Clinical Nurse Leader - Seneca Ridge Dialysis

Job Title: Clinical Nurse Leader- Seneca Ridge Dialysis

Location: Seneca Ridge Dialysis- 370 East Ridge Road Irondequoit, NY

Hours Per Week: 40

Schedule: Monday-Friday Days with on-call over the weekend for staff absences

OUR Department:

Rochester Regional Health offers a full range of Dialysis treatment options to patients with chronic kidney disease. We treat adults from people from multiple backgrounds, cultures and ethnicities. We care for patients temporarily, either their kidney function recovers or they return to their home dialysis center, move or get a transplant; or some are with us on an ongoing basis. Patients have dialysis treatment anywhere from 2-3 days a week, from 3 to 5 hours each treatment. Our staffing model consists of RN’s, LPN’s and Techs.

SUMMARY

The Clinical Nurse Leader (CNL), formerly known as ACL or Clinical Care Coordinator, provides both clinical care to patients and direct oversight of day-to-day responsibilities of nursing team members. The CNL is the main contact for a variety of nursing functions in support of management and staff. Serves as a resource for clinical expertise and mentoring / coaching of staff. Facilitates the delivery of quality patient care through strong critical thinking skills, open communication and collaboration with the interdisciplinary health team. The CNL drives the staff to provide an exceptional experience for the patient and family.

RESPONSIBILITIES

Provides high-quality, patient-centered, clinical care:

Assessment:

• Performs initial and ongoing assessment of the patient, utilizing appropriate data (i.e. physical, psychological, educational and risk-screen data appropriate for the chronological / developmental age of the patient).
• Demonstrates clinical judgment in responding to priority patient needs.
• Communicates and documents assessment of patient appropriately.

  Planning:

• Develops and documents plan of care, treatment and services which is individualized and appropriate for the patient needs, strengths, limitations and goals.
• Includes the interdisciplinary health team as needed.
• Demonstrates effective communication with the patient / family and interdisciplinary team.

  Implementation:

• Provides care, treatment and services in collaboration with interdisciplinary health team.
• Maintains an appropriate nurse-patient relationship.
• Complies with organizational policies, procedures and protocols including policies governing safety, medication administration and documentation.
• Initiates and documents education plan for the patient and family based on identified learning.

  Evaluations:

• Evaluates, communicates and documents patient responses to care.
• Revises plan of care based on ongoing evaluations and updates documentation appropriately.

  Education:

• Ensures the patient receives / understands education / training specific to their needs and abilities.

  Performance Improvement / Evidence Based Practice Research

• Demonstrates knowledge of evidence-based practice within practice area and identifies opportunities for performance improvement.
• Participates and utilizes the performance improvement process to improve clinical practice.
• Completes at least one clinical research utilization (CRU) form for submission to Nursing Research Department utilizing a research article from the last 5 years from research performed in the United States.

  Compliance:

• Completes a minimum of 20 nationally approved contact hours (CNE or CEU) per year.
• Completes mandatory in-services and health screens in a timely manner.
• Maintains Basic Life Support (BLS) certification.
• Completes Preceptor training.

  Direct oversight of nursing personnel:

• Assumes responsibility and accountability for oversight of nursing and non-nursing personnel on a unit
• Demonstrates exceptional communication skills with team members and patients / families.
• Functions as a unit leader as needed, with the ability to act as a resource person (both clinically and non-clinically) for nursing personnel, physicians and providers

• In collaboration with the nurse manager/director investigates and resolves
• patient/family/significant other complaints
  • Provides leadership by delegating appropriate responsibilities to assigned nurses and ancillary personnel.
  • Collaborates with others in both the internal and external environment to promote/ensure optimal care for the patient
  • Assesses clinical expertise of nursing personnel, monitoring assignments and providing feedback and documentation to both team members and / or Nurse Manager
  • Assesses the needs and provides recommendations regarding team member clinical education to Clinical Resource Nurse / Educator / Clinical Nurse Specialist
  • Serves as a clinical expert and is a member of the unit leadership team.
  • Participates in orientation and training of new team members as needed
  • Completes performance appraisals for direct reports and assists Nurse Manager with performance appraisals for other team members on the unit
  • Manages the performance of team members with the support of the Nurse Manager.

    Manages admission, discharge and transfer procedures:

  • Collaborates with the interdisciplinary team to assure timely patient transfers and best use of unit resources ensuring quality and safety for the patients.
  • Coordinates scheduled and/or emergent transfers to/from one unit/dept. or facility to another to assist organizational patient flow
  • Coordinates daily huddles and Care team rounds in order to drive the plan of care, identify and remove barriers and assist with care transitions for all patients on the unit.

    Participates in unit-specific and system-wide responsibilities:

  • Performs daily leader rounding, and assures that team members are regularly rounding on all patients to assure their comfort.
  • Develops programs and strategies to monitor the quality of patient care and patient outcomes
  • Assists Nurse Manager in developing, justifying and implementing the long-term staffing pattern, personnel needs, budget negotiation and recruitment plan
  • Participates in organizational compliance audits or if delegated, holds team members accountable for completion.
  • Participates in department / system committees and disseminates the work of the committee to all team members on the unit.
  • Attends all required educational programs and participates in supervisory team member education and training programs as required.
  • Demonstrates Clinical competency in area of specialty and assists in completion of competency for other team members as needed.
  • Actively pursuing certification in area of specialty.

    REQUIRED QUALIFICATIONS

    • Associate’s degree in nursing required.  
    • Bachelor’s degree in Nursing preferred.

  • PREFERRED QUALIFICATIONS

    • 1-3 years' experience as a Registered Nurse preferred; demonstrated leadership qualities and behaviors preferred
    • Certification in area of specialty by a National Accrediting Organization preferred