Trinity Health Clinical Nurse Supervisor Surgical Services in Conshohocken, Pennsylvania

The Clinical Care Supervisor (CCS) works under the direction of the Patient Care Manager and is responsible for assisting with the coordination of care and managing the department. The CCS works effectively to insure the implementation of the plan of care and the progress of the patient population relative to the plan of care. This role serves as a clinical resource to the nurses in the assigned clinical department focusing on operational through put. The CCS is also responsible to assist the PCM with daily operations of the clinical unit in managing staff schedules, patient rounds, acting as the charge RN, and ensuring integration of the nursing process to achieve successful patient care outcomes.

Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions.

Adheres to Corporate Compliance Guidelines 1. Understands and abides by HIPPA privacy and security laws and regulations. 2. Observes all applicable federal, state and local laws and regulations. 3. Observes all Mercy Health System and applicable subsidiary policies and procedures including the Code of Conduct. 4. Observes Mercy Health System Corporate Compliance policy by reporting any concerns about compliance or business practices to his or her immediate supervisor, appropriate management, Corporate Compliance Officer or Compliance Hotline. 5. Completes compliance related education *Performance Measures *

  • Completes annual competency on Code of Conduct, HIPAA, and mandatories related to area of practice as assigned on Health Stream Online.

Demonstrates knowledge and compliance with Hospital Safety and Infection Control policies as required by OSHA and the patient Safety Program. 1. Consistently demonstrates knowledge if universal precautions, isolation procedures, and other infection control measures. 2. Provides a safe environment for all patients, employees, and visitors. 3. Identifies safety problems encountered during the course work that if corrected may result in the prevention of accident/injury to patients, employees and visitors and reports problems to appropriate supervisor or the Patient Safety Hotline. 4. Adheres to System, Hospital and Department-specific safety programs.

  • Medical / health care error reporting.

  • Aware of sentinel events definition and reporting procedure.

  • Completes annual patient safety fair training. *Performance Measures *

  • Completes infection control modules as assigned on HealthSteam Online.

  • Demontsrates 100% compliance with Hand Hygiene program.

  • Required documentation in MIDAS is 100% accurate.

* Adheres to all Mercy Health System Policies and Procedures *

  • Fully understands and complies

  • Seeks information and clarity when unsure Performance Measures

  • Complies with:

  • Absenteeism Control Policy #60-06-10 and with established departmental “call-out” procedures.

  • Lateness Control Policy #60-07-09 and with proper notification procedures

  • Mercy Health System dress code policies

  • Colleague Responsibility Policy #60-18-08 as well as all other Human Resources Policies.

  • Review MHS policies and procedures, and references them accordingly when questions arise during the course of work for MHS

Performance Improvement

  • Participates constructively in PI activities in the department.

  • Can discuss performance improvement activities for the department.

  • Contributes ideas for cost reductions, improved efficiency and outcomes without sacrificing quality.

  • Maintains awareness of cost containment and waste reduction practices.

  • Maintains and uses material, supplies and equipment in a cost-effective manner.

  • Encourages and contributes innovative ideas and ways of doing things that increase efficiencies by challenging oneself and others to not accept the status quo.

  • Recommends changes to policies, procedures and environment to enhance everyone's ability to provide optimum service to all patients, visitors and employees.

  • Demonstrates understanding of PDSA (plan, do, study, act.) process and Just Culture.

  • Keeps abreast of regulatory requirements for assigned unit. *Performance Measures *

  • Actively involved with or compliant with unit or hospital based performance improvement activities over the past review period.

  • Participants in one of the shared governance councils or reads the minutes of councils.

  • 100% attends staff meetings monthly or reads and signs meetings minutes of all staff meeting minutes.

Population Served

  • Recognizes special needs/concerns of populations served and adjusts communication accordingly, i.e., language barrier, diminished hearing, concrete terms, etc.

  • Creates a safe and therapeutic environment that supports the special needs of the population served.

  • Demonstrates effective abuse free verbal and non-verbal communication with residents/patients, their families, visitors and staff, i.e., communicates in a respectful manner of the person to whom communicating stage of development and cultural background. *Performance Measures *

  • Utilizes Cyracom Phone/ Language line appropriately with patients with language barriers.

