Job Summary: The Nursing Supervisor is a leadership position providing administrative and clinical operations oversight primarily after 4 PM Monday thru Friday, as well as weekends and holidays. Essential Duties and Responsibilities Supports and promotes the mission and values of Covenant Health Ministry. Promotes a culture of safety, holding self and staff accountable for patient safety issues including, but not limited to; timely, complete, and accurate communication of patient information, informed consent, patient’s preference for life-sustaining treatment, DVT/VTE prevention, prevention of falls, pressure ulcers prevention, catheter-related infections, and hand hygiene. Establishes Incident Command Center and coordinates in-house disaster plans during off hours and holidays without administrative leadership. Executes Supervisor’s role and responsibilities as defined in the Emergency Operation Plan’s Roles and Responsibilities. Makes safe staffing decisions based on the Flexible Staffing Model, patient acuity, and staff skill and competency level. Supports unit leaders by providing input and suggestions to improve staffing. Assumes management and clinical responsibilities for delivering quality care throughout the nursing departments in the absence of Nurse Managers/Directors, recognizing when it is appropriate to notify Nursing Leadership, Senior Leadership, Administrator On-Call, and /or other resource personnel. Promotes and maintains positive intra- and inter-departmental working relationships to ensure open communication and collaborative problem-solving. Provides constructive feedback while mentoring staff in conflict resolution, problem-solving, and customer relations. Provides leadership coaching for employees to improve job performance, enhance job satisfaction, and promote professional growth. Contributes to meaningful staff Annual Appraisal through the provision of feedback to Manager/Director. If requested, may complete Annual Appraisal for Acute Care Float Pool Staff. Effectively resolves issues and conflicts that impact patient care, and customer satisfaction, or may have ethical/legal ramifications. Utilizes Chain of Command, as indicated. Participates and/or chairs inter/intradepartmental committees and task forces to assist in the achievement of department and/or system goals and objectives. Encourages and promotes attendance at internal and external educational programs. Attends and participates in Patient Care Services Leadership Meetings as ad hoc member. Demonstrates effective time management skills by completing assignments within the timeframe specified. Demonstrates problem-solving in performing job responsibilities. Demonstrates effective verbal, written, and electronic communication skills. Consistently delivers on commitments. Acts as a patient advocate. Supports staff by involving them in decisions that impact their practice. Holds staff accountable to confidentiality and distinguished patient and family-centered care. Identifies conflicts of interest and supports staff in conflict resolution. Participates in nursing and organizational policy development as requested. Assists Nurse Manager/Director in identifying and bridging practice-policy gaps. Takes a strategic approach to identify problems and lead performance improvement opportunities. Identifies emerging needs and proactively acts to address them. Demonstrates critical thinking and flexibility in organizing, prioritizing, and adapting to situations as they arise. Supports the development of critical thinking skills of staff. Demonstrates effective interpersonal skills through respectful, cooperative, and collaborative communication with inter-intra-departmental staff, patients/families, providers, and all customers. Develop relationships across departments and functions to promote patient/customer satisfaction. Empowers staff in decision-making at all levels in the organization, while serving as a resource for clinical and non-clinical issues. Assumes responsibility for supporting the staffing needs of all units: works with unit leaders to allocate the appropriate staffing based on the Flexible Staffing Model (FSM), patient acuity, and the skill and competency level of available staff. Assigns, defines, and delegates responsibilities and authority to staff within their capabilities and competency level. Continually explores ways to decrease costs while maintaining quality and ensuring appropriate coverage to meet operational needs. Supports the achievement of financial goals, by utilizing appropriate resources to meet patient care needs. Evaluates patient census and acuity by unit; supports and coaches unit leaders in staffing and patient flow decisions. Supports patient care by accessing information and supplies as needed. Participates in recruitment and selection of personnel, when requested. Assists with the timely admission of patients to appropriate nursing units. Assists with determining the best placement for outpatients needing services during off hours. Provided focused hand-off report to oncoming Supervisor or Nurse Leader. Maintains centralized responsibility for calling Operating Room staff and anesthesiologists for emergency