Education

Associate's Degree Graduate of an accredited Nursing program Completion of BSN within two years of earliest start date in a Texas Health RN role is required without a previously approved exemption. Please contact your Human Resources department for additional information or questions. Req

Bachelor's Degree Nursing Pref

Experience

2 Years experience as a clinical nurse with previous experience as a charge nurse or similar leadership role (i.e. Charge nurse, committee chair, preceptor) Req

Licenses and Certifications

RN - Registered Nurse Upon Hire Req And

BCLS - Basic Cardiac Life Support Upon Hire Req

Skills

A high degree of confidentiality, positive interpersonal skills, and ability to function in a fast-paced environment.

Supervision

This position manages people Varies

ADA Requirements

• Extreme Heat 1-33%


• Extreme Cold 1-33%


• Extreme Swings in Temperature 1-33%


• Extreme Noise 1-33%


• Working Outdoors 1-33%


• Working Indoors 67% or more


• Mechanical Hazards 1-33%


• Electrical Hazards 1-33%


• Explosive Hazards 1-33%


• Fume/Odor Hazards 67% or more


• Dust/Mites Hazards 1-33%


• Chemical Hazards 34-66%


• Toxic Waste Hazards 1-33%


• Radiation Hazards 1-33%


• Wet Hazards 1-33%


• Heights 1-33%


• Other Conditions 1-33%

OSHA

Tasks involving exposure to blood, body fluids, or tissues.

Physical Demands

Medium Work

Qualifications

Quality/Performance Improvement: Collaborates with Leadership, UBC, and appropriate team members to establish, implement, and monitor department policies/procedures, facilitate unit goals, evaluate and individualize patient care and provide direction to staff to promote quality outcomes.

• Engages staff to promote evidence based practices within the unit.


• Monitors key performance indicators (KPI?s) and regulatory requirements for compliance.


• Provides bedside leadership and clinical expertise to improve quality of patient care.


• Provides safe direct patient care in coordination with other staff when unit activity dictates.


• Provide guidance in emergency or complex situations.


• Use appropriate methodology consistently for communication handoffs.


• Evaluates the outcome of patient care, consults with others on the patient care team, and adjusts nursing care processes as needed to improve outcomes.


• Manages and monitors patient and staff safety initiatives and outcomes.


• Performs pro-active risk assessments to identify potential issues.


• Models the use of High Reliability Organization (HRO) tools in everyday practice and situations and encourages staff do the same.


• Assists with development and serves as a resource to others for new system and entity based initiatives. Support ongoing sustainment of these changes.

25%

Shared decision making: This role provides bedside leadership on a particular unit or units and shift, coordinating patient flow, patient care and assignments. Responsible for assisting the manager/director with human resource management to include evaluations, coaching, mentoring, recruitment, retention, education and orientation. Works with manager/director to control costs and manage department budget and productivity.

• Facilitates patient/nurse assignments based on volume, acuity and skill mix, and provides coordination of patient care on nursing unit while maintaining productivity standards.


• Facilitates patient flow for the unit.


• Provides continuous constructive feedback and timely annual performance evaluations to staff.


• Participates in progressive disciplinary action process with Manager/Director and staff.


• Uses Performance Management Guide appropriately.


• Supports retention strategies and objectives and assists with recruiting and hiring of potential staff.


• Collaborates with manager and educator or CNS to provide staff orientation, education and on-going competency assessment.


• Participates in the development and monitoring of the budget and seeks opportunities for cost containment and achievement of KPI?s.


• Collaborates with physicians, staff, hospital departments, and outside agencies to provide patient care.


• Participates in policy development and mentors staff regarding policies and procedures, and regulatory requirements.


• Gathers staff input during rounding, and completes direct report journaling.

20%

Patient and Family Centered Care: Effectively communicates with patients, families and other healthcare team members by incorporating the 8 caring factors in the Quality Caring Model which include: basic human needs, human respect, encouraging manner, affiliation needs, mutual problem solving, healing environment, attentive reassurance and appreciation of unique meaning.

• Creates shift assignments, initially and throughout the shift reflecting consideration of the nurses skill level and patient?s need.


• Effectively evaluate the care each shift, on every patient to ensure the patient?s needs are being addressed to ensure a high quality experience.


• Maintain a constant state of awareness for opportunities to address ongoing patient and family needs.


• Advocate for patients and families to ensure they have a voice in their care decisions.


• Demonstrates the ability to use available data and critical thinking skills to address urgent needs of the patient. (For example MEWS & SIRS Scores)


• Fosters an environment to promote patient and family centered care through purposeful hourly rounding, bedside shift report, updated care boards, and leader rounds.


• Recognizes/communicates ethical and legal concerns through established channels of communication.


• Uses H.E.A.R.T appropriately to address patient/family concerns.

20%

Teamwork: Incorporates THR philosophy in working with peers, and other members of the health care team. Partners with physicians to advance physician engagement.

• Consistently models the THR Promise Behaviors.


• Actively Promotes unit based councils/committee structure and networks with peers to share ideas and conduct mutual problem solving.


• Participates in huddles, meetings, daily care briefings with other members of the healthcare team to facilitate patient flow and optimum utilization of resources.


• Demonstrates effective communication skills with families, patients, physicians and other members of the healthcare team.


• Works in coordination with other staff when unit activity dictates, monitoring patient care and providing direction to staff to promote quality outcomes.


• Collaborates with physicians and other members of the healthcare team to promote safe individualized care as well as promoting accountability in enhancing the patient experience.


• Demonstrates advocacy for patients and staff.


• Facilitates staff member attendance at assigned meetings and projects.

20%

Professional Development: Assimilates leadership responsibilities on the unit and throughout the entity and/or system. Promotes a positive image of Texas Health Nursing. Commits to autonomous maintenance and continuous improvement of competence and serves as a role model to other healthcare team members. Holds self and other accountable for highly reliable behavior.

• Demonstrates involvement in a professional organization, including certification in appropriate specialty if applicable.


• Actively participates in unit based, department, entity and/or system committees and task forces.


• Consistently promotes a professional image of nursing in demeanor, appearance, attitude and behavior. Is flexible with scheduling to meet the needs of the department.


• Participates in community outreach activities.


• Demonstrates accountability and responsibility by independently completing projects/assignments on time.


• Leads or participates in required meetings.


• Promotes the Magnet/Pathways philosophy throughout the organization.


• Supports and promotes the Nursing Operations Plan.


• Engages in continuous learning and practice improvement by attending inservices and/or continuing education.


• Practice reflects current methodology supported by evidence based practice.


• Complies with THR policies and procedure in accordance with the Texas Nursing Practice Act and ANA Code of Ethics.

15%