, effective, safe and compassionate nursing care based on current standards of practice while promoting shared decision-making and professional autonomy. Clinical Managers have major responsibility for the implementation of the vision, mission, philosophy, core values, evidence-based practice, and standards of the organization, and nursing services within their defined areas of responsibility. Clinical managers are responsible for leading both unit-based and department-wide robust performance improvement/ high reliability projects. Responsibilities Administrative Leadership Demonstrates transformational, transparent, and tribal leadership Leads robust performance improvement/high reliability initiatives at both the unit and department level with the goal to improve outcomes. Demonstrates knowledge of job standards and key requirements for each staff position in assigned areas of responsibility, holding subordinates accountable for the responsibilities inherent to their positions. Provides feedback/counseling, and corrective action to assigned staff as appropriate. Provides assigned staff with performance evaluations as defined by HR. Conducts outcomes focused rounding on all employees, providing staff feedback and motivation for improved outcomes. Supports peer review systems, with mechanisms now in place for staff input into their own evaluations. Provides structure and opportunity for staff nurses to establish and accomplish their goals. Delegates appropriate responsibility and accountability for designated management activities. Promotes unit-based Care Innovation and Transformation. Conducts regular leadership and staff meetings. Provides opportunities for staff participation in nursing and hospital-based activities including councils and taskforces. Monitors to ensure staff maintains/achieves necessary competencies for their job functions. Supports professionalism through ethical conduct, appearance, positive communication, attendance and holding self accountable for same standards set for staff. Participates in councils, taskforces, and special projects as assigned or requested. Ensures organizational strategic goals and unit goals are communicated to staff and achieved. Ensures unit-based care delivery aligns with the TCHHN Professional Practice Model. Responds to requests that support TCHHN’s efforts around the Magnet Recognition Program. Operations Ensures personnel are scheduled to meet the needs of the assigned areas of responsibility. Oversees and shares transparent staffing within organization. Develops and implements models of patient care delivery which maximize resources and productivity with respect for individual rights, preferences, ethnicity, culture and diversity. Ensures safe and therapeutic environment is maintained for patients, personnel, physicians, and visitors. Fills staff vacancies in a timely manner. Establishes work goals or quantitative/qualitative standards to be achieved with staff input. Ensures the nursing process is utilized in care delivery. Ensures processes are documented per policy pertaining to new hires, float, and agency personnel receiving appropriate and timely orientation. Evaluates effectiveness of unit operations, quality and level of care. Works collaboratively with physician leadership to direct operational and clinical improvements. Conducts and facilitates robust, high reliability performance assessment and improvement activities for assigned areas of responsibility. Informs risk manager and leadership of serious or potentially serious patient/visitor problems and issues as soon as they are identified. Coordinates nursing care with other healthcare disciplines and assists in integrating services across the continuum of health care. Finance Identifies and quantifies resources needed to support patient care activities in areas of assigned responsibility. Works to comply with productivity standards. Participates in zero-based budgeting process and monitors performance by pay period. Continuously looks for and implements strategies to reduce cost while maintaining quality and workforce goals. Balances patient needs, quality, and cost effectiveness. Prepares and participates in finance budget meeting presentation for areas of responsibility. Stays current on health care finance and reimbursement issues. Manages, prioritizes, and organizes work through objectives leading to goal attainment. Demonstrates business acumen. Relates budget to organization strategic plan. Professional Maintains and seeks responsibility for self development. Participates in organizational Leadership programs. Participates in regular talent development programs. Networks with colleagues to share ideas, trends, and innovations in areas of responsibility. Maintains membership and association in professional nursing organizations, incorporates standards into operations to keep current with evidence-based practice. Shares knowledge and information with peers, other nursing managers, and encourages changes in practice based on evidence-based practice. Develops and supports “development plans” for unit staff. Appropriately represents nursing and/or the hospital in the community and participates in organizationally sponsored community events. Assists staff in developing professionally through pursuit of additional education, professional advancement, and certifications. Seeks out opportunities for and supports community service activities. Qualifications KNOWLEDGE AND SKILLS: Please describe any specialized knowledge or skills, which are REQUIRED to perform the position duties. Do not personalize the job description, credentials, or knowledge and skills based on the current associate. List any special education required for this position. EDUCATION: Graduate from an accredited School of Nursing. BSN is required, MSN preferred. YEARS OF EXPERIENCE: Minimum of three (2) years in clinical nursing practice. One (1) year experience in leadership position. REQUIRED SKILLS AND KNOWLEDGE: Demonstrated knowledge of nursing, healthcare, and organizational systems and strategies. Demonstrated knowledge and experience in robust process improvement, performance improvement, principles of high reliability and just culture. Knowledge of JCAHO standards and other external organizations related to healthcare evaluation and accreditation. Experience with the methodologies and processes related to organizational financial viability. Well developed communication, facilitation, and interpersonal skills. Experience In Hematology/oncology Clinical Practice(s) Preferred. LICENSES & CERTIFICATIONS: Graduate of an approved School of Nursing and Current RN licensure in the state of employment. The RN holds a current license to practice nursing in her/his state of employment. Membership in professional organizations is required. Certification in NE-BC is desirable. BLS certification is required prior to patient contact. ACLS certification preferred.