  • Able to demonstrate process for obtaining interpreter for the Blind and Deaf patients

Organizational and Departmental Policies and Procedures

  • Actively participates in staff meetings and/or committees on a regular basis.

  • Aware of access to policies on the MHS intranet, HRHQ (i.e., Administrative Manual, HR policies, etc.)

  • Seeks information and clarity when unsure of policy prior to initiating procedure.

  • Reports any signs of impairment, suspicious behavior or diversion of drugs to supervisor promptly.

  • Ensures that all equipment is in proper working order, and takes malfunctioning equipment out of service. Reports malfunctions promptly.

  • Maintains a safe, neat clutter free work environment.

  • Assumes ownership of cleanliness and neatness of work area and throughout the organization.

  • Reports errors, environmental hazards and injuries to supervisor promptly.

  • Seeks to resolve conflicts in a respectful way.

  • Fully shares information that people need to do their job. Expresses ideas, opinions and reactions constructively.

  • Reports disruptive clinician behavior in support of ""Zero Tolerance"" of disruptive behavior.

  • Supports non-retaliation for reporting disruptive behaviors.

  • Participates in continuing education and shows initiative for self-development and documents appropriately.

  • Maintains licensure/certification if applicable.

  • Supports the orientation process. *Performance Measures *

  • Utilizes Healthsteam and Employee Self Service websites appropriately.

  • 100% Compliance with Healthsteam and assigned unit specific education.

  • Compliant with the following policies

  • Colleague Responsibly

  • Time and Attendance

  • Harassment

  • Absenteeism & Lateness

Nursing Process/Plan of Care

  • Provides total, comprehensive care to patients by applying the nursing process in an organized and systemic manner according to hospital policy.

  • Communicates proactively to the health care team, plan of care, changes in patient condition, the patient progress, the discharge plan and other relevant information.

  • Completes admission according to policy utilizing a multi-system approach for the assessment and reassessment.

  • Documents assessment/reassessment, plan, interventions and outcomes according to policy and interprets and utilizes clinical data in the plan of care:

  • Documents pain assessment and plan of care.

  • Documents fall risk and plan of care

  • Documents wound risk and plan of care.

  • Documents suicide assessment and plan of care.

  • Documents infection control assessment (MDRO protocols).

  • Performs accurate and thorough nursing physical assessment and documents thoroughly.

  • Reassesses patient condition per policy.

  • Interprets & utilizes clinical data in the plan of care.

  • Assesses patient for potential risk factors.

  • Recognizes and integrates patient special needs and individualizes care.

  • Includes pain management and supportive care issues in plan of care.

  • Adheres to infection control standards specific to patient care.

  • Assumes accountability for managing the delivery of patient care.

  • Responsible for learning policies and nursing procedure and communicates to others.

  • Performs accurate and thorough nursing physical assessment.

  • Participates in discharge planning, using a multi-disciplinary approach. Participates in multidisciplinary rounds.

  • Assists patient/family with grieving process and end of life cases as appropriate.

Well-Coordinated Patient Care

  • Prioritizes and organizes work assignment and adjusts priorities based on changing situations.

  • Completes work within a predetermined time frame.

  • Acts as a patient advocate and upholds patient’s rights.

  • Promotes and maintains a safe, clean and orderly environment.

  • Consults and refers to other Health Care professionals.

  • Refers ethical concerns to appropriate resources.

  • Delegates work to the care team as per State Board, job description and skill level

  • Interacts professionally and communicates effectively with patients, visitors, physicians and co-workers.

  • Plans delivery of care according to medical plan, patient acuity and staff competencies

  • Anticipates potential length of stay or discharge problems.

  • Is knowledgeable of Admission/Discharge criteria for the unit; and assists with timely patient bed assignment and discharge.

  • Cooperates with all areas in the admission and transfer of patients throughout the hospital to ensure efficiency.

  • Assists in promoting and enforcing the coordination of patient care.

  • Keeps physicians informed of patient condition.

  • Receives patients from other units in a timely manner.

  • Verbal orders and “Read backs” are performed according to policy. *Performance Measures *

  • Completes all work within assigned time frame.

  • Collaborates with the interdisciplinary care team, including but not limited to; care coordinator, social work, physician and Clinical Operations Leader, to keep them informed of patient status.

  • 100% compliant with verbal order, “read back” policy

  • 100% compliant critical test result policy and documents appropriately in the EMR

Patient Education

  • Assesses learning needs, readiness to learn, and actual or potential barriers to learning.

