MetroWest Medical Center is the largest community health care system between Worcester and Boston. MetroWest Medical Center is committed to providing high quality, comprehensive care, at a location close to home. The 307-bed regional healthcare system includes Framingham Union Hospital, Leonard Morse Hospital in Natick and the MetroWest Wellness Center. MetroWest Medical Center has been named to the 2019 America’s 100 Best Hospitals List by Healthgrades.
Under the direction of the Director of Nursing for Behavioral Medicine and according to established policies and procedures, assumes a primary leadership role in the overall functioning of GTU (gero-psychiatric unit). An experienced Registered Nurse, who in addition to providing direct patient care is accountable for facilitating an interdisciplinary approach to patient care, patient flow, staffing, resource utilization, and problem solving. Assists in monitoring and evaluating staff performance based on established standards of care. Ensures quality and the safe delivery of care to all patients.
PRINCIPAL DUTIES AND RESPONSIBILITIES
•Assists staff in applying the nursing process in the management of patients with complex needs.
•Demonstrates accountability for patient care delivery and promotes accountability among all staff.
•Promotes high work standards and quality performance of self and other staff members. Holds self and others accountable.
•Provides expert nursing care to a select group of patients. Acts as a resource to nursing staff and students.
•Supports and participates in collaborative rounding within an interdisciplinary framework of care.
•Assists in identifying educational needs of the unit staff and works collaboratively with Professional Practice Department.
•Responds to changes in the internal and external environment that impact patient care.
•Participates in annual competency development.
•Updates nursing policies to reflect current practice.
Patient and Family Centered Care
•Demonstrates the principles of exceptional patient experience the has the following characteristics:
oSafe, effective, and timely
oEquitable and efficient
oCommunication and shared information
oPartnership with patient and family that enhances their independence and control
•Anticipates and solves patient clinical and customer service needs while addressing long-term solutions.
•Facilitates communication and collaboration with co-workers, other disciplines and other departments in identifying customer service needs.
•Ensures staff acknowledge the patients, makes amends and promotes service recovery.
•Implements action plans that will improve or enhance the patient experience.
•Conducts medical record reviews and patient care rounds to ensure that population specific care is delivered to patients.
•Consults and promotes collaborative patient care with other units and community based providers. Supports a positive work culture.
Actively supports and is the leader of the unit based restraint reduction efforts.
•Promotes a culture that is strength based and patient centered.
•Provides and monitors staffing based on established budget.
•Coordinates unit based staffing assignments on a shift basis to achieve high quality and cost effective care.
•Demonstrates patient first and cost effective approach to patient care in terms of equipment, staff, supplies, and all other resources.
•Anticipates staffing needs for subsequent shifts and makes necessary arrangements for coverage.
•Participates in the development of the yearly operational and capital budgets as requested.
•Addresses daily staffing variances and the monthly DOR.
•Has responsibility and oversight of the payroll, assuring that all staff are paid correctly and on time.
•Accountable for the coordination of care on the unit to achieve desired outcomes while delegating tasks and assigning care based on individual or group strengths and potentials.
•Provides ongoing feedback to the Director of Nursing re: staff performance and completes annual performance evaluations of nursing staff.
•Holds staff accountable to practice according to established standards.
•Provides progressive discipline to staff members up to and including termination of employees in conjunction with the Director of Nursing.
•Conducts interviews with potential new hires and contributes to the hiring process of their unit.
•Development of performance improvement plans for staff in coordination with the Director of Nursing.
Safety and Regulatory
•In collaboration with Security assures safety and security of staff, patients, and others.
•Monitors clinical practice and addresses safety regarding nursing practice, environment, and equipment.
•Participates in Tracers and all regulatory pre-work.
•Familiar with service line metrics/dashboards in striving to provide safe and appropriate care along with best practices.
•Conducts random audits on new nursing work flows, nursing documentation, and new programs.
•Supports Tenet’s quality initiatives.
•Holds staff accountable for reporting unsafe practices using established MWMC channels.
•Understands and abides by the Department of Mental Health policies and procedures. Communicates with DMH around serious issues and participates in bi-annual surveys.
•Understands and enforces The Joint Commission standards.
•Assures that the Behavioral Heath service is Joint Commission ready at all times.
•Champions new initiatives and helps in unit/departmental or hospital-wide committees/task forces.
•Supports opportunities for professional growth and development of staff.
•Supports and participates actively as a member of the Shared Governance model.
•Supports and is involved with the Preceptor Program, developing our nurses of the future.
•Participates in orientee/preceptor conferences.
•Responds to requests for assistance regarding educational needs.
•Communicates with Professional Practice Department re: educational and developmental needs of staff.
•Maintains responsibility for personal professional growth and development.
•Demonstrates effective 2-way conversation with staff.