CAREERS

The Chief Nursing Officer functions as a member of the Jennie Melham M. Memorial Medical Center (JMMMMC) Senior Leadership team to provide direction, strategy, business development, budgeting, trend variance analysis and information technology for the promotion of outcomes focused nursing care treatment and services.  The CNO has 24-hour accountability and responsibility for planning, organizing, directing, controlling and evaluating nursing care treatment and services. Ensures efficient, economic, and quality performance measures to support and provide outcome focused quality health care services. Recommends administrative policy changes and consults with and advises JMMMMC CEO for Nursing Services operations. Responsible for communication with Nursing and clinical staff, Department leaders, Senior Leadership, various departments, and community.

Oversees the daily operations of Nursing and Clinical Services (medical surgical, medical-surgical pediatrics, SWING, Emergency Services (ED, Trauma), Cardiopulmonary Services (RT, Sleep Lab, Pulmonary Rehab, Outpatient RT testing), Case Management (UR & Social work), Outpatient Ambulatory Nursing Services (Infusion Center, Specialty Clinics, Cardiac Rehab, Diabetic Education) and Surgical Services (Pre-assessment, SDS Pre/post, Surgery, Central Sterile Processing).

SUPERVISION

• Reports directly to the President/Chief Executive Officer

QUALIFICATIONS

• Graduate of School of Nursing; BSN or BA required; MSN preferred.

• Current NE State License/Compact license as a Registered Nurse required. 

• Minimum of 3 years of Senior Level Nursing Leadership experience.

• Professional knowledge of nursing practice and the business of nursing.

• Advanced interpersonal and communication skills necessary.

• Effective leadership to build teams and create buy-in.

• Effectively communicate with a wide variety of hospital personnel, community residents, and outside agency personnel.

• Advanced analytical skills necessary to develop and implement new nursing systems, revenue budgets and prepare special and recurring reports or analysis. A strong ability to analyze nursing business operations.

• A high level of experience in quality outcomes and patient care.

• Job functions must be performed on site with regular attendance.

PRINCIPLE DUTIES AND RESPONSIBILITIES

• ORGANIZATION TEAMWORK   

o Support the mission of JMMMMC.

o Demonstrate the core values of JMMMMC.

o Establish appropriate models of service delivery and identify areas of improvement.

o Create, implement, and oversee action plans.

o Encourages collegial contact among hospital departments.

o Ensure patient, visitor, and staff concerns are addressed timely and appropriately.

o Collaboratively work with Providers, Leadership, frontline staff, and vendors/contractors

o Represent JMMMMC positively in the community.

• ORGANIZATION SUPPORT  

o Adheres to JMMMMC policies and procedures.

o Demonstrate knowledge of Office/Workplace Safety.

o Demonstrate knowledge of JMMMMC Exposure Control Program

o Demonstrates knowledge of risk management and quality reports

WORK ROLE COMPETENCIES WORK PRACTICE

• Support and implement the development of approved hospital wide patient care programs. 

• Develop, review, revise, and oversee the implementation of clinical care services. 

• Assure the provision of nursing care in accordance with specialty, regulatory, and JMMMMC practice standards.

• Demonstrate knowledge of, compliance to, and staff education of CMS standards, ANA/Specialty Standards, and other regulatory standards impacting clinical departments of oversight.

ADMINISTRATIVE PRACTICE

• Facilitates the formulation and approval of Nursing Services annual goals and objectives in accordance with the JMMMMC strategic plan.

• Develops, monitors, and ensures adherence to strategic plans for assigned organizational components in relation to total nursing service.

• Facilitates the formulation and approval of Nursing Service Clinical Departments Operational Budgets.

• Works closely with fiscal services, medical records, case management, and directors to evaluate reimbursement practices and ensure that the most cost-effective procedures, drugs etc. are being utilized. Works to implement best practices as opportunities are identified.

• Responds to and communicates departments of oversight concerns, operations, practice changes and medical-legal issues to CEO, Risk Management, and medical staff as appropriate.  

• Monitors complaints, Incident Reports, Case Reviews and RCA’s.  

• Oversees the Clinical Nursing Departments Quality Assurance/Performance Improvement Plan.  

• Prepares, administers and/or monitors management and staff performance evaluations including development of annual goals/pillars.

