At Houston Methodist, the Charge Nurse II Department Premium position is a licensed professional Registered Nurse (RN), who, as an experienced clinician, functions at the Competent to Proficient stage of Benner's model of clinical practice. This position creates an environment for the management and delivery of safe patient care. In addition to fulfilling the duties and responsibilities of a clinical nurse, the Charge Nurse II Dept Prem position is a role model and coach to department personnel and assists in developing their skills and knowledge. This position provides nursing care to a diverse patient population. Besides conducting nursing assessments, assisting with exams and treatment and maintenance of medical records, this position assists in coaching and mentoring department staff in areas of clinical and professional practice. Role modeling compassionate communication with physicians and the interprofessional health care team, the Charge Nurse II Dept Prem assumes leadership responsibilities with high level contributions at the bedside, unit, service line, and across the institution. Responsibilities for this position may include but are not limited to leading unit and shared governance activities, assessing unit needs related to practice and improvement opportunities, serving as a clinical resource for both unit and hospital staff and coordinating unit and hospital-wide education in partnership with management.
This job code is reserved for RNs who are dedicated to the ED, IR or Cath Lab departments only.
PEOPLE ESSENTIAL FUNCTIONS- Role models fair and consistent leadership skills for effective team dynamics and teambuilding strategies through problem solving, coaching, and developing staff. Coaches staff to use efficient and effective communication to establish and maintain a team environment, and to include the patient and family as a part of the team regarding their plan of care. Provides input into staff performance reviews, as appropriate.
- Functions as a mentor and resource to unit staff, provides oversight for students/new employee/preceptorships. Identifies levels of organizational conflict and applies tools to effectively resolve concerns, complaints or conflict with patients, families, physicians and other interprofessional healthcare team members.
- Fosters staff engagement by demonstrating active listening, requesting, and acknowledging feedback, making equitable decisions, providing rationale when appropriate, and supporting organizational goals. Anticipates the needs of the staff members and proactively offers assistance. Role models interprofessional communication, which includes active listening and teaching, and assists with staff stress management as needed. Improves department scores for employee engagement.
SERVICE ESSENTIAL FUNCTIONS- Leads the patient and family-centered care standards, as outlined in the Houston Methodist Professional Nursing Practice document. Proactively recognizes, determines a plan of action, and responds to situations, such as emergency codes. Mentors others regarding specialty populations; audits plan of care. Practices in a manner that is congruent with cultural diversity and inclusion principles.
- Maintains ongoing interactions with patients, families, and staff on the improvement of patient care through leader rounding. Ensures effective collaboration with other departments regarding patient process issues.
- Maintains ongoing interactions with entire care team, and patients and families as appropriate, on improvement of patient care through consistent rounding, as needed. Drives department service standards and activities to improve department score for patient satisfaction, through role modeling and fostering accountability.
QUALITY/SAFETY ESSENTIAL FUNCTIONS- Models the standards of care related to the nursing process, as outlined in the Houston Methodist Professional Nursing Practice document, by actively participating in meeting and improving nurse sensitive quality indicators and patient safety goals. Participates in the creation of a continuous improvement environment by promoting situational awareness, assisting with audits as needed, and using teachable moments.
- Coordinates nursing care throughout the shift considering patient acuity, staff skill level and safety to ensure that duty to patients can be met. Models the standards related to regulatory requirements and professional practice as outlined in the Houston Methodist Professional Nursing Practice document.
- Facilitates seamless patient flow to/from/through the department, leading the delivery of quality family-centered care throughout the continuum of care. Ensures the patient plan of care is accurate and timely, coaching staff if documentation deficiencies are identified. Works closely with the OAs and bed management regarding timely patient placement. Proactively recognizes, determines a plan of action, and responds to situations, such as Rapid Response/CERTs, and emergency codes.
- Participates in initiatives to improve quality and safety through peer-to-peer accountability, reporting near misses and identifying solutions by collaborating with the interprofessional team. Role models situational awareness, using teachable moments to improve safety. Assists with audits as needed.
FINANCE ESSENTIAL FUNCTIONS- Attends daily care coordination rounds to facilitate patient progression. Ensures that follow-up has been implemented on any concerns or issues identified by the team. Manages productivity in accordance with staffing grid.
- Provides input into unit resource utilization including unit capital and operational budget needs. Oversees shift by shift resource utilization through the allocation of staff, supplies and contributions to the patient throughput.
- Implements department strategies to achieve financial target and encourages others to do the same through timely documentation of care, optimizing efficiency, minimizing incidental overtime, and other areas according to department specifications.
GROWTH/INNOVATION ESSENTIAL FUNCTIONS- Encourages identification and implementation of innovative solutions for practice changes to improve patient care or unit operations such as reduction of hospital readmissions or other department-specific measures by leading and/or participating in unit projects and shared governance activities. Incorporates evidence-based practices which are presented to shared governance and leadership. Supports change initiatives and adapts to unexpected changes.
- Expands individual nursing knowledge and coaches staff to grow in knowledge, abilities, skills, and attitudes. Serves as clinical resource. Develops and disseminates, as appropriate, informational/educational resources and programs designed to improve quality and professional practice. Completes and updates My Development Plan on an on-going basis.
This job description is not intended to be all-inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises.
EDUCATION- Bachelor's degree or higher from an accredited School of Nursing
WORK EXPERIENCE- Two years' clinical nursing experience with demonstration of progressive leadership skills
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