Clinic Nurse Supervisor

Position Summary:

The nurse in the ambulatory care setting assesses the patients needs by collecting subjective and objective health status data from the patient or the patients care giver and communicates this data to the health care provider. The ambulatory nurse may triage based on this data. The ambulatory nurse prioritizes the information collected based on the patients condition the situation and/or anticipated needs and implements a plan of care in collaboration with the authorized provider and evaluates the response of the prescribed treatment. The ambulatory nurse communicates and educates the health care providers instructions for care to the patient or the patients caregiver. Ambulatory care nursing is a specialty practice area that is characterized by dealing with situations and issues that are not always predictable.

The Clinic Nurse Supervisor must demonstrate knowledge of nursing principles for the clinic patient. Provides supervision management and leadership of the clinical support staff. Oversees care for clinic patients of all ages following established standards and practices. Expertly skilled in the functions of the Electronic Medical Record (EMR) and process/utilization improvement related to the EMR. Improves clinical patient care processes for quality patient outcomes. Establishes and maintains effective working relationships with patients medical staff clinical support staff and the public. Recognizes problems and recommends solutions. Reacts calmly and effectively in emergency situations. Interprets adapts and supplies guidelines and procedures. Communicates clearly. Maintains confidentiality. Knowledge of common safety hazards and precautions to establish a safe work environment. Will fill in for clinic nursing staff for ill calls vacations and staffing holes. Preform other duties as assigned by CEO.

The Clinic Nurse Supervisor adheres to the regulations of a Rural Health Clinic state licensing guidelines and subsequent practices.

May delegate to licensed and unlicensed personnel within their defined scope of practice as well as students and new staff.

When students and new staff are providing patient care treatment and/or services as a part of their training any/all employees may be asked to supervise these individuals.

Education/Experience:

Bachelors Degree in nursing preferred. Minimum of one to two years of professional nursing experience in a clinical setting preferred.

Required Credentials (Licensure Certification or Registration):

Currently holds the RN license with the applicable State Nursing Board and/or possess multistate licensure privileges. Functions within the legal scope of practice.

Employment Variables:

Care is delivered to clinic patients of all ages. Work hours vary according to clinic schedules. Rubella titer will be drawn initially as well as TB skin testing upon hire and immunization required if no past exposure or indication of immunization. Required to wear name tag provided by Winner Regional Healthcare Center and to dress in a professional manner.

Job Knowledge and Skills:

Ability to read write speak and understand the English language and follow oral or written instruction. Excellent oral and written communication skills work with customers and co-workers in a professional manner

Direct Supervisor:

CEO

PART II: CODE OF CONDUCT

Function Explanation

Honesty - We will do the right thing at all times even if it is difficult maintaining strong ethical practices. We protect the confidentiality of others including patients staff and the facility as a whole. We will take responsibility for our actions.

Expertise - We will demonstrate superior judgment training and skill at all times demonstrating professionalism while doing so. We will perform all aspects of our job to the best of our ability utilizing all resources and tools available.

Approachability - We will be non-judgmental friendly and open and willing to listen to everyone; we come into contact with while performing our duties. We are humble and learn from others.

Respect - We will be understanding and sensitive to others feelings; caring and responding in a manner that sets them at ease keeping the situation in perspective without minimizing others feelings or reactions. We will listen to others with full attention in a sincere civil fashion being careful not to be judgmental of the speaker. We maintain composure when facing conflict and avoid jumping to conclusions and defaming anothers name.

Teamwork - We willingly work together with a common approach trusting and supporting members of our organization using our skills and resources sharing information to achieve a common aim.

PART III: ESSENTIAL FUNCTIONS

Essential functions are critical or fundamental to the performance of the job. They are the major functions for which the person in the job is held accountable. Following are the essential functions of the job along with the corresponding performance standards.

Clinic Patient Care

• Enhances the care delivery team processes to maximize the patient experience.
• Knowledgeable and skilled in the care of clinic patients and the supervision of clinical staff delivering patient care.
• Patient care and supervision includes following the established clinic policy/procedures; executes the nursing process flawlessly; identifies and manages medication safety concerns; familiar with and supervises compliance with National Patient Safety Goals population specific patient care infection prevention and control patient testing and procedures and telephone communication.
• Prepares or finalizes nursing staff
• Coordinates staff changes i.e. sick calls vacations jury duty etc.
• Fill in for nursing staff when staffing needs exist i.e. sick calls vacations jury duty etc
• Completes nursing staff evaluations and maintains communication with staff in a timely manner.
• Coordinates staff orientations and verifies procedures for clinical support staff.
• Monitors equipment and reports repairs.
• Assists with recruiting and follow through with performance related variances/conduct.
• Assists with time and attendance and payroll tracking.
• Maintains inventory supplies medications vaccines supply closets formula.
• Maintain temperature on all fridges
• Assists CEO with patient complaints.
• Supervises nursing staff to execute smooth operational flow for the clinic and providers

Leadership and Management Skills

• Proficient EMR user and Superuser.
• Organizes leads and presents clinical information at provider meetings and nursing meetings.
• Collaborates with other health team members in intra/inter departmental issue recognition and resolution.
• Ensure nursing staff is current with education
• Coordinates nursing staff education meetings and procedure changes
• Coordinates yearly nursing staff competencies
• Acts as liaison between clinical support staff providers and other office staff.
• Develops updates and implements protocols and procedures
• Ensure state requirements Rural Health Clinic requirements are being met
• Lead Clinic Operations meeting
• Attend and participate in facility QAPI meetings
• Ensure biannual meetings as required by Rural Health regulations are completed