• Oversees the review and update of the Nursing Services Orientation program and manuals. Oversees the monitoring and release of personnel from orientation in conjunction with Nursing leadership.

• Monitors Nursing Service turnover and recruitment/retention plans and initiatives.

PROFESSIONAL ACCOUNTABILITY/LEADERSHIP

• Demonstrates knowledge of and follows correct chain of command in handling management and patient care challenges, including crisis situations.

• Holds department meetings, records appropriate information, and follows through on actions.

• Holds direct reports accountable to meet goals/targets.

• Effectively mentors direct reports with a team oriented and collaborative approach.  

• Leads, facilitates, participates in, or contributes to selected committees specific to role and departments of oversight. 

• Attends mandatory hospital in-services and programs.

• Attends appropriate management and clinical seminars to enhance knowledge base and awareness of national trends.

The RN renders collaborative nursing care via the Method of Practice Patient Coordinated Care to a caseload of patients for an assigned shift in accordance with the healthcare practitioner’s treatment plan, nursing standards of care/practice and professional code of ethics.  The RN is committed to promoting the health potential of the patient (body-mind-spirit) through the implementation of the nursing process.  Demonstrates ability to delegate appropriately and direct staff in the coordination and delivery of care; assumes responsibility for the appropriate utilization of care resources; demonstrates positive interpersonal relationships with others in problem resolution, is sensitive to the needs of patients, families, and fellow workers.  This is a full time, 36 hr/week position. Hours are 6:30am – 7:00pm.  Holiday rotation & every 3rd weekend (Fri, Sat, Sun) rotation required.

SUPERVISION

• Reports directly to the Acute Care Manager

• Reports indirectly to the House Supervisor and other managers covering the department.

• Delegates and directs assigned shift caseload team which may be comprised of LPN’s and CNA’s. 

QUALIFICATIONS

• Graduate of School of Nursing.

• Clinical and/or work nursing experience in a hospital with ability to perform duties in the acute and skilled nursing setting is preferred.

• Professional knowledge of nursing practice and regulations to support patient care delivery.

• BLS within 6 months of hire and maintained.

• ACLS within 6 months of hire and maintained.

• PALS within 6 months of hire and maintained.

• ICS 100 and 200 or ability to obtain within 12 months of hire.

GENERAL REQUIREMENTS

• Demonstrate commitment to the organizational mission, vision, and core values.

• Maintain clinical competency as required for Acute Care including but not limited to age-specific competencies relative to growth and developmental needs of all ages of patients.

• Knowledge of federal and state regulations related to nursing applications and relative practice area.

• Communicate effectively both verbally and in writing.

• Delegate, oversee, and evaluate the work of all acute LPN and CNA patient care staff members.

• Maintain confidentiality of patient information.

• Exercise professional judgment, courtesy, and professionalism in daily interactions with others.

• Demonstrates relationships management and influencing behaviors. 

o Conflict resolution skills

o Critical conversation skills

o Mediation skills

• Demonstrates knowledge of Melham Medical Center Compliance Program, Code of Conduct, and Confidentiality standards. 

• Serves designated role for emergency management plan response.  Follows instruction from Incident Command as appropriate.

• Demonstrates knowledge of risk management, quality review reports, Sentinel Events, near misses and non-punitive work environment concepts.

o Incident reporting SQSS

o Compliance and safety reporting

o Abuse/neglect reporting

o Patient rights

o Staff rights

o Appropriately completes and/or supports reporting of events and forms as needed.

• Completes yearly self and staff evaluations/reviews and development plan.

• Attends meetings as assigned.

• Attends 75% of monthly staff meetings and keeps updated on information.

• Completes annual on-going competency plan.

• Attends mandatory in-services and/or programs.

• Maintains certifications.

SIGNIFICANT DUTIES

• Initiates assessment/reassessment based on the patient’s needs per nursing standards and organization policy and procedures.

• Synthesizes pertinent patient data to develop nursing care plans and identify nursing priorities for care and desired outcomes.

• Collaborates with the interdisciplinary team to coordinate and provide patient care.

• Demonstrates knowledge and skill in nursing theory and ability to learn and develop competence in patient care across the lifespan.

• Demonstrates the ability to learn new practices and has the ability to practice in multiple settings within the rural hospital – medical/surgical, pediatric, neonatal, and skill care. 

• Integrates appropriate standards of care into the patient’s plan of care based on the diagnosis and age-specific needs.

