NURSE MANAGER

The Nurse Manager is responsible for assisting the Administrative Director in providing overall leadership and direction for the units or areas of responsibility, and for creating an environment that fosters collaboration among the team to achieve operational and clinical excellence. This will be achieved through the following activities: participates in the selection and development of staff to achieve high performance; performs all probationary and annual evaluations;

works collaboratively with physicians to develop methods for improving the quality of care; works collaboratively with department leadership to achieve quality, fiscal and patient experience goals and expectations.

The Nurse Manager assumes responsibility and accountability for the quality of nursing activities and staff functions during the shift. Effectively directs nursing personnel and utilizes time, equipment and other unit resources to ensure the daily operation of the unit. Continually assesses care, monitors unit operations, and directs staff to make immediate changes to accommodate patient needs. Performs direct patient care only when necessary, and within scope of practice.

Assumes responsibility and accountability for unit operations, including but not limited to

• Patient Safety initiatives
• Quality standards and outcomes
• Patient Experience strategies
• Competency and clinical performance of nursing staff
• Productivity management

Oversees coordination of patient care, working with the Case Manager, as evidenced by

• Identification of appropriate patient admission, discharge and transfer (ADT) at beginning and end of each shift.
• Identification and necessary facilitation of care to accomplish the plan for the day.
• Ensures preparation for and participation by nurses in Care Coordination rounds.

Evaluates clinical performance of all unit staff under the oversight of the Administrative Director. Manages the unit-based clinical competency program utilizing appropriate educational resources.

• Assists with hiring decisions.
• Oversees new hire orientation to maximize the orientee’s learning experience.
• Assists the preceptor to find optimal learning situations.

Facilitates developmental plans, as needed, to address opportunities to improve.

Daily clinical observation of clinical staff’s performance during and after orientation is finished, including review of documentation to ensure regulatory and quality standards are met.

• Core Measures (e.g., Stroke, SCIP, Immunizations)
• Harm indicators (e.g., CAUTI, CLABSI prevention)
• Pain Management
• Wound/Skin Care
• Restraints
• NPSGs
• Falls

Responsible, with the Administrative Director, to assure optimal quality of care and patient satisfaction by

• Making rounds on each patient every shift.
• Discussing patient satisfaction with patients and/or family members.
• Ensuring resolution of issues and communicating necessary information between shifts, staff, and units or floors.
• Coaching nursing staff to anticipate patient needs by listening to patient and family concerns and providing explanations regarding care and treatment.
• Assessing pain control of patients and fostering a pro‑active medication culture on the unit.

Assists the Administrative Director to manage the unit communication process by

• Identifying unit operation topics for staff meetings.
• Utilizing communication book and Visibility Board (Vis‑walls).

Manages appropriate patient care assignment based on the competency of staff, acuity of patient and continuity of care.

• Makes shift assignment at the beginning of shift. Changes assignment as necessary to meet patient needs.
• Maintains working knowledge of daily patient care needs by listening to report and rounding of all patients on unit, focusing on desired outcomes and critical data or events to facilitate unit operations.
• Facilitates unlicensed assistive personnel to support patient care delivery for the assigned team.

Demonstrates sound management and leadership principles.

Promotes employee growth…