Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. At Bridgeport Hospital, we are committed to providing quality medical care and treatment that is coordinated and centered on the patient's specific needs. We strive to achieve benchmarks as a Patient Centered Medical Home and provide health care in a setting where patients are at the center of their care team. All employees of Bridgeport Hospital are part of the patients care team and contribute to the team approach of promoting access, continuous, comprehensive care and work to provide quality improvement in the care provided to their patients. EEO/AA/Disability/Veteran Responsibilities 1. Implements intra-operative nursing care in accordance with PCS division standards of practice, hospital, community, national standards and regulatory agency requirements. 1.1. Monitors, revises, and adapts current specialty nursing practice in light of changing concepts, methods, techniques and written standards of care. 1.2. Enforces written intra-operative standards of care relevant to operating room specialty services and maintains standards within area accepted practice parameters. 1.3. Executes monitoring mechanism for assessment of specialty delivered care by performing regular audits. 1.4. Effectively evaluates assigned staff performance and competencies via direct observation based on standards of care. 2. Organizes and implements specialty program modification and development based on departmental goals/objectives and physician needs. 2.1. Develops realistic annual objectives for specialty service as directed by Nurse Manager. 2.2. Actively participates in the review, identification, and updating of departmental policies, standard operational procedures (SOP) and protocol. 2.3. Actively engages and seeks staff points of view for specialty program development and practice changes. 2.4. Actively participates in quality improvement program development and implementation including but not limited to: a. FCOTS (First Case On Time Starts) b. TAT (Turnaround Times) C. Monitors and performs unit audits on weekly basis 2.5. Ensures specialty services staff are competent. Works in conjunction with educator to assess and evaluate learning needs of new staff 3. Communicates operating room concerns, operations, practice changes and medical-legal issues to Nurse Manager. 3.1. Resolves problems at lowest level and uses appropriate chain of command to address program areas. 3.2. Prepares and submits monthly specialty activity report to Nurse Manager. Be aware of case volumes, block utilization, delay reasons and same day cancelations. 3.3. Meets regularly with specialty service staff and provides meeting minutes within 48 hours. 3.4. Confronts personnel issues appropriately and resolves within department and hospital policy guidelines. 3.5. Executes disciplinary measures in collaboration with Nurse Manager within specialty service. 3.6. Collaborates with Nurse Manager and performs yearly performance evaluation reviews with specialty service staff. 3.7. Hold specialty service staff members accountable for performance through service assignments/responsibilities. 3.8. Communicates physician issues to Nurse Manager and provides follow-up to physicians in a timely manner. 3.9. Maintains daily visibility to all staff and surgeons addressing any operational issues. Ensure RLs are entered in a timely manner. 4. Directs and coordinates nursing care activities of surgical specialty services supervised. 4.1. Provides direct patient care (40%, 2 days per week) to maintain clinical and technical expertise and to serve as a role model to staff. 4.2. Plans and anticipates surgeons and case-procedure needs in advance (planning at lease 5 days out) using schedules and preference cards to verify procedures for correctness. 4.3. Exhibits supportive management performance behavior that fosters trust and confidence to staff, physicians, and other support personnel. Be visible and accessible to staff , surgeons, and interdisciplinary teams 4.4. Plans daily work assignments and staffing schedule (reviewing one week in advance) to ensure appropriate coverage of skill mix for procedures. Collaborates with Control Desk Coordinator in the assignment of specialty service staff. 4.5. Actively participates in mentoring process providing written/verbal feedback on performance to Control Desk Coordinator and Nurse Manager. Meet with all new staff rotating through service lines on a weekly basis 5. Facilitates specialty service materials needs through systematic maintenance of materials resources. 5.1. Effectively coordinates processing, storage, restocking and inventory of specialty instruments, supplies and equipment in collaboration with materials staff. 5.2. Establishes par levels for chargeable and non-chargeable specialty items in collaboration with materials staff. 5.3. Works directly with surgeons, teams, and Business Service staff to ensure that all materials are available for surgical procedures. 5.4. Proactively ensures that all specialty supplies and instruments are available for scheduled procedures. Notify Materials Management team and NM of any foreseen issues or delays. 5.5. Actively participates in capital budgetary process collaborating with service line physicians and submits requests in SBAR format to NM and Director. 5.6. Audit staff documentation of chargeable items for correctness. Monitor open/unused items and coach staff for opportunities. 6. Supports and executes materials management program developed by the hospital and department. 6.1. Works with CSS to assess and streamline instrument tray contents to ensure effective efficiency and utilization of instruments. Informs staff and surgeons of any updates 6.2. Monitors area waste and controls losses of instruments and equipment. Be aware of instrumentation out for repair and make adjustments for keeping scheduled cases going. 6.3. Regularly reviews information on case-procedure preference card to ascertain control of waste. 6.4. Actively participates in product identification and standardization. 6.5. Meets daily with the CSS, Preference Card Coordinator to review materials and instrumentation needs for next day cases. 6.6. Adheres to and supports vendor control and standardization policy and procedures as defined by hospital and department. 7. Maintains efficient resource information of case-procedures performed by assigned surgical specialties. 7.1. Enforces the preference card maintenance guidelines in conjunction with Preference Card Associate. 7.2. Meets with any new service line surgeons to assist in onboarding of preference cards, procedures, equipment, and supplies. 7.3. Informs Supply Chain Manager when equipment/supply resources are not available due to breakage, back order, etc. 7.4. Ensures that proper reporting of defective products or broken equipment are handled in the correct way according to hospital policy. 8. Ensures timely completion of scheduled cases assigned to specialty services. 8.1. Collaborates with the Control Desk Coordinator to efficiently plan the coordination of surgical cases scheduled to services by delegating leadership role to staff with proven organizational skills. 8.2. Collaborates with the Control Desk Coordinator to provide required resources that balance case acuity and staff skill demands. 8.3. Maximizes utilization of staff by matching the case volumes to staffing numbers and proactively addressing periods of increased volume or low census. 8.4. Identifies and plans cross training needs to service lines, working with the Clinical Desk Coordinator to implement an action plan 9. Maintains credentialling requirements.. 9.1. Completes 10 CEU's annually. 9.2. Maintains specialty certification. 9.3. Provides 4 independent staff inservices a year. •9.4. Chairs/co-chairs unit based committee and submits minutes within 48 hours. Qualifications EDUCATION: Graduate of an accredited School of Nursing. Bachelors degree in Nursing preferred. EXPERIENCE: Minimum 3-5 years experience in assigned specialty services required. Progressive leadership experience desirable with proven track record of success in program development or participation, program implementation in areas of clinical patient care management, staff development and specialty services materials management. LICENSURE: Licensed and a currently registered nurse in the State of Connecticut. All newly hired Registered Nurses must have current BCLS certification or obtain within one month of hire. PHYSICAL_DEMAND: Requires prolonged standing; walking; use of sight, hearing and touch; moving/lifting patients of verying weights. YNHHS Requisition ID 123964