Lead Clinical Nurse (Emergency Department)

FDIHB•Fort Defiance, AZ

About The Position

The Lead Clinical Nurse (LCN) provides team leadership and clinical nursing care in the Emergency Department. Under the direction of the Nurse Executive, the LCN guides professional employees and ancillary staff, communicates organizational priorities, balances workloads, coaches staff, identifies training needs, monitors work, and escalates major issues requiring administrative approval. The role supports a positive workplace and maintains professional knowledge through continuing education and specialty-specific training. The LCN independently manages patients’ clinical care, including interviews and health assessments, care planning with multidisciplinary teams, documentation, and administration of prescribed medications and treatments. The role uses evidence-based guidelines, participates in the assigned on-call schedule, contributes to process improvement and relevant hospital committees, and supports compliance with CMS standards and required annual training. Other duties may be assigned.

Requirements

  • Four years of direct work experience as an Emergency/Critical Care Registered Nurse.
  • Two years of leadership experience teaching and coaching nursing staff.
  • Associate of Science degree in Nursing from an accredited nursing program.
  • Valid, unrestricted Registered Nurse license in any U.S. state or territory.
  • Valid, unrestricted, insurable driver’s license.
  • Valid American Heart Association Basic Life Support (BLS) certification and maintenance of certification.
  • Valid American Heart Association Advanced Cardiac Life Support (ACLS) certification and maintenance of certification.
  • Valid American Heart Association Pediatric Advanced Life Support (PALS) certification, or valid Emergency Nurse Association Emergency Nursing Pediatric Course (ENPC) certification, and maintenance of certification.
  • Valid American Academy of Pediatrics Neonatal Resuscitation Program (NRP) certification and maintenance of certification.
  • Valid certification in one of the listed trauma courses: ENA TNCC, ASTNA TPATC, STN ATCN, ACS ATLS, or BCEN TCRN; maintain certification.
  • Obtain valid Moderate Sedation certification within six months of hire and maintain certification.
  • Submit resume and references; email degree, transcripts, license, and certifications as instructed.

Responsibilities

  • Guide and direct professional employees and ancillary staff under the direction of the Nurse Executive, communicating organizational strategy, mission, vision, and values.
  • Identify, distribute, and balance workloads according to caseload, skill level, scope of practice, and occupational specialization, adjusting as needed.
  • Coach team members in problem-solving methods and techniques, advise on work practices and procedures, and help identify viable solutions.
  • Identify team training needs and provide or arrange necessary administrative or technical training.
  • Monitor and report work status and progress, and review completed work.
  • Communicate with the Nurse Executive to obtain resources and information and to address major work issues requiring administrative approval.
  • Maintain a professional, caring attitude toward patients, families, healthcare providers, and other departments, and support a positive workplace environment.
  • Maintain specialty knowledge and proficiency through continuing education, required certifications and credits, staff meetings, and workshops.
  • Perform clinical nursing duties, including patient interviews and health assessments, care planning with multidisciplinary teams, documentation, and administration of prescribed medications, IV fluids, blood transfusions, and other treatments.
  • Independently manage patients’ clinical care and use evidence-based guidelines to monitor and maintain standard practices.
  • Participate in the assigned on-call schedule.
  • Lead the team in exploring alternatives and determining process-improvement measures.
  • Participate in hospital committees related to patient care in the relevant specialty areas.
  • Complete required annual CMS training by the due dates and support compliance with established CMS standards.
  • Perform other duties as assigned.
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