The Clinical Nurse Specialist will be responsible for providing expert clinical leadership to the nursing staff on the Surgical Short Stay Unit, a 13 bed Post-Operative unit, the Medical Short Stay North and South, a 40 bed Acute Medical/Telemetry unit and 2 beds for Palliative Care.
The Surgical and Medical Short Stay Units were created to provide care to a large variety of medical surgical patients who require acute nursing care for eight to seventy-two hours.
The Medical Short Stay Unit will expand in July, 2015 to forty beds. These patients will be split between two locations, one in the Taubman Center and the other in University Hospital South. An additional two beds have been designated as the location to provide care for palliative care patients. Patient populations for the Medical Short Stay areas include post-procedural and Emergency Department patients who require close observation, assessment and education.
The Surgical Short Stay Unit provides post-operative care to a variety of surgical patients. The focus is on post-operative symptom management and patient and family education. The average length of stay is twenty-four to forty-eight hours.
Patients on both units may have arrhythmias requiring a proficiency in cardiac assessment and monitoring.
BASIC FUNCTION AND RESPONSIBILITY
The clinical nurse specialist (CNS) is the clinical leader for a program or area of nursing practice within UMHS. The advanced knowledge and skills required for this role include clinical expertise in a focus area, evidence-based practice, collaboration, consultation, education, mentoring, and change leadership. These are essential to advance the practice of nursing and the professional development of nurses. The specialized knowledge and skills are used within three major areas of focus: patient/family, nurses and nursing practice, and the organization/system. The CNS and the Nurse Manager are partners in leading the nursing clinical practice area. The CNS coordinates and guides clinical activities/projects of nurses within a practice area. The CNS is accountable for collaborating with members of the health care team to design, implement, and measure safe, cost-effective, evidence-based care strategies. The CNS is responsible for maintaining current professional knowledge and competencies and contributing to the advancement of the practice of nursing at the unit/system, local, state and/or national and international level.
-Direct Patient Care
Serves as a reliable source of information on the latest evidence supporting cost-effective, safe nursing practices.
Collaborates with the multidisciplinary team using the nursing process to integrate the nursing perspective into a comprehensive plan of care for the patient/family.
Identifies and prioritizes nursing care needs for a select population of patients/families. This includes synthesis of assessment data, advanced knowledge, experience to pose problems amenable to advanced interventions.
Conducts comprehensive, holistic wellness and illness assessments using established or innovative evidence-based techniques, tools, and methods.
Initiates and plans care conferences or programs for individual patients or populations of patients. Calls for interdisciplinary care conferences when barriers or LOS protraction are evident or predicted.
Assists the team and individual nurses to establish working goals and targets, and measures to be assessed and documented as evidence of progress in plan of care. Establishes intervention families within standards of care that are best united for best effects.
Designs and evaluates innovative educational programs for patients, families, and groups.
Establishes methods to evaluate and document nursing interventions at the individual, unit, cluster and professional practice model level.
Evaluates the impact of nursing interventions on fiscal and human resources including establishing average and variance economics of plans of care for major populations and targeted conditions.
Collaborates with others to resolve issues related to patient care, communication, policies, and resources.
Creates and revises nursing policies, protocols and procedures using evidence-based information to achieve outcomes for indicators that are nurse-sensitive.
Identifies facilitators and addresses barriers that affect patient outcomes.
Leads clinical practice and quality improvement initiatives for a unit or a program.
Collaborates with nurses to develop practice environments that support shared decision-making.
Assists the staff in developing critical thinking and clinical judgment through formal rounds, informal and daily habits in bedside consultation, activity and procedural progression likely in plan of day and plan of stay.
Creates a nursing care environment that stimulates continuous self-learning, reflective practice, feeling of ownership and demonstration of responsibility and accountability.
Collaborates with Educational Nurse Specialists, Educational Nurse Coordinators and others on content and operational design of orientation, clinical competency, and other clinical educational program development.
Mentors nurses to acquire new skills, develop their careers and effectively incorporate evidence into practice. Assists with the specific development of portfolios that demonstrate navigational way to achieve mastery in daily care activities, reading and literature reviews.
Models advanced communication and therapeutic interventions in interviews, evaluation, patient- family assessments and high performance team conversation within urgent and planned care conferences.
Provides input for staff evaluation.
Provides formal and informal education for nurses and other health professionals and health professional students.
Leads in the conduct and utilization of nursing research as well as evaluation of daily work process mapping required to insert the evidence and remove activities of less value.
