Nursing Director 40 Hours Days - Bwh Medical Intensive Care Unit - 3Bc

GENERAL SUMMARY/OVERVIEW STATEMENT:

The Nursing Director is the leader of the clinical discipline of nursing with administrative fiscal and personnel accountability in the designated clinical area. The Nursing Director is responsible for creating and maintaining a therapeutic healing patient and family centered care environment. S/he participates in the development refinement communication and actualization of the BWH Department of Nursing (DON) Vision. As the clinical leader of the discipline the Nursing Director is responsible for establishing and maintaining the standards of nursing care and practice. The Nursing Director establishes and maintains true collaborative relationships with nursing staff all disciplines and departments necessary to foster optimal patient outcomes and a professional practice environment. S/he partners with interprofessional and intraprofessional leadership to set mutual goals that advance teamwork interdisciplinary learning just culture and the environment of care.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

I. Scholarship
a. Creates an environment that supports and celebrates the professional growth of
nursing practice.
b. Actively supports the development of new nursing knowledge.
c. Assures the use of and adherence to evidenceinformed practice/standards for
nursing care.
d. Assures the practice environment supports reflective practice e.g. through the
use of narratives and meets the needs of the relevant patient population
e. Professional development self

• Participates in selfperformance appraisal process in ongoing manner.
• Seeks feedback from his/her professional colleagues.
• Shares strengths and areas to be developed with associate chief nurse
• and other colleagues as appropriate.
• Maintains necessary clinical and managerial expertise through
• evidencebased practice.
• Participates in service and departmentwide developmental initiatives.
• Demonstrates commitment to lifelong learning e.g. through active
• participation in professional organizations.

II. Authentic Leadership
a. Serves as a clinical leader/coach /mentor to staff.
b. Promotes staff participation in annual goal setting for his/her patient care areas
and the Department of Nursing.
c. Serves as a leader within the community of nursing in accordance with the
standards of the discipline of nursing including adherence to the ANA Code of
Ethics.
d. Assures appropriate personnel to meet the needs of the designated patient
population.
e. Designs and implements staffing patterns responsive to a dynamic care
environment.
f. Interviews hires and oversees the orientation of new employees considering
departmental divisional local and individual employee needs as basis of
decisions.
g. Provided ongoing formal and informal feedback regarding performance to staff
members.
h. Delegates authority and/or responsibility to others as appropriate while
maintaining 24x7 accountability.
i. Demonstrates consistent leadership in the maintenance of a fair and just culture.
j. Assures staff participation in localbased decision making Department of
Nursing committees and initiatives.

III. Meaningful Recognition
a. Provides formal and informal opportunities for staff to develop personal career
goals and plans for their achievement.
b. Provides ongoing formal and informal feedback regarding professional
development to staff members.
c. Encourages and recommends staff participation in unitbased decision making
Department of Nursing committees and organizational initiatives.

IV. Relationship Based Care
a. Creates an environment that celebrates the professional growth of nursing
practice.
b. Responsible for creating and maintaining a caring therapeutic healing patientand
familycentered care environment.
c. Assures the presence of interventions to promote/assure a patient and family
centered healing environment.
d. Assures appropriate staffing plan to meet patient care needs on a continuous basis
e. Promotes an inclusive environment supportive of a patient and family centered
care for a diverse community.

V. Outcome Focused Measures
a. Serves as a leader of the clinical discipline committed to excellence in nursing
care and positive patient outcomes.
b. Accountable for contributions to planning implementing and evaluating the
Department of Nursing Quality Plan inclusive of nurse sensitive indicators and
patient satisfaction metrics.
c. Actively participates in Brigham and Womens Hospital quality improvement
programs assuring clear articulation of the quality agenda by all staff in his/her
patient care area(s) and/or specialty patient populations.
d. Develops localbased quality agenda using performance improvement
methodologies in collaboration with department and hospitalbased quality
leaders assuring an environment of continuous quality improvement improved
patient and systems outcomes.
e. Actively translates quality improvement findings into daily operations and
strategic planning for the clinical area.
f. Communicates and translates outcomes to staff and interdisciplinary colleagues
assuring staffs active participation in addressing quality improvement
opportunities.
g. Serves as a resource on clinical matters to assure an environment that promotes
the desired patient outcomes.
h. Assures all staff members are in compliance with regulatory standards. For
example required licensure orientation ongoing education and annual
competencies and screenings for ongoing employment.
i. Provides leadership in developing qualitydriven and costeffective plans to
deliver patient care including participation in strategic planning as requested by
clinical director.
j. Assures the accurate attainment and review of data (complexity volume acuity
etc) in relation to staffing effectiveness
k. Develops and participates in creating systems to monitor the patient care
environment knowledgeable about and mindful of relevant regulatory
compliance.

VI. True Collaboration
a. Contributes to nursing as a department/discipline

b. Demonstrates leadership in interdisciplinary collaboration including
participation in the development implementation and evaluation of joint
protocols for patient care.
c. Collaborates in departmentwide recruitment and retention strategies and
initiatives.
d. Collaborates with HR staff/leadership re: personnel management as appropriate.
e. Seeks resources/serves as a liaison for staff from within the larger nursing and
BWH communities.
f. Manages patient flow ensuring collaboration with other patient care areas and/or
Patient Access Department.
g. Establishes and maintain open communication with managers of Support
Services and other Department of Nursing resources as needed to assure clean
and safe patient care environments.

VII. Fiscal Responsiveness
a. Accountable to seek necessary information including active engagement of staff
to establish trends necessary to determine appropriate personnel and supply budgets.
b. Manages to budget and articulates any short or longterm variances
c. Collaborates with Associate Chief Nurse to be fiscally responsive i.e. managing
volume and acuity to hours per workload index (HPWI).
d. Develops schedules/ staffing plans that meet patient care needs on a continuous
basis.
e. Collaborates with nurse leaders and other departments to assure adequate
supplies operational capital resources are available to staff caring for patients.

QUALIFICATIONS:

1. Current nursing licensure in the Commonwealth of Massachusetts.
2. Masters degree in nursing required.
3. Clinical experience will be evaluated on an individual basis by the hiring associate chief
nurse.
4. Previous leadership experience with demonstrated management ability is preferred.
5. Current certification in specialty area or administration is highly encouraged.

SKILLS/ABILITIES/COMPETENCIES REQUIRED:

1. Must have demonstrated clinical competence in nursing practice.
2. Must possess analytical abilities necessary to organize to supervise and to evaluate the
work of others; to develop and to administer policies procedures budgets and utilize
current concepts of nursing practice.
3. Must possess interpersonal skills sufficient to provide effective leadership to staff and to interact with patients visitors physicians other clinical disciplines and a variety of
hospital departments.
4. Must possess both management and leadership skills to be effective with multiple levels of staff.

WORKING CONDITIONS:

Works in a variety of patient care environments where there is potential exposure to
communicable disease and hazardous materials.

SUPERVISORY RESPONSIBILITY:

Responsible for the supervision of RNs LPNs technical and support personnel.

ACCOUNTABILITY:

Reports to the Associate Chief Nurse Nursing and Clinical Services of the designated areas.

ADDITIONAL INFORMATION:

MSN required

Critical Care experience preferred

Previous management experience preferred