We are seeking a Clinical Nurse Manager for the Emergency Department Observation unit (EDOU).
The MGH Emergency Department Observation Unit provides urgent focused diagnosis/care to adult patients. The unit has a total census of 31 beds for observation. Typical diagnoses can include chest pain, syncope, dehydration, TIA, asthma. The goal is discharge with a small percentage of patients admitted to the inpatient units.
The Clinical Nurse Manager (CNM) is accountable for the facilitation of excellence in patient care delivery, operational efficiencies, and compliance with hospital and regulatory policies and practices. This role has managerial oversight for EDOU Nursing. The CNM coordinates patient flow and efficient/cost effective use of human, fiscal, and material resources. The CNM identifies, initiates and participates in hospital and unit-based quality improvement activities. She/he participates in a collaborative relationship with the interdisciplinary team, including physicians, nurses, support staff and other members of the health care teams. She/he is responsible for the development and evaluation of professional and support staff on her/his services. As a Nurse Leader, the CNM directs and evaluates all staff within the Observation Unit and serves as a resource and role model for the nursing, technical, and support staff.
Clinical Practice
Establishes and maintains an environment that is patient/family focused and sensitive to the diverse needs of patients and staff
Supports staff development
Establishes effective accountability systems to assure the patient care standards are met
Assess the effectiveness of patient care through direct observation and supervision of nursing and support staff
Works closely with the Nursing Practice Specialist to ensure the highest competent nursing care is provided for all EDOU patients from arrival to discharge
Assists staff and leadership in the provision of nursing care using, but not limited to, the philosophy of MGH Patient Care Services, ENA and regulatory agency standards
Facilitates safe and efficient delivery of care in collaboration with the Interdisciplinary Emergency Medicine and Administrative Leadership Teams
Resource Management
In collaboration with the Resource Nurses, Time-planning and Payroll Nurses, and the Nursing Director, evaluates and develops staffing patterns to support patient care needs and unit operation
Collaborates on patient care assignments based on staff competencies, patient acuity, illness complexity and knowledge of technology
Collaborates with Operations Manager regarding supply and equipment decisions and issues
Makes decisions that support appropriate use of human, fiscal and environmental resources for patient care
Interviews and hires candidates to fill vacant staff positions and participates in the interview process to fill vacant leadership positions
Collaborates and coordinates staff orientation activities with the Nursing Practice Specialist
Participates with the Nursing Leadership Team on annual review and update of position descriptions and competencies
Applies knowledge of current and relevant issues and changes in nursing, social and medical science to improve patient care and foster staff development
Collaborates with the leadership team on capital and personnel budget needs; monitors and tracks budget variances
Leadership
Promotes interdisciplinary collaboration through effective communications and negotiations
Interprets and communicates to staff members in collaboration with the Nurse Practice Specialists all changes in standards of care, nursing practice activities, and hospital and departmental policies and procedures
Monitors compliance with policies and procedures
Participates as a member and leader in ED and hospital wide committees
Investigates safety reports and/or complaints and initiates appropriate action
Participates in Quality and Safety initiatives, including root cause analysis, formulation and implementation of corrective action and monitoring of action outcomes
Supports and coaches unit Excellence Everyday Champions for Magnet and JCAHO readiness initiatives and activities
Communicates and documents pertinent incidents, actions, and follow-up to the Nurse Director in a timely manner
Coordinates problem-solving activities with the staff and arranges meetings as needed
Conducts annual performance appraisals for staff - including staff competency assessments
Collaborates with Human Resource representatives re: corrective action and initiates appropriate corrective action with employees
Participates in unit staff meetings and disseminates appropriate information to staff
Fosters an environment where interdisciplinary collaboration related to patient care needs are paramount
Ensures a practice environment that maintains high professional standards of clinical care and conduct
Promotes professional development of staff through the MGH Clinical Recognition Program and specialty certification for nursing and support staff
Professional Development
Works with the nursing leadership team to ensure that staff achieve competency in generic and specialty knowledge skills
Evaluates effectiveness of orientation program in collaboration with Nurse Director
Provides support to preceptors
Assists the Nurse Practice Specialists and Nursing Leadership Team in coordinating student assignments and the evaluation of student performances while in the clinical unit
Participates in MGH Leadership and development opportunities as appropriate to further professional development
Promotes professional development of staff through Clinical Recognition Program and other appropriate mechanisms
Actively supports staff participation for all MGH Collaborative Governance Committees
Applies knowledge of current and relevant issues and changes in nursing, social and medical science to improve patient care and foster staff development
Participates in and promotes evidence-based practice and professional research
Performs other related duties as directed
Supervisory responsibility
Supervise approximately 100 staff (RNs, MAs, PCAs, Patient Observers)
Reports directly to Nurse Director
Fiscal Responsibility
Appropriate cost-effective use of staffing and material resources
Qualifications
Education
Current Massachusetts Nursing License required
Degree in Nursing required. If bachelor's degree not in Nursing, the higher degree must be in Nursing.
Master's Degree Required.
Experience
Emergency Observation experience preferred, with demonstrated clinical competence and professional accountability
Managerial or leadership experience desirable
Skills and Abilities
Excellent communication and problem-solving skills
Must be flexible and able to manage stressful situations; ability to encourage and foster teamwork
Working Conditions
40 hour work week to meet unit/team needs
High volume fast paced observation unit providing care for patients
The Unit operates 24/7
Must be able to stand for long periods of time
EEO Statement
Massachusetts General Hospital is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. Applications from protected veterans and individuals with disabilities are strongly encouraged.
