Assistant Nurse Manager - Emergency Department - Evening Shift

About the role

The Assistant Nurse Manager for the Emergency Department is a Registered Professional Nurse who serves as a clinical leader, overseeing quality patient care delivery in collaboration 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 Purposeful Hourly Rounding (PHR) and role models expected behaviors; integrates PHR into clinical activities to enhance Relationship Centered Care.
  • Validates staff hourly rounding on all patients through direct observation and patient feedback; assesses staff competency in PHR and provides meaningful feedback.
  • Conducts rounding of all patients daily when the Nurse Manager is away and as assigned.
  • Communicates quantitative and qualitative patient experience and staff engagement information to staff and the Interdisciplinary Patient Care Team 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) by facilitating actions including but not limited to: 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 assigned shifts to identify high-risk patients requiring special attention; communicates concerns or issues to nursing leadership.
  • Initiates service recovery for patients and family members with concerns and escalates to Clinical Nurse Manager/Associate Director of Nursing/designee or Patient Relations as needed.
  • Interprets and communicates patient experience scores and benchmarks; keeps staff informed of progress and areas of opportunity.
  • Considers patients’ 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 RCA process and implements corrective action plans on assigned shifts.
  • Collects data for unit chart reviews, assessment of compliance with nurse-sensitive indicators, HAIs, and other patient safety goals metrics as assigned.
  • 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; ensures 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 activity (staffing, support services, interdisciplinary collaboration, resources, and financial viability) supports organizational goals.
  • Works collaboratively with physician dyads and the healthcare team to promote patient care and regulatory standards.
  • Assists in ensuring compliance of the nursing unit with all regulatory agency mandates, including NYS DOH and The Joint Commission.
  • Oversees patient care delivery, throughput, staffing, and processes to ensure efficient and effective operations on assigned shifts.
  • Supports and monitors unit budgets, including capital equipment allocation, budget variances, management of OT 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 with staff about progress, changes, and compliance with all 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 structures of 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 resolution in unit staff meetings.
• Professional Development
  • Acts as a clinical leader who creates and supports nursing practice and an environment of care reflecting clinical excellence.
  • Organizes the environment of care to support clinical colleagues, patients, families, and healthcare team members.
  • Projects and cultivates a professional image by communicating 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, life-long 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 into nursing practice and the environment of care.
  • Contributes to the profession of nursing through leadership and participation in professional organizations.

Qualifications

• Education Requirements
  • Bachelor of Science with a major in nursing required.
  • Master’s in nursing or health-related field preferred.
• Experience Requirements
  • Minimum of 3 years of clinical nursing experience.
  • Some Charge Nurse/supervisory experience preferred.
  • Relevant clinical competence in the area of nursing practice assigned.
• Licensing and Certification Requirements
  • BLS, ACLS, and PALS certifications.
  • Current New York State registered nurse licensure.