Job Description Primary responsibility involves performance of specific tasks, as a scrub technologist and/or during surgical procedures to facilitate the efficient and safe progress of the surgical case. Assists with the maintenance of surgical instruments, supplies, and equipment. Maintains positive customer relations. Shall demonstrate competency and possess the technical skills appropriate for his/her assigned cases and utilizes that knowledge in assisting others. Performs various duties within his/her scope of responsibility and is accountable to the Clinical Manager. Responsibilities General Duties Checks daily assignment. Reviews surgical preference lists to clarify surgical routine and update preference lists as needed. Utilize resources to obtain needed supplies for the case. Checks table(s) for complete readiness for each procedure. Ensures all items needed for the case are present: Obtains physician’s special instruments and sutures prior to start of the case. Demonstrates knowledge and dexterity in handling of special supplies and equipment and assures its proper functioning. Is knowledgeable of the specifics of the surgical procedure and able to perform these tasks in an organized and efficient manner. Under the surgeon’s supervision, assists with suctioning secretions, holding retractors, assisting with skin closure, cutting sutures and irrigating wounds. Circulates for operative procedures under supervision of R.N. At the end of procedure assist with site care Cleanses operative site. Connects drainage tubes to appropriate devices. Assists and/or applied sterile dressing. Assists with patient transfer to bed/stretcher. Covers soiled gloves with clean exam gloves. Assists with transfer with adequate number of assistants present. Responsible for knowing and using good body mechanics. Disassembles table(s) contents and instruments, and places in proper receptacles for cleaning. Sends (appropriate) instruments to CSR and/or clean up room for terminal cleaning. Functions as a Patient Advocate. Is aware of physical and emotional needs at all times and gives appropriate care and comfort. Will assist any patient in need, not just those assigned to his/her care. Protects patient’s dignity while anesthetized by avoiding unnecessary exposure. Protects patient’s privacy by insuring confidentiality of chart and history. Puts proper patients’ welfare above person consideration; admits to errors and takes proper steps to correct. Communication Ensures communication made to surgeon prior to the start of the case if any supplies and/or equipment are unavailable. Effectively communicates with all health team members in a timely and courteous manner. Shares pertinent information with Charge Nurse. Effectively communicates pertinent information to relief personnel so as to provide safe continuity of care. Leadership Attendance is prompt and regular. Supports self and peers in professional growth and development utilizing resources and opportunities within and outside of The Christ Hospital. Acts as a resource, educator and preceptor for staff and nursing students. Dress code of the Operating Room is followed. Volunteer’s assistance as a resource and/or preceptor in assigned areas. Assists in the orientation of new personnel. Participates in 75% of staff meetings and 75% of council meetings as appropriate. Participates in council activities and task forces to improve competencies of self, co-workers, and staff members related to patient care. Completes all educational requirements to maintain competency related to specific population of patient and/or regulatory agencies (Healthstream education 100% on-time completion and attendance for annual education day). Submits required tests and paperwork in a timely manner without management interventions. Participates in self and peer review activities to include the positive recognition of peers and staff on a regular basis. Participation in professional advancement program is encouraged. Prepares for certification specific to work area of professional practice when eligible. Participation in chosen professional organizations, conferences and research is encouraged. Productivity Assists in expediting case turnaround time. Assists with cleaning of tables, floors, etc. Demonstrates flexibility and adaptability to change. Takes only allotted time for breaks and lunch according to the policy. Understands factors related to cost and effective outcomes when planning and implementing patient care. Initiates care in a timely manner, manages workload effectively. Understands and maintains awareness of fiscal responsibility by utilizing staff, time, equipment, and supplies appropriately. Safety Demonstrates, maintains, identifies, and corrects any breaks in aseptic technique while setting up the case as well as during the surgical procedure Instruments, sharps, and sponges are counted according to policy. Identifies and transfers surgical specimens according to O.R. policy. Performs safety check on all equipment (power instruments, etc.) for proper assembly, completeness and operation before it is used. Correctly prepares and labels medications including dosages and percentages to be used during the case according to type of procedure to be done and/or doctor’s preference card. Keeps operative field free of unused instruments, equipment, and sharps. Receives instruments from surgeon. Keeps instruments clean by wiping blood and tissue from instruments. Removes unnecessary articles from the operative field. Follows universal precautions according to hospital policy. Qualifications KNOWLEDGE AND SKILLS (e.g. BSN required, MSN preferred.): Has contact with physicians, families, and other hospital personnel related to care of assigned patients. Sound judgment and knowledge of scientific principles must