Director Ambulatory Nursing

Description

Essential Functions :

Utilizes the American Nursing Association (ANA, 2021) Scope and Standards of Practice and Standards of Performance for Nurse Administrators for perform the following functions :

Standard 1 : Assessment

• The Director collects comprehensive data pertinent to issues, situations, and trends.
• Collects, analyzes, and utilizes data in a systematic and ongoing process using appropriate evidence-based assessment techniques and instruments
• Utilizes and promotes a health and wellness assessment model that incorporates integrative approaches to data collection and honors the whole person
• Identifies enhancements and barriers to effective communication based on personal, cognitive, physiological, psychosocial, literacy, financial, and cultural considerations.
• Integrates knowledge from current local, regional, national and global health initiatives and environmental factors into the assessment process.
• Remains knowledgeable about changing technologies that impact the assessment process.
• Applies the provisions of the ANA Code of Ethics, legal, and guidelines and policies to the collection, maintenance, use and dissemination of data and information.
• Recognizes the importance of assessment parameters identified by organizations that influence health care.

Standard 2 : Diagnosis

• Identifies and encourages recognition of actual or potential risks to the healthcare consumer’s health and safety or barriers to health, which may include but are not limited to interpersonal, systematic, cultural, socioeconomic, or environmental circumstances.
• Understands / trains to identification of consumer’s strengths and abilities, including but not limited to support systems, health literacy, and engagement in self-care.
• Supports prioritization and clear documentation of nursing diagnoses, problems, and issues based on mutually established goals to meet the needs of the healthcare consumer across the health-illness continuum and the care continuum.
• Assists caregivers in developing and maintaining competence in identifying problems, issues and trends.

Standard 3 : Outcomes Identification

• The Director identifies and supports caregivers to identify expected outcomes for a plan individualized to the healthcare consumer or the situation
• Collaborates with healthcare consumers to identify expected outcomes integrating the healthcare consumer’s culture, values, and ethical considerations.
• Integrates evidence and best practices to identify expected outcomes that facilitate coordination of care.
• Develops expected outcomes that facilitate coordination of care, continuity of operations, consumer and caregiver satisfaction, and effectiveness of programs, services, and systems of care.

Standard 4 : Planning

• Understands and promotes development of individualized, holistic, evidence-based plan in partnership with the healthcare consumer, family, significant others, and interprofessional team.
• Designs innovative nursing practices that can be incorporated into the plan.
• Advocates for compassionate, responsible, and appropriate use of interventions to minimize unwarranted or unwanted treatment and healthcare consumer suffering, or both.
• Provides and supports provision for the coordination and continuity of care while identifying the cost and economic implications of the plan.
• Develops a plan that reflects compliance with current statutes, rules and regulations, and standards.
• Utilizes current research findings and data for the development of responsible, appropriate, and evidence-informed plans.

Standard 5 : Implementation

• Advocates for the needs of diverse populations across the life span.
• Uses and promotes use of critical thinking and technology solutions to implement the nursing process to collect, measure, record, retrieve, trend and analyze data and information to enhance healthcare consumer outcomes and nursing practice.
• Engages interprofessional team partners in implementation of the plan through collaboration and communication across the continuum of care.
• Delegates after considering the circumstances, person, task, direction or communication, supervision, evaluation, as well as the state nurse practice act regulations, institution, and regulatory entities while maintaining accountability for the care.
• Advocates for the delivery of dignified and person-centered care by the interprofessional team.
• Uses health promotion and health teaching methods in collaboration with the healthcare consumer’s values, beliefs, health practices, developmental level, learning needs, readiness and ability to learn, language preference, spirituality, culture, and socioeconomic status.
• Ensures caregivers provide healthcare consumers with information and education about intended effects and potential adverse effects of the plan of care.
• Improves the systems that support the implementation of the plans.