  • Integrates primary and secondary diagnosis into the educational plan.

  • Incorporates education into patient activity, (i.e., medication, equipment, food-drug interactions).

  • Individualizes educational plan based on age, cultural and spiritual values.

  • Ensures that appropriate patient education is provided to meet individual/ family needs.

  • Documents patient education in process plans section in EHR. *Performance Measures *

  • Individualizes patient educational plan and includes the family and/or significant others as appropriate.

  • Documents 100% patient specific education appropriately in the EMR

  • Utilizes teach back methodology 100% of the patient education encounters.

Assessment of Personnel

  • Plans and coordinates patient assignments. Assists in the coordination of staff on a daily basis to assure delivery of patient care by competent caregivers.

  • Communicates on an ongoing basis the staffing patterns to the Patient Care Manager.

  • Promotes supervision and guidance of nursing personnel, including pool and agency staff.

  • Provides a climate conducive to educational experiences for nursing students and new employees.

  • Functions as a preceptor when necessary.

  • Recognizes roles of non-RN staff based on Hospital policy and State Board regulations.

  • Provides a climate respectful of cultural diversity. *Performance Measures *

  • Delegates appropriately to the ancillary staff

  • Acts as a preceptor to new staff as assigned.

  • Facilitates nursing students clinical experiences.

Emergency Response

  • Maintains BCLS/CPR and specialty training (ACLS, PALS) as required.

  • Recognizes changes in patient condition & responds appropriately.

  • Recognizes and initiates “Stroke Protocols” as indicated.

  • Recognizes and initiates “Rapid Response” as needed per policy.

  • Performs in RN role within the resuscitation team.

  • Reprioritizes and delegates other responsibilities during emergency situation.

  • Functions calmly and efficiently in an emergency situation so that the patient’s immediate needs are addressed and met.

  • Proficient in the use of emergency equipment:

  • Properly uses Bag-Valve-Mask resuscitator.

  • Locates commonly used emergency items and medications on the crash cart.

  • Demonstrates proper placement of defibrillator paddles.

  • Checks and tests crash cart/defibrillator, according to policy and documents

  • Keeps family/significant others informed of patient status.

  • Demonstrates proficiency in end of life policies (i.e.; DNR, (Organ Donation) Gift of Life).

  • Documents emergency interventions according to policy.

  • Cares for and maintains dignity of deceased patients (post mortem, medical examiner/autopsy. Performance Measures

  • 100% compliance with maintaining required certification, i.e. CPR, ACLS, or PALS.

  • Able to verbalize all Code Alerts for the organization and what the responsibility of the RN is for each alert.

  • 100% completion of appropriate check list of all departmental emergency equipment, i.e. crash cart.

  • Facilitates notification of Gift of Life as required.

Safety

  • Utilizes safety features with sharps system, as per manufacturer’s guidelines.

  • Initiates and maintains isolation precautions appropriately (including notification of Infection Control Coordinator).

  • Follows policy guidelines for prevention of urinary tract infections

  • Demonstrates patient transfer techniques.

  • Demonstrates ability to prevent, recognize and report abuse.

  • Demonstrates ability to prevent, recognize and report infant/child abductions.

  • Demonstrates awareness of Safe Haven Protocol.

  • Demonstrates ability to prevent.

  • Demonstrates appropriate use of an alternative to restraints including least restrictive measures and documents appropriately.

  • Demonstrates essential skills and knowledge to assist with patient on suicide precautions - 1:1: or close observation.

  • Assures patient is never left alone.

  • Assures staff remains within arms length.

  • Monitors patient for potential risk factors and complications

  • Demonstrates Patient/Resident Injury Prevention Measures.

  • Demonstrates knowledge of procedure for handling an elopement.

  • Recognizes fall risk associated with the patient population and implements fall reduction strategies.

  • Manages the care of the agitated patient.

  • Demonstrates knowledge of Universal Protocol (Time out) procedures and documents per policy.

  • Demonstrates knowledge and ensures usage of hand-off communication forms (report form, Ticket to ride, pre-procedure checklist, etc.) and completes consistently.

  • Maintains radiation safety precautions.

  • Administers and documents blood products according to policy (consent, identification, adverse reactions, transfusion record, patient/family, education).