• Executes, delegates and/or assigns other staff members to perform therapeutic and/or supportive interventions.

• Evaluate the patient’s response to and effectiveness of interventions.

• Evaluates the patient’s progress toward established outcome.

• Incorporates cultural considerations into the plan/delivery of care. 

• Includes family and/or significant others in the care of the patient as appropriate.

• Documents patient care and related information according to Melham procedures for documentation

• Facilitates a patient’s transition to the next level of care including admission, discharge, and transfers.

• Demonstrates knowledge of EMTALA regulation and paperwork.

• Assumes responsibility in a shared or delegated assignment and supports team member’s practice through timely communication.

• Services as a role model to colleagues, students, and other care providers.

• Actively participates in continued learning opportunities and continued self-development pertinent to all areas of Acute Care nursing.

• Maintains effective communication channels with the entire healthcare team.

• Acts as a resource to the healthcare team

• Performs other related duties as assigned.

• Performs additional work duties during low volume periods when core staffing is in place.

The Nursing House/Shift Supervisor is responsible for promoting and maintaining quality patient care through the effective management and delivery of patient care during his/her assigned 12-hour shift. A significant portion of time is spent coordinating resources, problem solving, supporting and/or providing direct care delivery, evaluating effectiveness of care, and promoting effective communication. Contributes to implementation and enforcement of Nursing, Medical Staff and Administrative policies and procedures, performance plans, and takes appropriate action. The House/Shift supervisor assumes the lead RN role in the absence of the CNO and Nursing Management staff. This position will also rotate into the ED RN role.  This is a full time, 36 hrs/week & every 3rd weekend (Fri, Sat, Sun). Hours for this position are 6:30pm – 7:00am. A Sign-On bonus of $7,000 is offered with this position.

QUALIFICATIONS

• Graduate of School of Nursing; BSN or BA preferred.

• Minimum of 6 months of clinical experience, work related experience and/or previous House/Shift Supervisor/management role in a hospital setting. and ability to perform duties in acute, skilled, and emergency areas of facility.

• Current NE State License or Compact license as a Registered Nurse required. 

• Professional knowledge of nursing practice, and regulation to support patient care delivery.

• Current BLS, ACLS, PALS or ability to obtain within 2 months of hire. 

• Current TNCC or ability to obtain within 1 year of hire.

• IS 100, 200, 700 and 800 or ability to obtain within 12 months of hire.

GENERAL REQUIREMNENTS

• Demonstrate commitment to the organizational mission, vision, and core values.

• Maintain clinical competency as required for Acute and Emergency Room Care including but not limited to age-specific competencies relative growth and developmental needs of all ages of patients.

• Knowledge of federal and state regulations related to nursing applications and relative practice area.

• Communicate effectively both verbally and in writing.

• Supervise, instruct, and evaluate the work of all acute and ED patient care staff members.

• Maintain confidentiality of patient information

• Exercise professional judgment, courtesy, and professionalism in daily interactions with others

• Demonstrates relationships management and influencing behaviors. 

     o Conflict resolution skills

     o Critical conversation skills

     o Mediation skills

• Demonstrates knowledge of Melham Medical Center Compliance Program, Code of Conduct, and Confidentiality standards.  Monitors staff adherence and knowledge of standards.

• Serves as the lead RN for emergency management plan response.  Opens incident Command as appropriate.  Monitors staff knowledge and response to plan activations.

• Demonstrates knowledge of risk management, quality review reports, Sentinel Events, near misses and non-punitive work environment concepts.

     o Incident reporting SQSS

     o Compliance and safety reporting

     o Abuse/neglect reporting

     o Patient rights

     o Staff rights

     o Appropriately completes and/or supports reporting of events and forms as needed.

• Completes yearly self and staff evaluations/reviews and development plan.

• Attends meetings as assigned.

• Attends 75% of monthly staff meetings and keeps updated on information.

• Completes annual on-going competency plan.

• Attends mandatory in-services and/or programs.

• Maintains certifications.

SIGNIFICANT DUTIES

• Initiates assessment/reassessment based on the patient’s needs per nursing standards and organization policy and procedures.

• Synthesizes pertinent patient data to develop nursing care plans and identify nursing priorities for care and desired outcomes.

• Collaborates with the interdisciplinary team to coordinate and provide patient care.

