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SUMMARY Under the general supervision of the Clinical Manager (or designee), and within hospital and departmental policies and procedures, the Clinical Practice Leader provides nursing expertise and professional development support to the inpatient units, targeting high-risk and decompensating patients on the med/surg floors, facilitates timely transfer of patients to a higher level of care, and assists the Nursing Supervisor with appropriate utilization of resources. All essential functions performed in this position reflect the age specific needs of the patients. Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers, and one another.

RESPONSIBILITIES Recognizes and reports deviations from patient or established norms. Identifies deviations from established norms not related to chief patient's complaints. Reports patient's responses to treatment(s), and documents nursing interventions.

Identifies and assesses emergency situations. Initiates appropriate response and intervention. Plans for potential needs during emergency situations.

Defines nursing diagnosis and expected patient's outcomes. May modify nursing plan of care based on diagnosis and/or outcomes. Documents on appropriate nursing assessment forms.

Integrates complete physical assessment with nursing assessment, and records reviews in developing a comprehensive and individualized plan of care. Utilizes established protocols and collaborates with the health team to facilitate therapeutic interventions and attainment of desired patient outcomes. The Clinical Practice Leader maintains knowledge of contemporary, professional nursing practice within the legal framework of the Rhode Island Nurse Practice Act.

Attends training and retraining, as needed, to maintain current knowledge of hospital and patient's care practices and procedures. Maintains quality assurance, safety, environmental, and infection control in accordance with established hospital department policies, procedures, and objectives. Maintains safe environment for patients, visitors, and staff.

Partners with unit leadership and Center for Professional Practice and Innovation (CPPI) to identify and support unit level quality initiatives. Provides ongoing formal feedback to CPPI team, and the Newly Licensed Nurse Residency Program Manager to continually update existing standards of care and ensure educational needs are met. Participates on hospital, departmental, and system-wide committees, and teams, as deemed necessary.

Demonstrates self-direction in maintaining and advancing clinical and professional competency. Demonstrates knowledge and skills necessary to provide care to patients throughout the life span with consideration of aging processes, human development stages, and cultural patterns in each step of the care process. Collaborates with Nursing Supervisor to provide support to nursing units.

Proactively rounds on high-risk patients and assists in facilitation of transfers to higher level of care. Ensures escalation of care as appropriate and initiates corrective measures, as indicated. In collaboration with the Nursing Supervisor, plans and manages patient flow to provide optimal patient care services through the institution.

Works collaboratively with all departments and Brown University Health affiliates. Responds to patient flow problems on units and in individual points of entry, resolving issues as they arise. Maintains a global perspective of hospital operations.

Provides guidance and education to staff on patient care delivery as needed; provides leadership coaching and feedback to Charge RNs. Assists with competency verification. Evaluates new programs and initiatives on off-shift and provides feedback to clinical leadership.

Responds to and provides leadership during Code Blue, Rapid Response Team and similar hospital emergencies. Assesses and communicates any learning gaps to CPPI team. Conducts quality and safety audits as needed.

Completes occurrence reports as required. Initiates follow-up or corrective interventions as indicated, providing follow-up to Nursing Supervisor and/or Clinical Manager. Consults with Clinical Manager or Charge Nurse regarding unit routines and with Advanced Practice Manager regarding any professional development opportunities identified.

May assume shift charge responsibility on an assigned unit. Responsibility includes maintaining an overview of unit activities and delegating work responsibilities with equitable assignments. Makes bed and patient assignments and assigns primary patients to staff.

Performs other duties as necessary. MINIMUM QUALIFICATIONS Graduate of a school of nursing, Baccalaureate in Nursing required, with current license to practice as a Registered Nurse in the State of Rhode Island. Conformity to the Code of Professional Nurses.

Understanding of the provisions of the Nurse Practice Act of the state of Rhode Island. Demonstrates knowledge and skills necessary to provide care to patients throughout the life span with consideration of aging processes, human development stages and sensitivity to cultural diversity in each step of the care process. Current ACLS and BLS certification is required.

Current certification in related specialty or certification within two years. EXPERIENCE Five years of progressively responsible clinical experience in medical/surgical nursing, two years critical care or emergency department experience preferred. Demonstrated clinical leadership as Charge Nurse, Preceptor, and/or shared governance council lead.

WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS Prolonged standing and walking. Exposed to all patient elements. May be required to lift/turn patients and equipment.

Repeated bending, squatting, stooping. INDEPENDENT ACTION: Plans and organizes priorities for effective patient care within the scope of existing departmental policies, generally refers specific problems to supervisor where clarification of departmental policies and procedures may be required. SUPERVISORY RESPONSIBILITY None.

Pay Range $38.62-$77.22 Location Newport Hospital - 11 Friendship Street Newport, Rhode Island 02840 Work Type Three 12 hr shifts, 7p-730am, every other weekend, holiday Work Shift Night Daily Hours 12 hours Driving Required No Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment. Apply