be used. Competency in selected skills is required through hospital provided instruction. Frequent exposure to stressful patient situations requires the ability to maintain composure in order to respond swiftly and effectively to patient needs. EDUCATION: The surgical technologist has completed education in surgical technology and/or has completed on the job experience/training which allows the technologist to obtain certification. YEARS OF EXPERIENCE: None required REQUIRED SKILLS AND KNOWLEDGE: The Surgical Technologists demonstrates the knowledge, abilities, and skills to provide age and culturally specific patient care and education. The ST effectively communicates with peers, utilizes appropriate channels of communication and maintains absolute confidentiality. The ST maintains competence and demonstrates evidence of continuing professional growth. The ST demonstrates the ability to accept and implement change and the ability to work in a culturally diverse setting. The ST is responsible for knowledge, use, care, and handling of surgical instruments. LICENSES REGISTRATIONS &/or CERTIFICATIONS: All OR ST’s obtain certification within 6 months from start date in department with either a CST or TS-C (NCCT). ST’s who were employed at TCH prior to January 2010 are required to obtain certification by December 31, 2018.
Job Description Ventricular Assist Device (VAD) Patient Coordinator is a clinical expert registered nurse who applies clinical expertise in evidence-based practice. Applies concepts derived from management and communication theory, group dynamics and clinical judgment to implement the VAD program. Integrates care with multidisciplinary team (within the hospital, practice and in the community) to facilitate VAD patient care from pre implant thru discharge of care. Clinical Expert/Consultant : Demonstrates or supports implementations of nursing process for VAD/HF patients. Recognized advisor sought out for clinical expertise related to VAD/HF. Responsibilities Educator: Evaluates competency of clinical staff (inside and outside of the hospital), patients, family members, physicians, and community health resources related to the care of patients with VAD’s. Researcher: Functions as Study Coordinator or Co-Investigator for national investigational studies related to VAD and HF conducted at TCH. Utilizes and communicates applicable research to improve practice. Case Manager: Functions as case manager for all VAD patients from time of referral to implant through discharge with ongoing case management thereafter. VAD Patient Care Manager: Manages equipment, supplies, policies and procedures related to the VAD Program as assigned. Customer Satisfaction: Actively promotes improved relationships between patients, nursing staff, internal and external customers resulting in improved customer satisfaction. Leader: Demonstrates professional contribution to and collaboration with the interdisciplinary team and Program Manager. Excellent communication and computer skills required. Safety: Adheres to all policies and procedures; makes sound decisions and demonstrates ability to handle situations not covered by written or verbal instructions. Interview and screens patients prior to and during clinic appointments within scope of practice. Complete clinical evaluation of potential candidates for percutaneous valve implantation; provide preoperative patient and family education; collaborate with Patient Financial Representatives regarding insurance coverage Provide post operative education to patient and family; serve as primary resource when discharged for clinical and technical support (on call 24/7) Provide support and education, via phone or hands-on, to nursing staff and other health professionals regarding patient care, its implications for the patient. Maintains a data base to provide reports to medical teams, TCH, and others as requested. Actively participate in local and national meetings to exchange knowledge and information in the area of cardiac surgery including valve replacement techniques Collect data required by the hospital, the FDA, and other regulatory bodies related to implanted devices and submit to the appropriate agency(ies). Coordinate list for implantation and changes of status, including forms completion and computer entry. Coordinate readmissions for patients having difficulties that require inpatient management. Develop and integrate new matrices and their implementation into existing practices for the PV Program and develop Policies and Procedure with the medical director oversight. Perform other related duties as assigned. Qualifications KNOWLEDGE AND SKILLS: Please describe any specialized knowledge or skills, which are REQUIRED to perform the position duties. Do not personalize the job description, credentials, or knowledge and skills based on the current associate. List any special education required for this position. EDUCATION: BSN degree with recent VAD experience will be considered. Minimally require a BSN degree. YEARS OF EXPERIENCE: Two years of recent clinical nursing experience as a Registered Nurse including two years in cardiology or cardiac surgery. Acute care experience (critical care/transplantation/VAD/HF experience) is preferred. REQUIRED SKILLS AND KNOWLEDGE: Knowledge of computers and regulatory agency reporting requirements. Previous experience in developing education materials and providing education to various populations, both patient and professional. Excellent communication skills. Demonstrates and models compassionate behavior to patients, staff, and the community. LICENSES & CERTIFICATIONS: RN licensed in the State of Ohio required. Must hold or be able to obtain and maintain BLS and ACLS certifications. List any certifications and licenses required to perform this position.
