We are seeking an experiened nursing leader for the position of Nurse Manager, Behavioral Medicine at our Leonard Morse Campus in Natick. Candidates must have experience managing/supervising an acute care Behavioral Medicine Department for a minimum of 2 years. BSN required/ Master's preferred.
GENERAL POSITION SUMMARY
Under the direction of the Regional Director of Inpatient Services for Behavioral Medicine and according to established policies and procedures, assumes a primary leadership role in the overall functioning of H3, the adult psychiatric unit. As the Nurse Manger for the behavior health adult service, also assumes clinical supervision and administrative oversight to the GTU, gero-psychiatric unit. An experienced Registered Nurse, who in addition to providing direct patient care is accountable for facilitating an interdisciplinary approach to patient care, patient flow, staffing, resource utilization, and problem solving. Assists in monitoring and evaluating staff performance based on established standards of care. Ensures quality and the safe delivery of care to all patients.
PRINCIPAL DUTIES AND RESPONSIBILITIES
· Assists staff in applying the nursing process in the management of patients with complex needs.
· Demonstrates accountability for patient care delivery and promotes accountability among all staff.
· Promotes high work standards and quality performance of self and other staff members. Holds self and others accountable.
· Provides expert nursing care to a select group of patients. Acts as a resource to nursing staff and students.
· Supports and participates in collaborative rounding within an interdisciplinary framework of care.
· Assists in identifying educational needs of the unit staff and works collaboratively with Professional Practice Department.
· Responds to changes in the internal and external environment that impact patient care.
· Participates in annual competency development.
· Updates nursing policies to reflect current practice.
Patient and Family Centered Care
· Demonstrates the principles of exceptional patient experience the has the following characteristics:
o Safe, effective, and timely
o Equitable and efficient
o Communication and shared information
o Partnership with patient and family that enhances their independence and control
· Anticipates and solves patient clinical and customer service needs while addressing long-term solutions.
· Facilitates communication and collaboration with co-workers, other disciplines and other departments in identifying customer service needs.
· Ensures staff acknowledge the patients, makes amends and promotes service recovery.
· Implements action plans that will improve or enhance the patient experience.
· Conducts medical record reviews and patient care rounds to ensure that population specific care is delivered to patients.
· Consults and promotes collaborative patient care with other units and community based providers. Supports a positive work culture.
Actively supports and is the leader of the unit based restraint reduction efforts.
· Promotes a culture that is strength based and patient centered.
· Provides and monitors staffing based on established budget.
· Coordinates unit based staffing assignments on a shift basis to achieve high quality and cost effective care.
· Demonstrates patient first and cost effective approach to patient care in terms of equipment, staff, supplies, and all other resources.
· Anticipates staffing needs for subsequent shifts and makes necessary arrangements for coverage.
· Participates in the development of the yearly operational and capital budgets as requested.
· Addresses daily staffing variances and the monthly DOR.
· Has responsibility and oversight of the payroll, assuring that all staff are paid correctly and on time.
· Accountable for the coordination of care on the unit to achieve desired outcomes while delegating tasks and assigning care based on individual or group strengths and potentials.
· Provides ongoing feedback to Regional Director of Inpatient Services re: staff performance and completes annual performance evaluations of nursing staff.
· Holds staff accountable to practice according to established standards.
· Provides progressive discipline to staff members up to and including termination of employees in conjunction with the Regional Director of Inpatient Services.
· Conducts interviews with potential new hires and contributes to the hiring process of their unit.
· Development of performance improvement plans for staff in coordination with the Regional Director of Inpatient Services.
Safety and Regulatory
· In collaboration with Security assures safety and security of staff, patients, and others.
· Monitors clinical practice and addresses safety regarding nursing practice, environment, and equipment.
· Participates in Tracers and all regulatory pre-work.
· Familiar with service line metrics/dashboards in striving to provide safe and appropriate care along with best practices.
· Conducts random audits on new nursing work flows, nursing documentation, and new programs.
· Supports Tenet’s quality initiatives.
· Holds staff accountable for reporting unsafe practices using established MWMC channels.
· Understands and abides by the Department of Mental Health policies and procedures. Communicates with DMH around serious issues and participates in bi-annual surveys.
· Understands and enforces The Joint Commission standards.
· Assures that the Behavioral Heath service is Joint Commission ready at all times.
· Champions new initiatives and helps in unit/departmental or hospital-wide committees/task forces.
· Supports opportunities for professional growth and development of staff.
· Supports and participates actively as a member of the Shared Governance model.
· Supports and is involved with the Preceptor Program, developing our nurses of the future.
· Participates in orientee/preceptor conferences.
· Responds to requests for assistance regarding educational needs.
