Clinic Lead Nurse II - MUSCP

About this job

• Assess and interpret findings for vital signs, and other required body measurements.
• Assess and document findings from positive required screenings completed for the individual patient population.
• Evaluate and document patients' responses to plan of care, pain, medication usage, follow-up tests, procedures, and treatments.
• Coordinate care with interdisciplinary team members.
• Demonstrate knowledge of hospital policies, procedures, nursing standards, and legal issues in areas of specialty.
• Administer medicine to patients and adheres to rules, regulations and policies related to medication administration and documentation.
• Adhere to policy for clinic specific medication issues: high alert, pain reassessment, standing orders, med labeling, given in clinic medications and food/drug interactions education.
• Follow unit and organizational policies and procedures to complete indicated clinical procedures.
• Assist in the development of an action plan to increase compliance and implement actions to correct identified deficiencies.
• Identifies and participates in opportunities to share skills, knowledge, and strategies for patient care and system improvement with colleagues and other healthcare providers.

• Document teaching in EMR following policy.
• Participate in updating clinic specific education materials.
• Provide and document education specific to the reason for visit/patient problem, including given in clinic medications.
• Provide education and teaching to patients and families for medications and medication changes.

• Adhere to unit protocols used for phone triage.
• Utilize EMR phone templates to document patient calls, plan of care, prescription refills and response to call.
• Remain within scope of practice and appropriately refer call to provider for response or signature.
• Maintain efficiency with call response time and request for medication refills and other patient requests.
• Monitor in basket messaging and communicate all relevant information required to coordinate care.
• Assist in inbasket performance management via EPIC inbasket reporting tools.
• Complete and coordinate all relevant tests and procedures required for individual clinic specialties.

• Recognize learning needs and obtain guidance to acquire appropriate education and/or training.
• Proactively contribute recommendations to improve patient care and clinic operations.
• Encourage, advocate, and assist team with Safety reporting (Sheild), investigations and resolution.
• Collaborate with manager to support education and team actions plans to meet Accountable Care Organizational goals.
• Coordinate and manage care by applying analytical reasoning, reflection, rational problem-solving skills, using evidence-based information and clinical judgment.
• Assist with the development of personal objectives.
• Evaluate practice through discussion with appropriate staff and self-evaluation.
• Accept and utilize constructive feedback to improve performance.
• Assists with the coordination of competency-based orientation for licensed and unlicensed staff in the Unit.
• Responsible for selection and roll-out of annual clinical competencies.
• Uses formal and informal methods to teach.
• Identifies and participates in opportunities to share skills, knowledge, and strategies for patient care and system improvement with colleagues and other healthcare providers.
• Assures that areas of responsibility adhere to relevant safety, regulatory, certification and/or accreditation standards (OSHA, TJC, DHEC, etc). MUHA vs. MUSCP clinics
• Demonstrate effective use of computer-based information for decision support, continuous quality improvement and professional development.

• Utilize appropriate channels of communication for problem solving.
• Contribute to unit development by supporting change and offering suggestions.
• Demonstrate an awareness of cost effectiveness.
• Demonstrate a professional commitment to patients and staff by adhering to clinic procedures, MUSC policies, and scope of practice.
• Verify accurate documentation in EMR to enhance revenue collections.
• Serves as a resource to various populations for the for the purpose of influencing the delivery of healthcare and the formation of policy.
• As needed, participates in direct patient care to maintain clinical skills
• Resource to manager/lead/and RN III

• Promote shared governance structure and processes.
• Promote a positive, motivating environment supportive of staff retention.
• Demonstrate high standards of patient care and function as a role model for others.
• Facilitate positive group relationships by promoting teamwork.
• Encourages and assists staff to deal appropriately with conflict.
• Takes action and coaches others in resolving ongoing problems and unit issues.
• Delegate appropriately with defined expectations.
• Verify accurate documentation in EMR to enhance revenue collections.
• Assist with employee rounding and evaluations.
• Assist the Manager as appropriate with employee disciplinary process and/or employee work improvement plans.
• Provide coverage during the Manager's absence to address department-specific concerns.
• Collaborate on clinic staffing schedules and monitor daily staffing levels, call outs and float team support as needed.
• Assist staff to work required scheduled hours and days adhering to time and attendance policies (i.e., unapproved overtime).
• In collaboration with the Manager, coordinates the interview process, orientation, and mentorship of all employees.
• Collaborate with manager and staff to achieve financial goals including monitoring charge capture reports (MUHA Clinics) to assist team in timely corrections.
• Collaborate and support manager in all leader applications and projects as assigned.