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Performs a variety of supervisory and related duties involving responsibility for specified unit(s).  Based on the American Organization of Nurse Executives (AONE), the Nurse Manager will be competent in communication, relationship building, have knowledge of the healthcare environment, leadership, professionalism and business skills.  Will utilize competencies to support the department in accomplishing evidence-based outcomes for the patient and staff.  Promotes and supports the Bylaws of the Shared Governance Model at Bristol Hospital, the Standard of Nursing Practice and the State of Connecticut Nurse Practice Act.

(Ref:  AONE Nurse Competencies Assessment Tool Copyright 2005 by the American Organization of Nurse Executives.

Bylaws of the Professional Nursing Staff of Bristol Hospital, 11/2007

Nursing:  Scope and Standards of Practice, Publication American Nurse Association, 2004.

State of Connecticut Nurse Practice Act 2006)

Essential Job Functions and Responsibilities:

Maintains 24-Hour accountability for high quality patient centered care (LEADERSHIP)

• Staffs the unit on a 24 hour basis appropriate to patient needs.
• Remains accessible to staff and assures appropriate dissemination of information.
• Acts as a role model for professional practice by demonstrating proper, flexible and creative problem solving skills.
• Utilizes appropriate communication and collaboration skills and demonstrates working knowledge of professional practice of varied disciplines.
• Oversees and supervises all nursing care activities, directly or through assigned supervision.
• Consistently provides feedback to staff on positive and negative aspects of performance.

Establishes, monitors and maintains quality standards for optimal patient outcomes on a 24 hour basis (RESEARCH)

• Makes environmental and clinical rounds as needed.
• Provides direction for QI outcomes in respective service line.
• Establishes performance measures and monitors performance against them.
• Supports activities designed to assess professional practice, patient care and patient outcomes.
• Develops, implements and monitors policies and procedures to ensure a safe and secure working environment for patients.
• Establishes and implements departmental safety standards and procedures in accordance with accepted professional practice.
• Manages change in a positive manner.

Acts as a resource for clinical information (LEADERSHIP)

• Applies current clinical knowledge to unit operations.
• Updates unit resources, provides educational material for all staff and encourages contributions to hospital publications.
• Encourages information exchange among unit staff.
• Encourages interdepartmental information exchange as appropriate and utilizes and modifies information gained from resources in implementing change.
• Refers unit staff to other hospital resources as appropriate.
• Performs nursing actions that demonstrate accountability.
• Investigates any disciplinary issues and reports issues to service line leader.

Maintains effective communication and collaboration between unit staff, physicians and other hospital personnel, as well as promoting growth and development of unit staff (COMMUNICATION AND RELATIONSHIP BUILDING)

• Represents Patient Services and unit needs on hospital wide committees.
• Collaborates with other departments as appropriate.
• Establishes and maintains professional relationships with members of the medical staff and encourages staff to do the same.
• Establishes systems for communication with the unit(s) and to other departments.
• Participates in Nursing Leadership meetings.

Participates in the recruitment/orientation/development of staff (BUSINESS SKILLS AND PRINCIPLES)

• Maintains accurate position control sheets.
• Screens and interviews candidates, working closely with Personnel recruitment process, and fills all positions as appropriate.
• In conjunction with Service Line Leader/CNO and Personnel representative, assists in termination and other disciplinary actions.
• Supervises orientation in collaboration with Education/HRD department.
• Conducts performance appraisals with assistance of Clinical Director as necessary.

Provides leadership and direction to the unit by developing, implementing and monitoring department philosophy goals and objectives (LEADERSHIP)

• In conjunction with Service Line Leader/CNO, develops philosophy, goals and objectives for department(s).
• Periodically reviews and revises philosophy goals and objectives in conjunction with staff and Director, making recommendations for change as appropriate.
• Prioritizes goals and objectives and sets reasonable target dates.
• Submits reports in a timely manner.

Maintains responsibilities for own professional growth and development (PROFESSIONALISM)

• Evaluates professional areas of strengths and weakness.
• Seeks opportunities for professional development.
• Shows progress toward achievement of professional goals.
• Maintains clinical and managerial competence through professional growth activities.
• When appropriate, maintains specialty certification.
• Keeps abreast of changes in the professional practice.
• Participates in appropriate professional organization(s).
• Keeps current on all mandatory in-service programs.

Maintains responsibility for development, revision, and control of budget in order to balance careful use of resources (BUSINESS SKILLS AND PRINCIPLES)

• Controls/monitors personnel and supply expenses.
• Develops the unit(s) budget, insuring adequate supplies for patient care within budget parameters.

• Educational / Minimum Requirements:
• BSN from an accredited school of nursing. MSN preferred.
• Three to five years clinical experience, some of which must be in an inpatient specialty setting; direct management/charge experience.
• State/Federal Mandated Licensure or Certification Requirements:
• Current Connecticut licensure as a Registered Nurse.  Certification in specialty and/or administration within 2 years of accepting position.
• Bristol Hospital Mandated Educational Requirements:
• General orientation at time of hire.  Fire/Safety/Infection Control annually. Health Care Provider CPR from American Heart Association or Professional Rescuer CPR by American Red Cross or other similar programs deemed appropriate by management.
• Special Requirements:
• Excellent interpersonal skills, good writing skills and knowledge of budgetary process.
• Physical Requirements:
• On feet for extended periods.  Standing, lifting, sitting, reaching.
• Work Environment:
• Patient care units.  Regular exposure to patient elements.
• Cognitive Requirements:
• Strong critical thinking skills; good communication skills, oral and written.
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• Disclaimer
• The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed.