RN Acute Care- House Supervisor(DAY) .6 FTE

The Acute Care Nursing Supervisor is responsible for the supervision of all areas of the nursing departments. He/She is responsible for staff assignments, intradepartmental or inter-departmental problem solving. He/She must organize, implement, and evaluate patient care activities. He/She plays a major role in the development of staff through teaching, coaching, and counseling on a group or individual basis. He/She participates in the development, interpretation, and enforcement of policies and procedures. The Acute Care Nursing Supervisor will assess the quality of patient care given and will direct and coordinate the activities of professional and nonprofessional nursing personnel in giving quality care.

SPESIFICATIONS

Assists with the development and maintenance of departmental policy and procedures.

Knows and follows the chain of command.

Can handle sensitive information regarding patient and hospital business. Follows established hospital policies and procedures to preserve the patients right to privacy and confidentiality.

Responsible for staffing assignments for ED, OB, and the AC department. Able to coordinate the staffing resources to provide optimal patient care. Assigns a code team at the beginning of each shift.

Plays a major role in the development of staff through teaching, coaching, and counseling.

Contributes to the budget plan for efficient use and control of financial resources within the department, including staff, supplies, and equipment.

Knows how to implement the disaster plan in an emergency situation.

Maintains open communication within the departments and refers concerns or events to the appropriate managers of administration.

Evaluates and supervises the activities of professional and non-professional nursing personnel in terms of job performance. Will assess the quality of care given for probationary and yearly evaluations.

Demonstrates commitment to being a leader and role model.

Communicates appropriately with the press, public, and law-enforcement.

Signs off daily overtime of staff. Records low census, SB etc., in appropriate place on the schedule.

PERFORMANCE STANDARDS

• Plans work assignment to meet the needs of the patients and peers.
• Plans for effective communications in the Acute Care area and other hospital departments.
• Plans for administration of policies and procedures.
• Forecasts need for special equipment and supplies for specific procedures coordinating activity with Acute Care supervisor.
• Utilizes knowledge of skills in medical, surgical, and pediatric procedures as a basis for implementing patient care.
• Coordinates daily patient care with staff and physicians.
• Organizes own time effectively.
• Identifies patient, physician and staff needs and sets priorities accordingly by communicating with all involved personnel.
• Adheres to standards of care, department objectives and individual objectives.
• Follows the hospital and nursing department policies and procedures.
• Identifies deficiencies in patient care and initiates corrective action.
• Participates on appropriate committees.
• If team leading, an LPN, will complete the RN/LPN chart review in the EMR System
• Communicates effectively with nursing staff, physicians, and other hospital staff.
• Communicate anticipated and critical changes in patient care to supervisor and to physician.
• Serves as a professional role model.
• Participates in the administering and assessment of nursing care.
• Participates in activities to identify and meet patient needs.
• Participates in unit activities.
• Identifies and participates in activities to maintain self-motivation.
• Regular attendance at general in service programs, unit in service and other educational experiences.
• Develops skills for effective delegation of responsibilities in working as a team
• Participates in goal setting for self and department.
• Recommends activities to the Acute Care Supervisor that will benefit the nursing staff in general.
• Nursing assessment is obtained and completed within 2 hours of admission.
• Psychosocial needs and perception of patient and/or family expectations of present hospitalization are identified and documented.
• Appropriate teaching given and documented.
• Alertness and skill in recognizing and identifying symptoms. Symptoms are recognized and appropriate action taken (ex: notify physician if patient has unrelieved pain from medication ordered, offer prn medications, etc.).
• Set priorities and give care based on problem solving needs. Ability to complete work within scheduled time.
• Take responsibility for such activities and follows hospital policy and procedure for the following:

-Giving medications following procedure

-Blood Transfusions

-IV Meds

-IV Fluids

-Starting IV’s

-Special treatments (i.e. respiratory, dressing changes, ect)

-Providing bedside nursing care

-Serving trays

-Answering lights and telephones

-Admitting, transferring and discharging patients

-Maintaining supplies and equipment

-Appropriate patient teaching concerning routine hospital procedures and

special procedures regarding their condition

-Being familiar with basic cardiac rhythms, emergency drugs and equipment

-Complete charting each shift

-Performing or appropriately delegating ADL’s for patient

-Assisting physician with procedures such as chest tube placement,

paracentesis thoracentesis, suturing of wounds etc.