procedures and surgeries, as requested, after hours. Instruct staff regarding resources to help formulate ethical decisions and access to resources, such as the Ethics Committee. Periodically engages in patient care activity at his/her discretion and as requested meeting defined standards of patient care. Assists in implementing, monitoring, and enforcing regulatory standards and/or applicable professional standards. Demonstrates and instructs staff in appropriate documentation practice that is accurate, timely, effective, and complete. Coaches “real-time” documentation as preferred. Documents all patient care assessments and interventions. Demonstrates and instructs staff in care delivery that preserves/protects patient’s autonomy, dignity, and rights. Role models care delivery that is non-judgmental, non-discriminatory, and sensitive to client diversity. Maintains all required competencies and completes annual compliance courses on time. Other duties as consistent with this role. Job Requirements Job Knowledge and Skills Basic Dysrhythmia preferred or obtained before completion of orientation. Crisis Prevention Institute (CPI) training preferred or obtained before completion of orientation. Strong interpersonal skills. Ability to make sound decisions while handling multiple, stressful priorities. Education and Experience Bachelor’s degree in nursing required. Master’s degree preferred. Current Maine RN license required. Basic Life Support (BLS) and Advanced Cardiovascular Life Support (ACLS) certification required. Minimum of 5 years of Nursing Leadership experience required. Covenant Health Mission Statement We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities. Our Core Values: •Compassion We show respect, caring and sensitivity towards all, honoring the dignity of each person, especially the poor, vulnerable and suffering. •Integrity We promote justice and ethical behavior, and responsibly steward our human, financial and environmental resources. •Collaboration We work in partnership, dialogue and shared purpose to create healthy communities. •Excellence We deliver all services with the highest level of quality, while seeking creative innovation. Applicants, employees and former employees are protected from employment discrimination based on race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age (40 or older), disability, and genetic information (including family medical history). Comp Range: $42.67 - $58.76 Rate of pay displayed reflects the beginning of the pay scale. At the time of an offer, determination of your offer will reflect your skills and experience as it relates to the position.
Overview Department: Crtical Care Unit - Intermediate (CCU) Schedule: Full-Time, Night 12 Hour Shift/ Weeneds Rotating Hospital: Central Maine Medical Center Location: Lewiston, ME Central Maine Healthcare is an integrated healthcare delivery system serving 400,000 people living in central, western and Midcoastal Maine. CMH's hospital facilities include Central Maine Medical Center in Lewiston, Bridgton Hospital and Rumford Hospital. CMH also supports Central Maine Medical Group, a primary and specialty care practice organization. Other system services include the Central Maine Heart and Vascular Institute, a regional trauma program, LifeFlight of Maine's southern Maine base, the Central Maine Comprehensive Cancer Center and other high-quality clinical services. Responsibilities The Clinical Nursing Supervisor supports administrative responsibility for the department service functions and works collaboratively with the unit Director and/or Manager. In the absence of the unit Director and/or Manager, the Clinical Supervisor may assume the administrative scope of the unit assigned. Develops and implements departmental plans, including performance improvement activities and compliance with current federal and/or state regulations. The Clinical Supervisor prepares, conducts and/or oversees department(s) orientation and training of personnel. Communicates with staff, physicians, and administration both written and verbally. The Clinical Supervisor is responsibility and accountable for the quality of staff and functions during their shift. Assists the Department Director in the daily operations of the unit, directing, supervising, and evaluating personnel, ensuring the proper use of time, equipment and staff. Ensure the efficient functions of the department. Performs direct patient care, only as needed, within the scope of practice. Continually assess care and direct staff to make immediate changes in the plan of care. Qualifications EDUCATION, EXPERIENCE, TRAINING 1. Current and valid state Registered Nurse license.2. Bachelor Degree in Nursing (BSN) preferred.3. Current Basic Life Support certificate (BLS) upon hire and maintain current.4. Current Advanced Cardiac Life Support (ACLS) upon hire and maintain current.5. Minimum of 2 years of clinical nursing experience, with 1 year in a supervisory or leadership role preferred. FACILITY / UNIT TRAINING 1. Critical Care Registered Nurse (CCRN) certificate preferred for Intensive Care.2. Non-OB Facilities – NRP Required 90 days after hire and maintained.3. Professional Certification within 2 years of hire, preferred. Employment Status Full Time Shift Nights Equal Employment Opportunity Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf
