Incumbent serves as the nursing director for the Emergency Department (Main Emergency Room, Emergency Department Annex, Sexual Assault Nurse Examiner/Sexual Assault Response Team department). The incumbent directs subordinates in performance of nursing tasks related to the care of patients. In this capacity, performs such functions as planning, organizing, directing and reviewing work, administering personnel matters, managing budget, establishing and maintaining logistical systems, and accomplishing assignments as required. Requires the incumbent to utilize professional nursing principles and procedures and be competent to direct and supervise those performing these direct patient care duties. Must demonstrate skills and/or instruct nursing personnel on performance improvement and strive for quality nursing care. Exercises sound judgement in interpreting observations to physicians. Investigates incidence, researches and makes recommendations for innovative development of best nursing and business practice. Carries out the leadership role by initiating performance and improvement measures, quality management of infection control, develops and educates staff on new policies and procedures as well as promoting staff development and training. Ensures an environment consistent with the goals of the organization and manages personnel based on established procedures and sound ethical judgement. Responsible for planning, organizing, directing, implementing, and evaluating the functions and requirements of the Emergency Department. The incumbent will also work with the Medical Director of the Department and interdepartmental committees to ensure that the services provided are of the highest quality.
- Supervises Direct Hire, Federal, Contract, and Commissioned Officer employees of the following type: Lead Clinical Nurses, Clinical Nurses, licensed/certified Nursing Assistants, Patient Access Specialists, Patient Transporters if hired for the unit. Responsible for maintaining communication with assigned preceptors for students who are in the unit for clinical experience.
- Oversees all aspects of personnel management including orientation plan, personnel action, performance evaluation, termination, salary/wage adjustment, staff development, staff recruitment and retention, etc.
- Performs functions such as planning, organizing, directing and reviewing workflows, managing and administering personnel matters, establishing and maintaining logistical systems and managing/meeting budget expectations and fiscal responsibilities.
- Provides clinical perspectives for operations to other departments such as pharmacy or finance that require group conversations and decision-making for best practice and productivity. Collaborates with a variety of physician disciplines to ensure compliance with regulatory standards to include policy and procedures,
- Supervises the provision of quality, cost-effective care in accordance with the standards of practice and department policies and procedures on a 24-hour basis.
- Conducts regular staff meetings and conferences regarding expectations, requirements, unit specific strategic plans, and education that provide answers to technical questions regarding work assignments.
- Identifies and develops relevant Nursing policies and procedures for both generalized and unit specific practices. Regularly reviews, evaluates, and updates existing policies/procedures using research, current theory, and best practice.
- Assists with updates of policies for Infection Control, Material Safety Data, Pharmacy, Laboratory, and all departments that are inter-related to the Emergency Department.
- Identifies processes to promote staff development and training. Provides regular staff trainings/in-services as needed to promote best practice. Evaluates for staff/provider/customer satisfaction to identify areas to improve the delivery of excellent patient care.
- Develops and educates staff on all aspects of quality and safety. Monitors clinical competency standards and takes corrective actions as necessary. Ensures competency and staff performance evaluations are documented in compliance with Nursing Standards at TCRHCC and provide evidence of performance improvement. Holds personnel accountable for compliance with established standards.
- Develops, facilitates and ensures a complete orientation for each new employee specific to their skills and needs.
- Collaborates with the Medical Director of the department and other department services to ensure compliance with policy and procedures, allows for review of current practices, and evaluates strategic/business plans.
- Monitors and evaluates patient satisfactions. Responsible for developing and implementing patient satisfaction strategies with staff input/participation to assure compliance.
- Presents reports and participates in the Nurse Executive Committee and other relevant clinical/leadership committees that affect the department. Promotes frontline staff involvement in practice/customer service committees. Chairs the unit specific sub-committee if applicable.
- Active in recruiting and retention concerns of the unit. Coordinates the hiring process for all candidates. Ensures staff satisfaction and understands the importance of developing a team who is focused on providing a high quality and safe patient care services. Takes positive steps to assure the accomplishment of the Navajo Preference for Employment Act (NPEA)
- Maintains clinical competence and expertise in specialty area. Provides age appropriate, skilled and comprehensive care to the patients, who because of the extensiveness and complexity of their condition require frequent adaptation of the usual nursing procedures. Performs core unit-based risk assessments and implement strategies to address risk.
- During times of staff shortage, must perform RN duties as required.
- Responsible for unit compliance with Joint Commission and other unit specific regulatory standards.
- Provides guidance, coaching, and mentorship of leadership duties to the Lead Clinical Nurse to ensure proper management of the department when the Director is not present. Leads the department by example and upholds the mission, vision, and values of the organization.