-Understands basics of post-partum and nursery care

-Does appropriate discharge teaching including activity instructions,

medication instructions, among others

-Accurate documentation

-Knowledge of procedures of handling the deceased

• Take responsibility for such activities and follows hospital policy and procedure for the following:

-Understands and is able to explain advanced directives to patients when

Requested

• Interacts with other team members to keep them informed of any changes in patients condition
• Check narcotics with each shift change or as procedure dictates
• Participate in teaching and orienting co-workers within the unit. Own performance sets desired example.
• Participation and documentation of continuing education.
• Appropriate areas of the medical record.
• Plan work assignment to meet needs of the patients and peers.
• Keep the primary physician informed of patient’s condition and any acute changes.

GENERAL RESPONSIBILITIES

1. Reports for scheduled shift on time and prepared to assume responsibilities.

• Reports to work in proper uniform or attire.
• Leaves for meal break on time and returns on time.
• Varies work schedule to meet the needs of the department.
• Ensures the department head prior to working has approved all overtime.
• Schedules all time off with supervisor’s approval.
• Strictly adheres to hospital attendance/tardiness policies 100% of the time.
• Performs all duties as assigned.
• Wears I.D. badge in a visible location at all times on hospital property.

2. Attends and participates in meetings and is responsible for information communicated at meetings.

• Attends all mandatory in service on a timely basis as scheduled.
• Participates as an active team member at staffs meetings.
• Reads communications and acts upon in a positive and informative manner.

3. Assists all patients, family members, physicians, visitors, and employees in a professional and courteous manner.

• Extends special attention and sensitivity to all patients, visitors, physicians, and fellow employees.
• Assists in maintaining an atmosphere of cooperation with other departments and allied professionals.
• Demonstrates respect and cooperation in all staff relationships, and a genuine willingness to prevent or resolve inter-personal conflicts.
• Demonstrates the ability to participate in and/or implement team decisions.
• Actively participates in and encourages actions that promote good public relations with patients’ families, visitors, and the community.
• Works together in a spirit of teamwork.
• Shares information on a “need to know” basis.

4. Follows Infection Control procedures at all times.

• Clinical Personnel: Strictly adheres to standard precautions by adhering to the usage of personal protective equipment when handling blood or body fluids.
• Non-Clinical Personnel: Washes hands and other skin surfaces with soap and water thoroughly and often in an effort to control spreading of germs within the department and facility.
• Adheres to isolation procedures at all times as applicable.

5. Adheres to the following environmental care standards.

• Demonstrates adequate knowledge of safety policies and procedures, the use of MSDS sheets, hazardous material procedures, and safety codes.
• Code Blue, Code Gray, Code Silver, Code Amber, Code Red, Code Orange, Rapid Response Team
• Demonstrates adequate knowledge of security issues, i.e. personal protection, protection of personal and hospital property.

6. Be familiar with the collective bargaining agreement of the USNU and Mid-Valley Hospital.

7. Demonstrates the ability to adapt to varied age-specific patient populations.

• Non-Clinical Personnel: This position has no responsibility for the assessment, treatment, or care of patients. However, the ability to communicate and interact with patients of all ages is required.

EDUCATION:

Graduate of an accredited school of nursing with a current licensure to practice nursing in the State of Washington.

EXPERIENCE:

Three to five years of nursing experience in an acute care setting. Holds Current ACLS, and within one year obtains their TNCC, PALS, and Neonatal Resuscitation certifications.

REQUIRED CERTIFICATION/LICENSURE/REGISTRATION:

Current state nursing licensure.

OTHER QUALIFICATIONS:

Ability to communicate clearly and effectively: delegate and coordinate through leadership skills.

Ability to communicate with people of diverse backgrounds and educational levels; i.e. patients, families, employees, physicians, etc.

CAREER PATH:

PERSONAL PROTECTIVE EQUIPMENT: Gloves, gown, and eye protection.

PHYSICAL REQUIREMENTS

May be required to work any shift in emergencies.

May be required to work any day of the week.

This position is primarily sedentary in nature. Maximum amount of lifting is 10-lbs. frequent carrying of objects up to 20 lbs.

WORKING CONDITIONS

This person spends 95% of their time in temperature controlled office space. The potential for exposure to biohazardous agents or exposure to blood-borne pathogens and other potential infectious agents is minimal to none. This position requires contact with patients and staff under a wide variety of circumstances. This person is subject to varying and unpredictable situations, many interruptions, long irregular hours, multiple calls and inquires, night meetings, and travel.

WAGE AND COMPENSATION

Wage range $ 39.14 hr. - $70.87 hr. plus 7% ADDITIONAL CHARGE PAY – DOE

Mid-Valley Hospital offers a benefit package. This includes accrued vacation time in the amount of .076923 vacation hours per hour worked. Accrued sick leave at an accrual of .04615 per hour, Life insurance and a profit-sharing plan. We also offer medical, dental and vision insurance plans. Employees can enroll in a 403(b) deferred compensation plan and/or a 457 deferred compensation plan.