Navajo Preference Employment Act
In accordance with Navajo Nation and federal law, TCRHCC has implemented an Affirmative Action Plan pursuant to the Navajo Preference in Employment Act. Pursuant to this Plan and corresponding TCRHCC Policy, applicants who meet the necessary qualifications for this position and (1) are enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe will be given preference in hiring and employment for this position, (2) are legally married to enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe and meet residency requirements will be given secondary preference, and (3) are enrolled members of other federally-recognized American Indian Tribes will be given tertiary preference.
Overview
POSITION SUMMARY
In consultation with the Director of Emergency Services, the Lead Clinical Nurse (LCN) will implement work systems that assure the optimal use of all assets, staff and equipment. The Lead Clinical Nurse evaluates the Nursing needs of patients, develops a plan of nursing care, initiates patient care assignments, implements and modifies them as needed. In addition, provides or directs the provision of comprehensive Nursing care, delegation of duties to appropriate personnel, teaches and supervises their work as needed. Participates in the evaluation of the quality of patient care. May serve in the capacity of the Acting Director of Emergency Services in the absence of the Director.
Qualifications
NECESSARY QUALIFICATIONS
Education:
Associate or bachelor’s degree in nursing
License/Certification:
- Must have a valid, current, full and unrestricted Professional Nursing License to practice nursing in any state of the United States of America, The Commonwealth of Puerto Rico, or a territory of the United States
- Must maintain a current valid certification of the following throughout employment:
- Basic Life Support (BLS) from the American Heart Association
- Advanced Cardiac Life Support (ACLS) from the American Heart Association
- Pediatric Advanced Life Support (PALS) from the American Heart Association
- Neonatal Resuscitation Program (NRP) required within one (1) year of hire from American Heart Association
- Trauma Nurse Core Course (TNCC) required within one (1) year of hire
- Emergency Nurse Pediatric Course (ENPC) required within one (1) year of hire
- Certified Emergency Nurse (CEN) within 3 years of hire
- National Institutes of Health (NIH) – NIHSS – NIH Stroke Scale must be completed within 6 months of hire
- Patient Sitter Competency – upon hire
- Trauma Certified Registered Nurse (TCRN) within 2 years of hire
- ENA - Emergency Severity Index (ESI) Level 5 within 3 months of hire
- National Incident Management System (NIMS) to be completed within 6 months of hire
Experience:
Must have two (2) years of nursing experience with two (2) year in the Emergency Department and one (1) as charge nurse
MENTAL AND PHYSICAL EFFORT
The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
Physical:
Work requires prolonged periods of standing; walking; talking or hearing; sitting watching, observing, concentrating on computer monitors and equipment; use of hands to finger, handle, feel; bending, stooping, kneeling, crouching; reaching with hands and arms; and taste or smell. Agility and the ability to lift, pull and bend are required to move patients to and from beds, wheelchairs, stretchers, et cetera, and in moving equipment and medical supplies. Must be able to lift to 50 lbs. frequently through entire shift. Most be able to move, pull/push, lift, maneuver more than 100 lbs. when caring for patients and must be able to use proper body mechanics and lifting equipment when available. Must be able to discern when working with over a hundred pounds when, how, and who to ask for assistance to protect and prevent self-injury. Must have the ability to hear and recognize alarms on equipment; client calls; instructions from physicians/department staff; and hear overhead pages through loudspeaker. This position requires vision required to see close; distant; colored; peripheral; and depth perception. Must be able to adjust visual focus as needed. to ask for assistance. This position requires the ability to perform repetitive motion actions in both feet; and hands including prolonged grasping of simple/light action; intermittent grasping of firm/heavy action; and prolonged ability of fine dexterity.
Mental:
Contacts often require tact and sensitivity as those related to stressful situation such as death, dying, and catastrophic illnesses. Must be able to prioritize and use good judgment. Must be able to coordinate a variety of issues while being frequently interrupted. Must be able to work with the attitude of team building with other staff; collaborate with multiple departments and job positions. Must be willing to assist when able and as needed with other team players.
Environmental:
Required to work prolong periods of time in an environment of toxic or caustic chemicals. Will be working occasionally around the following environmental conditions: wet, humid conditions (non-weather); work near moving mechanical parts; toxic or caustic chemicals; outdoor weather condition; extreme cold (non-weather); extreme heat (non-weather); risk of electrical shock; risk of radiation; vibration; and, risk of electric shock. Typical environmental noise level is moderate. As with any area of a Health care setting, must be able to work around and with infectious diseases.
Responsibilities
ESSENTIAL FUNCTIONS
- Responsible for providing direct observation of patients as directed by the nursing plan of care and under the supervision of the nursing staff and/or nursing department Director. Responsible for assisting nursing staff to create, maintain and provide a safe environment.
- As Lead Clinical Nurse, provides guidance to three or more employees and direction to ancillary departments, other Nurses, and health care providers including temporary intermittent personnel as requested or deemed necessary.
- Coordinates admissions, discharges, and transfers to other facilities.
- Ensures that the organization's strategic plan, mission, vision and values are communicated to the team and integrated into the tam's strategies, goals, objectives, work plans and work products and services.
- Articulate and communicate to the team the assignment, project, problem to be solved, actionable events, milestones, and/or program issues under review and deadlines and time frames for completion.
- Coach the team in the selection and application of appropriate problem-solving methods and techniques, provide advice on work methods, practices and procedures and assist the team and/or individual members in identifying the parameters of a viable solution.
- Leads the Team in identifying, distributing and balancing workload and tasks among employees in accordance with established workflow, skill level and/or occupational specialization; making adjustments to accomplish the workload in accordance with established priorities to ensure timely accomplishment of assigned team tasks; and ensuring that each employee has an integral role in developing the final team product.
- Train or arrange for the training of team members in methods and techniques of team building and working in teams to accomplish tasks or projects and provide or arrange for specific administrative or technical training necessary for accomplishment of individual and team tasks.
- Monitor and report on the status and progress of work, checking on work in progress and reviewing completed work to see that the Director's instructions on work priorities, methods, deadlines and quality have been met.
- Prepares reports and maintain records of work accomplishments and administrative information, as required, and coordinate the preparation, presentation and communication of work-related information to the Director.
- Represent the team in dealings with the Director or Manager for the purpose of obtaining resources and securing needed information or decisions from the Director on major work problems and issues that arise.
- Lead the team in assessing its strengths and weaknesses and provide leadership to the team in exploring alternatives and determining what improvements can be made.
- Manage leave in accordance with Department policy and approves Time and Attendance in NOVAtime.
- Resolve simple, informal complaints of employees and refer others, such as formal grievances and appeals, to the Director or an appropriate management official.
- Communicate team consensus and recommendations to the Director on actions affecting team and individual awards, rewards and recognition. Informs Director of performance management issues/problems and to recommend/request related actions.
- Accountable to monitor all aspects of patient care when acting as the Director of Emergency Services.
- Maintains professional knowledge and proficiency in department specific nursing knowledge and practice through continuing education.
- Responsible for electronic health records data entry pertinent to patient service role.
- Ensure proper PPE is always worn while on duty including but not limited to, face mask, gloves, gown, isolation gown, NIOSH-approved N95 filtering facepiece respirator or higher, if available), and eye or face shield.
- Complete all donning and doffing tasks in a safe acceptable method and discard of used PPE accordingly. (see CDC website for most current updates)
- Complete task training for all routine cleaning and decontamination processes for all surfaces contaminated by a communicable disease to ensure a high level of patient, visitor, employee and external customer satisfaction.
- Performs other duties as assigned.
