Clinical Unit Supervisor Night ShiftThis position will primarily work with acutely ill Medical-Surgical, Telemetry-monitored, Orthopedic, and Neurological patient populations in a manner that demonstrates an understanding of the functional and/or developmental age of the individual served. The Clinical Unit Supervisor shall demonstrate a high level of commitment to providing direct and indirect patient care to the above identified population, supervises licensed (registered nurses and licensed vocational nurses) and non-licensed personnel as assigned in the acute care setting. Exhibit a sense of urgency, appropriate to the situation, while communicating with Physicians/Directors/Managers/House Supervisors/Co-Workers about changes in patient's clinical condition including abnormal results of diagnostic studies and symptomatology.The Clinical Unit Supervisor shall perform nursing duties in her/his assigned department exhibiting a can do attitude. In addition, the Clinical Unit Supervisor will be responsible for making patient care assignments based on the skill, experience, temperament of other nursing personnel and based on the acuity of the patients, ensuring patient and staff safety, assist in the evaluation of performance and skills of Agency/Temporary staff, as well as, permanent acute care staff. The Clinical Unit Supervisor will be responsible for directing and orienting staff members as needed/assigned in all aspects of acute care management.The Clinical Unit Supervisor will participate in quality and process improvement(s) in the department during all phases from planning to implementing, and sustaining efforts, including taking corrective action when employees fail to carry out delegated duties.Major ResponsibilitiesPatient Care 50%Ensure staff completes admission assessment/triage, history and physical on all assigned patients per Department/unit policy.Ensure staff identifies psychosocial, spiritual, learning and discharge planning needs.Ensure staff have the knowledge and ability to perform a head-to-toe assessment on all patients and reassessments as per policy and relevant to patient's needs/diagnosis within 3 hours of assuming assignment or per patient condition/unit policy. This includes: age specific assessments for unit's patient population.Ensure staff completes patient transfer assessment within one hour of receiving patients or per unit policy.Ensure staff completes assessment and instruction upon discharge per unit policy.Ensure staff recognizes and reports abnormal diagnostic data to physicians immediately or as ordered.Ensure staff administers medications as ordered.Ensure staff demonstrates critical thinking skills and problems solving abilities in coordinating and supervising patient care.Ensure staff identifies predictable patient problems.Ensure staff provides appropriate care of the orthopedic patient following physician specific protocols.Ensure staff demonstrates safe use of the supportive equipment for the orthopedic patient including but not limited to walkers, CPM's, and wheelchairs.Ensure staff identifies low volume/high risk patient problems and anticipates less predictable problems.Ensure staff recognizes the relationship between physiological and environmental factors and their effect on the patient/family.Ensure staff provides appropriate care for MS/Tele/Ortho/Neuro patients according to physician orders, standards of care, and hospital policies.Ensure physician's orders are signed, dated, timed, transcribed correctly and carried out in a timely manner.Ensure staff reports and seeks immediate assistance in life threatening situations by recognizing subtle changes and trends, identifying abnormal deviations in signs, symptoms, and vital signs; interpreting these with respect to the patient's condition and age and taking appropriate action.Ensure staff respects the Rapid Response Process and work to proactively identify classic signs that precede codes.Ensure staff identifies life threatening situations, initiates and coordinates appropriate nursing interventions.Ensure staff recognizes and routinely performs report at Bedside utilizing available tools and/or reports.Ensure staff documentation reflects current nursing standards and supports policies and procedures.Ensure staff communicates information appropriately and clearly to physicians/directors/managers/charge nurse/ co-workers. In a timely manner.Ensure staff responds appropriately to usual and abnormal diagnostic data and documents interventions.Ensure staff suggests appropriate interventions for abnormal findings utilizing clinical assessment of the patient and critical thinking.Ensure staff evaluates the effectiveness of interventions based on psychosocial, age, and cultural, religious and educational influences; seeks assistance when necessary.Ensure staff demonstrates an ability to assist physicians and co-workers with procedures.Ensure staff sets up/prepares for procedures (less frequently done) and assists the physician effectively.Ensure staff follows appropriate Code notification procedures and functions in a Code situation quickly and calmly.Ensure staff follows appropriate Organ Donation procedures.Ensure staff follows appropriate Morgue procedures.Ensure staff demonstrates knowledge and application of infection control policies and procedures supporting standards of care.Ensure staff effectively prioritizes clinical interventions and care.Ensure staff understands actions, side-effects, contra-indications of drugs and follows five "rights" of medication administration always using national patient Safety Goals (NPSG 2) patient identifier expectation.Ensure staff administers and documents medications, including narcotics, parenterals and blood components according to appropriate standards of care and policy and procedure.Ensure staff questions/withholds medication and notifies appropriate physician, supervisor and/or pharmacy when the medication, the dose, the frequency, or the route may be harmful to the patient.Ensure staff detects and reports medication or treatment errors according to policy.Ensure staff safely uses alternative routes of medication administration as well as times and adjusts medication administration times to optimize effects of medication.Develops, implements and evaluates a nursing plan of care for the patient/family 10%Ensure staff identifies patient/family support systems and their effectivenessEnsure staff consults other departments as appropriate to provide for an interdisciplinary approach to the patient's needs.Ensure staff identifies and implements alternative interventions to achieve expected outcomes; involves and solicits feedback from patient and/or significant others.Ensure staff evaluates, by direct observation, the effectiveness of interventions based on the plan of care and expected outcomes.Ensure staff revises patient's plan of care to reflect changes in patient needs or lack of progress in response to planned interventions.Ensure staff has the ability to formulate and revise plan of care as indicated by the patient's response to treatment and evaluate overall plan daily for effectiveness, involving patient and patient's family when appropriate.Ensure staff determines and prioritizes patient problems, expected outcome and discharge planning.Ensure staff formulates plan of care that demonstrates knowledge of age specific needs, conditions, and measurable interventions, including diagnostic process and expected diagnostic values for high volume cases.Ensure staff utilizes existing standards of care in formulating the plan.Ensure staff formulates plan of care that demonstrates knowledge of complex patient conditions and specific to the patient's age and revises/updates the plan In collaboration with othersEnsure staff communicates plan of care effectively to other staff members, physicians and interdisciplinary healthcare team members.Ensure staff actively participates in Case Management and other interdisciplinary care conferences.Ensure staff consults with other members of the healthcare team to maximize problem identification and appropriate interventions towards a positive patient outcome.Provides education for the patient/family - 10%Ensure staff identifies current patient/family coping mechanisms and their effectiveness.Ensure staff independently assesses learning needs of assigned patients and seeks assistance in identifying/meeting simple to complex learning needs.Ensure staff formulates a teaching plan, and performs the teaching for routine patient populations, incorporating teaching into the plan of care based upon identified learning needs and evaluates effectiveness of learning; family is included in teaching as appropriate. Ask open-ended questions e.g. what questions do you have for me?Ensure staff avoids closed-end questions e.g. Do you have any questions?Ensure staff implements instructions for patients/families/significant others about the illness, management of the illness and after discharge care using resources and referrals as necessary.Ensure staff teaches others involved in the care of the patient and family with simple to complex problems.Ensure staff evaluates teaching plan and revises in relation to patient and/or family response/input.Ensure staff performs teaching for simple to complex patient problems.Ensure staff evaluates need for further instruction based on patient/family response/ input; seeks assistance when appropriate.Ensure staff documents