Standard 6 : Evaluation

• Conducts and supports a systematic, ongoing, and criterion-based evaluation of goals and outcomes in relation to structure, process, and timelines prescribed in the plan.
• Collaborates and encourages collaboration with the healthcare consumer, stakeholders, interprofessional team and others involved in the care or situation in the evaluation process.
• Shares evaluation data and conclusions with the healthcare consumer and other stakeholders to promote clarity and transparency in accordance with state, federal, organizational and professional requirements.
• Translates the results of the evaluation into process or structural changes including policy, procedure, or protocol revisions as appropriate.

Standard 7 : Ethics

• Uses the Code of Ethics for Nurses with Interpretive Statements (ANA 2015a) as a moral foundation to guide nursing practice and decision-making.
• Demonstrates that every person is worthy of nursing care through the provision of respectful, person-centered, compassionate care, regardless of personal history or characteristics.
• Safeguards sensitive information within ethical, legal, and regulatory parameters.
• Engages in and promotes self-care and self-reflection practices to support and preserve personal health, well-being, and integrity.
• Represents the nursing perspective in clinic, institutional, community, or professional association ethics discussions.
• Articulates nursing values to maintain individual nurses’ personal integrity and the integrity of the profession.
• Integrates the principles of social justice into nursing and policy.

Standard 8 : Advocacy

• Recommends appropriate levels of care, timely and appropriate transitions and allocation of resources to optimize outcomes.
• Promotes safe care of healthcare consumers, safe work environments, and sufficient resources.
• Empowers all members of the healthcare team to include the healthcare consumer in care decisions, including limitation of treatment and end of life.
• Embraces diversity, equity, inclusivity, health promotion, and health care for individuals of diverse geographic, cultural, ethnic, racial, gender, and spiritual backgrounds across the life span.

Standard 9 : Respectful and Equitable Practice

• Demonstrates respect, equity, and empathy in all actions and interactions with all healthcare consumers and caregivers / healthcare team.
• Uses appropriate skills and tools for the culture, literacy, and language of the individuals and populations served.
• Advocates for policies that promote health and prevent harm among diverse healthcare consumers and groups.
• Advances organizational policies, programs, services, and practices that reflect, respect, equity and values for diversity and inclusion.

Standard 10 : Communication

• Assesses one’s own communication skills and effectiveness.
• Assesses communication ability, health literacy, resources and preferences of healthcare consumers to inform the interprofessional team and others.
• Conveys accurate information to healthcare consumers, families, community stakeholders, and members of the interprofessional team.
• Maintains communication with interprofessional team members and others to facilitate safe transitions and continuity of care delivery.
• Contributes the nursing perspective in interactions and discussions with interprofessional team and other stakeholders.
• Demonstrates continuous improvement of communication skills.

Standard 11 : Collaboration

• Partners with the healthcare consumer and key stakeholders to advocate for and effect change, leading to positive outcomes and quality care.
• Values the expertise and contributions of other professionals and key stakeholders.
• Articulates the nurse’s role and responsibilities within the interprofessional team.
• Role models the development of shared goals, clear roles, mutual trust, effective communication, efficient processes, and measurable outcomes within the professional team.
• Creates innovative partnerships using the unique and complimentary ability of all team members and stakeholders to promote collaborative interprofessional initiatives.
• Fosters an environment that empowers nurses and others to collaborate in the provision of nursing and health care.
• Role-models collaborative executive decision-making.

Standard 12 : Leadership

• Engages in creating an interprofessional environment that promotes respect, trust, and integrity.
• Implements evidence-based practices for safe, quality health care, and healthcare consumer satisfaction.
• Demonstrates authority, ownership, accountability, and responsibility for appropriate delegation of nursing care.
• Mentors colleagues and others to enhance their knowledge, skills, and abilities.
• Participates in professional activities and organizations for professional growth and influence.
• Communicates a compelling and inspiring vision of excellence in nursing practice within the organization and the community.
• Promotes nursing autonomy and accountability.
• Provides support and resources to facilitate the nursing care given by others while retaining accountability for the quality of care and effectiveness of teams.