• Demonstrates knowledge and skill in nursing theory and ability to learn and develop competence in patient care across the lifespan.

• Demonstrates the ability to learn new practices and has the ability to practice in multiple settings within the rural hospital – medical/surgical, pediatric, neonatal, emergency and skill care. 

• Integrates appropriate standards of care into the patient’s plan of care based on the diagnosis and age-specific needs.

• Executes, directs, supervises and/or assigns other staff members to perform therapeutic and or supportive interventions.

• Evaluate the patient’s response to and effectiveness of interventions.

• Evaluates the patient’s progress toward established outcome.

• Incorporates cultural considerations into the plan/delivery of care. 

• Includes family and/or significant others in the care of the patient as appropriate.

• Documents patient care and related information according to Melham procedures for documentation

• Facilitates a patient’s transition to the next level of care including admission, discharge, and transfers.

• Receives calls for patient placement, screens for appropriate admission criteria and notifies the department of patient placement.

• Utilizes knowledge of UR criteria to assist with the appropriate admission status and placement of a patient.

• Demonstrates knowledge of EMTALA regulation and paperwork.

• Assumes responsibility in a shared or delegated assignment and supports team member’s practice through timely communication.

• Services as a role model to colleagues, students, and other care providers

• Actively participates in continued learning opportunities and continued self-development pertinent to all areas of Acute/ED care nursing.

• Proficient in the management of provider orders in CPOE and in the order management system

• Maintains effective communication channels with the entire healthcare team.

• Assist administration with personnel management and other administrative duties as assigned.

• Acts as a resource to the healthcare team

• Performs as senior leader in event CNO/nursing management are absent. 

• Performs other related duties as assigned.

• Oversees and/or assigns additional work duties during low volume periods when core staffing is in place.

The RN renders collaborative nursing care via the Method of Practice, Patient Coordinated Care, to a caseload of patients for an assigned shift in accordance to the healthcare practitioner’s treatment plan, nursing standards of care/practice and professional code of ethics.  The RN is committed to promoting the health potential of the patient (body-mind-spirit) through the implementation of the nursing process.  Demonstrates ability to delegate appropriately and direct staff in the coordination and delivery of care; assumes responsibility for the appropriate utilization of care resources; demonstrates positive interpersonal relationships with others in problem resolution, is sensitive to the needs of patients, families, and fellow workers. Reports directly to the Emergency Services Manager. Delegates and directs assigned shift caseload team which may be comprised of RN’s and NSS’s .

The following shifts are available:  

 Swing Shift n Acute/ED. 11;00am-11:30pm; 24 hours/week and every 3rd weekend (Friday, Saturday, Sunday)

QUALIFICATIONS

• Graduate of School of Nursing

• Current Nebraska State License as a Registered Nurse required.

• On the job experience necessary as determined by department orientation requirements in order to acquire and effectively utilize knowledge of department specific structure and/or process standards.

• Interpersonal skills necessary in order to instruct/comfort patients/families; to maintain effective communication/contact with healthcare team members.

• Analytical Skills necessary in order to prioritize workload and prepare nursing care plans, implement effective nursing care and develop solutions to problems concerning patient’s body, mind and spirit.

• Basic computer knowledge, including Outlook and Microsoft Office

• Basic Life Support within 3 months of hire and maintained

• ACLS and PALS within 6 months of hire and maintained

• TNCC and NRP within one year of hire 

• Job functions must be performed on site with regular attendance.

• Understands that Nebraska is an at will state and that either the employer or employee may terminate the employment relationship at any time with or without cause.

PRINCIPLE DUTIES   AND RESPONSIBILITIES

• ORGANIZATION TEAMWORK   

o To support the mission, and motto of Melham Medical Center: Mission:  Partnering with you to inspire healthy living through quality care. Vision: to be your preferred healthcare provider. Motto: Large enough to serve, small enough to care

 Able to verbalize the mission/vision and motto as the driving base for strategic planning, decision-making and delivery of patient care and support services.

o The core values of JMMMMC represent the beliefs of our organization, guiding our processes and decision making at all levels.  The mission and promise is accomplished through a commitment to our core values:

• Integrity: Do the right thing, even when no one is looking

• Respect :Value everyone, diminish no one

• Responsibility: Own our actions, own our results

• Demonstrates values based decision making in the performance of work duties

o Adheres to service delivery standards to ensure a high level of customer satisfaction. Recognizes opportunities for service improvement

 Demonstrates and achieves customer service standards for self

 Initiates and documents service recovery actions within scope of role

 Department customer satisfaction scores exceed customer expectation goals set

o Demonstrates knowledge of role responsibility and operating philosophy of JMMMMC

 Sells, promotes (manages up)  and presents Melham Medical Center programs, policies, and services in a favorable and positive manner.

