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Clinical Practice Lead/RN

Summary:
The Clinical Practice Lead/ RN is a professional registered nurse, licensed in the State of Maine. The incumbent will provide clinical oversight to the clinical support staff in their designated practice(s) and/or department(s). Direct patient care within the RN scope of practice will be performed in order to maintain clinical competency, as determined by practice needs. The RN will serve as a role model to the clinical staff; utilizing effective communication, consistently adhering to A.R. Gould Standards of Behavior and policies; demonstrating safe, competent, and compassionate care to the patient/family.
Responsibilities:
ESSENTIAL DUTIES:

1. Demonstrates knowledge and competency in the provision of nursing care appropriate to the patient population served by the designated practice(s) and/or department(s).
2. Responsible for clinical/administrative duties, including, but not limited to,clinical staff scheduling, oversight of clinical staffs’ orientations and education, development of individualized clinical action plans and coaching as needed, staff’s annual competencies, and fostering staff’s professional growth; under the guidance of the Director of Clinical Services.
3. Assists the practice manager with the interviewing, hiring, and disciplinary processes.
3. Responsible for the development, implementation, revision and reporting of the clinical Performance Improvement activities appropriate to the practice(s)/department(s).
4. Will be an active participant on the Policy and Procedure committee; utilizing evidenced-based-practice to improve patient care, practice flow, and meet regulatory requirements essential to achieve a consistently high standard of patient care.
5. Responsible for ensuring the clinical environment is in compliance with JCAHO and Maine state regulations.
6. Responsible for identifying the need for, supporting, and assisting in the development/administration of continued education for clinical support staff. Also recognizes the importance of professional development and growth for self; seeking out appropriate clinical/leadership educational opportunities.
7. Comply with all mandatory educational offerings, Healthstream assignments, and attend all meetings as scheduled (unless excused by practice manager and/or Director of Clinical Services).
8. Role model commitment to the philosophy and objectives of TAMC’s Mission, Vision, Strategic Plan, and Service Excellence
9. Maintain a safe environment for healthcare workers, patients, and/or visitors complying with NLH policies and procedures; review, document and address all incidents and safety violations within area of responsibility; report all lost time due to reported work injuries within 24 hours to local HR BP or Safety contact; support and facilitate open and non-punitive communication among NLH employees, non-employed healthcare workers, patients and visitors, reporting and addressing patient and environmental safety concerns.

OTHER RESPONSIBILITIES: Communicates daily with the manager to ensure proper operation of the practice(s)/department(s) in order to provide the best care for the patient panel. Will huddle with clinical support staff on a daily basis; encouraging staff to effectively communicate concerns, provide real-time education, and ensure that the clinical environment is maintained appropriately. Ensures appropriate communication is occurring between, front-end staff, clinical staff, and providers. Perform other work-related/clinical duties, within the RN scope of practice, as assigned.
Other information:
LICENSE REQUIREMENTS: Current unencumbered Maine State RN license.

AVAILABILITY REQUIREMENTS: Must be available to work occasional extended/weekend hours as staffing and/or education requires.

EDUCATION SKILLS, EXPERIENCE REQUIREMENTS: The applicant must be a graduate of an accredited school of nursing; BSN preferred. The clinical supervisor must have a minimum of 2-3 years of clinical nursing experience. Two years of experience in an ambulatory setting similar to that which they will be providing clinical oversight is highly preferred. The Clinical Supervisor should have a work history demonstrative of progressive leadership.

BLS is required within the first week of employment. Employees must maintain CPR certification throughout employment when in a clinical position.

ACLS may also be required; dependent on the procedures/interventions performed in the practice(s)/department(s) under their supervision.

De-escalation and workplace violence training will be completed at hire prior to release from orientation

PHYSICAL DEMAND REQUIREMENTS:


This job is classified by the Dept of Labor as requiring a LIGHT level of physical effort.

1. Sitting. Up to 7 hours per day
2. Standing. Up to 4 hours/day
3. Walking. Up to 4 hours/day
4. Lifting/Carrying: Up to 20 lbs occasionally (less than 1/3 of shift or job cycle), and/or up to 10 lbs frequently (up to 2/3 of shift).
5. Twisting. Occasionally ( less than 1/3 of shift)
6. Bending. Occasionally ( less than 1/3 of shift)
7. Squatting/Kneeling: Rarely (less than 10% of shift or job cycle).
8. Endurance. This job is classified as LIGHT
9. Extreme Wrist Position. Rarely (less than 10% of shift or job cycle).
10. Pinching. Rarely (less than 10% of shift or job cycle).
11. Hand/Wrist Repetitions: Rarely (less than 10% of shift or job cycle). This job is NOT classified as a requiring a high level of repetitive upper extremity movement
12. Manual Dexterity. Occasional Frequent fine motor skills required.
13. Either Handedness. 70%- 100% of job cycle time.
14. Both Handedness. 70%-100% of job cycle time.
13. Tasks Requiring Use of Either Hand or Dominant Hand. 60%- 100% of shift or job cycle time.
14. Tasks Requiring Use of Both Hands. Up to 40% of shift or job cycle time.
15. Sight. Requires corrected 20/25 near vision and minimum 20/40 corrected far vision.
16. Hearing. Can hear whispered voice at eight (8) feet (FAA class II). Must be able to recognize speech at normal tone and volume at normal conversational distance (up to 4 feet).
17. Speech. Frequent clear speaking ability required. Ability to speak and be comprehended in normal conversation.
18. Exposure to Infection, radiation, electric shock or toxic chemicals: This job does not present significant risk of exposure to bloodborne infection, radiation, electric shock or toxic exposure under normal working conditions. Minimal.