- Incumbent must possess a positive attitude to facilitate effective working relationships with TCRHCC departmental and interdepartmental staff.
- Responsible for directing the procurement/ purchase/management of supplies and equipment assuring adequate amounts for operation of the unit.
- Ensures the department meets all quality and patient safety goals, compliance with environment of care recommendations and ongoing new national, state, or tribal standards.
- Responsible for electronic health records data entry pertinent to patient service role. Performs chart reviews and develops tools for performance and quality improvement to meet hospital guidelines of standards for documentation.
- The position may lead special reports that have significance to the community of the Western Navajo Agency. May present hospital project information to the community, chapter Houses, and Western Navajo Agency which includes the Navajo Council.
- Participates in disaster management and is a subject matter expert who assists staff during IT downtime processes.
- Attends educational opportunities that provide exposure to best practice models for performing excellent patient care.
- Performs other duties as assigned.
The work requires application of a broad base of knowledge of clinical nursing; issues addressed in work situations require analysis and interpretation of complex data and the application of numerous/diverse methods and processes applied to a broad range of situation. The incumbent performs a variety of activities including assessing, planning, teaching, counseling, coordinating and evaluating personnel, services, programs, and resources.
MENTAL AND PHYSICAL EFFORT
The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
Work requires walking, long hours of standing, bending, reaching, and sitting; may require some lifting in assisting inpatient care and moving medical equipment and supplies. Distant travel may be required to attend meetings/conferences.
The incumbent performs difficult and complex assignments within Emergency Department. These duties are wide in scope and encompass a variety of decision-making situations, requires analysis, and a thorough review. The work requires the ability to deal relatively independently with the interrelation elements that the Emergency Department utilizes, and often to resolve complicated situations and controversial matters. The work requires diversity in professional nursing and management knowledge.
The incumbent directly affects the proper function and quality of healthcare provided within the facility; inaccurate procedures result in risk management intervention. Assures the mission: “To provide accessible, quality, culturally sensitive healthcare” is considered in all decision-making.
TCRHCC is located within the Navajo Nation and, in accordance with Navajo Nation law, has implemented a Navajo/Indian Preference in Employment Policy. Pursuant to this Policy, applicants who are enrolled members of the Navajo Nation and who meet the necessary qualifications for this position will be given preference in hiring and employment for this position and applicants who are enrolled members of any other tribe who meet the necessary qualifications will be given secondary preference.
In performance of their respective tasks and duties, all employees at TCRHCC are expected to conform to the following:
- Adhere to all professional and ethical behavior standards of the healthcare industry.
- Interact in an honest, trustworthy and dependable manner with patients, employees and vendors.
- Possess cultural awareness and sensitivity.
All employees must uphold all principles of confidentiality and patient care to the fullest extent. This position has access to sensitive information and a breach of these principles may be grounds for immediate termination.
I have read the qualifications and requirements for the position of Director of the Emergency Department. To the best of my knowledge, I believe I can perform these duties.
A Bachelor of Science degree from an accredited school of nursing and a valid, current, full and unrestricted Professional Nursing License to practice nursing in any state of the United States, The Commonwealth of Puerto Rico, or a territory of the United States
- Must have and maintain a current valid Basic Life Support (BLS) Certification
- Must have and maintain a current valid Advance Cardiopulmonary Life Support (ACLS) Certification
- Must have and maintain a Pediatric Advance Life Support (PALS) certificate, if none, must obtain within six (6) months after date of hire
- Must have and maintain Trauma Nurse Core Course (TNCC) certification, if none, must obtain within six (6) months after date of hire
- Complete Patient Sitter Competency Training (upon hire)
- Must have three (3) years of emergency department nursing experience
- Must have one (1) year supervisory on Nurse Manager experience.
Other Skills and Abilities:
A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers. All employment references must address and indicate success in each one of the following areas:
- Positive working relationships with others
- Possession of high ethical standards and no history of complaints
- Reliable and dependable; reports to work as scheduled without excessive absences
- Must demonstrate Customer Service/Conflict Resolution Experience.
- Demonstrate ability to prioritize, communicate effectively, and problem solve
- Organization and management of a flexible schedule to meet the changing demands of the job
- Skilled with budget development and budget management
- Proficient with the Microsoft Suite applications – Word, Excel, Outlook, Power Point, Access
- Strong interpersonal skills; excellent verbal and written communication skills
- Solid analytical, creative and problem-solving abilities; ability to assist, direct and coordinate others
- Ability to work in an organized, efficient manner with a high-level of accuracy, attention to detail and timely follow-through
- Master of Science Degree in Nursing
- Current and valid Certified Emergency Nurse (CEN) certification
- Over two (2) years of experience in management of an Emergency Department
Other Skills and Abilities:
Ability to speak Navajo