· Communicates with Professional Practice Department re: educational and developmental needs of staff.
· Maintains responsibility for personal professional growth and development.
· Demonstrates effective 2-way conversation with staff.
· Current licensure as a Registered Nurse in
· BSN required, MSN preferred.
· 5 years of progressive leadership experience in psychiatric nursing.
· Mental Health certification preferred.
· Proficient with customer service principles and patient and family centered care.
· Excellent verbal communication skills and evidence of collaborative practice (SBAR).
· Demonstrates excellent teamwork and collaboration and maintains high standards of professional practice.
· Understanding of TJC, DMH and DPH regulatory standards.
· Patient care environment; almost constant standing, walking, and pushing/moving of patients and equipment. Exposure to patient elements.
The above statements are intended to describe the general nature and level of the work being performed by people assigned this job.They are not exhaustive lists of all duties, responsibilities, knowledge, skills, and abilities and working conditions associated with the job.
ESSENTIAL PHYSICAL JOB FUNCTIONS
· Ability to communicate face to face with individuals; communicate via call system with individuals; communicate via telephone with individuals; read, write, speak and understand the English language
· Ability to hear heart, lung and bowel sounds; blood pressure, and fetal heart sounds using stethoscope; respiratory sounds without stethoscope; patient verbalizations – speech, crying, moans, etc; monitor alarms, fire alarms, positive pressure room alarms.
· Requires (Near/Far/Depth/Color) vision for patient assessment, charting, computer use, lab tests, read monitors, injections, vitals, blood draw, measurements
· Ability to vertically/horizontally transfer objects weighing up to 10 lbs from 69 inches to 26 inches, up to two times an hour for a distance of up to 150 feet without mechanical assistance. (example: Linens)
· Ability to vertically/horizontally transfer objects weighting up to 10 lbs from 8 inches to 30 inches, up to five times an hour for a distance of up to 5 feet without mechanical assistance. (example: Charts)
· Ability to vertically/horizontally transfer objects weighing up to 15 lbs from 17 inches to 28 inches, up to once an hour for a distance of up to 5 feet without mechanical assistance. (example: P&P Manual)
· Ability to vertically/horizontally transfer objects weighing up to 20 lbs from 45 inches to 26 inches, up to once an hour for a distance of up to 200 feet without mechanical assistance. (example: Oxygen Tank)
· Ability to vertically/horizontally transfer objects weighing up to 20 lbs from 33 inches to 26 inches, up to once an hour for a distance of up to 200 feet without mechanical assistance. (example: Monitors)
· Ability to push/pull IV poles and Blood Pressure machine for patient care. Must be able to horizontally transfer IV poles and Blood Pressure machine requiring a force of up to 1 lb., up to ten times an hour for a distance up to 50 ft.
· Ability to push/pull crash cart or wheelchair (with patient). Must be able to horizontally transfer wheelchair and crash cart requiring a force up to 10 lbs (total weight of 250 lbs), up to once an hour for a distance up to 200 ft.
· Ability to push/pull gurney with patient. Must be able to horizontally transfer gurney requiring a force up to 35 lbs (total weight of 410 lbs), up to once an hour for a distance up to 200 ft.
· Ability to push/pull patient bed (with patient). Must be able to horizontally transfer patient bed (2 man ) requiring a force up to 38 lbs (total weight of 713 lbs/2 =357 lbs.) five times an hour for a distance up to 50 ft.
· Ability to push/ pull patient on bed sheet from gurney to bed, bed to gurney, and sit patient upright in bed. Requires upper body forces up to 45 lbs, up to five times an hour.
· Ability to lift and transfer patient from bed to wheelchair, and wheelchair to bed. Requires upper body forces up to 50 lbs, up to six times a day.
· Ability to turn patient side to side in bed and boost up in bed. Requires upper body forces up to 50 lbs, up to six times an hour (one time in ten minutes).
· Ability to climb stairs up to 80 steps an hour in a twelve hour time period.
· Ability to perform bilateral coupling forces up to 5 lbs, up to ten times an hour for paperwork and patient care.
· Ability to perform repetitive assumption of posture to access a point 1 inch from floor up to ten times an hour. Must be able to access low areas for changing linens and straightening patient’s rooms.
· Ability to tolerate a seated posture up to 15 minutes, continuously, for a total of up to 2 hours per 12 hour time period.
· Ability to tolerate a standing posture up to 2 hours, continuously, for a total of up to 9 hours per 12 hour time period.
· Assume a squat. Reaching from 1” height on floor, returning to upright position (10 times).
· Ability to walk up to 3 miles in a 12 hour time period.
Ability to use and wear Personal Protective Equipment (PPE), gloves, mask, gown, goggles, face shield.