Intermediate Medicine Nurse In Charge BWH

Site:
The Brigham and Women's Hospital, Inc.

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Summary
The Nurse in Charge (NIC) is a designated clinical leader for a given patient care area who works collaboratively with the Nursing Director (ND) and Assistant Nurse Director (AND) in planning and implementing patient care at the service/department level. The nurse in charge is accountable for cost-effective decision making regarding daily assignment of staff, use of supplies, and day-to-day operational decision making.

The NIC participates in the clinical patient care standard development, evaluation of outcomes, and development of improvement initiatives. The NIC participates in the assessment of staff performance through contributions to individual staff performance reviews. The NIC is accountable for identifying competency issues and participating in the development and implementation of the plan for performance improvement. The NIC reports to the Nursing Director.

For all NICs hired into positions posted on or after April 1, 2000:

Current Massachusetts license. Graduate of an approved School of Nursing.

For external applicants:
Bachelor's or master's in nursing required.

For internal applicants:
Bachelor's or master's in nursing preferred. If not, must be enrolled or enroll in a program leading to a bachelor's or master's in Nursing within one (1) year from being appointed to NIC position and must complete such program no later than six (6) years after commencing employment as a NIC.

Does this position require Patient Care?
Yes

• Patient Care
  • Plans, implements and evaluates the patient care delivery system of the given area. Assigning patient care based upon patient acuity, staff qualifications and unit standards. Maintains clinical expertise and serves as a role model while delivering direct patient care.
  • Recommends changes in staff mix needed based upon the needs of patients, methods of delivery of care, and budget allowances on a daily and annual basis.
• Quality of Care
  • Participates actively in the unit-based and organizational quality management and/or care improvement programs.
  • Identifies and participates in the development of new standards of care to ensure optimal outcomes for various patient populations.
• Coordination/Collaboration
  • Promotes collaborative relationships between nursing staff and other departments.
  • Serves as a resource to staff in the interpretation and implementation of Hospital and Nursing policies and procedures.
  • Collaborates with the Nursing Director and Assistant Nurse Director in planning staff meeting agendas. Facilitates staff attendance, communication, and clarification of agenda items.
  • Incorporates peer consultation in clinical practice.
  • Works collaboratively with faculty to provide clinical experience for students.
  • Facilitates staff attendance at in-services and educational programs.
• Budget
  • Makes recommendations for personnel, capital expenditures and supply par levels to meet patient needs.
  • Communicates the variance of established staffing and supply budgets to ANM and ND.
• Personnel
  • Monitors adherence to standards of practice (unit-based standards and practice guidelines) and provides immediate feedback to staff as appropriate to unit-based standards and practice guidelines.
  • Provides ND and AND with specific performance information for staff evaluation and goal setting.
  • Provides input into recommendation of staff selection and promotion.
• Professional Development of Nursing Staff
  • Collaborates with the leadership team on an ongoing basis to assist Nursing staff in the development of professional goals and an action plan to achieve them.
  • Participates in the identification of both unit-based and individual staff educational needs.
  • Collaborates in the development, implementation, and evaluation of orientation activities.
  • Fosters a…