Med​/Surg Director

Knoxville Hospital and Clinics strive to be your healthcare destination, building on compassion and innovation. We are committed to faithfully providing exceptional healthcare. The values we hold true are Teamwork, Innovation, Compassion, Integrity, Service, and People-Centered.

This is a Full-Time Days position working 40 hours per week.

The Medical / Surgical Director, in accordance with hospital standards and policies, oversees the provision of nursing care and implementation and carrying out of philosophy and objectives or nursing within his/her units. The director is responsible for the operation of these units on a 24 hour a day/365 days per year basis. This position is a working leader and may require direct patient care as needed.

He/She enforces department policies and procedures, infection control practices, quality assurance, risk management, and staff development. The Medical / Surgical director will perform as the House Supervisor on an as needed basis when necessary.

Lists major actions performed in the job. Regular and predictable attendance is a required function of this position

• Supervises, directs, and coordinates the nursing and related activities of his/her units. This includes 24-hour accountability for the units.
• Monitors compliance with standards of care by observations, verbal reports, and written documentation; regularly communicates results to appropriate staff members; develops a plan to increase compliance and implements actions to correct deficiencies.
• Is responsible for all clinical policies and procedures specific to his/her units; reviews and updates in a timely manner; assigns to staff members.
• Actively participates in the quality, risk management and utilization review program; reports quality results to staff. Actively participates in the quality improvement and patient experience program; attends quality, safety, medication variance and other meetings as scheduled.
• Keeps up to date on and correctly interprets hospital, personnel, and nursing policies and procedures to patients, visitors, and nursing service personnel. Is supportive of hospital policies and procedures and of the administrative staff.
• Participates in and adheres to the financial plan of operation for the hospital; contributes to operating and capital budgets with recommendations of his/her units; monitors overtime and keeps it to a minimum; reviews monthly budgets. Accountable for meeting budget targets. Enforces low census staffing guidelines and incentive pay use.
• Attends committee meetings as invited and communicates problems/solutions up and down hierarchical structure.
• Constructively critiques work performed by professional and non-professional personnel. Does not criticize staff in front of others, keeps anecdotal notes on nursing personnel job performance and counsels personnel appropriately and in a timely manner; uses disciplinary action appropriately.
• Provides annual performance evaluations for all employees as well as quarterly in person check in meetings throughout the year to provide feedback, open communication
• Holds department staff meetings on regular basis. Daily huddles with department team to address key metric performance, safety, patient experience and staff needs
• Required to complete all annual competency training.
• Maintains department staff schedule, completes weekly employee timecards

• Coordination of staffing for current and on-coming shifts by reallocating or calling in additional staff. Determines staffing for the entire hospital focusing on Emergency Department and Medical Surgical Floor but also assists with staffing for other departments as need arises.
• Maintains accurate records of staffing and bed counts, including census report, daily staffing sheets and Nurse Grid.
• Receives and documents all call-ins and reports this to appropriate department manager.
• Makes rounds to all departments assuring support for patient care. Identifies and utilizes available resources within nursing, delegating as necessary.
• Collaborates with nurse in Emergency Department, Surgery and Clinics for admissions and bed placements
• Reviews all transfers forms for completion and compliance with EMTALA regulations, cosigns forms. Coordinates transfers based on patient acuity and available EMS.
• Assists with tele-psychiatry consults and transfers.
• Assists with tele-hospitalist services.
• Assists with patient care in all departments, including ER. Responds effectively and appropriately in emergent or critical situations including MET calls and codes.
• Leads daily house wide huddle to increase communication throughout hospital and participates in inpatient unit discharge huddles each day.
• Reviews all patient falls during shift, and responsible for the completion of the post-fall huddles with staff and documentation of the huddle.
• Medication retrieval from Pyxis units or pharmacy after department hours, includes mixing of intravenous…