TITLE:Clinical Nurse Specialist - Emergency Department
REPORTS TO POSITION: Director – Clinical Practice & Professional Development
DEPARTMENT: Clinical Practice & Professional Development
OUR VISION: Creating America’s healthiest community, together
OUR MISSION: In the spirit of love and compassion, better health, better care, better value
OUR VALUES: Accountability, Caring and Teamwork
DEPARTMENTAL SUMMARY: The Clinical Practice & Professional Development (CPPD) Department is a system service department that provides clinical practice support and professional development opportunities to nursing and allied health caregivers at St. Charles Health System. CPPD also provides professional development opportunities to caregivers employed in non-clinical positions at St. Charles Health System and the Central Oregon/Pacific Northwest Communities. Specifically, CPPD delivers services through the following educational/practice service lines: Onboarding/Orientation, Competency Management, Continuing Education, Professional Role Development, Collaborative Partnerships and the American Heart Association St. Charles Health System Training Center.
POSITION OVERVIEW: The Clinical Nurse Specialist (CNS) serves as the clinical practice expert in the delivery of evidence-based nursing interventions within the emergency department setting at St. Charles Health System. The CNS possesses advanced knowledge of the science of nursing within the specialty focus of emergency care and applies that knowledge through the three spheres of influence: patient/family, nurses and nursing practice, and the organization/system. The CNS translates theory and evidence to advance the health and knowledge of the patient/family, nurses and nursing practice and the organization/system. The CNS practices nursing within the nursing process, as a licensed advanced practice nurse, through the standards of assessment, diagnosis, outcome identification, planning and implementation and evaluation. The CNS is competent in the standards of care and standards of professional performance specific to the specialty focus of emergency care and CNS competencies are integrated across the three spheres of influence. The CNS practices nursing with a consistent focus on targeting quality, cost-effective outcomes through patient/family care by influencing the practice of nurses in emergency care and by influencing the organization to support nursing evidence-based practice. This position does not directly manage other caregivers, however may be asked to review and provide feedback on the work of other caregivers
ESSENTIAL FUNCTIONS AND DUTIES:
Provides leadership and clinical expertise within the interdisciplinary team in the management of complex patient issues.
Partners with specialty specific leadership to develop and evaluate the delivery of nursing practice in the emergency care setting.
Applies knowledge of differential illness diagnoses and treatments in comprehensive, holistic assessments of patients within the context of disease, diagnoses and treatments in order to explicate etiologies that require nursing interventions to prevent and/or alleviate illness
Design, implement and evaluate innovative individual and/or population-based programs of care to achieve desired quality, cost-effective nurse-sensitive outcomes
Provides leadership and clinical expertise within the interdisciplinary team participating in unit quality rounds and in the management of complex patient issues.
Design, implement and evaluate innovative individual and/or population-based programs of care to achieve desired quality, cost-effective nurse-sensitive outcomes in areas that are targeted and prioritized in collaboration with operations and medical staff.
Serve as a leader, consultant, mentor, change agent in advancing the practice of nursing among nurses within assigned area and across the organization to achieve desired outcomes.
Support the development of specialty based preceptors and their professional practice evaluations.
Serve as a leader, consultant, mentor, change agent in advancing the practice of nursing among nurses within assigned area and across the organization to achieve desired outcomes
Advance nursing practice through innovative, evidence-based interventions, best-practice guidelines and implementation of professional standards and creation/alignment of organizational policies that direct the care of nursing caregivers and other providers of healthcare to improve patient, family, nursing and organizational outcomes
Lead multidisciplinary groups to facilitate collaboration with other disciplines in the attainment of outcomes across the continuum of care
Interpret the dimensions of nursing care requiring resources at the system level and provide leadership to assure the organization adequately supports the delivery of nursing care
Expand the practice of nursing through ongoing generation and acquisition of scientific knowledge and skills to maintain expert clinical competencies that leads to desired outcomes
Demonstrate professional citizenship and fiscal responsibility in the healthcare system by focusing on health policy and/or resource management to ensure quality, cost-effective outcomes of nursing care.
Supports Value Improvement Practice (VIP- Lean) principles of continuous improvement with energy and enthusiasm, functioning as a champion of change.
Provides and maintains a safe environment for caregivers, patients and guests.
Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies and procedures, supporting the organization’s corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings.
Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient and accurate.
May perform additional duties of similar complexity within the organization, as required or assigned.
Required: Master of Science in Nursing as a Clinical Nurse Specialist from an accredited college or university
Preferred: Post-Graduate Nursing Certificate in Nursing Education from an accredited college or university
Required: Current Oregon RN License.
Current license to practice as a Clinical Nurse Specialist in the State of Oregon by the OR State Board of Nursing
National Specialty Certification from a professional organization in relevant field of clinical expertise
Current AHA Basic Life Support for Healthcare Provider certification. Current ACLS and PALS provider certification.
