Clinical Nurse Manager, PACU & PAT in Plymouth

Beth Israel Deaconess Hospital-Plymouth recognises Integrity, Respect, Trust, Teamwork and Excellence as the Core Values of our organisation. It is the philosophy of BID-Plymouth to follow the LEAN methodology in order to provide the full continuum of health care services and the best quality patient centred care.

• Clinical Inquiry: The ongoing process of questioning and evaluating practice to provide informed, evidence-based care. Formulates and raises vital clinical questions and issues clearly and precisely. Brings practice issues to the attention of others when assistance is needed to facilitate resolution. Utilises reliable sources for locating current standards of practice, research, evidence reports and clinical guidelines. Establishes and maintains a system for assessment of quality nursing care that complies with evolving regulatory agency requirements. Uses QI tools and methodologies to assess performance and identify gaps between current unit & best practice related to key clinical outcome measures. Provides leadership in generating clinical inquiry and critical thinking among staff by developing mechanisms that effectively translate available data into information used by staff for clinical decision making. Systematically evaluates the quality, cost, and effectiveness of nursing practice through identification of nursing phenomena and/or systems issues appropriate for study.
• Clinical Scholarship: Those activities which systematically advance the teaching, research, and practice of nursing through rigorous inquiry. Participates in the development and sustainability of standards for professional practice and nursing education programmes designed to facilitate high quality patient care. Actively builds effective interdisciplinary relationships to assure dialogue around patient care and issues in an effort to enhance evidence based, outcome driven patient care. Contributes to the design of a continuing education curriculum that is evidence based and reflects contemporary and innovative nursing practice. Creates learning opportunities to support and enhance staff understanding of the quality improvement process, evidence-based practice and its link to enhanced patient care outcomes. Fosters improvement in patient care by helping professional staff develop systematic ways of studying and resolving clinical/systems challenges. Serves as a resource for development, interpretation, and integration of current policies, procedures, protocols and guidelines into practice within area of nursing expertise. Maintains own clinical expertise and practices as an autonomous clinical decision maker within their scope of licensure, certification, and training.
• Clinical Operations: Represents nursing and patient care issues for assigned areas during strategic planning sessions. Has 24/7 accountability for the management of the day-to-day operations of the unit, patient flow, staffing, staff recruitment, retention, hiring, termination. Prepares and posts staff schedules using the Kronos time and attendance system. Utilises permanent and flex staff as appropriate; adjusts staffing according to patient flow, patient acuity, and staff competence. Partners with key members of the interdisciplinary team to achieve common clinical and patient care goals. Partners with risk management and occupational health to monitor, identify, mitigate, and take action to correct areas of patient care/staff risk and liability. Holds staff accountable for adhering to established standards of practice and hospital policies and procedures. Counsels non-compliant staff and develops corrective action plans as needed to address clinical practice issues in accordance with established disciplinary processes. Collaborates with unit educator to complete staff performance reviews and set annual goals that support clinical programmes. Develops, implements, and manages annual unit operation and capital equipment budgets; makes recommendations for unit space and resource needs.
• Teaching/Learning: Partners with clinical educator to support, develop and implement unit orientation, competency, continuing education, and in-service programmes that support safe practice based on assessed learning needs. Contributes to the formulation of the curricula aimed at supporting the development of bedside team leaders, charge nurses, preceptors, super-users, and clinical champions. Assists staff to utilise quality improvement data to drive practice changes and achieve optimal patient outcomes. Recommends changes in educational goals, priorities, and/or strategies based on evaluation of effectiveness of educational programming using process and outcome data. Facilitates the implementation of new health care technology through support of effective training programmes and evaluation monitoring. Demonstrates engagement in lifelong learning and independently identifies own learning needs; participates in educational activities to enable competent performance of assigned duties. Shares new knowledge or practice outcomes at professional conferences and/or publishes in peer-review journals.
• Authentic Leadership: Creates a practice and learning environment that is capable of adapting to and sustaining change; is flexible and open to new ideas. Known as a 'relationship builder' in the practice area- champions working together and creating synergy. Participates in the development, implementation, and monitoring of practice standards to assure continuous improvement in the quality of service and care. Leads committees, work groups and/or projects related to the implementation of educational activities and quality improvement work focused on enhancing nursing practice, systems, and patient care outcomes. Participates in change process and development of innovative solutions to clinical issues that improve patient care, the work environment, and patient and staff satisfaction. Supports the integration of quality, audit, evaluation data, and research into practice and educational programmes. Creates an environment that recognises, encourages and rewards excellent clinical nursing practice performance. Facilitates team building and leadership development and seeks out opportunities to serve as a change leader for assigned practice areas. Collaborates with unit educator to complete staff performance reviews and set annual goals that support clinical programmes. Develops, implements and manages annual unit operation and capital equipment budgets; makes recommendations for unit space and resource needs.

It is understood that this is a summary of key job functions and does not include every detail of the job that may reasonably be required.

• Bachelor's degree required; Master's Degree Preferred.
• Three to five years acute care nursing experience with 2 of the 5 preferably in practice area directly related towards role assignment.
• Two years of progressively responsible clinical operations and/or leadership experience.
• Demonstrated ability to lead by example while effectively managing multiple competing priorities.
• Experience in clinical programme development and evaluation.
• Analytical ability to solve systems issues, synthesise and interpret available data and design/conduct quality improvement projects.
• Demonstrated critical thinking and problem-solving.