POSITION DESCRIPTION

JOB TITLE & CODE:

Lead Registered Nurse (23063)

DEPARTMENT:

Operating Room

REPORTS TO:

Director/Manager

FLSA STATUS:

Non-Exempt

POSITION SUMMARY: Demonstrates leadership responsibilities of assuring and promoting quality patient care through the coordination and integration of patient care in assigned areas. Functions as a primary lead RN. Performs balancing of the staff personnel schedule/creation of staff call schedules.  Performs practice and regulatory compliance monitoring to promote patient and employee safety, quality patient care outcomes, and safe work environment.  May co-lead departmental Practice Council and facilitate other group activities such as the creation of a departmental newsletter.  Troubleshoots operational issues and works to resolve conflict situations.

MINIMUM QUALIFICATIONS:
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1.	West Virginia Registered Nurse licensure.
2.	Obtain certification in Basic Life Support within 30 days of hire date.
EXPERIENCE:
1.	Five (5) years of experience in critical care or acute care setting.

PREFERRED QUALIFICATIONS:
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1.	Bachelor of Science in Nursing (BSN) preferred.
2.	Specialty Nursing Certification in applicable area preferred.
EXPERIENCE:
1.	Experience scrubbing/circulating in a variety of services.

CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position.  They are not intended to be constructed as an all-inclusive list of all responsibilities and duties.  Other duties may be assigned.
1.	Collaborates with nursing staff and implements and evaluates targeted patient care outcomes, utilizing expert leadership skills and improvement strategies. Coordinates daily schedule, staff coverage and expertise, harmonizing equipment availability and function, as well as, physician access and satisfaction.
2.	Serves as Lead Registered Nurse by supporting the work of the Charge RN and serving as a decision-making resource.
3.	Assists with employee evaluations and personnel scheduling including the design of call schedules.
4.	Serves as first-line communicator with clinical preceptor to facilitate orientation and staff educational opportunities.
5.	Assists in establishing clinical practice policies and procedures. Conducts audits and monitors practice compliance including the establishment of PI action plans.
6.	Supports, guides and reviews peer decision-making. Provides the Director/Manager/Clinical Preceptor with feedback regarding staff performance and patient outcomes
7.	Functions as clinical expert and shares rationale for nursing interventions to mentor staff.
8.	Bases decisions made/actions taken on relevant scientific principles, established standards of care and/or research findings. Demonstrates ability to articulate to healthcare providers and customers evidence-based practice.
9.	Provides, models, and teaches coordinated and comprehensive patient care including assessment, nursing interventions, expected outcomes and evaluation utilizing an interdisciplinary team approach.
10.	Models appropriate delegation using customer service and behavioral standards. Assists with monitoring of patient, staff, and physician satisfaction.
11.	Plans and organizes care processes with provider groups. Monitors service continuity and outcomes.
12.	Coordinates appropriate team response to a life-threatening emergency.
13.	Demonstrates expertise in caring for patients across the age continuum.
14.	Demonstrates ability to use and resource equipment in a safe manner; is a resource for staff. Manages new technology and clinical trial evaluations.
15.	Provides input into department’s capital equipment planning process.
16.	Demonstrates accountability for nursing practice and identifies learning needs.
17.	Exhibits professional behavior on a consistent basis and coaches staff in demonstrating professional practice.
18.	Demonstrates self-motivated professional and personal development by assuming responsibility for continued learning. Applies knowledge gained to patient care delivery and shares with peers to impact practice.
19.	Annually collaboratively develops individual development plan. Provides facilitation to unit-based teams to implement PI initiatives including the monitoring of patient and process outcomes. Assumes responsibility for trend monitoring.
20.	Assists clinical preceptor to address compliance issues. Determines unit learning needs and participates in development of individualized orientation plans.

PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1.	Requires the ability to identify and respond to audible alarms.
2.	Ability to stand for prolonged periods of time while teaching or providing patient care.
3.	Ability to differentiate various shades of color on a computer monitor screen; visual acuity necessary for keyboarding.
4.	Ability to work in stressful situations including the support of emergent surgical patients.
5.	The National Institute for Occupational Safety and Health recommends minimizing the need for employees to manually lift patients, and limit safe patient handling to 35 pounds. All transfers, lifts and re-positioning will be completed utilizing the lift equipment and/or other patient handling aids as indicated by the patient’s profile and appropriate algorithms.
6.	Heavy/Hard work: Work requires strength and/or stamina, lifting, moving, stooping, reaching, standing, walking, and carrying of materials and equipment weighing 40+lbs.

WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1.	Working closely with others.
2.	Working protracted or irregular hours.
3.	Working around biohazards.
4.	Working around infectious diseases.
5.	Working with or near the deceased.
6.	Working with hands in water.
7.	Working with electrical hazards associated with patient care equipment.

SKILLS & ABILITIES:
1.	Demonstrates communication and organizational skills.
2.	Ability to work within all levels of the organization.
3.	Ability to prioritize and deal with a variety of situations at any given time.

Date Reviewed/Revised: February 2023