RN, Nurse Lead, Emergency, Full-time, Night Shift

Adventist Health • Kailua, HI

2d • Onsite

About The Position

The Nurse Lead provides unit-based leadership in the Emergency department, working collaboratively with the Nurse Manager, Director, physicians, and staff. The role supervises and directs nursing and ancillary personnel, exercising professional and supervisory discretion and independent judgment. It ensures patients receive cost-effective, professional care that supports positive outcomes, patient satisfaction, and safety, while assessing and improving the patient experience.

The Nurse Lead supports clinical services, patient-centered care, quality improvement, staffing and scheduling, staff development, and unit operations. The role participates in patient care as needed, addresses patient-care and operational issues, and keeps the Director informed about unit activities, incidents, and needs. The position is full-time on the night shift at Adventist Health Castle in Kailua, O‘ahu.

Requirements

• Bachelor’s degree in nursing or an equivalent combination of education and related experience.
• Supervisory experience or demonstrated supervisory skills.
• Registered Nurse (RN) licensure in the state of practice.
• Basic Life Support (BLS) certification from an approved vendor per Adventist Health policy.
• Pediatric Advanced Life Support (PALS) certification from an approved vendor per Adventist Health policy.
• Advanced Cardiovascular Life Support (ACLS) certification from an approved vendor per Adventist Health policy.
• National Institutes of Health Stroke Scale certification or qualification.
• Techniques for Effective Aggression Management (TEAM) or TEAM-A qualification.
• Receive all required vaccinations as a condition of employment and annually thereafter where applicable; medical and religious exemptions may apply.

Nice To Haves

• Master’s degree.
• Five years of technical experience.
• Cardiopulmonary Resuscitation (CPR) certification or Basic Life Support (BLS) certification from an approved vendor per Adventist Health policy.
• Clinical specialty and/or nursing administration certification.

Responsibilities

• Provide unit-based leadership in developing and delivering clinical services.
• Supervise and direct unit personnel and monitor their patient-care activities and work quality.
• Coordinate conferences with health team members, patients, and families to initiate or revise individualized care plans.
• Participate in patient care as needed and promote patient- and family-centered care that respects cultural diversity and personal needs.
• Round on patients and families, introduce self, and solicit feedback about nursing services and other concerns.
• Develop or implement interventions and systems to support patient care throughout the continuum.
• Work with the Nurse Manager or Director to improve satisfaction among patients, families, and physicians.
• Investigate and resolve patient-care and operational issues; recommend policy or procedure changes in collaboration with the Nurse Manager or Director.
• Ensure compliance with Patient Safety Goals, hospital policy, Quality Measures, and patient-safety initiatives, including through participation in Performance Improvement teams.
• Collaborate with clinical team members on systems, programs, and staff development activities that support patient, family, and physician needs.
• Assess department operations and patient-care processes for improvement opportunities; facilitate staff data collection and participate in unit quality activities.
• Assess unit staffing needs and assign personnel and patient-care activities based on patient acuity and needs, staff skills, professional judgment, and workload balance.
• Arrange staff relief for meals and breaks and review schedule-adjustment requests, including late arrivals, early departures, and sick time.
• Participate significantly in employee performance evaluations; coach and discipline personnel when appropriate, including issuing warnings or suspension.
• Participate directly in hiring and termination decisions for unit personnel.
• Instruct new professional and ancillary personnel on job duties and assignments.
• Coordinate with facility services to keep the department and equipment safe and operational, facilitate equipment repairs, and ensure departmental cleanliness.
• Keep the Director informed of unit activities, incidents, and special needs, documenting relevant information in a timely manner.
• Keep staffing costs within the targeted budget and minimize overtime.
• Perform other job-related duties as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager