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

Adventist Health•Kailua-Kona, HI

2d•$62 - $85•Onsite

About The Position

Adventist Health Castle is seeking a Nurse Lead for its Emergency department in Kailua, O'ahu. The Nurse Lead provides unit-based leadership in collaboration with the Nurse Manager, Director, physicians, and staff. The role supervises and directs assigned nursing and ancillary personnel, using professional and supervisory discretion and independent judgment. It ensures patients receive cost-effective professional care that supports positive outcomes, high patient satisfaction, and patient safety, and assesses opportunities to improve the patient experience. The Nurse Lead oversees clinical services and unit personnel, supports individualized care planning, monitors patient care and work quality, and participates in patient care as needed. The role promotes patient- and family-centered care, responds to feedback and concerns, and works with leadership to improve satisfaction and resolve clinical or operational issues. It supports compliance with patient safety and quality requirements, participates in performance improvement activities, and helps implement staff development and other initiatives to improve care. The position assesses staffing needs, assigns staff based on patient acuity and available skills, coordinates breaks and schedule adjustments, and participates in staff performance evaluation, coaching, discipline, hiring, and termination decisions. It also supports staff orientation, maintains a safe and operational department and equipment, coordinates repairs, ensures department cleanliness, communicates unit activities and needs to the Director, and helps keep staffing costs within budget while minimizing overtime. Other job-related duties may be assigned. Adventist Health requires associates to receive required vaccinations as a condition of employment and annually thereafter where applicable; medical and religious exemptions may apply. Adventist Health participates in E-Verify.

Requirements

Bachelor’s degree in nursing or 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, as required by the department.
Techniques for Effective Aggression Management (TEAM) or TEAM-A, as required by the department.

Nice To Haves

Master’s degree.
Five years of technical experience.
Cardiopulmonary Resuscitation (CPR) 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 nursing and ancillary personnel.
Coordinate conferences with health team members, patients, and families to initiate and revise individualized care plans.
Direct and monitor personnel performing patient care activities; participate in patient care as needed.
Promote patient- and family-centered care that accounts for cultural diversity and personal needs; make rounds and solicit feedback.
Develop or support interventions and systems to address patient care throughout the continuum, improve satisfaction, and resolve patient-care or operational issues.
Recommend policy and procedure changes in collaboration with the Nurse Manager or Director.
Support compliance with Joint Commission Patient Safety Goals, hospital policy, quality measures, and patient safety initiatives; participate in performance improvement teams and unit quality activities.
Assess department operations and patient-care processes and identify opportunities for improvement; facilitate staff data collection.
Assess unit staffing needs and manage personnel assignments based on patient acuity, patient needs, and staff skills; arrange meal and break relief and review schedule adjustment requests.
Participate significantly in employee performance evaluations; coach and discipline personnel as appropriate, and participate directly in hiring and termination decisions.
Instruct new professional and ancillary personnel on job duties and assignments.
Coordinate with facility services to maintain a safe, operational, and clean department and arrange repair of malfunctioning equipment.
Keep the Director informed of unit activities, incidents, and special needs, with timely documentation.
Keep staffing costs within targeted budget and minimize overtime.
Perform other job-related duties as assigned.