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Renown Health nursing leadership is a shared responsibility between the Nursing Coordinators, Directors, Managers and Supervisors in resolving problems related to patient care, and in maintaining the quality of care planned for the patients in a cost containment environment.
The Board Runner serves as an administrative resource person and patient advocate.
Within this general framework, this position performs the following standards:
* Supports nursing leadership in the provision of quality care, maintains productivity, and patient through put.
* Assigns or floats staff to meet patient care needs and address productivity standards, adjusting for census, skill mix, and sick calls. Staff assignments are based upon staff education; preparation, training, and specific patient care needs.
* Performs daily rounds within the operating rooms to ensure the provision of quality patient care, core measure compliance, and support patient satisfaction measures.
* Provides immediate attention to customer service issues and service recovery; documents as appropriate and informs involved leadership of concerns from staff, patients, family, visitors and medical staff. Investigates as needed.
* Demonstrates professional behaviors and adherence to the Codes of conduct and Renown policies and procedures.
* Provides an excellent public image for Renown Health.
* Represents management policies and communicates with staff to support the corporate mission.
* Communicates patient condition reports and pertinent data to families, friends, and media as authorized and in compliance with HIPAA.
* Supports ancillary service areas.
* Facilitates patient throughput with peri-operative team taking into account patient care needs, level of care and staffing capabilities; assures COBRA law compliance for all transfers and when accepting admissions from other facilities.
* Responds to Code Red and Code Blue pages (as appropriate, based on certification and cost center) and follows through on disposition of patients.
* Assists Managers/directors in counseling and discipline process, and investigatory follow up.
* Assumes administrative role when administrative personnel are not present. Effectively communicates with Administrator of Surgical Services, director and manager when necessary.
* Nursing is a truly dynamic profession. The Board Runner must be current in changes in the nursing process, new procedures, and new technology, as well as current policies and procedures.
This position requires communication skills related to providing information to patients and their families, physicians, transport services, coroners, organ procurement organizations, law enforcement agencies, and other agencies.
The Board Runner may serve on Leadership meeting, such as, the Code Blue Committee, Environment of Care, Quality Committees, and any other committees as requested by the Manager of Quality and Patient Safety, Directors of Nursing or Chief Nursing Officer.
This position has the authority to make specific decisions regarding patient placement inclusive of: allocation of nursing personnel; approval of overtime; settle disputes between employees, solve patient problems; and assist in communications regarding doctor/nurse disagreements; assist in determining when to contact a doctor regarding a patient's condition; facilitate transfer of a critical patient to another facility when necessary; investigate a discrepancy with narcotics; conduct or assist in employee counseling, and settle administrative problems when Administrators are not present in the hospital.
This position has the responsibility and authority for counseling and coaching staff, including competency assessment and input with regard to evaluations.
Decisions that must be referred to the manager, director, administrator of surgery, Chief Nursing Officer or the Administrator On-Call include problems with legal implications, difficult problems with ancillary hospital departments, physician related problems, disasters and situations outside hospital policies and procedures, or serious patient or family issues.
The incumbent must demonstrate the knowledge and skills necessary to provide care based on physical, motor/sensor, psychosocial, and safety appropriate to pediatric, adolescent, adult, and geriatric patients and meets standards of quality as measured by the unit/department special population competency standards.
Bibliography:
* Code of Ethics for Nurses With Interpretive Statements, American Nurses Association Publication
* Edwards, DuAnne; The Synergy Model: Linking Patient Needs to Nursing Competencies, Critical Care Nurse; Vol. 19, No. 1, February, 1999
* Magnet Recognition Progress, Recognizing Excellence in Nursing Service - Healthcare Organization Instruction and Application Process Manual, American Nurses Association Credentialing Center; Washington, DC, 2002, pp. 134, 135, 127.
* Nurse Practice Act, Nevada Revised Statutes, Chapter 632, NAC, Chapter 632. Nevada State Board of Nursing, September, 2002.
* Nursing: Scope and Standards of Practice, American Nurses Association Publication
Scope & Standards for Nurse Administrators; ANA Publication
This position does provide direct patient care.
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