Registered Nurse (RN) - Manager, ED - Emergency Department
South Texas Spine & Surgical Hospital
San Antonio, TX

Night Manager Inpatient and Emergency Room

Night Manager Inpatient and Emergency Room Job Summary: Under the supervision of the Director of Inpatient and Emergency Room, the Night Manager of Inpatient / Emergency Room is responsible for ensuring safe and efficient care of the emergency, post-operative, and medical-surgical patient in accordance with regulatory and accreditation standards and the facility mission, vision, and values. Responsibilities include night-to-night operations, staffing a 30-bed inpatient unit and one emergency room, supply usage, and the overall function of Emergency Room and Inpatient Services. Assist with monitoring appropriate documentation in the medical record. Supports the facility mission, vision, and values in providing quality patient care. In conjunction with the Director, the Manager Inpatient / Emergency Room shall develop, implement, monitor, and evaluate the implementation of policies and procedures, which assure that cost effective, safe, and high-quality care is implemented. Projects a professional demeanor and appearance while maintaining the confidentiality of patients, coworkers, and facility information and adhering to the HIPAA policy. Reports, in good faith, any known or suspected activity that appears to violate laws, rules, regulations or the SP Code of Conduct. Fulfills annual continuing education requirements and ensures that department personnel complete mandatory training. Personal attributes include the ability to be self-directed; demonstrates accountability, professionalism, and receptiveness to change; seeks guidance, direction, and assistance when needed. Works under stress and in situations that demand patience, stamina, endurance, and tact while providing impeccable service. Fosters an attitude of teamwork and willingness to assist others and does not refuse to perform other job duties as requested. Sets priorities, responds timely to issues, which require a decision, and ensure desired results are achieved by means of consistent follow through. Willingly accepts other assignments as the need arises. Essential Job Functions: * Executes night-to-night management responsibilities assuring safe and effective clinical operations. * Assures compliance with local, state, federal and Joint Commission regulations. Performs regular audits of processes, documentation, and equipment. * Responsible for preparing staffing schedules and monitoring staff timesheets and payroll. Assists charge nurse with patient assignments. Maintains sufficient staffing levels and coordinates with operating room and paranesthesia departments to achieve smooth patient flow. Reviews productivity to ensure appropriate staffing. * Facilitates the development of appropriate working relationships with the Administration, CNO, Medical Staff, corporate staff, patients, and family members. * Participates in service recovery by taking ownership of the situation and correcting problems. Strives to promote customer satisfaction and follow through with the situation to correct the problem. Keeps customers informed of progress related to clinical operations and provides comfort, information, and assistance during the process. * Demonstrates clinical competence and ability to provide direct patient care and step into floor or charge nurse role when needed. Delegates appropriately while directing and supervising nursing and ancillary personnel according to accepted standards. * Assists with the facilitation of orientation, in-services, and identification of learning needs. Participates in and develops performance improvement initiatives. Assists with monitoring education and training compliance of staff. * Coaches staff on performance and assists with verbal and written counseling in a timely manner. * Participation in development of clinical operating budget, capital budget, staffing, and volume projections. * Assists in the development of plans for cost containment in all clinical areas and implements and oversees the same to ensure successful completion of goals. * Participates in regular and effective planning meetings with department and hospital leadership. * Sets yearly goals for clinical departments and self, creates strategies, and establishes time frames to accomplish goals. Qualifications, Knowledge & Ability: * Graduate of a school of professional nursing with current and valid licensure with Texas State Board of Nursing as a Registered Nurse. * Bachelor of Science in Nursing imminent or obtainable within 1 year of hire preferred. * Ability to achieve BLS & ACLS certifications within 30 days of hire and PALS certification within 60 days of hire. * Minimum of 2 years direct nursing care of surgical patients. * Experience in nursing leadership, such as charge nurse