Job Description The practice of nursing requires specialized knowledge, judgment, and skills to provide care to groups and individuals. The RN utilizes knowledge derived from the principles of biological, physical, behavioral, social, and nursing sciences to assess, plan, implement, and evaluate patient care. All care is provided based on the concepts inherent in the model of care for TCH which promotes an on-going partnership between patients and families and the team of healthcare providers. The care is culturally based and age specific. The RN adheres to American Nursing Association (ANA) code of ethics and to the scope of practice described in the Ohio Nurse Practice Act. Responsibilities The Nursing Process Assessment - Demonstrates the nursing skills to complete a holistic assessment of the patient’s physical, psychosocial, spiritual, and education needs utilizing The Christ Hospital Professional Practice Model. Understands signs and symptoms and data related to the patient’s presenting needs and actual or potential nursing diagnosis. Recognizes and appropriately reports to the physician and charge RN pertinent abnormal data and changes in the patient’s condition. Utilizes appropriate handoff methods to collaborate with other healthcare team members to communicate pertinent data regarding patient’s physiological and psychological data. Assesses patient, family, and environment for safety risks, proactively seeks out and performs safety initiatives. Diagnosis and Planning - Utilizes collected data to establish and prioritize a list of actual, and potential, individualized patient problems and needs. Prepares, coordinates, and revises multidisciplinary plan of care in collaboration with the patient and family to be supportive of the TCH model of care/Patient and Family Centered care. For each problem a measurable goal is set. Communicates the plan of care utilizing SBAR and handoff processes with all team members. Establish priorities of care, discusses plan of care during shift report, and participates in care conferences. Initiates discharge planning upon admission, makes appropriate referrals consistent with the anticipated length of stay. Implementation – The method of providing evidence based, quality care is based on assessed needs and standards of care while adhering to hospital policy and procedures to achieve set goals. Performs and delegates nursing actions based on appropriate orders demonstrates critical thinking and accountability for appropriate implementation. Provides ongoing, individualized holistic patient and family education based on needs and plan of care in collaboration with the multidisciplinary team. Demonstrates critical thinking upon review of physician orders, making appropriate referrals, & contacts other health team professionals. Responds to emergency situations that require an immediate, controlled precision in a skillful manner. Implements measures to prevent contamination and/or transmission of disease to include the use of appropriate protective devices and equipment to prevent injury and maintain a safe environment. Evaluation – Continuously evaluates nursing practice related to the plan of care in relation to the standards of care established through evidence-based literature and standards established by professional organization that have been built into order sets in the electronic medical record, the individual plan of care, and patient outcomes and goals. Evaluates effectiveness of nursing care interventions, adjusts or continues with plan of care based on patient and family response. Maintains continuity of care by continuous evaluation during ”handoff” report, rounding, and upon transfers to other specialty units and post care facilities. Documentation Nursing process is accurately and concisely documented in the patient’s electronic medical record reflecting the plan of care as implemented by the patient, family, and multidisciplinary team. Documents information in a timely manner, according to hospital policy, to include the plan of care, accurate updates, teaching and the patients’ and family response to care. Leadership and Professional Development Demonstrates leadership skills such as the ability to motivate, educate, delegate, and mentor peers and other members of the healthcare team while effectively managing the care of patients and family members. Assumes responsibility and accountability for professional growth and development. Contributes to the professional development of peers, colleagues, and others. Participates in 75% of staff meetings and 75% of council meetings as appropriate. Participates in unit based activities/initiatives for performance improvement, evidence based projects, and research as needed. Participates in council activities and task forces to improve competencies of self, co-workers, and staff members related to patient care. Supports self and peers in professional growth and development utilizing resources and opportunities within and outside of The Christ Hospital. Participates in self and peer review activities to include the positive recognition of peers and staff on a regular basis. Acts as a resource, educator and preceptor for multidisciplinary team members, staff and nursing students, continuously evaluating and documenting competency. . Maintains competency in POC (point of care) testing for unit specific nursing practice. The following are strongly encouraged: Participation in the professional advancement program. Certification specific to