POSITION SUMMARY
The Lead Clinical Nurse performs a variety of nursing care procedures requiring professional knowledge and consideration for specific patient conditions and treatments, and ability to work independently in completing assignments. The Lead Clinical Nurse is responsible for daily clinical operations of the COVID-19 vaccine clinic. The incumbent ensures clinical quality in collaboration with the Public Health Director. Ensures clinic flow is established by serving as a liaison between provider needs and public health resources. Provide professional services that complement the clinic team’s role of delivering vaccination services that are patient centered. Guidelines include physician’s orders, standards of care, nursing policies and procedures manuals, hospital policies. Nursing duties include support to individuals of all ages and their families.
ESSENTIAL FUNCTIONS
The Lead Clinical Nurse establishes a compassionate environment by providing emotional, psychological and spiritual support to patients, friends and families. Model exemplary interpersonal communication, leadership, critical thinking and decision-making plus the following:
- Developing individualized patient care plans and participates in patient care planning which involves the assessment and evaluation of patient needs, periodic evaluation of plans to ensure that intended results are being achieved.
- Continuously monitors staffing levels and adjusts as appropriate to meet vaccine clinic objectives.
- Develops, plans, and schedules clinic workflow. Facilitates patient flow communication and problem resolution. Tracks the flow of Health Information Management (HIM/Electronic Medical Records) and patient information through the clinic in coordination with TCRHCC central support departments. Maintains compliance with all TCRHCC policies and procedures regarding Patient Registration and HIM.
- Ensures evidence-based standards of care are implemented and compliant with all state and federal regulations, standards of practice, and TCRHCC policies and procedures. Resolves critical problems which may arise within the clinic program.
- Interviewing patients and family members; consults and coordinates with providers and other members of the health care team to assess, plan, implement, and evaluate patient care plans carries out treatments and procedures per scope of practice. Provides counseling and education to patients and families or surrogates on preventive, curative and rehabilitative measures related to their health care needs. Serve as patient advocate by supporting the basic rights, values and beliefs of the patient.
- Maintaining health records by documenting observations, nursing interventions and therapeutic measures administered in an accurate, efficient and timely manner, in the appropriate format and appropriate forms.
- Effectively communicates with patients/families in a culturally sensitive manner and support staff in applying similar approaches in working with patients and customers.
- Must ensure the clinic delivers high quality patient centered care and excellent customer service.
- Recognizing adverse signs and symptoms, which are not always apparent, and to respond promptly in emergency situations including the implementation of life saving procedures.
- Participating in the development, implementation and evaluation of standards of care, Quality Assurance and Infection Control activities. Contribute to positive working relationships within the Public Health Department team and other departments in the hospital.
- Monitoring and initiating corrective action to maintain the environment of care including equipment and material resources.
- Delegating tasks and supervising the activities of other licensed and unlicensed care providers as appropriate in accordance with licensure standards. Accepts responsibility, delegated by the Public Health Director or designee, when assigned as team leader, providing guidance, direction and training to ancillary nursing and other personnel. Serve as charge nurse for a group of patients or an entire unit when assigned.
- Participates in orientating new employees. Fosters a collaborative environment, using a team approach, in which ideas are shared and valued to promote safe, patient centered care.
- Maintains professional knowledge and proficiency in nursing through continuing education, staff meetings, workshops and serving on nursing committees.
- Completes all electronic health record entries accurately and timely pertinent to patient care role.
- Participates in departmental workflow and or testing teams as related to electronic health record or other project initiatives.
- Ensure Proper PPE is always used while on duty. Face surgical mask is to be worn in all hospital areas. Proper handwashing is required. If water is not available use hand sanitizer. Social distancing will be practiced by department.
- Proper PPE is used inside assigned Clinics or Units. NIOSH- approved N95 Masks filtering face piece respirator or higher, if available, this includes eye or face shields, gloves, and isolation gowns.
- Complete all donning and doffing tasks in a safe acceptable method and discard of used PPE accordingly. Complete provided training.
- Performing other duties as assigned.
PROBLEM SOLVING
The individual shall perform a variety of responsible nursing care procedures requiring professional knowledge and consideration specific patient conditions and treatments and ability to work independently in completing assignments; perform duties as assigned and insure quality patient care despite the situation encountered, be it routine or emergent.
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.
Physical:
Work requires prolong periods of standing; sitting; talking or hearing; and, use of hands to finger, handle, or feel. Must be able to walk frequently. Position requires the ability to intermittently push/pull; stoop, kneel, crouch, or crawl; reach with hands and arms; and, bending. Must be able to lift to 25 pounds occasionally. Must be able to hear alarms on equipment; client calls; instructions from providers/department staff; and, overhead pages from loudspeakers. This position requires the ability to see close, distance, peripheral, depth perception, and, ability to focus eyes as needed. The position does require repetitive motion actions of both hands in grasping: simple/light; grasping firm/heavy; and fine dexterity intermittently.
Mental:
Contacts often require tact and sensitivity related to stressful situation such as death, dying, and catastrophic illnesses. Must be able to prioritize and use good judgment; coordinates a variety of issues while being frequently interrupted.
Environmental:
This position typically can expect to work in both indoors and outdoors about an equal amount of time. The position will require working in outdoor weather conditions at times. The typical noise level can be moderate to loud.
IMPACT
This position has a very high impact on the quality of treatment of patients. Inaccurate procedures result in risk management intervention.
NAVAJO/INDIAN PREFERENCE
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.
APPLICATION DECLARATION
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.
I have read the qualifications and requirements for the position of Lead Clinical Nurse. To the best of my knowledge, I believe I can perform these duties.
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NECESSARY QUALIFICATIONS
Education:
Bachelor’s Degree in Nursing
License/Certification:
- Must have a valid, current, full and unrestricted Professional Nursing License to practice nursing in any state of the United States of America, The Commonwealth of Puerto Rico, or a territory of the United States
- Must have five (5) years of work experience in a direct patient care clinic/unit, with one (1) year of leadership experience.
- Must maintain and have a current valid BLS Certification by the American Heart Association
Experience:
Must have one consecutive year of nursing experience in outpatient and/or acute healthcare setting
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
- Knowledge of normal growth, development and life cycle changes. This also includes knowledge of the physical, psychosocial and behavioral characteristics of the group for which care is provided
- Knowledge of disease entities in order to recognize complications and therapeutic interventions required
- Knowledge of assessment practices related to pain management and various treatment modalities of pain relief
- Knowledge of pharmaceuticals in order to recognize the desired effects, side effects and complications on their use, with emphasis on vasopressors and emergency medications titration of these medications
- Knowledge of infection control procedures and safety precautions
PREFERRED QUALIFICATIONS
Preferred Education:
Bachelor’s Degree in Nursing
Other Skills and Abilities:
Ability to speak Navajo
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