OR Charge Nurse IIB (Days) - Houston Methodist Willowbrook Hospital

WORK SHIFT: DAY

WORK WEEK: Varies

Job Summary

03/2019

JOB SUMMARY

At Houston Methodist, the Operation Room (OR) Charge Nurse IIB position is a licensed professional Registered Nurse (RN), who, as an experienced clinician, functions at the Competent to Proficient stage of Benners model of clinical practice. This position coordinates interdepartment communication with all those involved in the care delivered to our diverse patient population (i.e. Anesthesia Board Runner, Sterile Processing staff, Pre-op, PACU, Bed Control Perfusionists, ICU, Monitoring, and Cell Savers) as well as creates an environment for the management and delivery of safe patient care. In addition to fulfilling the duties and responsibilities of a clinical nurse, the OR Charge Nurse IIB position is a role model and assists in coaching and mentoring department staff in areas of clinical and professional practice. Role modeling compassionate communication with physicians and the interprofessional health care team, the OR Charge Nurse IIB assumes leadership responsibilities with high level contributions in the unit, service line, and across the institution. Responsibilities for this position may include but are not limited to leading unit and shared governance activities, assessing unit needs related to practice and improvement opportunities, serving as a clinical resource for both unit and hospital staff and coordinating unit and hospital-wide education in partnership with management.

This job code is reserved for RNs who are dedicated to the OR department only.

PATIENT AGE GROUP(S) AND POPULATION(S) SERVED

Refer to departmental "Scope of Service" and "Provision of Care" plans, as applicable, for description of primary age groups and populations served by this job for the respective HM entity.

HOUSTON METHODIST EXPERIENCE EXPECTATIONS

oProvide personalized care and service by consistently demonstrating our I CARE values:

-INTEGRITY: We are honest and ethical in all we say and do.

-COMPASSION: We embrace the whole person including emotional, ethical, physical, and spiritual needs.

-ACCOUNTABILITY: We hold ourselves accountable for all our actions.

-RESPECT: We treat every individual as a person of worth, dignity, and value.

-EXCELLENCE: We strive to be the best at what we do and a model for others to emulate.

oFocuses on patient/customer safety

oDelivers personalized service using HM Service Standards

oProvides for exceptional patient/customer experiences by following our Standards of Practice of always using Positive Language (AIDET, Managing Up, Key Words)

oIntentionally rounds with patients/customers to ensure their needs are being met

oInvolves patients (customers) in shift/handoff reports by enabling their participation in their plan of care as applicable to the given job

PRIMARY JOB RESPONSIBILITIES

PEOPLE - 20%

1.Accurately and clearly communicates information regarding the OR schedule and staffing resource needs. Reviews next day OR schedule and works with the management team to make room assignments based on skill and knowledge. Communicates with staff concerning changes in their assignment, taking into consideration staff competency. Reassigns staff to another room as appropriate, directly informing staff or their manager. (EF)

2.Ensures students, new medical students, residents, and visitors, etc. have been appropriately processed/credentialed accordingly. Maintains constant awareness that observers and visitors do not scrub, escalating issues as they arise. (EF)

3.Fosters staff engagement by demonstrating active listening, requesting and acknowledging feedback, making equitable decisions, providing rationale when appropriate, and supporting organizational goals. Anticipates the needs of the staff members and proactively offers assistance. Role models interprofessional communication, which includes active listening and teaching, and assists with staff stress management as needed. Improves department scores for turnover/retention/engagement on unit-based scorecard. (EF)

SERVICE - 25%

1.Leads the patient and family-centered care standards, as outlined in the Houston Methodist Professional Nursing Practice document. Practices in a manner that is congruent with cultural diversity and inclusion principles. Proactively recognizes, determines a plan of action, and responds to situations, such as emergency codes. (EF)

2.Coordinates activities that align the surgeon and their schedule for efficiency and effectiveness by going to rooms and communicating with the surgeon and staff assigned as to the projection for time to send for the next patient. Communicates and discusses information with Anesthesia board runner and staff assigned to to-follow case. (EF)

3.Confers with the Lead in Sterile Processing/Materials Management to ensure all cases are pulled and all equipment, instrumentation, and supplies are available for scheduled cases and any appropriate resources are ready for use. (EF)

4.Maintains ongoing interactions with entire care team, and patients and families as appropriate, throughout the perioperative experience, on improvement of patient care through consistent rounding, as needed. DrivesR F department service standards and activities to improve department score for patient satisfaction on unit-based scorecard, through role modeling and fostering accountability. (EF)

QUALITY/SAFETY - 20%

1.Models the standards of care related to the nursing process, as outlined in the Houston Methodist Professional Nursing Practice document by actively participating in continuous improvement environment initiatives to improve quality and safety scores on the unit and hospital scorecards, through peer-to-peer accountability, using teachable moments, reporting near misses and identifying solutions by collaborating with the interprofessional team promoting situational awareness. (EF)

2.Coordinates OR flow throughout the shift considering staff skill level and safety to ensure that duty to patients can be met. Reviews surgery schedule the day prior and at the beginning of the shift, delegating appropriately with Sterile Processing Department (SPD) team. Informs staff, anesthesia, and surgeon of any issues. (EF)

