Reporting to the Administrator, the Clinical Director provides oversight and management activities for the following areas: patient care services/nursing staff and coordination and direction of all clinical service lines. It is the primary goal of the Clinical Director to efficiently provide services that exceed customer expectations and improve clinical and financial operations.
The Clinical Director must work closely with clinical staff and physician leadership to integrate all operations in the centers to assure appropriate continuity of care for the patients. The Clinical Director will serve with the Executive Team to develop strategies which assure ongoing financial viability of the organization, programs to continue to meet the mission, and staffing to insure the mission can be carried out through appropriate persons. The Clinical Director must be highly visible to the clinical staff at all times and communicate effectively any changes, updates, feedback between staff, patients and physicians. The Clinical Director serves as a main point of contact and resource for troubleshooting equipment.
1. With other members of the Executive Team (Administrator and Controller), provides leadership by developing and implementing the organization’s strategic plan.
2. Provides leadership to those who work directly for the Clinical Director in developing and implementing annual goals, objectives and strategies which fulfill its mission, increase quality, improve efficiency, reduce costs, and assure exemplary customer service.
3. Oversees daily clinical operations of the facility.
4. Assumes responsibility for the facility in the absence of the Administrator.
5. Serves as a liaison between the Medical Staff and all departments of the facility.
6. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of the latest industry trends.
7. Attends and serves on professional/civic organizations and health system teams and committees as a company representative.
1. Works with the Executive Team to develop and implement the annual operating budget for areas of direct responsibility; assures that all revenue and expense budgets and goals are met each year in the organization.
2. Works with the Executive Team to develop the organization’s annual and long range capital plan.
3. Maintains responsibility and accountability for cost containment of direct/variable costs; explains variances as indicated.
1. Develops and implements policies and procedures which ensure patient safety; assures that all regulatory requirements are met.
2. Assures that the organization is in a constant state of Regulatory readiness.
3. Responsible for patient relationships including ensuring that the centers’ clinical operations are conducted in a manner which provides the highest satisfaction to the patients while, at the same time, are effective, safe and efficient.
4. Ensures that all clinical operations in areas of responsibility are conducted in a manner which promotes the most efficient use of human, plant, and fiscal resources.
1. Oversees and coordinates customer service initiatives to ensure integrated approaches to improve patient satisfaction.
2. Using patient and physician satisfaction surveys, identifies and implements projects which will have the most impact on continually improving customer satisfaction.
1. Ensures human resource management is properly administered including recruiting, hiring, compensation and performance management.
2. Monitors employee productivity and efficiencies, and works with leadership team to ensure appropriate staffing with changes in case volume for clinical areas of each location.
3. Provides educational opportunities for professional staff development.
4. Promotes ongoing positive employee relations.
Medical Staff Relationships
1. Works closely and collaboratively with the Medical Staff to develop a comprehensive and effective clinical efficiency program, which maximizes patient safety, minimizes costs, and assures a high level of quality for patient care.
2. Promotes positive relationships between employees and practitioners.
3. Maintains effective and collaborative working relations with physicians.
4. Participates in board of directors’ and shareholders’ meetings as needed.
A successful track record of senior management experience and accomplishments in the operations of a complex healthcare organization. Experience in management techniques, financial management, planning and clinical operations. Demonstrated understanding of regulatory environment, current healthcare trends, best practices, and legal issues. Experience in an environment that supports a creative approach to management and an understanding of the organization as a whole. Ability to build relationships and collaborate with a variety of constituents in a manner that reflects respect and confidence.
Bachelor’s degree in nursing, and a current license to practice nursing in the state of Indiana is required. Master’s degree in nursing, management, or business and a minimum five years operating room experience is also preferred. Minimum five years experience in an administrative or management position in healthcare. CNOR Certification is preferred. Certification in BLS is required; ACLS is desirable.
PHYSICAL DEMANDS AND WORK ENVIRONMENT:
Work is performed in an office environment and/or clinical areas if covering for staff members. Occasional evening or weekend work is required. Involves frequent contact with staff, physicians, and the public. Work may be stressful at times. May involve exposure to communicable diseases, toxic and/or biohazardous substances, ionizing radiation, medical preparations and other conditions common to a surgery environment.
Requires sitting, bending, stooping and stretching. Requires eye-hand coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator and other office equipment. Requires normal range of hearing and eyesight to record, prepare, and communicate appropriate reports. May require full range of body motion including handling and lifting patients weighing up to 400 pounds with assistance. May involve occasional lifts and carrying items weighing up to 100 pounds. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
Under direct supervision of a Registered Nurse, performs the duties of a Surgical Technologist, and assists in the operative procedure by preparation of unsterile instruments, equipment and supplies.
1. Functions as a Surgical Technologist in the operating room according to ESC Polices & Procedures.
2. Assists with gowning and gloving other members of the surgical team.
3. Assists with the preparation of the operating room for surgical procedures.
4. Assists with skin preparations, and draping of patients.
5. Assists with care, preparation, maintenance, and after-care of sterile and unsterile supplies, instruments and equipment.
6. Maintains strict adherence to sterile technique, and monitors other member of the surgical team.
7. Handles specimens in accordance with ESC Polices & Procedures.
8. Removes drapes at end of procedure, cleanses the patient of prep solution and applies dressings as instructed.
9. Cleans instruments and equipment after use and returns them to proper area for storage and processing.
10. Respects patients’ right to privacy, dignity and confidentiality.
11. Differentiates sterilization methods required for specific instruments, equipment, and supplies, and demonstrates safe and accurate use and care of sterilizing equipment.
