| HARBORVIEW MEDICAL CENTER |
Assistant Nurse Manager/RN3
Patient Safety/Quality Improvement
CORE VALUES: This job description is based on the following core values:
CORE VALUE COMPETENCIES:
1. QUALITY OF WORK
2. MISSION CENTERED PROFESSIONAL PRACTICE
3. INTERPERSONAL SKILLS
4. INTEGRITY AND COMPASSION
5. PATIENT CARE ADVOCACY
6. TEAM WORK/COLLABORATIVE PRACTICE
7. PATIENT/FAMILY SATISFACTION/CUSTOMER SERVICE
8. RESPECT FOR PATIENT CONFIDENTIALITY
TITLE: ASSISTANT NURSE MANAGER - RN3 - PATIENT SAFETY/ QUALITY IMPROVEMENT
RESPONSIBLE TO: Nurse Manager
SUMMARY: Under general direction, the professional nurse at the RN3/Assistant Nurse Manager level reviews, revises and updates policies and procedures. Makes independent judgments/decisions and takes action. Collaborates with other departments to improve patient safety and infection control practices. Develops and teaches the Operating Room Peri-Operative 101 class as needed.
The Assistant Nurse Manager performs specific leadership functions related to clinical practice, education, and/or management as delegated by and in collaboration with the Nurse Manager. As assigned by the Nurse Manager, assumes patient placement and preceptor responsibility. Provides leadership for unit and departmental activities that promote
patient and staff safety
improving quality of patient care
improving the quality of infection control standards
improvement of intra and extra departmental communications
education and inservices for all OR staff
delivery of quality nursing care,
effective problem solving and communication, and
continued professional development for self and others.
Serves as role model and provides guidance to other staff including review and evaluation of performance.
1. Monitors and ensures Pre-Procedure Verification is done in a timely and appropriate fashion.
2. Monitors and evaluates operative consents.
3. Advocates and mentors staff in appropriate use of the Patient Safety Net (PSN).
4. Seeks to initiate patient safety initiatives.
5. Reviews and maintains all patient safety related policies in the Department.
6. Provides appropriate and timely coaching and counseling for patient safety issues.
7. Maintains current knowledge of JCAHO, OSHA, Department of Health, and AORN standards related to patient safety.
8. Communicates identified patient safety issues to Nurse Manager or Director as appropriate.
9. Evaluates staff ensuring that aseptic technique is maintained.
10. Works with manager of TSS to improve and disseminate information related to blood products and autograft tissue.
11. Is an advocate for the hospital patient safety goals as part of the daily perioperative nursing practice.
1. Works to enhance communication between the OR and other departments in the hospital.
2. Works with other RNIIIs to improve and increase use of surgeon worksheets.
3. Develops continuous process improvements related to servicing patients.
4. Ensures the Department is up to date with HIPPA regulations.
7. Works with Clinical Nurse Educator to ensure clinical competence of staff is maintained.
8. Develops and implements plans to improve recruitment and retention of staff.
9. Develops and implements safety and quality standards for staff.
10. Reviews Incident Reports, investigates each one as appropriate and reports findings to Nurse Manager for submission, as delegated by Nurse Manager.
11. Reviews, revises and updates policies and procedures on an annual and as needed basis.
12. Ensures that accurate nursing documentation is reflected for patients by educating staff on proper documentation.
13. Promotes use of perioperative electronic charting programs.
14. Provides feedback and guidance to staff for the accurate and detailed completion of the perioperative record.
1. Ensures the Operating Room maintains infection control standards as required by OSHA, AORN, TJC, DOH, etc.
2. Works with HMC Infection Control team to improve infection control practices in the Operating Room.
Direct Care Competencies/Standards of Practice
1. Acquires, maintains and applies current knowledge in nursing practice.
2. Demonstrates competency to assess physiological health status of the patient and psychosocial status of the patient and family.
3. Demonstrates competency to formulate plan of care based on health status data.
4. Demonstrates competency to establish outcome oriented patient goals.
5. Demonstrates competency in developing a comprehensive interdisciplinary plan of care.
6. Seeks appropriate consults when necessary.
7. Efficiently implements the interventions identified in the plan of care.
8. Evaluates the patient's progress toward achievement of outcomes and intervenes as appropriate.
9. Demonstrates competency in documentation using the computerized medical record.
10. Provides patient and family teaching in accordance with practice standards.
11. Advocates on behalf of patient regarding issues of safety and quality of care.
Standards of Daily Practice
1. Provides direction and support for preceptors and orientees.
2. Promotes positive image to other units, patients, families, other departments and administration.
3. Aware of unit needs and responds effectively, (e.g., educational, clinical, operation, and teamwork).
4. Promotes calm, supportive atmosphere.
5. Handles conflict appropriately.
6. Uses critical thinking skills in decision making process.
7. Consistently demonstrates and promotes high standards of care.
8. Utilized as a clinical resource.
9. Charge nurse skills are effective.
1. Functions within safety, infection control, emergency and equipment guidelines.
2. Performs delegated duties in absence of Nurse Manager.
3. Facilitates student orientation.
4. Ensures unit specific projects and assignments are completed in a timely manner without need for prompting.
5. Serves as a role model and mentor to all operating room staff.
6. Alerts Nurse Manager to actual or potential problems in a timely manner.
7. Initiates projects, based on unit needs.
8. Acts as break nurse when necessary.
9. Conducts audits (formal and informal) to monitor unit standards.
10. Reviews incident reports as directed and follows up in an appropriate and timely manner.
11. Monitors documentation of fire and other drills and follows up as indicated in conjunction with Clinical Nurse Educator.