Standard 13 : Education

• Participates in continuing professional development activities related to nursing and interprofessional knowledge bases and professional topics.
• Maintains current knowledge and skills relative to the role, population, specialty, setting and local or global health situation.
• Mentors nurses new to their roles for the purpose of ensuring successful enculturation, orientation, competence, and emotional support.
• Facilitates a work environment supportive of ongoing education of healthcare professionals and interprofessional colleagues.
• Shares knowledge, educational findings, experiences, and ideas with peers and colleagues.
• Creates a work environment supportive of ongoing education of healthcare professionals, including promotion of academic progression.
• Seeks professional or specialty certification.

Standard 14 : Scholarly Inquiry

• Uses current evidence-based knowledge, combined with clinical expertise and healthcare consumer values and preferences to guide practice in all settings.
• Participates in the formulation of evidence-based practice.
• Shares peer-reviewed, evidence-based findings with colleagues to integrate knowledge into nursing practice.
• Incorporates evidence and nursing research when initiating changes and improving quality in nursing practice.
• Enables nurses to contribute to nursing knowledge development that improves heath care outcomes.

Standard 15 : Quality of Practice

• Ensures that nursing practice is safe, effective, efficient, equitable, timely and person-centered.
• Uses creativity and innovation to enhance nursing care.
• Contributes to efforts to improve healthcare efficiency.
• Provides critical review and evaluation of policies, procedures, and guidelines to improve the quality of health care.
• Collaborates with the interprofessional team to implement quality improvement plans and interventions.
• Leads interprofessional teams in the evaluation of healthcare delivery.
• Identifies opportunities for generating, translating, and disseminating research for evidence-based practice.

Standard 16 : Professional Practice Evaluation

• Ensures that nursing practice is consistent with regulatory requirements pertaining to licensure, relevant, statutes, rules, and regulations.
• Provides evidence for practice decisions and actions as part of the evaluation process.
• Engages in critical self-reflection and evaluation of nursing and leadership practice on a regular basis, identifying areas of strength, as well as areas in which professional and personal growth would be beneficial.
• Uses organizational policies and procedures to guide professional practice.

Standard 17 : Resource Stewardship

• Collaborates with the healthcare consumer and other stakeholders to assess costs, availability, risks, and benefits in decision about care.
• Advocates for equitable resources that support and enhance nursing practice and health outcomes.
• Integrates connected health technologies into practice to promote positive interactions between healthcare consumers and care providers.
• Uses organizational and community resources to implement interprofessional plans.
• Proactively addresses modification or reallocation of resources in response to changing needs, issues, trends, or situation.
• Uses innovative approaches in planning, securing, allocating and utilizing resources.

Standard 18 : Environmental Health

• Fosters a professional environment that does not tolerate abusive, destructive, and oppressive behaviors.
• Assess the environment to identify and address the impact of social determinants of health on risk factors.
• Analyzes the impacts of social, political, and economic influences on the human health experience and global environment.
• Promotes a practice environment that reduces work-related environmental health risks and hazards to minimize the risk of illness and injury : i.

e. safe patient handling / mobility, prevention of fatigue, prevention of incivility / bullying / workplace violence, exposure reduction strategies, disposal of products / hazardous, etc.

Participates in strategies to promote healthy communities.

All other duties as assigned.

Additional Requirements

Required :

Education - Bachelors degree in Nursing

Certification - Registered Nurse (RN) - South Dakota Board of Nursing

Preferred :

Experience - 1+ years of Registered Nurse Experience; 5+ years of Leadership Experience

Education - Masters degree in Nursing

Physical Requirements :

Light work - Exerting up to 20 pounds of force occasionally, and / or up to 10 pounds of force frequently, and / or a negligible amount of force constantly to move objects.

Job Category

Nursing

Job Family

Ambulatory Nursing

Shift

Employee Type

Regular

10 Monument Health Rapid City Hospital, Inc.

Make a difference .

Monument Health is an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.