**Job Type:** Regular **Time Type:** Full time **Work Shift:** Day (United States of America) **FLSA Status:** Exempt **When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.** 40 hpw **Job Description:** **Duties/Responsibilities:** **Clinical Inquiry** _The ongoing process of questioning and evaluating practice to provide informed, evidence based care._ + Formulates and raises vital clinical questions and issues clearly and precisely. + Brings practice issues to the attention of others when assistance is needed to facilitate resolution. + Utilizes reliable sources for locating current standards of practice, research, evidence reports and clinical guidelines. + Establishes and maintains a system for assessment of quality nursing care that complies with evolving regulatory agency requirements. + Uses QI tools and methodologies to assess performance and identify gaps between current unit & best practice related to key clinical outcome measures. + Provides leadership in generating clinical inquiry and critical thinking among staff by developing mechanisms that effectively translate available data, e.g., pathway variances, QI audits, and research findings, into information used by staff for clinical decision making. + Systematically evaluates the quality, cost, and effectiveness of nursing practice through identification of nursing phenomena and/or systems issues appropriate for study. **Clinical Scholarship** _Those activities which systematically advance the teaching, research, and practice of nursing through rigorous inquiry._ + Participates in the development and sustainability of standards for professional practice and nursing education programs designed to facilitate high quality patient care. + Actively builds effective interdisciplinary relationships to assure dialogue around patient care and issues in an effort to enhance evidence based, outcome driven patient care. + Contributes to the design of a continuing education curriculum that is evidence based and reflects contemporary and innovative nursing practice. + Create learning opportunities to support and enhance staff understanding of the quality improvement process, evidence based practice and its link to enhanced patient care outcomes. + Fosters improvement in patient care by helping professional staff develop systematic ways of studying and resolving clinical/systems challenges. + Serves as a resource for development, interpretation, and integration of current policies, procedures, protocols and guidelines into practice within area of nursing expertise. + Maintains own clinical expertise and practices as an autonomous clinical decision maker within their scope of licensure, certification, and training. **Clinical Operations** + Represents nursing and patient care issues for assigned areas during strategic planning sessions. + Has 24/7 accountability for the management of the day to day operations of the unit, patient flow, staffing, staff recruitment, retention, hiring, termination. + Prepares and posts staff schedules using the Kronos time and attendance system. + Utilizes permanent and flex staff as appropriate; adjusts staffing according to patient flow, patient acuity, and staff competence. + Partners with key members of the interdisciplinary team, i.e., hospitalists, pharmacy, nutrition, physical therapy, & case management to achieve common clinical and patient care goals. + Partners with risk management and occupational health to monitor, identify, mitigate, and take action to correct areas of patient care/staff risk and liability. + Holds staff accountable for adhering to established standards of practice and hospital policies and procedures. + Counsels non-compliant staff and develops corrective action plans as needed to address clinical practice issues in accordance with established disciplinary processes. + Collaborates with educators to complete staff performance reviews and set annual goals that support clinical programs. + Develops, implements, and manages annual unit operation and capital equipment budgets; makes recommendations for unit space and resource needs. **Teaching/ Learning** + Partners with clinical educator to support, develop and implement unit orientation, competency, continuing education, and in-service programs that support safe practice based on assessed learning needs. + Contributes to the formulation of the curricula aimed at supporting the development of bedside team leaders, charge nurses, preceptors, super-users, and clinical champions. + Assists staff to utilize quality improvement data to drive practice changes and achieve optimal patient outcomes. + Recommends changes in educational goals, priorities, and/or strategies based on evaluation of effectiveness of educational programming using process and outcome data. + Facilitates the implementation of new health care technology through support of effective training programs and evaluation monitoring. + Demonstrates engagement in lifelong learning and independently identifies own learning needs; participates in educational activities to enable competent performance of assigned duties. + Shares new knowledge or practice outcomes at professional conferences and/or publishes in peer-review journals. **Authentic Leadership** + Creates a practice and learning environment that is capable of adapting to and sustaining change; is flexible and open to new ideas. + Known as a ‘relationship builder’ in the practice area- champions working together and creating synergy. + Participates in the development, implementation, and monitoring of practice standards to assure continuous improvement in the quality of service and care. + Leads committees, work groups and/or projects relates to the implementation of educational activities and quality improvement work focused on enhancing nursing practice, systems, and patient care outcomes. + Participates in change process and development of innovative solutions to clinical issues that improve patient care, the work environment, and patient and staff satisfaction. + Supports the integration of quality, audit, evaluation data, and research into practice and educational programs. + Creates an environment that recognizes, encourages and rewards excellent clinical nursing practice performance. + Facilitates team building and leadership development and seeks out opportunities to serve as a change leader for assigned practice areas. + Collaborates with unit educator to complete staff performance reviews and set annual goals that support clinical programs. + Develops, implements and manages annual unit operation and capital equipment budgets; makes recommendations for unit space and resource needs. _It is understood that this is a summary of key job functions and does not include every detail of the job that may reasonably be required._ **Education/Experience Required:** + Bachelor’s degree required; Master’s Degree Preferred. + Three to five years of critical care nursing experience + Two years of progressively responsible clinical operations and/or leadership experience. + Demonstrated ability to lead by example while effectively managing multiple competing priorities. + Experience in clinical program development and evaluation. + Analytical ability to solve systems issues, synthesize and interpret available data and design/conduct quality improvement projects. + Demonstrated critical thinking and problem-solving ability. + Organizational skill to appropriately set priorities and efficiently complete work. + Advanced verbal, interpersonal, conflict management, and writing skills in order to perform required leadership duties. + Demonstrated ability as an effective public speaker and presenter. + Computer proficiency inclusive of ability to access and enter data from computerized information systems Microsoft Office programs, and electronic medical record. + Willingness to work flexible hours to meet operational needs of the department. + Physical ability to perform core job responsibilities in accordance with practice setting demands for patient and staff populations regularly served. + Occasional travel may be required to facilitate collaboration with entities across BILH system or attend external meetings. **Registration/Certification:** + Current RN licensure in the Commonwealth of Massachusetts + BLS + ACLS **Physical/Environmental Requirements** **As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) and COVID-19 as a condition of employment. Learn more (https://www.bilh.org/newsroom/bilh-to-require-covid-19-influenza-vaccines-for-all-clinicians-staff-by-oct-31) about this requirement.** **More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.** **Equal Opportunity** **Employer/Veterans/Disabled**