Valid Oregon driver's license and ability to meet St. Charles Health System driving requirements
Preferred: ANPD specialty certification upon hire or agree to obtain when eligible.
Current certification BLS/ACLS/PALS instructor within 1 year of hire
Minimum of 5 years in Emergency Department Nursing.
Evidence of CNS competency, within spheres of influence, as outlined in NACNS Statement on Clinical Nurse Specialist Practice and Education.
Preferred: Experience as a CNS in an Emergency Department. Program management experience. Nursing Professional Development experience.
Lean Principle competency and implementation of Lean.
Experience with various teaching methodologies, accrediting bodies for nursing excellence (ANCC), shared governance, clinical professional advancement systems required
PERSONAL PROTECTIVE EQUIPMENT
Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely.
ADDITIONAL POSITION INFORMATION:
Knowledge, Skills, and Abilities
These are the observable and measurable attributes and skills required to perform successfully the essential functions of the job and are generally demonstrated through qualifying experience, education, or licensure/certification.
General Ability to apply the professional nursing code of ethics and professional guidelines to clinical practice.
Ability to apply Scope and Standards of Practice for CNS and Nursing Professional Development Specialist to role functions.
Ability to be a resource for all employees within assigned areas.
Ability to plan, implement, evaluate and revise professional development and continuing education programs for nursing and allied health staff at the unit and organization-wide levels.
Ability to design curricula and programs that reflect sound education principles, incorporate evidence-based practice, meet measurable outcomes, and that meet requirements of external regulatory and accrediting organizations.
Ability to evaluate and document the clinical competency of staff, identifying staff’s and unit’s needs strengths, limitations and opportunities.
Ability to plan educational programs for staff with various levels of ability given available resources.
Ability to function as an educator, leader, consultant, facilitator, change agent, and researcher, mentor, advocate and champion for scientific inquiry.
Knowledge of adult instructional methods and theories, learning concepts and evaluation.
Knowledge of the current theories, principles, practices and standards, as well as emerging technologies, techniques, issues, and approaches in the nursing and allied health professions, particularly those applicable to the area of assignment/expertise, the culture of nursing and the health care system, as well as the responsibility and accountability for the outcome of practice.
Knowledge of laws, rules and regulations, standards and guidelines of certifying and accrediting bodies that scope, impact and/or influence the practice of nursing and allied health professions; knowledgeable hospital and department/unit standards, protocols, policies and procedures governing the provision of nursing and allied health care.
Knowledge of medical terminology; principles and practices of health promotion, risk reduction, illness and disease prevention and management; medications and drugs, common dosages, their physical and physiological effects, and possible adverse reactions, as related to assigned area.
Knowledge of medical and professional nursing ethics and patient privacy rights.
Knowledge of computer systems and software used in functional area.
Knowledge of principles of project management, and working effectively with teams.
Works collaboratively with Supply Chain, ViP, Leadership & Culture, Safety, Human Resources, Infection Prevention, Clinical Informatics, Outreach, Regulatory, Compliance, Legal, AHEC, CME, Research as needs for clinical education arise
Must have excellent verbal and written communication skills and ability to interact with a diverse population and professionally represent St. Charles Health System.
Ability to effectively interact and communicate with all levels within St. Charles Health System and external customers/clients/potential employees
Strong team working and collaborative skills
Ability to work under pressure in a fast-paced environment
Ability to multi-task and work independently.
Attention to detail.
Excellent organizational skills, written and oral communication and customer service skills, particularly in dealing with stressful personal interactions.
Strong analytical, problem solving and decision making skills.
Excellent organizational and multi-tasking skills.
Demonstrated ability and experience in computer applications, use of electronic medical record keeping systems and MS Office, Database management.
Internal Number: R1001651
About St. Charles Health System (Bend, OR)
With four hospitals and more than 220 employed medical providers, St. Charles Health System is the largest provider of medical care in Central Oregon. We take our role in our communities seriously and have pledged to work with our partners to achieve our vision: Creating America's healthiest community, together.
St. Charles Health System began in 2001 as Cascade Health Services when St. Charles Medical Center in Bend merged with Central Oregon District Hospital in Redmond. Today, St. Charles owns and operates medical centers in Bend, Redmond, Prineville and Madras.
Our medical centers in Bend and Redmond are accredited by The Joint Commission. St. Charles Bend is Oregon's only Level II Trauma Center east of the Cascades. St. Charles Prineville and St. Charles Madras are critical access hospitals that are well regarded in their commitment to modern, progressive health care.
A private, nonprofit Oregon corporation, we're Central Oregon's largest employer with more than 4,300 caregivers in Bend, Madras, Redmond, Prineville and Sisters combined. More than 350 active medical staff members and approximately 200 visiting medical staff members also make it possible for St. Charles to deliver a wide range of excellent care in a compassionate, healing environment.