Communication Skills

• Promotes and assists others to practice safe work habits; identifies and reports health and safety hazards; and offers suggestions and participates in corrective action.
• Collaborates with other health team members in intra/inter departmental issue recognition and resolution.
• Communicates with team members in a professional and respectful manner.
• Documents accurately and legibly.
• Assesses patients physical and emotional needs.
• Utilizes effective communication and negotiation with the clinic patients and staff to establish goals that are consistent with the overall plan of care.
• Communicates changes in client status with provider and/or family members.
• Modifies implements and evaluates individualized teaching plan in order to restore maintain or promote health.
• Gives pertinent and timely report to co-workers

Policies and Procedures

• Complies with department and organizational policies and procedures
• Organizes department and projects while participating in and developing implementation of system initiatives.
• Evaluates implements and assures compliance with National Patient Safety Goal initiatives and standardized workflow
• Update and review policies annually
• Develops new policies
• Develops procedure as needed and implement

Strategic Focus

• Must focus work closely within the department and facility to accomplish WRH strategic priorities.
• Must be active in strategic planning within the department and facility to stay up to speed with current trends in healthcare.
• Demonstrates vision and creativity when participating in strategic and long range planning of WRH.
• Participates in strategic planning as directed.
• Manage short and long term projects

PART IV: COMPLIANCE

• Must comply with the Corporate Compliance Policy and all laws rules regulations and standards of conduct relating to the position.
• The employee has a duty to report any suspected violations of the law or the standards of conduct to the Human Resource Manager or the Chief Executive Officer.

PART V: PHYSICAL AND MENTAL REQUIREMENTS

General Activity

• In a regular workday employee may:

Sit 50 Hours at a time; up to 3 Hours during the day

Stand 1-4 Hours at a time; up to 2 Hours during the day

Walk .50 Hours at a time; up to 3 Hours during the day

Motion

• Employee is required: (In terms of a regular workday Occasionally equals 1% to 33% Frequently 34% to 66% Continuously greater than 67%.)

Bend/Stoop Occasionally Kneel Duration 30 sec Occasionally

Squat Occasionally Balance Occasionally

Crawl Distance Occasionally Twist Occasionally

Climb Height Occasionally Keyboarding/Moussing Frequently

Reach above shoulder level Occasionally

Physical Demand

Employees job requires he/she carry and lift loads from the floor from 12 inches from the floor to shoulder height and overhead. Employees job requires a pushing/pulling force to move a load (not the weight of the load).

Physical Demand Classification: Carrying/lifting weight and pushing/pulling force:

• Sedentary- Light Occasionally 10 lbs
• Frequently Negligible
• Constantly Negligible

Sensory Requirements:

• Yes/No Explanation (if Yes)

Speech - Expressing or exchanging ideas by means of the spoken word. Those activities in which they must convey detailed or important spoken instructions to other workers accurately loudly or quickly. Yes Communicates with providers administration staff and patients on phone or in person. Responds to patients concerns and questions.

Vision (VDT) - Are there specific vision requirements for the job Yes Must be able to read numbers and names. Must be able to distinguish colors and view a computer screen.

Hearing - Ability to receive detailed information through oral communications and to make fine discriminations in sound; i.e. using a telephone. Yes Vital Communication with other clinic staff and patients directly via telephone.

Environmental Factors

• Yes/No Explanation (if Yes)

Working on unprotected heights No

Being around moving machinery No

Exposure to marked changes in temperature and humidity No

Driving automotive equipment No

Wearing personal protective equipment Yes Potential exposure to body fluids and waste

Exposure to atmospheric conditions (i.e. fumes dust odors mists gases or poor ventilation) No

Exposure to extreme noise or vibration No

Exposure to blood body fluids and waste Yes Potential exposure to body fluids and waste

Exposure to radiation Yes Potential positioning/ assisting patient during x-rays

Exposure to other hazards (i.e. mechanical electrical burns or explosives) Yes Exposed to needles and hazardous cleaning solutions

Emotional/Psychological Factors

• Yes/No Explanation (if Yes)

Stress: Exposed to stressful situations Yes Must be able to effectively deal with concerns of upset patients or other clinic staff

Concentration: Must be able to concentrate on work tasks amidst distractions. Yes There are many phone and personal interruptions throughout the workday.

Must exert self-control. Yes Must be able to display control and confidence under stress.

PART VI: JOB RELATIONSHIPS

Supervises

1 No supervisory responsibilities

1 Supervisory responsibility

# Direct Reports: 17-20

# Indirect Reports:

Age of Patient Populations Served

0 Neonates: 1-30 days

0 Infant: 30 days - 1 yr

0 Children: 1- 12 yrs

0 Adolescents: 13- 18 yrs

0 Adults: 19- 70 yrs

0 Geriatrics: 70 yrs

1 All

0 Not applicable

Internal Contacts

1 Patients

1 Providers: (i.e. Physicians Therapists Social Workers)

1 Staff: (i.e. clinical and administrative support staff)

1 Volunteers

0 Others:

External Contacts

1 Patients

1 Families/Significant Others

1 Providers

1 Vendors

1 Community and Health Agencies

1 Regulatory agencies

1 Other: Job Applicants