3.Facilitates seamless patient flow to/from/through the department by providing an accurate report to oncoming OR Charge Nurse or upcoming on-call staff, ensuring all emergency add-on cases are posted on the schedule, anticipating any changes to schedule, communicating to OR staff and to all involved department. Role models the standards related to regulatory requirements and professional practice as outlined in the Houston Methodist Professional Nursing Practice document. (EF)

FINANCE - 20%

1.Reviews the OR schedule on a regular ongoing basis with Anesthesia board runner and interprofessional health care team, determining room availability, to maximize productive use of operating rooms. (EF)

2.Ensure staff has checked their rooms and removed what is not needed and that restocking has occurred. Hold assigned staff accountable for restocking. Oversees shift by shift resource utilization through the allocation of staff, supplies and contributions to the patient throughput. (EF)

3.Implements department strategies to achieve financial target on unit-based scorecard and encourages others to do the same through timely documentation of care, optimizing efficiency, minimizing incidental overtime, and other areas according to department specifications. (EF)

GROWTH/INNOVATION - 15%

1.Encourages identification and implementation of innovative solutions for practice changes to improve patient care or unit operations such as reduction of hospital readmissions or other department-specific measures by leading and/or participating in unit projects and shared governance activities. Incorporates evidence-based practices which are presented to shared governance and leadership. Supports change initiatives and adapts to unexpected changes. (EF)

2.Identifies and assumes responsibility of own learning needs and seeks continuing education opportunities to meet those needs. Develops and disseminates, as appropriate, informational/educational resources and programs designed to improve quality and professional practice. Completes and updates the individual development plan (IDP) on an on-going basis. (EF)

This job description is not intended to be all inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises.

EDUCATION REQUIREMENTS

oBachelor of Science degree or higher from an accredited School of Nursing

EXPERIENCE REQUIREMENTS

oTwo years operating room nursing experience with demonstration of progressive leadership skills

CERTIFICATES, LICENSES AND REGISTRATIONS REQUIRED

oTexas RN license or temporary TX RN license, should obtain permanent license within 90 days. Compact license acceptable according to current Board of Nursing requirements

oAmerican Heart Association Basic Life Support (BLS)

oAmerican Heart Association Advance Cardiac Life Support (ACLS), Pediatric Life Support (PALS) and/or Neonatal Resuscitation Program (NRP) as defined by unit/service line

oCertified Nurse Operating Room (CNOR) through National Commission for Certifying Agencies (NCCA) or American Board for Specialty Nursing Certification (ABSNC) within six months of eligibility

KNOWLEDGE, SKILLS AND ABILITIES REQUIRED

oDemonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations

oSufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security

oAbility to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles

oStrong assessment, organizational and problem solving skills as evidenced by capacity to prioritize multiple tasks and role components

oAbility to function independently and exercise judgment in interactions with physicians, interprofessional healthcare team and patients and their families

oUses critical thinking skills and clinical judgment to work autonomously as defined by the Nurse Practice Act

oDemonstrates proficient time management skills

oDemonstrates highly developed assessment skills; contributes to policies, procedure and protocols

oHas knowledge of Nursing Units Dashboard and Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores

oDemonstrates expertise in operating the electronic medical record

oAbility to circulate ands scrub surgical cases as required per assigned Operating Room

oAbility to remain calm in the presence of emergency situations and manage the emergent situation

SUPPLEMENTAL REQUIREMENTS

Work AttireYes/No

Uniform Yes

ScrubsYes

Business professionalNo

Other (dept. approved) No

On-Call* Yes, on a regular basis (for Non-Exempt or Exempt jobs)

*Note that employees may be required to be on-call during emergencies (i.e. Disaster, Severe Weather Event, etc.) regardless of selection above.

Travel

May require travel within Yes

Houston Metropolitan area

May require travel outside No

of Houston Metropolitan area

Travel specifications may vary by department.

Please note any other special considerations to this job:

Equal Employment Opportunity

Houston Methodist is an Equal Opportunity Employer.

Equal employment opportunity is a sound and just concept to which Houston Methodist is firmly bound. Houston Methodist will not engage in discrimination against or harassment of any person employed or seeking employment with Houston Methodist on the basis of race, color, religion, sex, sexual orientation, gender identity,national origin, age, disability, status as a protected veteran or other characteristics protected by law.

VEVRAA Federal Contractor priority referral Protected Veterans requested.

Company Profile

Houston Methodist Willowbrook Hospital opened in December 2000 to serve the comprehensive health care needs of the growing community in Northwest Houston. The 312 bed hospital has 17 operating rooms, and more than 1,900 employees. Houston Methodist Willowbrook Hospital has been named a Magnet recognized health care facility by the American Nurses Credentialing Centers (ANCC) Magnet Recognition Program and was ranked No. 8 in the Houston metro area and No. 19 in Texas by U.S. News & World Report as a Best Hospital in 2016. Houston Methodist Willowbrook Hospital is Northwest Houston's regional leader in robotic minimally-invasive surgeries and specializes in cardiology and cardiovascular services, neurology, neurosurgery, orthopedics and sports medicine, and comprehensive cancer services. Houston Methodist Willowbrook Hospital has a Breast Care Center, Cancer Center, Imaging Center, Infusion Center, Sleep Center, Surgical Weight Loss Center and operates the largest Childbirth Center in the greater Northwest Houston area.