  • Demonstrates ability to use patient care/nursing unit equipment safely.

Medication Safety

  • Demonstrates the knowledge and ability to administer medication and blood products safely and accurately according to hospital policy.

  • Assures appropriate vital signs are taken and evaluated.

  • Follows the six medication rights and reduces the potential for medication errors:

  • Right patient (checks patient ID bracelet, DOB, name alert, addresses patient by name), medication, route, dose, time, medication reconciliation

  • Special considerations based on patients' age, comorbid conditions.

  • Maintains current knowledge of medications and their correct administration based on age of patient and his/her clinical condition.

  • Documents medication use, as per policy.

  • Recognizes and monitors patient for increased potential for adverse drug reaction and interactions.

  • Recognizes and monitors for effects and adverse reactions to intervention:

  • Epidural

  • Narcotics

  • Other pain medication and intervention

  • Double checks drug name against original order to avoid confusion with sound-alike or look-alike drugs.

  • Demonstrates knowledge of medication dosage calculations according to patient parameters, physician orders and protocols.

  • Reconciles any controlled substance discrepancies.

  • Medication administration completed within one (1) hour before and after designated time.

  • Administers and documents high alert medications according to policy.

  • Provides medication education.

  • Calculates and administers medications, IV solutions, and skin testing, per policy.

  • Participates in the medication reconciliation process from admission to discharge.

Demonstrates commitment to professional standards and ongoing professional growth and development

  • Assumes responsibility for personal and professional development by:

  • Assessing own learning needs

  • Setting and meeting goals

  • Shows a willingness to accept and give constructive feedback for the purpose of promoting professional excellence.

  • Serves as a role model by promoting the personal and professional development of colleagues.

  • Supports the orientation process by observing new colleagues; documents and communicates observations with Clinical Educator and Patient Care Manager.

  • Serves as a preceptor.

  • Collaborates with the Patient Care Manager and Clinical Educator in review/revision of the unit based orientation program.

  • Collaborates with the Patient Care Manager and Clinical Educator to plan and develop unit based educational programs and materials.

  • Determines colleague learning needs based on observation of the clinical performance, documentation review, QI reports and feedback from colleagues. *Performance Measures *

  • Provides clinical education on the unit on a at a minimum on a quarterly basis.

  • On an annual basis revises clinical orientation materials in collaboration with the education department.

Scheduling/Fiscal Stewardship

  • Assists Patient Care Manager to develop nursing staffing schedule on monthly basis utilizing the appropriate professional and support staff.

  • Assist PCM in all payroll functions through Kronos and advance scheduler.

  • Demonstrates fiscal responsibility and cost containment behavior in relations to supply ordering and tracking, reviews Monthly Operating Statement with Patient Care Managers, makes recommendations to Patient Care Manager for capital equipment requests to be included in annual budgeting process, maintains appropriate cost efficient inventory levels of intradepartmental supplies, and reviews par levels for supplies and recommends changes on a least a quarterly basis *Performance Measures *

  • Productivity Reports

Care Coordination Facilitation

  • Assists the practitioner in the admission/discharge process

  • Reviews initial readmission risk Assessment and plan of care for patients on admission.

  • Facilitates multi-disciplinary rounding on the unit with appropriate team members

  • Utilize Critical Thinking Skills and problem solving tactics to advance the plan of care of the patient to the appropriate level of care.

  • Validates that education has been provided to patient and family, or appropriate care provider prior to discharge.

  • Communicates effectively with patients, families, and members of the health care delivery teams.

  • Works collaboratively with Multidisciplinary Team to achieve appropriate LOS

  • Oversees timely and efficient flow of patients to and from unit.

  • Collaborates with Care Transition Nurse, Bed Coordinator, Administrative Nursing Supervisor, House Staff, Attending Physicians and others to ensure timely transfer and discharge of patients to and from unit.

  • Insures that appropriate patient education is provided to meet individual/family needs and to advance the plan of care inclusive of timely D/C Education

  • Coordinates discharge planning for all assigned patients.

