Registered Nurse Clinical Nurse Lead - TMC Rincon ASC

About the Role

The Clinical Nurse Leader is responsible for the assessment, coordination, implementation, and evaluation of the delivery of safe and effective patient-centered care. This role facilitates and mentors others to grow professionally and advance their knowledge and skills. The Clinical Nurse Leader continuously assesses unit needs to ensure adequate resources for current and upcoming shifts by collaborating with other departments to coordinate admissions, transfers, and discharges of patients in a timely manner. The role also upholds standards of practice by holding team members accountable for continued compliance.

Values

• Compassion: We have heart, respect diversity and individuality, and honor body, mind, and spirit.
• Dedication: We work hard for our patients and each other, are committed to professionalism and excellence, and listen, learn, and grow.
• Community: We are welcoming and friendly, practice kindness in all relationships, and reach out as teachers and leaders.
• Integrity: We tell the truth, are responsible in how we use our resources, and have the courage to uphold our values.

Responsibilities

• Complies with legal, hospital, and departmental policies, procedures, and position requirements.
• Attends required classes: Unit Skills fair, one mock code per quarter, ACLS, CPR, PALS (if required).
• Completes and turns in annual competency evaluation and keeps individual education profile current.
• Demonstrates an understanding of regulatory requirements and professional practice guidelines.
• Shows competence in department-specific skills to act as a resource and mentor for others.
• Actively participates in leadership activities (e.g., CNL development program, evaluations, PCI involvement).
• Promotes shared governance by participating in unit-based and/or hospital councils.
• Reports significant events such as near misses, adverse events, and patient/family complaints in a timely manner.
• Proactively rounds with team members to identify opportunities for improvement and completes real-time corrections.
• Ensures handoff communication occurs during changes in caregivers and at shift start/end.
• Assigns and delegates patient care tasks based on staff experience, competency, and knowledge.
• Delegates tasks to unlicensed support staff as outlined by state board regulations and facility policies.
• Participates in multidisciplinary rounds and makes recommendations when appropriate.
• Monitors staff performance, behaviors, and competency for performance reviews.
• Ensures infection control precautions and procedures are followed.
• Drives one unit-based process improvement initiative.
• Attends and participates in 25% of monthly PCI trainings.
• Runs debriefs with the team after codes or significant events and participates in unit SWARM activities.
• Conducts Joint Commission tracers and environment of safety checks.
• Prioritizes care and completes tasks during the shift, preparing for the oncoming shift by stocking/tidying patient care areas.
• Practices cost-effective behaviors: avoids unnecessary overtime, implements staffing guidelines, handles patient charges appropriately, and uses supplies conscientiously.
• Assists other team members by providing direct patient care as needed.
• Coordinates patient flow to deliver safe and effective patient-centered care.
• Rounds with patients and family members to ensure needs are met and identifies opportunities for improvement.
• Ensures appropriate staffing levels meet patient care needs and inputs hours into the PMR tool for productivity standards.
• Monitors supplies to ensure appropriate par levels without causing waste.
• Assists in ensuring equipment is utilized carefully to avoid damage.
• Delivers disciplinary action at the discretion and guidance of the nursing manager.
• Performs real-time service recovery for patient satisfaction and escalates as needed.
• Communicates with all necessary units to coordinate patient care.
• Checks email to stay current with hospital and unit communications each work shift.
• Attends 75% of staff meetings and participates in agenda topics.
• Collaborates with the staffing office and other departments to request staff or flex staff overages for the oncoming shift.
• Adheres to organizational policies, procedures, and professional guidelines for practice.
• Upholds TMCH behavioral standards and holds staff accountable to them.
• Demonstrates effective communication, conflict resolution, team building, and leadership skills.
• Participates in updating and upholding standards of practice and serves as a role model.
• Participates in WOC rounding and the peer interview process as needed.

Role-Specific Functions

• EP Coordinator: Oversees the EP area and coordinates with the Cardiac Cath Lab lead to evaluate staffing, schedule needs, training, materials management, and provides recommendations for efficiencies.
• Perioperative: Identifies high-risk patients requiring advanced nursing judgment; utilizes holistic assessment and determines appropriate courses of action. Requires ACLS and PALS certification.
• Rapid Response: Provides oversight and training while participating in rapid response, stroke, and code team responses for critical patient care. Maintains the NRCPR Database, runs abstracts for quality control, and recommends improvements. Reviews critical care shift reports, makes rounds of all units, and notes patients' conditions.

Requirements

• One (1) year of nursing experience in an acute care setting required; two (2) years preferred.

Qualifications

• Knowledge of critical care techniques, tools, and responses required to ensure optimal patient care.
• Knowledge of processes and procedures during rapid response, code, or stroke calls.
• Some positions: Knowledge of electrophysiology and cardiac cath lab procedures and best practices.
• Some positions: Knowledge of surgery specialties and post-operation patient care.
• Some positions: Knowledge of chart abstraction, education, and marketing for Chest Pain, CHF, and Stroke programs.
• Skill in evaluating performance and recommending improvements.
• Skill in developing training materials and educating staff on critical care responses.
• Skill in using and maintaining computer systems and programs (e.g., NRCPR, PC File and Folder, Word, Excel, Outlook, PowerPoint).
• Skill in communicating with staff and physicians to ensure proper patient care.
• Ability to read and interpret documents such as safety rules, operating instructions, and procedure manuals.
• Ability to complete routine reports and correspondence.
• Ability to listen and accurately interpret others’ communication or instructions.
• Ability to speak and communicate effectively.
• Ability to define problems, collect data, establish facts, and draw valid conclusions.
• Ability to interpret instructions and deal with abstract and concrete variables.