ASSOCIATE CNO

AHMC Healthcare•Daly City, CA

About The Position

JOB SUMMARY: The Associate CNO is responsible for the assistance of the day to day operations of the hospital and clinical units. The ACNO works with the Chief Nursing Officer, Administrative team members and department heads to ensure compliance with goals and objectives established by the hospital. The ACNO oversees the following departments: Nursing Administration, Infection Prevention, Employee Health, Quality/Risk, Regulatory Affairs and Patient Care Departments as assigned. Responsible for various initiatives including but not limited to Value Based Purchasing, Hospital Acquired Conditions program, Lean Initiatives, various Patient Experience processes and surveys. Understands the priority items of the Nursing Vision. Works collaboratively with the team as the co-owners for survey preparation. Focus for Risk management is ongoing, comprehensive & systematic approach to reducing risk exposure of the organization. Proactively implementing provisions of federal, state, and local statutes, rules & regulations. This is accomplished by collaboration with all departments, reviewing risk reports, coordination with Corporate Risk, when necessary. Works collaboratively to assure that SMC has an effective Infection Control program. Assures appropriate reporting of infection data to designated sources such as CDC, NHSN, etc. Communicate effectively, in writing, verbally, and via telephone, with all levels of personnel and visitors. Input and retrieve computerized data.

Requirements

Proficient with computer software (Word, Excel, Power-Point, etc.)
Must have a current and valid license as a Registered Nurse issued by the State of California.
BLS Provider Card, upon hire and maintained current.
Minimum of 5 years Acute Care experience.
BSN is required.
ACLS Provider card thru AHA
NIHSS required

Nice To Haves

Minimum of 3 years previous Administrative experience preferred.
Master’s Degree in Nursing is preferred

Responsibilities

Ensures the effective and efficient management of nursing department operations.
Assists the CNO with patients’, physicians’, employees’ concerns or issues as they relate to hospital operations. Ensure the follow-through of the issues being delegated to appropriate personnel.
Efficiently and effectively takes minutes for department management meetings and other meetings as assigned. Assists in the preparation, planning and execution of agenda.
Ensures compliance with title 22 and other regulations for staffing, patient classification systems, and other nursing administration department functions including contract labor compliance, dialysis, wound care services, etc.
Works with appropriate directors, Quality and education to ensure compliance with standardized procedure requirements for RNs.
As directed, follows up with unresolved situations to gather information, etc.
Performs other duties as assigned or required.
Ensures compliance with regulatory standards and reporting requirements (i.e. CDPH, Federal/State regs, Never 28, etc.).
Assures that effective event/incident/reporting system is in place with effective followup. System must identify issues, report, track and trend events. Maintains system for tracking and trending of hospital occurrences. Reports trending to Quality Council, MEC and Governing Board.
Events are tracked/trended and reported to appropriate departments for action/follow-up, trending reports provided by department with action to correct trends. Facility dashboard presented to governing board.
Mitigate incidents and implements revised processes to reduce facility risk. Collaborates with corporate risk and facility carrier to mitigate issues/risk.
Investigates and follows up on complaints/concerns/ grievances. Reports findings to CNO and collaborates on response. Notifies CNO immediately upon discovery of any identified or potential Sentinel Event.
Provides educational activities for staff. Conducts general orientation
Maintains Patient Complaint/Grievence log. Trends and reports data as necessary, to appropriate committees.
Works collaboratively with Corp RM for Claims management including; reporting events, investigation/interview, protecting documents, managing claims, coordinating depositions,, assisting defense team, forwarding subpoenas & summons.
Completes and submits annual RM summary and plan to the governing board.
Apply epidemiologic principles and statistical methods, including risk stratification, to identify target population, analyze trends and risk factors, and design and evaluate prevention and control strategies.
Conduct on-going surveillance using Center of Disease Control (CDC) infection criteria, documentation, and investigation of nosocomial infections through review of admission diagnoses, microbiology culture results, isolation orders, patient records, consultation requests, post-discharge surveillance, and autopsy findings.
Responsible for NHSN data accuracy and ensuring deadlines are met.
Works collaboratively with Perioperative, Perinatal, SPD and other applicable areas to ensure appropriate processes are in place for patient safety and infection control compliance.
Assess environmental control through surveillance of water supply systems as needed, air pressure relationships for high risk environmental monitoring.
Conduct environmental rounds in all inpatient and outpatient care areas. Collect data on the incidence of selected device use in identified intensive care units.
Participate in investigations of unusual hospital infection outbreaks utilizing the microbiology laboratory, consultation with Infectious Disease Division, county/state public health departments, and when necessary in consultation with the Center for Disease Control. Report epidemiologically significant findings to appropriate customers.
Evaluate the effectiveness of the surveillance plan and modifies as necessary.
Report all in-house patients with communicable disease to the county and/or state health department and maintain appropriate records. Compile and interpret surveillance reports to Infection Control committee, specialty areas, and executive medical committee on a regular basis.
Collaborates with the CNO and directs and participates in the preparation and administration of nursing services, budgets and capital outlay requests; evaluates staffing, equipment and supply needs; prepares justifications and cost benefit analyses; reviews and recommends approval of expenditures; oversees the procurement of supplies and equipment for assigned areas.
Ensures development of subordinates and succession planning.