12. Participates on various committees as assigned.
13. Assists with housekeeping duties as necessary to provide clean and safe equipment.
14. Participates in sponge, instrument, and needle count with the circulating nurse per ESC Policies & Procedures.
15. Participates in departmental meetings, orientation of new personnel and inservice programs as assigned.
16. Assists with stocking, replenishing and preparation of supplies.
17. Demonstrates knowledge and skills necessary to provide care based on physical/psycho-social/cognitive/related criteria appropriate to the age of the patient.
18. Recognizes legal and policy limits of individual responsibility.
19. Participates in and complies with Performance Improvement Program.
20. Assists in updating and maintaining physician preference cards.
21. Completes annual mandatory inservices, as well as other inservices offered that are relevant to the operating room. Maintains confidential passwords for computer learning. Takes responsibility for completion of learning assignments on time.
22. Uses maximum care and caution when handling surgical equipment and instruments.
23. Responsible for conservation and control of supplies utilized.
24. Performs other duties as assigned.
Responsible to: Direct supervision of Operating Room staff nurse
Operating Room Charge Nurse
Director of Operations / Facilities Administrator
To perform this job successfully, an individual must be able to perform each essential duty satisfactory. The requirements listed below are representative of the skills, knowledge, and/or abilities required. Reasonable accommodations may be made to perform essential functions.
PHYSICAL DEMANDS & WORK ENVIRONMENT:
1. Standing and/or walking a considerable amount of time.
2. Pushing, pulling, lifting and positioning light to heavy equipment and patients.
Works in a well-lighted and ventilated areas with complicated equipment, some of which is hazardous in nature. May be exposed to hazardous chemicals and/or patients who have communicable diseases.
EDUCATION AND/OR EXPERIENCE:
1. High School graduate or GED required.
2. Successful complete of Operating Room / Surgical Technologist Program.
3. Certification in Surgical Technology preferred.
4. Certification in Basic Life Support (CPR) required.
5. Two (2) years operating room experience as a Surgical Technologist preferred.
SPECIFIC DUTIES OF PRE-OP NURSE:
1. Checks updated surgery schedule each morning and prepares necessary supplies and equipment.
2. Checks and documents defibrillator functions each morning.
3. Introduces self to patient, verifies patient identify and escorts patient to the pre-op area.
4. Admits patient according to policies and procedures; respectful of patient confidentiality and privacy.
5. Initiates postoperative teaching to be completed during the recovery phase.
6. Performs preop testing as ordered by the physician, or according to policy/protocol. Secures preop test results, and related appropriate concerns to anesthesiologist and surgeon.
7. Verifies necessary components of the medical record, i.e. history, physical, etc.
8. Administers and documents medications as ordered by the physician.
9. Explains procedures to the patient and/or family member(s) and answers questions to alleviate anxiety.
10. Performs preop preps as ordered by the physician.
11. Demonstrates knowledge of specific physicians’ preferences.
12. Communicates relevant patient information to physician, anesthesiologist, operating room personnel, and other appropriate staff.
13. Communicates schedules changes, delays, cancellations, etc. to appropriate personnel and patient/family.
14. Accurately and thoroughly completes preoperative documentation and all associated charge sheets.
15. Sets priorities to facilitate the flow of patients efficiently. Keeps work area neat and well organized during the workday.
16. Makes preop phone calls for the following day.
17. Assists with postop phone calls from the previous day as necessary.
18. Reviews medical records for the next day, and informs appropriate personnel of pertinent information/problems.
19. Adds to physician preference cards as appropriate.
20. Assists anesthesiologist with block procedures.
21. Assists physician with treatment room procedures, i.e. yag lasers, interscalene blocks, etc. as directed.
22. Prepares and restocks preop area for the following day.
23. Assists with cleaning of preop area as necessary.
24. Assists in the recovery room area when necessary.
SPECIFIC DUTIES OF OPERATING ROOM NURSE:
1. Checks the surgery schedule, and prepares equipment and supplies according to physician preference cards.
2. Introduces self to patient, verifies patient identity, assess patients’ physical needs, alleviates patient anxiety, clarifies operative site, and check chart for necessary documentation. Performs “time out” according to policy and procedure.
3. Practices and monitors aseptic technique.
4. Assists anesthesiologist with induction and intubation as necessary.
5. Performs duties as circulating or scrub nurse according to ESC policies and procedures.
6. Responsible for positioning patient relevant to procedure with awareness of body alignment, circulation and pressure points.
7. Applies electrosurgical return electrode, tourniquet, etc. according to surgeon preference and ESC policies and procedures.
8. Provides necessary supportive equipment for patient comfort.
9. Performs surgical prep according to physician preference and ESC policy and procedure.
10. Accurately and completely completes the intraoperative record and charge sheet.
11. Accountable and completely completes the intraoperative record and charge sheets.
12. Accountable for accuracy and documentation of sponge, needle, and instrument counts.
13. Provides and records all intraoperative medications. Accurately records and documents narcotics.
14. Maintains adequate room supplies.
15. Assists with physical inventory counts.
16. Knowledgeable of operation, cleaning, and sterilization of instrumentation, equipment and supplies.
17. Assists in stocking, replenishing, and preparation of supplies and instruments. Assists with pulling cases for the next workday.
18. Reviews and updates physician preference cards.
19. Demonstrates working knowledge of all patient care equipment.
20. Assists surgeon and anesthesia personnel as needed.
21. Prepares and restocks area for the next day.
22. Maintains a neat and organized work environment.
23. Ensures equipment and supplies are in their proper place at the end of the workday, i.e. instruments out of Cidex.