Analyzes data from quality reports, incidents, consultations and care conferences to present trends and patterns indicative of substantial quality improvement initiatives and requirements for education and mentorship.
Consults with other units and health care professionals to improve care.
Leads/assists institutional groups to enhance the clinical practice of nurses and improve patient outcomes.
Develops, pilots, evaluates, and incorporates innovative models of practice across the continuum of care.
Designs and evaluates programs and initiatives that are congruent with the organization's strategic plans, regulatory agency requirements, and nursing standards. Includes data from readmissions, claims, incidents, and daily habit to frame doable improvements.
Identifies, collects, and analyzes data that serve as a basis for program design and outcome measurement.
Participates in need identification, selection and evaluation of products and equipment.
Advances nursing practice through participation in professional organizations, publications, and presentations.
Models high performance team development in daily habits of rounds,, grand rounds, intershift reports, care conferences. Participates in the development of prioritization schema for production targets in planned and unplanned admissions based on system priorities and population needs.
Direction is received from a Director of Nursing, Assistant Director of Nursing or designated official.
Functional supervision is exercised over Clinical Nurses, LPN's, Allied Health, Service/Maintenance and other support staff.
This job opening replaces job #110149
Nursing Specific Info
Required qualifications must be met by the candidate in order to be interviewed and considered for the position. Posting may be filled after the initial 5-day posting period. Applicants who have left the UMPNC bargaining unit must include on their resume dates of past employment including months and years of service along with effort. Positions less than 20 hours/week may be combined.
If you have questions regarding this posting or would like assistance with nursing opportunities please contact Nurse Recruitment at (734) 936-5183.
Current licensure to practice nursing in the State of Michigan.
Masters degree in nursing with a clinical focus.
Graduate of a Clinical Nurse Specialist Program
Population focused certification as a Clinical Nurse Specialist recognized by NCSBN*
Minimum 3 years recent experience in assessing, treating and evaluating patients typically cared for in Adult Medical/Surgical/Telemetry units in a tertiary healthcare environment, in the last 5 years.
Demonstrated ability to apply evidence- based clinical knowledge into the patient care setting via protocols, standards, and outcomes measurement.
Excellent written and verbal skills as evidenced by positive feedback through references and/or evaluations.
Ability to function independently and as a team member is required.
High level of self-motivation to stay current in a rapid changing environment.
Demonstrated ability to innovatively lead complex change projects, particularly those focused on raising patient care to the highest standards, in an academic, tertiary care environment.
Competence with basic computer functions.
Demonstrated ability to consistently and positively contribute to a group/unit work setting.
Demonstrated ability to consistently work collaboratively with the manager and leadership team is required.
*Internal UMHS employees currently in a Clinical Nurse Specialist role will be considered for this job opening and CNS certification will not be required.
NOTE: Required qualifications must be met by the candidate in order to be interviewed and considered for the position.
RESUME REQUIRED (for both internal & external applicants):
You must attach a complete and accurate resume to be fully considered for this position.
Certification in Medical/Surgical Nursing and/or End of Life certification.
Previous experience as a Clinical Nurse Specialist in a medical/surgical acute care setting.
Previous experience and demonstrated ability to interact with all levels of internal and external personnel in an academic, tertiary care healthcare environment is desired.
Three or more years designing, and collaborating with, the implementation of competency and education activities for nursing staff including competency programs, orientation, staff and professional development is desired.
Strong teaching skills as evidenced by the ability to demonstrate a teachable moment, as well as, develop class content, and staff and patient education materials is desired.
Demonstrated analytical skills necessary to gather and collate data to present recommendations for solutions to identified problems is desired.
Demonstrated knowledge of, and experience with, the Continuous Quality Improvement process, including recent experience implementing keystone quality improvement initiatives is desired.
Previous experience as principle or co-investigator on a research project(s) is desired. Experience in implementation of service initiatives at the unit level is desired.
Demonstrated professional writing experience and being published in professional periodicals is desired.
Eligible for appointment with the School of Nursing is desired.
Computer skills using various applications: Internet, email, word processing, presentation, and database.
Hours per week: 20
Shift: Day shift with the ability to flex to the needs of the units
Location: Taubman Center and University Hospital South
This position is covered under the collective bargaining agreement between the U-M and the Michigan Nurses Association and the U-M Professional Nurse Council union, which contains and settles all matters with respect to wages, benefits, hours and other terms and conditions of employment.
University of Michigan Health System conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act.
The University of Michigan Health System improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society.
U-M EEO/AA Statement
The University of Michigan is an equal opportunity/affirmative action employer.