The Clinical Nurse Specialist will be responsible for providing expert clinical leadership to the nursing staff on the 8D Intermediate Care Unit and 8C General Surgery/Med Unit.
8D is an open, 20-bed adult Intermediate Care Unit which admits both Surgical and Medical patients. The nursing care provided on 8D supports those patients requiring monitoring at a patient acuity level between telemetry and ICU. These may include hemodynamically stable postoperative patients requiring fluid resuscitation, patients requiring aggressive pulmonary toilet, short term ventilator patients, and patients requiring frequent assessment and/or cardiac monitoring.
8C is a 32 bed unit home to Medical and Surgical services. 8C specializes in the care of General Surgery patients. This includes the Services of: Urology, Colorectal Surgery, Surgical Gynecology, Surgical Oncology, Family Medicine, Anesthesia, and Dermatology.
The clinical nurse specialist (CNS) is the clinical leader for a program or area of nursing practice within UMHS. The advanced knowledge and skills required for this role include clinical expertise in a focus area, evidence-based practice, collaboration, consultation, education, mentoring, and change leadership. These are essential to advance the practice of nursing and the professional development of nurses. The specialized knowledge and skills are used within three major areas of focus: patient/family, nurses and nursing practice, and the organization/system. The CNS and the Nurse Manager are partners in leading the nursing clinical practice area. The CNS coordinates and guides clinical activities/projects of nurses within a practice area. The CNS is accountable for collaborating with members of the health care team to design, implement, and measure safe, cost-effective, evidence-based care strategies. The CNS is responsible for maintaining current professional knowledge and competencies and contributing to the advancement of the practice of nursing at the unit/system, local, state and/or national and international level.
CHARACTERISTIC DUTIES AND RESPONSIBILITIES
Direct Patient Care
- Serves as a reliable source of information on the latest evidence supporting cost-effective, safe nursing practices.
- Collaborates with the multidisciplinary team using the nursing process to integrate the nursing perspective into a comprehensive plan of care for the patient/family.
- Identifies and prioritizes nursing care needs for a select population of patients/families. This includes synthesis of assessment data, advanced knowledge, experience to pose problems amenable to advanced interventions.
- Conducts comprehensive, holistic wellness and illness assessments using established or innovative evidence-based techniques, tools, and methods.
- Initiates and plans care conferences or programs for individual patients or populations of patients. Calls for interdisciplinary care conferences when barriers or LOS protraction are evident or predicted.
- Assists the team and individual nurses to establish working goals and targets, and measures to be assessed and documented as evidence of progress in plan of care. Establishes intervention families within standards of care that are best united for best effects.
- Designs and evaluates innovative educational programs for patients, families, and groups.
- Establishes methods to evaluate and document nursing interventions at the individual, unit, cluster and professional practice model level.
- Evaluates the impact of nursing interventions on fiscal and human resources including establishing average and variance economics of plans of care for major populations and targeted conditions.
- Collaborates with others to resolve issues related to patient care, communication, policies, and resources.
- Creates and revises nursing policies, protocols and procedures using evidence-based information to achieve outcomes for indicators that are nurse-sensitive.
- Identifies facilitators and addresses barriers that affect patient outcomes.
- Leads clinical practice and quality improvement initiatives for a unit or a program.
- Collaborates with nurses to develop practice environments that support shared decision-making.
- Assists the staff in developing critical thinking and clinical judgment through formal rounds, informal and daily habits in bedside consultation, activity and procedural progression likely in plan of day and plan of stay.
- Creates a nursing care environment that stimulates continuous self-learning, reflective practice, feeling of ownership and demonstration of responsibility and accountability.
- Collaborates with Educational Nurse Specialists, Educational Nurse Coordinators and others on content and operational design of orientation, clinical competency, and other clinical educational program development.
- Mentors nurses to acquire new skills, develop their careers and effectively incorporate evidence into practice. Assists with the specific development of portfolios that demonstrate navigational way to achieve mastery in daily care activities, reading and literature reviews.
- Models advanced communication and therapeutic interventions in interviews, evaluation, patient- family assessments and high performance team conversation within urgent and planned care conferences.
- Provides input for staff evaluation.
- Provides formal and informal education for nurses and other health professionals and health professional students.
