Lead Clinical Nurse - Emergency Services, Sign-on Eligible

Navajo Preference Employment Act

In accordance with Navajo Nation and federal law, TCRHCC has implemented an Affirmative Action Plan pursuant to the Navajo Preference in Employment Act.  Pursuant to this Plan and corresponding TCRHCC Policy, applicants who meet the necessary qualifications for this position and (1) are enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe will be given preference in hiring and employment for this position, (2) are legally married to enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe and meet residency requirements will be given secondary preference, and (3) are enrolled members of other federally-recognized American Indian Tribes will be given tertiary preference.
Overview

POSITION SUMMARY

In consultation with the Director of Emergency Services, the Lead Clinical Nurse (LCN) will implement work systems that ensure the optimal use of all assets, staff and equipment. The LCN serves as a clinical resource, mentor, and coach and a role model for nursing staff. The LCN provides real-time support for patient care, throughput, high reliability principles, quality outcomes, and staff development. The Lead Clinical Nurse evaluates the nursing needs of patients, coordinates with Charge Nurses to plan and initiate patient care assignments and implements and modifies them as needed while mentoring and supporting the Charge Nurses. In addition, the LCN promotes a culture of safety, accountability, teamwork, and evidence-based practices while supporting departmental goals and organizational priorities. in the evaluation of the quality of patient care.  May serve in the capacity of the Acting Director of Emergency Services in the absence of the Director.

Qualifications

NECESSARY QUALIFICATIONS

Education:

Associate or bachelor’s degree in nursing

License/Certification:

• Must have valid, current, full and unrestricted Nursing License to practice nursing in any state of the United States of America, The Commonwealth of Puerto Rico, or a territory of the United States
• Must maintain a current valid certification of the following throughout employment:
  • Basic Life Support (BLS) from the American Heart Association
  • Advanced Cardiac Life Support (ACLS) from the American Heart Association
  • Pediatric Advanced Life Support (PALS) from the American Heart Association
  • Neonatal Resuscitation Program (NRP) required within one (1) year of hire from American Heart Association
  • Trauma Nurse Core Course (TNCC) required within one (1) year of hire
  • Emergency Nurse Pediatric Course (ENPC) required within one (1) year of hire
  • Certified Emergency Nurse (CEN) within 3 years of hire
  • National Institutes of Health (NIH) – NIHSS – NIH Stroke Scale must be completed within 6 months of hire
  • Patient Sitter Competency – upon hire
  • ENA - Emergency Severity Index (ESI) Level 5 within 3 months of hire
  • National Incident Management System (NIMS) to be completed within 6 months of hire

Experience:

Must have three (3) years of nursing experience with two (2) years in the Emergency Department and one (1) as charge nurse in the Emergency Department.

 

MENTAL AND PHYSICAL EFFORT

The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

Physical:

Work requires prolonged periods of standing; walking; talking or hearing; sitting watching, observing, concentrating on computer monitors and equipment; use of hands to finger, handle, feel; bending, stooping, kneeling, crouching; reaching with hands and arms; and taste or smell.  Agility and the ability to lift, pull and bend are required to move patients to and from beds, wheelchairs, stretchers, et cetera, and in moving equipment and medical supplies. Must be able to lift to 50 lbs. frequently through entire shift. Most be able to move, pull/push, lift, maneuver more than 100 lbs. when caring for patients and must be able to use proper body mechanics and lifting equipment when available. Must be able to discern when working with over a hundred pounds when, how, and who to ask for assistance to protect and prevent self-injury. Must have the ability to hear and recognize alarms on equipment; client calls; instructions from physicians/department staff; and hear overhead pages through loudspeaker. This position requires vision required to see close; distant; colored; peripheral; and depth perception. Must be able to adjust visual focus as needed. to ask for assistance. This position requires the ability to perform repetitive motion actions in both feet; and hands including prolonged grasping of simple/light action; intermittent grasping of firm/heavy action; and prolonged ability of fine dexterity.

Mental:

Contacts often require tact and sensitivity as those related to stressful situation such as death, dying, and catastrophic illnesses.  Must be able to prioritize and use good judgment.  Must be able to coordinate a variety of issues while being frequently interrupted. Must be able to work with the attitude of team building with other staff; collaborate with multiple departments and job positions. Must be willing to assist when able and as needed with other team players.

