Assistant Nurse Manager - Cardiac Vascular Thoracic - Night Shift

About the Role

The Assistant Nurse Manager for the Vascular Thoracic Night Shift is a Registered Professional Nurse who assumes the role of a clinical leader in the daily functioning of the unit and oversight of quality patient care delivery, in conjunction with, or in the absence of, the Nurse Manager.

Responsibilities

• Patient Care
  • Leads nursing practice using the Professional Practice Model of Relationship Centered Care and the Care Delivery Model of Modified Primary Nursing to promote the patient experience.
  • Demonstrates proficiency in all aspects of Purposeful Hourly Rounding (PHR) and role models expected behaviors.
  • Ensures the integration of PHR into clinical activities to enhance Relationship Centered Care.
  • Assists in validating staff members round hourly on all patients through direct observation and patient feedback.
  • Assesses staff competency in PHR and provides consistent, meaningful feedback.
  • Conducts rounding of all patients daily when the Nurse Manager is away or as assigned.
  • Communicates quantitative and qualitative information about the patient experience and staff engagement to develop and implement action plans.
  • Collaborates with the physician dyad and escalates concerns as appropriate.
  • Follows up on patient concerns in a timely manner and provides service recovery as needed.
  • Demonstrates caring, respect, compassion, empathy, and active listening through dialogue, body language, and actions.
• Patient Experience
  • Role models the tenets of Mount Sinai Relationship Centered Care (MSHRCC) through facilitation of actions such as Admission Welcome, Bedside Shift Report, HELP, AM/PM Care, 5 Minute Sit Down, Purposeful Hourly Rounding (PHR), Medication Review, Discharge Wrap Up, and MD/RN Unit Collaboration.
  • Huddles with staff at the start of the assigned shift to identify high-risk patients requiring special attention.
  • Communicates concerns or issues identified during huddles and throughout the shift to nursing leadership.
  • Initiates service recovery for patients and family members with concerns and escalates to appropriate personnel as needed.
  • Interprets and communicates patient experience scores and benchmarks, keeping staff informed of progress and areas of opportunity.
  • Considers patient values, preferences, expressed needs, and knowledge in all aspects of care.
  • Empowers staff to use evidence-based practices to increase understanding of patients' perceptions of care.
• Quality and Safety
  • Supports and leads a safe, therapeutic, and efficient patient-centered care environment for professional practice.
  • Identifies and investigates issues or variances in practice/operations by participating in the Root Cause Analysis (RCA) process and implements corrective action plans on assigned shift.
  • Collects data for unit chart reviews, compliance with nurse-sensitive indicators, healthcare-associated infections (HAIs), and other patient safety goals metrics.
  • Fosters a fair and open culture that encourages error and near-miss occurrence reporting.
  • Participates in interdisciplinary quality improvement teams using the principles of high reliability.
  • Reviews unit progress, changes, and compliance with quality and safety metrics with clinical nurses and other healthcare team members.
  • Responds to escalations of potential safety hazards or gaps from best practice by correcting concerns following institutional chain of command protocol.
  • Monitors institutional information technology infrastructure and corrects gaps in clinical nurse documentation.
  • Leads staff participation in quality and safety initiatives and mandated compliance measures.
  • Demonstrates accountability for all unit quality and safety practices and compliance, ensuring required evaluation of staff competencies is maintained.
• Operations and Administration
  • Supports implementation of the mission, vision, goals, and objectives of the department throughout the clinical service and individual patient care units.
  • Provides administrative and clinical oversight to ensure all activities (staffing, support services, interdisciplinary collaboration, resources, and financial viability) support the goals of the organization.
  • Works collaboratively with physician dyads and the healthcare team to promote patient care and regulatory standards.
  • Assists in compliance of the nursing unit with all regulatory agency mandates, including NYS DOH and The Joint Commission regulations.
  • Oversees patient care delivery, throughput, staffing, and processes to ensure efficient and effective operations on the assigned shift.
  • Supports and monitors unit budgets, including capital equipment allocation, budget variances, management of overtime, and vacancies according to MSHS financial goals.
  • Maintains patient/employee confidentiality in the management of information.
  • Participates in the evaluation of nursing staff performance and mentors, coaches, counsels, and disciplines staff as needed.
  • Monitors availability and maintenance of nursing equipment and supplies.
  • Participates in regular staff meetings to ensure communication about progress, changes, and compliance with hospital policies and procedures.
  • Encourages, recognizes, and rewards staff participation in quality and safety initiatives, compliance, and successes.
  • Facilitates organizational change initiatives using effective strategies.
  • Participates in a shared decision-making model by establishing shared governance, just culture, and staff engagement in practice councils, departmental meetings, and initiatives.
  • Interprets and implements collective bargaining agreements affecting staff.
  • Responds to protest of assignment in a timely manner as detailed in the collective bargaining agreement and discusses resolutions in unit staff meetings.
• Professional Development
  • Performs as a clinical leader who actively creates and supports nursing practice and an environment of care that reflects clinical excellence.
  • Organizes the environment of care to support clinical colleagues, patients, their families, and members of the healthcare team.
  • Projects and cultivates a professional image to colleagues through communication of caring, respect, compassion, empathy, and trust.
  • Incorporates ethical principles into decision-making for patients and families in collaboration with clinical nursing staff and the healthcare team.
  • Fosters a spirit of scholarship, inquiry, lifelong learning, and innovation for self and others.
  • Acquires and disseminates knowledge and skills relative to the role, patient population, clinical specialty, and global or local health community needs.
  • Leads shared decision-making through unit/service practice councils, nursing department and hospital committees, and clinical service/unit initiatives.
  • Serves as a professional role model and preceptor for new leadership staff and students.
  • Integrates the values of research and evidence-based practice and its application to nursing practice and the environment of care.
  • Contributes to the profession of nursing through leadership and participation in professional organizations.

Requirements

• Education: Bachelor of Science with a major in nursing required; Master's in nursing or health-related field preferred.
• Experience: 2-3 years of clinical nursing experience with some Charge Nurse/Supervisory experience preferred. Must have relevant clinical competence in the area of nursing practice assigned.
• Licensing and Certification:
  • Licensed as a registered nurse with current registration in New York State.
  • ACLS and BLS certifications required; ANCC & CCRN preferred.

About the Employer

The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care and transforming healthcare. The Health System includes more than 48,000 employees working across eight hospitals, over 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education.

Mount Sinai advances health for all people by tackling complex healthcare challenges through discovery, education, and innovative treatments. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked in specialties such as Geriatrics, Cardiology/Heart Surgery, Diabetes/Endocrinology, and more.