JOB DESCRIPTION SUMMARY The registered nurse plans, organizes and directs hospice care and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individual and families within their homes and communities. ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES Patient Care 1. Completes an initial, comprehensive and ongoing comprehensive assessment of patient and family to determine hospice needs. Provides a complete physical assessment and history of current and previous illness(es). 2. Provides professional nursing care by utilizing all elements of nursing process. 3. Assesses and evaluates patient’s status by: A. Writing and initiating plan of care B. Regularly re-evaluating patient and family/caregiver needs C. Participating in revising the plan of care as necessary 4. Initiates the plan of care and makes necessary revisions as patient status and needs change. 5. Uses health assessment data to determine nursing diagnosis. 6. Develops a care plan that establishes goals, based on nursing diagnosis and incorporates palliative nursing actions. Includes the patient and the family in the planning process. 7. Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician in the physician’s plan of care. 8. Counsels the patient and family in meeting nursing and related needs. 9. Provides health care instructions to the patient as appropriate per assessment and plan. 10. Assists the patient with the activities of daily living and facilitates the patient’s efforts toward self-sufficiency and optional comfort care. 11. Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility to coordinate patient care for assigned caseload. Communication 1. Completes, maintains and submits accurate and relevant clinical notes regarding patient’s condition and care given. Records pain/symptom management changes/outcomes as appropriate. 2. Communicates with the physician regarding the patient’s needs and reports changes in the patient’s condition; obtains/receives physicians’ orders as required. 3. Communicates with community health related persons to coordinate the care plan. 4. As a mandatory reporter, reports failure to comply with the requirements of the Dept. of Health as required within 14 calendar days, using Dept. of Health forms. 5. Reports suspected abandonment, abuse, financial exploitation, or neglect of a person in violation of the department of social and health services and the proper law enforcement agency. Reports must be submitted immediately when the reporting person has reasonable cause to believe that abandonment, abuse, financial exploitation, or neglect of a vulnerable adult has occurred. 6. Teaches the patient and family/caregiver self-care techniques as appropriate. Provides medication, diet and other instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling with patients and families/caregivers. Works in concert with the interdisciplinary group. 7. Provides and maintains a safe environment for the patient. 8. Assists the patient and family/caregiver and other team members in providing continuity of care. 9. Works in cooperation with the family/caregiver and hospice interdisciplinary group to meet the emotional needs of the patient and family/caregiver. 10. Attends interdisciplinary group meetings. Additional Duties 1. Participates in on-call duties as defined by the on-call policy. 2. Ensures that arrangements for equipment and other necessary items and services are available. 3. Supervises ancillary personnel and delegates responsibilities when required. 4. Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and inservice classes. 5. Fulfills the obligation of requested and/or accepted case assignments. 6. Actively participates in quality assessment performance improvement teams and activities. POSITION QUALIFICATIONS 1. Graduate of an accredited school of nursing 2. Registered Nurse, with a License in good standing to practice. 3. Registered nurses shall have a minimum of (a) one (1) year of experience as a professional nurse within the last three (3) years; OR have a baccalaureate degree in nursing and minimum of two (2) years’ experience, at least one of which is in the area of public health, home care, or hospice nursing is preferred. 4. Management experience not required. Responsible for supervising hospice aides. 5. Once an offer of employment is made, it is contingent upon satisfactory references, as requested, and criminal background checks by regulation. 6. Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist. 7. Prolonged or considerable walking or standing. Able to lift, position and/or transfer patients. Able to lift supplies and equipment. Considerable reaching, stooping bending, kneeling and/or crouching. Visual acuity and hearing to perform required nursing skills. 8. Must be a licensed driver with an automobile that is insured in accordance with state/or organization requirements and is in good working order. 9. Possesses and maintains CPR certification (may not be internet based unless the demonstration of skills was hands on and observed by a certified trainer)