preferred. * Demonstrates knowledge of commonly used concepts, practices, and procedures within nursing unit operations. * Familiarizes self with state, federal and accrediting body regulations and standards related to healthcare. * Demonstrated effective skills in verbal and written English communications for safe care. * Must be computer literate with basic computer skills that are required to perform essential job-related duties. * Experience using Microsoft Office products is required. Demonstration of STSSH Job Behaviors: Act with Integrity and Transparency: * Collaborate with the intent of creating a unified culture. * Be transparent and intentional in your work. * Show integrity and be credible. Be Accountable: * Accountable for our actions and outcomes. * Responsible for solving problems together, despite the root cause. * Follow through and follow up without prompting Drive Clinical and Service Excellence * Commit to high quality with a focus on safety. * Bring innovative and transformative ideas to impact care for the better. * Seek ways to work efficiently with your team. Demonstrate Compassion and Kindness * Treat people with compassion and kindness. * Recognize the ability to make an impact in the life of others, big or small. * Show active listening, modeling compassion and caring. Set and Exceed Expectations * Have a focus on exceeding expectations. * Encourage intelligent risk-taking. * Celebrate successes as well as learn and build upon failures. Laugh and Celebrate * Celebrate moments that matter and the value of one another. * Laugh and have fun, enjoy teams and peers. * Pause often to capture milestones and accomplishments to celebrate. Physical Requirements: May be expected to lift up to 50 pounds manually or larger weights with assistive devices or with multiple personnel. May be expected to push or pull 150-300 pounds with assistance. Work is of medium demand; walking or standing most of the time while on duty. Visual and auditory acuity and manual dexterity essential to performing designated duties required. Optimal auditory acuity required. Manual dexterity involving the handling of computers and other equipment is essential to performing assigned duties. Physical conditions are clean, neat, and well lit. May be subjected to unpleasant sights and odors, stressful situations and hazardous or infectious agents where judgment as to precautions needed to be taken is essential. Climate control and ambient temperature variances may be experienced and required by patient care and needs of the surgical team. Hours of duty may be irregular or unexpectedly extended due to the requirements of the job. Physical Demands: Activity Occasional 0-33% of shift Frequent 33-66% of shift Constant 66-100% of shift Description of Tasks Stooping (bending forward at waist) X Standing while working desk side, retrieving files from low drawers, cabinets Sitting X Seated at desk, table side, office work, meetings. Crouching/Squatting X Lifting supplies, retrieving materials from low file/shelf Reaching (0 to 90 deg. shoulder flex and or abduction) X Reaching for phone, faxing, filing, accessing desk materials, equipment. Assisting with patients Walking X - up to 500 ft. /episode May be required to walk to and from multiple areas Lifting (knuckle to chest level) X - up to 15 lbs. Lifting records, office supplies on/off shelving, in/out of cabinets. Transfer of patients. Carrying X - up to 15 lbs. x 50 ft. Patient records, files, office supplies from supply/storage area to work area Finger Dexterity (repetitive movement of fingers and wrists, pinching, picking without use of whole arm) X Keyboard operation, filing, sorting papers, office equipment operation. Handling Products - chemical or infectious materials X Moving or emptying biohazard materials or chemicals Inhalation - breathing smoke, fumes, dust or vapors X Environmental exposure to smoke, gases, dust or vapors during procedures Vibrations - movement from hand tools, machinery X Using and moving vibrating machines Visualization - requires ability to discriminate colors / shapes X Must be able to distinguish colors and have reasonable depth perception Grasping with hands X Simple grasping using dominant and non-dominant hand Hearing Acuity X Ability to hear alarms, calls and instructions Mental and Emotional Requirements: * Handles multiple priorities * Independent decision making * Manages decisions under pressure * Manages anger/fear/hostility * Manages stress appropriately * Works alone effectively * Works closely with others in distracting environment * Works effectively with others * Works with diverse personalities * Works in fast paced climate OSHA Exposure Classification: Job Category I. Direct contact with blood or other body fluids to which standard precautions apply. Personal protective equipment is made available and must be worn.