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Lead Nurse

2 months ago


San Antonio, Texas, United States UT Health San Antonio Full time

Position Overview:
Night Shift, Stem Cell Transplant, Full Time


The Lead Nurse role is a licensed professional Registered Nurse (RN) who possesses significant clinical expertise at the Competent level.

This position nurtures an environment conducive to the management and delivery of safe patient care.

In addition to executing the responsibilities of a clinical nurse, the Lead Nurse serves as a mentor and coach to department staff, aiding in the enhancement of their skills and knowledge.

Moreover, the Lead Nurse will deliver nursing care to a varied patient demographic and exemplify compassionate communication with physicians and the inter-professional healthcare team. This role entails assuming leadership responsibilities with substantial contributions across the institution.

Key Responsibilities:

  • Encourages staff engagement by actively listening, soliciting and acknowledging feedback, making fair decisions, providing appropriate rationale, and supporting organizational objectives. Anticipates the needs of team members and proactively offers assistance. Exemplifies inter-professional communication, which includes active listening and teaching, and assists with staff stress management as necessary. Enhances departmental metrics for turnover/retention on unit-based scorecards.
  • Demonstrates equitable and consistent leadership skills for effective team dynamics and team-building strategies through problem-solving, coaching, and staff development. Guides staff to utilize efficient and effective communication to establish and maintain a team environment, including the patient and family in their care plan. Provides input into staff performance evaluations.
  • Acts as a mentor and resource for unit staff and oversees students/new employees/preceptorships. Identifies levels of organizational conflict and employs tools to effectively resolve concerns, complaints, or disputes with patients, families, physicians, and other inter-professional healthcare team members.
  • Champions patient and family-centered care standards. Mentors others regarding specialty populations; audits care plans. Practices in alignment with principles of cultural diversity and inclusion.
  • Maintains ongoing interactions with patients, families, and staff to enhance patient care through leader rounding. Ensures effective collaboration with other departments regarding patient process issues.
  • Drives departmental service standards and initiatives to improve department scores for patient satisfaction on unit-based scorecards.
  • Models the standards of care related to the nursing process by actively participating in meeting and enhancing nurse-sensitive quality indicators and patient safety goals. Engages in creating a continuous improvement environment.
  • Coordinates nursing care throughout the shift schedule, considering patient acuity, staff skill level, and safety to ensure that our duty to our patients is fulfilled. Exemplifies standards related to regulatory requirements and professional practice.
  • 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 care plan is accurate and timely, coaching staff if documentation deficiencies are identified. Collaborates closely with operational associates and bed management regarding timely patient placement. Proactively identifies and determines a plan of action and responds to situations, such as rapid response/CERTs and emergency codes.
  • Participates in initiatives aimed at improving quality and safety scores on the unit and hospital scorecards through peer-to-peer accountability, reporting near misses, and identifying solutions by collaborating with the inter-professional team. Exemplifies situational awareness, utilizing teachable moments to enhance safety. Assists with audits.
  • Implements departmental strategies to achieve financial targets on unit-based scorecards. Metrics include documentation of care and length of stay while optimizing efficiency and resources, such as overtime.
  • 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 according to the staffing grid.
  • Provides input into unit resource utilization, including unit capital and operational budget needs. Oversees shift-by-shift resource utilization.
  • Identifies and implements innovative solutions for practice changes to enhance patient care or unit operations, such as reducing hospital readmissions or other department-specific measures by leading and participating in unit projects and shared governance activities. Investigates and incorporates evidence-based practices presented to shared governance and leadership. Supports change initiatives and adapts to unexpected changes.
  • Expands individual nursing knowledge and mentors staff to enhance knowledge, abilities, and skills. Serves as a clinical resource. Develops and disseminates, as appropriate, informational/educational resources and programs designed to improve quality and professional practice.
  • Performs other job-related duties as assigned.
Qualifications

  • Chemo Competent
  • Preferred Chemo Certified (ONS)
  • Preferred Bone & Marrow Transplant Certified Nurse - BMTCN (ONS)
Education

  • Bachelor's degree or higher from an accredited School of Nursing required
Experience

  • Two years of clinical nursing experience with progressive leadership skills required
License and Certification

  • Current Texas BON (or Compact State) RN license required or temporary TX License. Permanent license must be obtained within 90 days of hire
  • American Heart Association Basic Life Support (BLS) required