 Nursing Code of Ethics behaviors are consistently followed

 Other duties as assigned

o Demonstrates relationship management and influencing behaviors

 Demonstrates. Commitment to Coworkers

 Works well as a collaborative member of the healthcare team

 Demonstrates Communication Expectations

 Manages up peers and healthcare team in interactions with patient/family

 Follows chain of command when addressing issues within the work environment

ORGANIZATIONAL SUPPORT

• Adheres to Melham Medical Center administrative support policies and procedures including:

• Demonstrates knowledge of and ability to follow attendance, punctuality, time documentation and scheduling practices

• Complies with parking practices and follows up with staff out of compliance.

• Demonstrates knowledge of department locations and functions.

• Attire is appropriate to job responsibilities. Wears appropriate identification. 

• Demonstrates knowledge of Melham Medical Center Compliance Program, Code of Conduct, and Confidentiality standards. 

• Demonstrates knowledge of Melham Medical Center Emergency Management Plan

WORK ROLE COMPETENCIES

           CLINICAL  PRACTICE

• Performs direct patient care in accordance to performance standards listed on Skills Checklist according to the defined patient population of neonates, pediatrics, adults and geriatrics for the Emergency department and/or trauma patient.

o Demonstrates ability to perform admission, discharge, transfer procedures.

o Utilizes modes of communication to provide continuity of care and to deliver safe care.

o Cares for the patient undergoing an invasive and/or operative procedure.

o Assesses and promotes optimum neurological functioning including pain management.

o Assesses and promotes optimum respiratory and cardiovascular function.

o Demonstrates ability to care for the patient with diabetes and other endocrine challenges.

o Assesses and promotes optimal gastrointestinal functions.

o Assesses fluid electrolyte balance, including blood administration.

o Assesses and promotes optimal musculoskeletal function.

o Assesses and maintains optimal skin integrity, including preventative measures.

o Assesses and supports genitourinary function.

o Demonstrates ability to administer medications and has knowledge of actions, route of administration, dosage, and side effects.

o Demonstrates appropriate patient safety practices.

o Provides nursing interventions to assist the patient during the end of life process.

o Demonstrates knowledge of Infection Control Patient Care Practices for the patient population hired

o Demonstrates knowledge of Infection Control Environmental practices for the patient population hired

o Demonstrates knowledge of and ability to perform during trauma care for the following patient presentations:

o Assures each patient receives health care excellence aims of:  safe, effective, patient centered, timely, efficient, and equitable care.

• For shift worked, coordinates shift case-load of patients

• Delegates and directs care delivery appropriately

• Coordinates care effectively

• Accurately completes ED log with patient information and disposition

• Utilizes critical thinking skills in the application of the nursing process in the Emergency Department:

• Completes patient triage to identify patient medical treatment needs and intervention level. Records patient triage

• supports the initiation of the  patient log via tracking board including update of medical diagnosis at disposition. 

• Performs focused  nursing assessment for presenting condition

• 1)may use the patient/family, EMS, chart, community agencies as a source of information  

• Based on focused nursing assessment initiates ED standing orders. 

• Collaborates with Provider in the treatment plan and patient response to care delivery

• Keeps patient and/or significant other informed of care delivery plan

• Continues to reassess and revise the established care plan in relation to the patient’s response to, and the outcomes of the care provided as condition warrants

• Supports and develops Provider discharge plan of care. 

• Implements patient/family education based on ED diagnosis, and individualized needs, including actions to take if condition worsens

• If condition does not meet Melham admission criteria, supports patient stabilization and 

• transfer to a higher level of care

ADMINSTRAIVE PRACTICE

• Oversees and provides feedback on work performance of the shift staff and other members of the health care team and provides feedback to the  House Supervisor, and/or Manager. 

• Functions as RN caseload coordinator on assigned patient load.

• Serves as a preceptor to students and staff as requested.

• Follows chain of command to resolve issues or challenges.