Assistant Unit Manager, Surgery, Full-Time, Days

MarinHealth•Greenbrae, CA

1d•Onsite

About The Position

MarinHealth is an integrated, independent healthcare system with deep roots throughout the North Bay, featuring a 327-bed Medical Center and 55 primary care and specialty clinics. It is affiliated with UCSF Health and is recognized as a top hospital nationwide. The Assistant Unit Manager (AUM) is a frontline manager who directs staff to ensure a safe, patient-centered environment. This role is a member of the clinical team, serving as a supervisor, coach, resource, and support to direct patient care Registered Nurses (RNs). The AUM uses discretion and independent judgment in supervising and overseeing a team of licensed and unlicensed nursing personnel during an assigned shift. Key aspects of the role include collaborating with the leadership team for continuity of care, serving as a staff resource, role modeling positive influence for change, maximizing customer service for excellent patient experience and safe care, and fostering a cooperative work environment among a diverse workforce and patient population.

Requirements

Current California State license as a Registered Nurse.
BSN required; BSN within 5 years for qualified internal candidates.
BLS certification.
ACLS certification in monitored areas.
Must meet minimum CNII requirements.
Two years (or one year if MSN degree), 0.8 FTE to full time of demonstrated direct patient care experience in which the level of responsibility has been expanded (by request or assignment), with at least one year concurrent experience in appropriate clinical care area, necessary in order to gain full knowledge of and advanced skill in nursing care techniques and methods, as well as unit staffing and operations.
Registered Nurse (RN) required at hire.
Basic Life Support (BLS) required at hire.
Advanced Cardiac Life Support (ACLS) required at hire.
Integrative Agitation Management (IAMTAC) required within 30 days of hire.
Interpersonal skills necessary to provide effective leadership for unit personnel including: demonstrated skill in fostering a cooperative, team-focused working environment, conflict management, maintenance of effective communication, intra and interdepartmentally (inclusive of physicians); ability to instruct and comfort patients and their families.
Analytical skills necessary to organize and assist in oversight of unit activities, prepare nursing care plans, implement effective nursing care and develop solutions to difficult unit administration and patient care problems.
Recent performance must be absent of any disciplinary actions for a minimum of one year.

Responsibilities

Direct staff to assure a safe patient centered environment.
Serve as a supervisor, coach, resource and support to the direct patient care Registered Nurse (RN).
Utilize discretion and independent judgment in providing supervision and oversight of a team of licensed and unlicensed nursing personnel during an assigned shift.
Collaborate with the leadership team (Manager, Director, Administrative Nursing Supervisor and other AUMs) to ensure continuity of care is provided from shift-to-shift.
Serve as a resource to staff.
Role model and provide a positive influence to facilitate changes.
Utilize interpersonal skills to maximize customer service in a manner that supports excellence in patient experience, evidence based safe patient care, and professionalism.
Contribute to a work environment of caring and cooperation among a culturally diverse workforce and patient population.
Supervise staff, hold care providers accountable to clinical and service standards, coordinate patient throughput, and demonstrate high standards of quality patient care.
Demonstrate and coach others to utilize critical thinking skills.
Work under the direction of the Manager and Director of the department to develop, implement and evaluate systems that promote cost effective, quality patient care.
Supervise and direct unit personnel in order to ensure effective, efficient and safe provision of nursing care in accordance with established standards.
Evaluate patient care needs in assigned unit, determine work priorities and approve assignment.
Evaluate appropriate patient placement plan to admit and work closely with physician and supervisor to determine patient appropriate care assignments.
Interview, orient and train unit nursing personnel.
Assist in validating staff competency.
Assist with developing, evaluating and presenting in-service and educational programs.
Assist in revising and/or developing departmental policies and procedures for area of responsibility.
Implement and administer approved policies and procedures.
Maintain knowledge and competence in all service areas within the department.
Collaborate closely and effectively with the Administrative Nurse Supervisor.
Maintain knowledge of current trends and developments in the field by reading appropriate publications and other literature and attending related conferences and seminars.
Inspire, lead and serve as a mentor to coworkers.
Support teamwork between staff and physician workflow.
Manage conflict between caregivers and escalate up the chain of command as necessary.
Develop leadership and management skills that support unit management, staff and successful planning.
Evaluate, document and report staff competency, performance or behavioral concerns to Clinical Manager or Director.
Monitor progress and effectiveness of Performance Improvement Plans (PIP); assist in introductory and annual evaluations.
Act as resource to orienting, floating or less experienced staff.
Monitor unit for workplace safety.
Be responsible for unit labor oversight of clinical staff throughout the shift.
Check email for updates and ensure communication flow to all staff on shift.
Stay up to date on unit communications and model changes in policy and practice and new initiatives.
Assign new patients to room & nurse, and control the process at the unit level; coordinate with ANS and sending AUM to receive patients in an organized, timely manner to ensure efficient room turnover.
Receive and transfer patients within 1 hour of notification / bed availability.
Coordinate direct orders with ANS and ensure completeness of admit orders according to the acuity level upon patient acceptance.
Use a patient tracking board.
Adjust staffing for admits / discharges / changes in patient status.
In emergent situations if no other resources available, accept a patient on a temporary basis to maintain patient safety.
Notify ANS of unit changes, events or incidents (death, MD issues, unsafe conditions, employee injury, etc).
Schedule and support break relief.
Coordinate rest and meal period assignments by assigning break RN to rest and meal period relief in rotation.
Collect and enter acuity data from all RN’s during shift and complete Acuity / Sitter Tracking Tool.
Report changes in patient acuity, ADT and/or staffing needs to ANS and staffing office throughout shift.
Report acuity changes pending post-ops, admits, discharges, transfers, and staffing needs to ANS as soon as possible and at designated times.
Prepare staff for change of shift, assist with completing tasks or assign a resource.
Verify and approve all overtime, missed breaks and meals.
Monitor ADT throughout shift, notify ANS of mandatory and voluntary call-offs.
Provide oversight of telemetry utilization and verify telemetry unit assignments (if applicable).
Triage telemetry units during shortages and contact physicians for telemetry needs (if applicable).
Audit and report and assume responsibility for all applicable core measures (CLABSI, VTE, SCIP, HF, vaccines, MRSA, etc.) or assign staff and monitor to complete tasks prior to deadlines.
Conduct shift huddles.
Review relief charge nurses’ communication and email for updates.
Assign communication devices, collect and inventory at end of shift.
Maintain mobile phones function for communication.
Maintain orderly unit and Fire/ Life / Safety compliance.
Check crash carts and procedural carts (if applicable) daily and ensure availability after use.
Manage and assist with direct patient care or direct resources for efficient operations and patient safety.
Support organizational initiatives to improve communication, quality and patient experience (HCAHPS).
Manage emergency situations; call RRT and codes.
Coordinate coverage for patients off unit that require RN attendance or designate.
Monitor high risk patients as designated by high acuity.
Provide service recovery.
Investigate and resolve patient and family concerns regarding patient care, communicate other needs to appropriate staff.
Coach and role model to staff for positive performance.
Initiate and maintain all required logs and reports during shift.
Correct Pyxis discrepancies every shift and perform weekly audit.
Perform quality control on department appropriate equipment.
Maintain unit equipment at appropriate locations and at a par level.