Environmental:

Required to work prolong periods of time in an environment of toxic or caustic chemicals. Will be working occasionally around the following environmental conditions: wet, humid conditions (non-weather); work near moving mechanical parts; toxic or caustic chemicals; outdoor weather condition; extreme cold (non-weather); extreme heat (non-weather); risk of electrical shock; risk of radiation; vibration; and, risk of electric shock. Typical environmental noise level is moderate. As with any area of a Health care setting, must be able to work around and with infectious diseases.

Responsibilities

ESSENTIAL FUNCTIONS

1. Responsible for providing direct observation of patients as directed by the nursing plan of care and under the supervision of the nursing department Director.
2. Responsible for mentoring nursing staff to create, maintain and provide a safe environment.
3. Maintains safety of patients during assigned shifts.
4. Assists in the management of high-acuity, critical, trauma, STEMI, stroke, sepsis, behavioral health and pediatric patients.
5. Assists with patient flow and prioritization of resources during periods of high census.
6. Facilitates safe patient assignments in collaboration with the Charge Nurse.
7. Supports nursing staff with clinical decision making and escalation of care.
8. Provides bedside coaching and mentoring to nurses, Certified Nursing Assistant/Licensed Nursing Assistant.
9. Supports orientation and onboarding of newly hired staff.
10. Assists nurses in developing critical thinking and clinical judgment.
11. Conducts in real-time education and competency reinforcement.
12. Models professional nursing practice and customer service.
13. Provides guidance to the nursing staff and direction to ancillary departments, nurses from other departments, and health care providers including temporary intermittent personnel.
14. Facilitates effective communication among providers, nursing staff, ancillary departments, and administration.
15. Assists in conflict resolution and promotes teamwork.
16. Coordinates throughput standards admissions, discharges, and transfers to other facilities in relation to the Emergency Department throughput standards.
17. Ensures that the organization's strategic plan, mission, vision and values are communicated to the team and integrated into the team’s strategies, goals, objectives, work plans and work products and services.
18. Articulate and communicate to the team the assignment, project, problems to be solved, actionable events, milestones, and/or program issues under review and deadlines and time frames for completion.
19. Coaches the team in the selection and application of appropriate problem-solving methods and techniques, provides advice on practices, procedures, and policies and assists the team and/or individual members in identifying the parameters of a viable solution.
20. Reviews opportunities for improvement and shares lessons learned with staff.
21. Leads the team in identifying, distributing and balancing workload and tasks among employees in accordance with established workflow, skill level and/or occupational specialization; making adjustments to accomplish the workload in accordance with established priorities to ensure timely accomplishment of assigned team tasks; and ensuring that each employee has an integral role in developing the final team product.
22. Educates or arranges for the education of team members in methods and techniques of team building and working in teams to accomplish tasks or projects and provides or arranges for specific administrative or technical training necessary for accomplishment of individual and team tasks.
23. Supports implementation of operational changes and initiatives.
24. Monitors and reports on the status and progress of work, checking on work in progress and reviewing completed work to see that the Director's instructions on work priorities, methods, deadlines and quality have been met.
25. Prepares reports and maintain records of work accomplishments and administrative information, as required, and coordinate the preparation, presentation and communication of work-related information to the Director.
26. Represent the team in dealings with the Director and/or Manager for the purpose of obtaining resources and securing needed information or decisions from the Director on major work problems and issues that arise.
27. Leads the team in assessing its strengths and weaknesses and provides leadership to the team in exploring alternatives and determining what improvements can be made.
28. Manage leave in accordance with Department policy and approves Time and Attendance in NOVAtime.
29. Communicate team consensus and recommendations to the Director on actions affecting team and individual awards, rewards and recognition. Inform Director of performance management issues/problems and to recommend/request related actions.
30. Accountable to monitor all aspects of patient care when acting as the Director of Emergency Services.
31. Maintains professional knowledge and proficiency in department specific nursing knowledge and practice through continuing education.
32. Responsible for electronic health records data entry pertinent to patient service role.
33. Participate in the Nurse Executive Committee and events related to customer service and nursing activities.
34. Participates in committees throughout the organization.
35. Performs other duties as assigned.