12. Supports research activities.
13. Facilitates interdisciplinary care.
14. Recognizes ethical dilemmas and initiates use of appropriate resources.
15. Collaborates with patients, significant others, and health care providers in providing patient care.
16. Acts as an advocate for on-going care management initiatives.
17. Proactively facilitates discharge planning; anticipating obstacles and effectively intervening.
1. Effectively solves problems intra and interdepartmentally.
2. Contributes to the professional development of staff, colleagues and others.
3. Meets attendance standards.
4. Provides nursing care in accordance with professional practice standards.
5. Continually seeks to improve own professional nursing practice.
6. Maintains current licensure.
7. Consistently wears identification badge.
8. Functions within PCS, HMC policies, procedures and guidelines.
9. Is centrally focused on issues related to patient safety, quality of care and OR operational functions.
10. Is a role model in providing clear and courteous communication with staff and other departments.
11. Willingly offers assistance and expertise to other departments.
12. Contributes to positive staff morale.
13. Effectively works with medical staff to promote positive patient outcomes.
14. Is CNOR certified.
15. Arrives on time and stays until end of scheduled shift.
Human Resources Management
1. Prepares annual evaluations that represent the performance and developmental goals of the employees under direction of Nurse Manager.
2. Collaborates with Nurse Manager to implement and monitor employee development.
1. Coordinates, organizes and assigns patient care delivery based on skill, staff, patient needs and cost containment issues.
2. Knows general description of patients on the unit and uses the information to make appropriate changes and to reprioritize as necessary.
3. Available to staff for consultation and assistance.
4. Reevaluates nursing team assignments to ensure patient care needs are met on an ongoing basis.
5. Monitors less experienced staff and gives direct feedback.
6. Ensures facility safety for patients and staff.
7. Reports issues to appropriate persons consistently and in a timely fashion.
8. Utilizes chain of command appropriately.
9. Manages the OR Front Board' effectively and efficiently.
10. Demonstrates calm, efficient demeanor; is tactful and positive.
11. Assists, resolves, or appropriately refers customer service issues.
12. Is courteous and helpful on the phone; identifying unit and self.
13. Follows up to be sure that shift activities, such as room checks, have been completed.
Scrub Nurse Skills
1. Demonstrates proficiency in the preparation of sterile field.
2. Prepares sterile setup, checks that proper supplies and equipment are available for case.
3. Performs needle counts and supply counts in accordance with departmental policy.
4. Demonstrates proficiency in knowledge of instrumentation, supplies and equipment for all surgical services.
5. Demonstrates knowledge of sterilization methods, including gravity and pre-vac steam, gas, Steris and Sterrad.
6. Performs draping as necessary depending on type of case.
7. Maintains sterile field and reports breaks in sterile field technique.
Perioperative Nursing Course 101
1. Create and update course schedule.
2. Schedule & mentor speakers.
3. Create notebooks & copy handouts for new hires.
4. Teach some didactic content.
5. Teach all clinical/hands-on content.
6. Create orientation folders for primary preceptors.
7. Track progress of 101 students.
Student Nurse/Surg Tech Coordination
8. Serve as contact person for UW, Seattle U, Shoreline CC, Seattle Central CC.
9. Schedule student observation experiences; provide Charge Nurse with schedule.
10. Provide OR safety orientation (see handout) to students from each school each quarter.
11. Meet student on day of experience:
a. assist with OR attire
b. review OR basics
c. ensure they've eaten breakfast
d. introduce to Charge Nurse explain how to read schedule board
e. encourage them to follow patient to PACU if possible
f. put in room with willing circulator
Wednesday Inservice schedule
12. Schedule topics & speakers.
13. Create & post schedule.
14. Run inservices.
15. Take minutes at monthly staff meeting and submit to Nurse Manager for review and posting.
Orientation of New Staff
16. Ensure new staff complete HIPPA & Corporate Compliance online modules.
17. Oversee clinical assignments; ensure appropriate preceptors and progression of learning experiences.
18. Revise/update orientation tools prn.
19. Create orientation folders.
20. Track new hire progress; ensure documentation is adequate.
Annual Mandatory Education
21. Ensure all staff maintain current BLS certification.
22. Determine who needs to attend BLS blitzes in May & November.
23. Become a BLS instructor.
24. Ensure all staff complete mandatory HMC Core Competencies.
25. Create 3-4 OR-specific competencies annually; ensure completion by all appropriate staff.
26. Functions as a Qualified Observer.
Unit Specific Education
27. Assists with needs assessment and planning unit-based safety/quality education.
28. Implements and evaluates programs.
29. Facilitates introduction to new concepts/programs and initiates them.
30. Implements education regarding safety and quality of care issues.
31. Ongoing education is needed for new policies, procedures, devices, equipment.
32. Education should include off-shift & weekend shifts.