work area of professional practice when eligible. Participation in chosen professional organizations and conferences. Participation in development and maintenance of research activities. Participation in community service activities. Employee Responsibilities Complies with organization and department policies and required training. Completes all educational requirements to maintain competency related to specific population of patient and/or regulatory agencies (Healthstream education 100% on-time completion and attendance for annual education day). Submits required tests and paperwork in a timely manner without management interventions. Attendance Follows the time and attendance policy; reports to work on time, maintains a good attendance record, has badge and uses it to clock in and out, makes requests for tie off as far in advance as possible, etc. Qualifications KNOWLEDGE AND SKILL: Please describe any specialized knowledge or skills, which are REQUIRED to perform the position duties. Do not list personal credentials of the current jobholder that would not be required if the job were being filled. List any special education required for this position. EDUCATION: TCH does hire AD and Diploma nurses; however all nurses hired after January 2010 must receive their BSN within 5 years of the date of hire. RN’s who were employed at TCH prior to January 2010, and have more than 20 years of experience as an RN are permitted to pursue their BSN on a voluntary basis. A MSN or DNP are not required but supersede the requirement for the BSN. YEARS OF EXPERIENCE: None required REQUIRED SKILLS AND KNOWLEDGE: The RN demonstrates the knowledge, abilities, and skills to provide age and culturally specific patient care and education. The RN effectively communicates with peers, utilizes appropriate channels of communication and maintains absolute confidentiality. The RN maintains competence and demonstrates evidence of continuing professional growth. The RN demonstrates the ability to accept and implement change and the ability to work in a culturally diverse setting. LICENSES & CERTIFICATIONS: The RN holds a current licensure to practice nursing in Ohio. Membership in professional organizations is desirable. BLS certification is required prior to patient contact. ACLS is required within 6 months of hire in step-down and ICU areas. Certification in area of clinical specialty is expected within five years of eligibility.
Job Description Provides clerical and clinical office support. Assists in examination and treatment of patients under direction of physician. Responsibilities Maintains patient flow during clinic hours. Documents review of systems; measures vital signs such as pulse rate, respirations, blood pressure, weight and height (see Appendix A for specifics); updates past and current medical, social and family history; reviews medications and updates medication list at each visit. Correctly records patient information in the electronic medical record (EMR). Prepares patient charts in EMR for visits by scanning, abstracting, and reviewing to make certain that all diagnostic test results, hospital reports and other medical records necessary to help the physician care for the patient are in the patients chart. Accesses and navigates websites or calls outside facilities to obtain necessary information. Refills medications and pre-authorizes medications including communicating with the patient, pharmacy, or insurance company as needed to complete the task. Maintains recording of patient samples and other medications and disposes expired medications. Prepares treatment rooms for examination of patients; maintains clean, fully supplied exam rooms. Completes patient assistance paperwork/requests as needed. Obtains pertinent medical information from patients to facilitate medical decision making per specific office protocol procedures. Returns calls as needed. Responds to MyChart as needed. Works in-baskets, daily work flow logs, and work queues in EMR/Practice Management system. Answers incoming calls, schedules appointments, checks-in and out patients, and completes pre-certifications for prescriptions, procedures, and surgeries as needed. Maintains safe, secure, and healthy work environment by following and enforcing standards and procedures; complying with legal regulations. Maintains patient confidence and protect operations by keeping patient care information confidential. Understands and adheres to the legal responsibilities and requirements with the medical assistant role. Seeks knowledge and understanding of quality measures and patient experience. Qualifications KNOWLEDGE AND SKILLS: Please describe any specialized knowledge or skills, which are REQUIRED to perform the position duties. Do not personalize the job description, credentials, or knowledge and skills based on the current associate. List any special education required for this position. EDUCATION: High school diploma or equivalent required. Associate Degree preferred. YEARS OF EXPERIENCE: 1-2 years of prior relevant medical office experience in a clerical role. REQUIRED SKILLS AND KNOWLEDGE: Excellent computer skills (Microsoft Outlook, Excel, EMR and scheduling systems) required. Strong verbal and social skills to facilitate working respectfully with patients, physicians, visitors, co-workers, and drug reps in person or by telephone required. Ability and willingness to travel to other physician offices as requested or needed. LICENSES & CERTIFICATIONS: BLS certification required.
