Nurse Manager - Emergency Medicine and Trauma Center

Medical services are provided in this teaching environment under the supervision of board- certified emergency physicians and Registered Nurses consistent with the Standards of Emergency Nursing Practice. The team works collaboratively with other departments that impact EMTC operations. ED patients are registered by Registration/Patient Access/Admission staff who report to the Director of Business Operations.

The EMTC provides medical screening and emergency care to over 120,000 patients and families annually with a wide range of problems. Presenting conditions are triaged and assigned to the appropriate treatment area utilizing the Emergency Severity Index (ESI) tool, which takes into account patient acuity and resources needed for management. Presenting conditions range from mild to life-threatening. Mild to moderate conditions include common pediatric conditions such as: common colds, rashes, strep throat, upper respiratory conditions, lacerations, otitis media, strains and sprains, etc. More complex to life threatening conditions include child abuse/neglect, sexual assault, behavioral emergencies, meningitis, sepsis, burns, acute medical, surgical and trauma conditions, anaphylaxis, respiratory and cardiac arrest. The EMTC can provide emergency stabilization and treatment of adults and arrange for transfer to the appropriate treatment site after medical screening and initial interventions. Medical screening exams and stabilization of any actual or potential life threatening conditions is provided regardless of age, race, sex, gender, color, ethnicity, national origin or ability to pay for services. The EMTC is able to increase resources as needed to meet large influxes of patients (medical alert, trauma state or phased response).

All nurse managers are responsible to a nurse executive and manage one or more defined areas of organized nursing services and are accountable for nursing services 24/7 as appropriate for the assigned area(s). Nurse managers participate in planning, implementation, management and evaluation of operations, supervision of staff, budget, regulatory readiness and staffing. Nurse managers facilitate an atmosphere of interactive management and the development of collegial relationships among nursing personnel and other health care disciplines throughout the organization.

Unit Description

Emergency Medicine and Trauma Services (EMTC) is a tertiary care, Level 1 trauma center located on the first floor of the Sheikh Zayed Campus on Michigan Ave NW.

The EMTC-Sheikh Zayed Campus is comprised of six distinct patient care areas:

1. 36 ED patient rooms

2. Two Code Rooms (4 beds)

3. 4 bed area designed for psychiatric patients

4. 18 decontamination showers with ability to utilize psychiatric area for Decontamination Zone.

5. 6-bed Rapid Treatment Unit (RTU)

Patient and Family services are provided under a collaborative, shared leadership model. Organizationally the EMTC reports to the Chief Nursing Officer, Vice President of Nursing and operates within a multidisciplinary leadership team.

1. The Chiefs of the Division of Emergency Medicine provide overall medical leadership. Associate and Assistant Directors report to the Division Chiefs. The Director of Trauma & Burn Services collaborates with the Division Chiefs to assure appropriate care of trauma patients.

2. The Director for Nursing leads the nursing component of the leadership team and works collaboratively with the Division Chiefs and Medical Directors for oversight of EMTC operations and the shared leadership process . The SZ campus has three Nurse Managers who are responsible for day to day operations and work collaboratively with the Medical Directors to lead operations and performance improvement initiatives. Other members of the leadership team include Clinical Instructors, Clinical Educators, Shift Coordinators, Lead ED Technician, Clinical Program Coordinator for EMS and Base Station Coordinator, Psychiatry Clinical Program Coordinator, Program Coordinator, Finance and Quality Outcomes Coordinator.

Minimum Education
Bachelor's Degree In Nursing (Required)

Minimum Work Experience
5 years Nursing experience. (Required)
1 year Recent pediatric experience in a comparable setting. (Required)
1 year Demonstrated nursing leadership experience. (Required)

Required Skills/Knowledge
Knowledge of pediatric healthcare standards with related clinical skill competency required.
Strong knowledge of JCAHO and other regulatory agency requirements required.

Required Licenses and Certifications
Registered Nurse in District of Columbia. (Required)

Basic Life Support for Healthcare Provider (BLS) (Required)

Functional Accountabilities
Grow

• Encourage and share new ways of making the right work easier to do

• Recognize and share incremental improvements in operations

• Promote the success of organizational and department initiatives by clearly aligning programs to the mission

Exemplary Practice

• Establish collaborative relationships with all members of the healthcare team to ensure optimal state of health and well-being of the patients and families served.

• Utilize expertise in cultural competency to enhance relationships, processes, and outcomes for patients/families, ensuring education through face to face or telephonic methods.

• Treat every patient/family with dignity and worth, acknowledging their individuality and autonomy.

• Engages opportunities to act in the best interest of the patient/family, building trust and confidence, while upholding moral and legal standards of due care.

• Consistently evaluate care delivery model, incorporating various sources of data, (e.g. patient satisfaction data) to improve processes.

Transformational Leadership

• Contribute to the development of departmental strategic plans. Support and communicate the strategic plan to all employees.

• Uses budget tools to forecast and make decisions while analyzing and interpreting variances.

• Accountable for staffing planning. Continuously monitor and adjust staffing based on area needs. Use trended data (e.g. labor productivitity data) to manage the staffing plans.

• Assume coverage of other areas when the need arises and assumes the responsibility, accountability and level of authority within authorized scope.

• Communicate and escalate clinical and administrative issues as appropriate to senior leadership.

• Employ varied performance measures to analyze and enhance patient outcomes and staff/organization effectiveness.

• Ensure regulatory requirements are met and upholds overall safety standards of the work area.

Structural Empowerment

• Responsible for full implementation of Shared Nursing Leadership and participates in Hospital wide committees and intiatives.

• Promote staff/unit involvement in the community.

• Coordinate mechanisms across systems, institutions, and community to provide continuity of care in collaboration with key stakeholders.

• Employ critical attributes of effective collaboration to create, promote, and maintain an environment that supports successful partnership and high performance team outcomes.

• Develop and engage in ongoing monitoring, and staff and member education to assure safe, accessible, effective and environment of care.

New Knowledge

• Ensure that the practice of nursing is based upon scientific evidence and best practice.

• Encourage staff participation in research.

• Encourage and facilitate professional certification and further education.