ENVIROMENTAL FACTORS:

1. High/Low Temperature. Work environment 70-80˚F. No significant exposure to extremes of temperature, weather, humidity, or adverse atmospheric conditions are anticipated under normal work conditions.
2. Hazardous Noise. None anticipated under normal working conditions. Slight, occasionally fairly loud sounds.
3. Working with Others. Close association is frequent and compromises a major portion of the job.
4. Confined Spaces or Cramped Body Positions. Job does not involve work in cramped positions/confined spaces (0 hours per week).
5. Body Injuries. No significant likelihood of traumatic injury - deep cuts, fractures or permanent disabling injuries under normal working conditions..
6. Exposure to/Injury by Moving Objects. No significant likelihood of injury from moving objects or equipment under normal working conditions. .
7. Toxic Conditions. NO SIGNIFICANT EXPOSURE to toxic or caustic chemicals is anticipated under normal working conditions.
9. Role Ambiguity. Slight, rarely is it not clear what others expect of the worker.

10. Irregular/extended work hours (hours over 8-12/hours or shift change). Slight, rare.
11. Multi-task situations (the degree to which several tasks are being work on simultaneously in various states of completion). Moderate, occasionally working on several tasks at once.
12. Task interruptions (the extent to which task being worked on it interrupted for other tasks). Severe, takes place frequently, a major portion of job.

COGNITIVE:

1. Problem-Solving Skills. Frequent problem-solving skills required.
2. Judgment/Assessment. Continuously assesses situations and determines corrective actions needed.
3. Supervision. Assists in supervision of 1-30 individuals and must perform functions involved with supervi¬sion of employees in the particular department.
4. Reading/Comprehension. Must be able to read and comprehend greater than Grade 10 level of instructions.
5. Math/Arithmetic. Must be able to add, subtract, multiply, divide, perform fractions, and calculate percentages.

EMOTIONAL ENVIRONMENT:

1. Composure Under Working Conditions (including demanding, and/or rude, resi¬dents/staff/visitors). Must remain calm and exercise self-control in working relation¬ships with patients, staff, and visitors.
2. Coping Skills for Stresses Associated with Illness, Disability, Dying and/or Death. Works directly with persons who are or may become ill, disabled, or dying on a regular basis; must possess skills to cope with stresses associated with illness, disability, dying, and death.
3. Ability to make timely and appropriate decisions under pressure. Moderate, occasional instances of pressured decisions.

INTERPERSONAL SKILLS REQUIRED:

1. Willingness to work cooperatively is necessary.
2. Strong public relations and customer satisfaction motivation.  
Competencies and skills:
Essential:
* 2+ years of relative work experience required.
* Behaves with Integrity and Builds Trust: Acts consistently in line with the core values, commitments and rules of conduct. Leads by example and tells the truth. Does what they say they will, when and how they say they will, or communicates an alternate plan.
* Cultivates Respect: Treats others fairly, embraces and values differences, and contributes to a culture of diversity, inclusion, empowerment and cooperation.
* Demonstrates Emotional Intelligence: Exhibits a high level of self-awareness, self-management, other awareness and relationship management. Conducts themselves in an empathic, appropriate way, with a sense of humor and stimulates a collaborative work environment. Is respectful of the attitudes, feelings, or circumstances of others and aware of the influence of their own behavior on them. Is aware of relevant social, political, system, and professional trends and developments and uses this information for the organization's benefit.
* Effectively Communicates: Listens, speaks and writes appropriately, using clear language. Communication methods are fitting to the message(s), audience, and situation and follow-ups are regular and timely. Shows that important (non-) verbal information is absorbed and understood and asks further questions to clarify when necessary. Expresses ideas and views clearly to others and has ability to adjust use of language to the audiences' level.
* Exercises Sound Judgment & Decision Making: Understands and processes complex information, which allows for appropriate and accountable conclusions. Does not react too quickly or slowly. Balances facts, goals, and potential approaches taking the appropriate criteria into account. Makes active decisions and commits oneself by communicating confidently and respectfully.
* Fosters Accountability: Creates and participates in a work environment where people hold themselves and others accountable for processes, results and behaviors. Takes appropriate ownership not only of successes but also mistakes and works to correct them in a timely manner. Demonstrates understanding that we all work as a team and the quality and timeliness of work impacts everyone involved.
* Practices Compassion: Exhibits genuine care for people and is available and ready to help; displays a deep awareness of and strong willingness to relieve the suffering of others.
* Seeks Process Improvement & Applies System Thinking: Possesses and gains insight into situations, problems and processes. Understands the interconnection between organizational elements. Deconstructs problems and systematically investigates the various components. Considers the impact of actions on the entire process/system. Detects problems and opportunities, recognizes important information, and links various data to trace potential causes and relevant details.
Credentials:
Essential:
* Registered Nurse
Education:
Essential:
* Associate's Degree
Education equivalent experience:
Essential:
* The applicant must be a graduate of an accredited school of nursing; BSN preferred.
Working conditions:
Essential:
* Continuous sitting.
* Continuous standing.
* Continuous walking.
* Lifting, moving and loading 20 to 30 pounds.


Equal Opportunity EmploymentWe are an equal opportunity, affirmative action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, disability status, gender, sexual orientation, ancestry, protected veteran status, national origin, genetic information or any other legally protected status