  • Responsible for the coordination and prompt flow of patients within unit and hospital Anticipates potential length of stay or discharge problems – advise appropriate Member of Care Coordinate Team

  • Is knowledgeable of admission/discharge criteria for units; and aides in timely patient bed assignment and discharge * Performance Measures *

  • Overall Readmission Rate

  • Heart Failure Readmission Rate

  • AMI Readmission rate

  • Pneumonia Readmission rate

  • Acute Care LOS

  • Total acute observations discharges with LOS greater than 1 day

  • Avoidable delays

Clinical Quality Improvement

  • Actively participates in the Performance Improvement activities of the unit and hospital, conducting chart reviews, and other activities, as appropriate.

  • Assists Patient Care Manager with oversight of the unit's Quality Improvement program. Develops monitor tools. Collects and tabulates data. Encourages staff participation in Quality Review activities. Shares results of Quality Improvement indicator at unit staff meetings

  • Responsible to check for chart completion and required paper work/ process for all transfer to other units

  • Communicates on an ongoing basis with nurse manager on staffing effectiveness on the unit according to patient acuity census and staff competency

  • Ensures bed availability promptly reported

  • Plans and coordinates patient assignments and delegates care appropriately

  • Makes patient rounds at the beginning of each shift and throughout the shift

  • Assists with the development and implementation of on-going unit based and multi-disciplinary organization Performance Improvement Programs

  • Educates staff regarding documentation issues and the chart review process

  • Participates in the revision of clinical nursing practices and standards of care. *Performance Measures *

  • Submits Quality reports to Patient Care Manager according on a quarterly basis related to initiatives and the development of initiatives on an annual basis.

  • Daily rounds are conducted on patient care units with patients especially those noted to be high risk for readmission or prolonged LOS

Daily Operations

  • Demonstrates ability to organize work and manage time effectively by completing assignments in the allotted time.

  • Assists colleagues to improve time management skills and holds them accountable to complete assignments on time.

  • Promotes good working relationships and good communication among colleagues and between departments and disciplines.

  • Ensures the integration of the nursing process with patient care management to achieve patient outcomes within effective time frames and with appropriate use of resources.

  • Determines nursing staff assignments, including non-patient care duties (crash cart checks, refrigerator logs, narcotic count, assigns break times, etc.), and documents as required.

  • Adheres to line of authority by reporting/communicating directly to the Patient Care Manager. Demonstrates judgment in identifying, reporting/communicating appropriate information to the Patient Care Manager.

  • Acts as a role model by displaying professional interactions with peers, staff, physicians, and others.

  • Communicates unit activity to Patient Care Manager/designee and the following shift

  • Responsible for the safety and comfort of patients assigned to the unit, as well as the safety and well-being of the staff.

  • Prioritizes and organizes work assignments and adjusts priorities based on changing situations.

  • Ensures completion of 24 hour chart checks/review Performance Measures

  • 100% completion of crash cart checks

  • 100% completion of Pyxis Narcotic inventories

Clinical Care Supervisor

  • Acts as a role model, mentor and coach to the nursing staff and provides development opportunities to acquire skills and expertise to their particular area.

  • Provides supervision and guidance to nursing personnel during shift by acting as the charge RN.

  • Assists the Patient Care Manager in orienting and education of current and new employees and pool nurses. . Evaluates care provided by agency and/or private duty staff. Completes evaluation form and follows-up on issues when necessary.

  • Actively participates in Unit-Based educational programs, team conferences and unit staff meetings and assigned committees

  • Assists Patient Care Manager with feedback/completion of reviews.

  • Communicates effectively to staff via monthly staff meetings run by the Patient Care Manager

  • Actively participates in Leadership Development sessions

  • Provides supervision and guidance of nursing personnel including pool and agency staff

  • Develops collaborative relationships with all members of the health care team

  • Participates in the interviewing and selection process for vacant staff positions

  • Provides immediate performance counseling as needed.

  • Demonstrates clinical expertise in area of practice, participates in patient care for complicated cases.

  • Collaborates and supports the Patient Care Manager in Human Resource management issues. With approval of Patient Care Manager, issues employee counseling in compliance with Mercy Health System policy 60-05-03 – Employee Performance Counseling Performance Measures

  • 100% of evaluations are completed in a timely manner on employees identified by Patient Care Manager.

Other duties as needed and assigned by the manager.

Apply

Job Number: 00101106

Location: Conshohocken, PA

Organization Name: Mercy Health System of Southeastern Pennsylvania

Facility: MSEPA - Mercy Health System of SEPA

Employment Type: Full time

Shift: Day Shift

Hours: 40