- Leads in the conduct and utilization of nursing research as well as evaluation of daily work process mapping required to insert the evidence and remove activities of less value.
- Analyzes data from quality reports, incidents, consultations and care conferences to present trends and patterns indicative of substantial quality improvement initiatives and requirements for education and mentorship.
- Consults with other units and health care professionals to improve care.
- Leads/assists institutional groups to enhance the clinical practice of nurses and improve patient outcomes.
- Develops, pilots, evaluates, and incorporates innovative models of practice across the continuum of care.
- Designs and evaluates programs and initiatives that are congruent with the organization's strategic plans, regulatory agency requirements, and nursing standards. Includes data from readmissions, claims, incidents, and daily habit to frame doable improvements.
- Identifies, collects, and analyzes data that serve as a basis for program design and outcome measurement.
- Participates in need identification, selection and evaluation of products and equipment.
- Advances nursing practice through participation in professional organizations, publications, and presentations.
- Models high performance team development in daily habits of rounds,, grand rounds, intershift reports, care conferences. Participates in the development of prioritization schema for production targets in planned and unplanned admissions based on system priorities and population needs.
Direction is received from a Director of Nursing, Assistant Director of Nursing or designated official.
Functional supervision is exercised over Clinical Nurses, LPN's, Allied Health, Service/Maintenance and other support staff.
- Current (RN) licensure to practice nursing in the State of Michigan is required. Master’s degree in nursing with a clinical focus is required.
- Graduate of a Clinical Nurse Specialist Program
- Population focused certification as a Clinical Nurse Specialist recognized by NCSBN*
- Recent experience in assessing, treating and evaluating patients typically cared for in the clinical area of hire, including ventilator care, adult telemetry, adult ICU, general med/surg, in a tertiary healthcare environment, including the use of devices (as applicable) and pharmaceutical treatment modalities is required.
- Demonstrated ability to apply evidence-based clinical knowledge into the patient care setting via protocols, standards, and outcomes measurement is required.
- Excellent written and verbal skills as evidenced by positive feedback through references and/or evaluations are required.
- Ability to function independently and as a team member is required.
- High level of self-motivation to stay current in a rapidly changing environment is required.
- Demonstrated ability to innovatively lead complex change projects, particularly those focused on raising patient care to the highest standards, in an academic, tertiary care environment is required.
- Competence with basic computer functions is required.
- Demonstrated ability to consistently, and positively, contribute to a group/unit work setting is required.
- Demonstrated ability to consistently work collaboratively with the manager and leadership team is required.
*Internal UMHS employees currently in a Clinical Nurse Specialist role will be considered for this job opening and CNS certification will not be required.
Note: Required qualifications must be met by the candidate in order to be interviewed and considered for the position.
RESUME REQUIRED (for both internal & external applicants):
You must attach a complete and accurate resume to be fully considered for this position.
- Previous experience and demonstrated ability to interact with all levels of internal and external personnel in an academic, tertiary care healthcare environment is desired.
- Three (3) or more years designing, and collaborating with, the implementation of competency and education activities for nursing staff including competency programs, orientation, staff and professional development is desired.
- Strong teaching skills as evidenced by the ability to demonstrate a teachable moment, as well as, develop class content, and staff and patient education materials is desired.
- Demonstrated analytical skills necessary to gather and collate data to present recommendations for solutions to identified problems is desired.
- Demonstrated knowledge of, and experience with, the Continuous Quality Improvement process, including recent experience implementing keystone quality improvement initiatives is desired.
- Previous experience as principle or co-investigator on a research project(s) is desired. Experience in implementation of service initiatives at the unit level is desired.
- Demonstrated professional writing experience and being published in professional periodicals is desired.
- Eligible for appointment with the School of Nursing is desired.
Required qualifications must be met by the candidate in order to be interviewed and considered for the position.
If you have questions regarding this posting or would like assistance with nursing opportunities please contact Nurse Recruitment at (734) 936-5183.
Hours per week: 40
Shift: Day shift schedule M-F
Location: University Hospital- 8D Intermediate Care Unit and 8C General Surgery/Med Unit
University of Michigan Health System conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act.
The University of Michigan Health System improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society.The University of Michigan is an equal opportunity/affirmative action employer.