Nurse Manager - Emergency Department

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Greenwich, CT
Apr 15, 2019


Job Description

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values-integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.


The Nurse Manager is responsible for the 24 hour operational management of designated unit and reports to the Program Director. This responsibility includes the supervision, direction and support of the nursing staff, as well as adherence to nursing standards. The nurse manager is accountable for financial management.

Emergency Department at Greenwich Hospital is committed to providing
high-quality patient-centered care to our surrounding communities. Servicing
portions of Connecticut and lower Westchester County, Greenwich is a preferred
healthcare organization because of its high level of dedication in upholding a
culture of safety. Our Emergency Department team is a group of highly qualified
and skillful individuals consisting of RN\u2019s, nursing technicians, physician
assistants, and board certified physicians who are committed to maximizing the
patient experience. We evaluate and treat over 42,000 patients a year and have
dedicated areas of the department to facilitate patient flow and throughput.
Our Behavioral Health Unit, located inside the Emergency Department, is staffed
with trained nurse clinicians and nursing resource assistants that are experts
in patient de-escalation techniques. Patients with chest pain are expedited
through our Clinical Decision Unit to ensure the appropriate cardiac
evaluation, testing, and treatment. Greenwich Hospital is embarking on an
exciting journey with our state of the art Emergency Department Renovation
project, and we are looking for dynamic individuals to join our team committed
to nursing excellence.

In our Emergency Department, you will hear the strong voice of nursing. The
value of teamwork goes above and beyond bedside tasks that the staff diligently
and effortlessly perform. We thrive under pressure and rely on the diverse
level of knowledge and expertise that our colleagues bring forward to enhance
our clinical practice.

  • 1. Responsible for the activities of a nursing care unit.
    1.1 Plans for the model of care to be utilized on the unit in delivering optimal and safe patient care, as well as meeting the Nursing Standards.
  • 1.1 Plans for the system of care to be utilized on the unit in delivering patient care and meeting the Nursing Standards.
  • 1.2 Implements and evaluates the plan making appropriate changes.
  • 1.3 Supervises and occasionally assists the staff with patient care utilizing Nursing Process including patient teaching and discharge planning.
  • 1.4 Organizes patient care and demonstrates ability to set priorities by providing most acutely needed care first and assuring that physician and nursing orders are implemented within established time frame.
  • 1.5 Assures that the recommended Infection Control policies and procedures are implemented and followed which includes universal precautions. Follows through on problems identified in this area.
  • 1.6 Monitors the medication system on the unit according to standard
  • 1.7 Assures that patients have care plans, which are revised and updated according to Nursing Standards.
  • 1.8 Demonstrates good judgment in patient care situations by making consistent sound decisions as observed by the Program Director.
  • 1.9 Evaluates Quality Assurance. Indicates monthly, presenting appropriate quarterly reports.
  • 1.10 Develops therapeutic relationships with patients and families as observed by the Program Director.
  • 2. Facilitates the developments of nursing staff on the unit
  • 2.1 Identifies knowledge or practice deficits among the staff through direct observation. Works with the Education Department to provide unit based educational programs to meet these needs.
  • 2.2 Designs an orientation plan for each level of employee on the unit.
  • 2.3 Works with instructors and preceptors to provide orientation to new unit employees. Evaluates progress weekly with appropriate documentation to support strengths and weaknesses.
  • 2.4 Maintains a climate conducive to open and positive communication on the unit as demonstrated by using interpersonal skills which promote two (2) way communication.
  • 2.5 Facilitates professional development for staff nurses by planning for them to attend committees, in-services, and participating in projects.
  • 2.6 Plans and conducts monthly staff meetings as evidenced by documentation submitted to Program Director and a staff who feel informed of the issues.
  • 2.7 Devises a system of unit communication whereby the staff is informed of changes in policy and procedure.
  • 2.8 Interviews and hires qualified staff at all levels according to Human Resource Department Policies.
  • 2.9 Works with Instructors to provide students with meaningful clinical experiences. Provides them with feedback.
  • 3. Responsible for the quality of the staff''s work and the management of the unit.
  • 3.1 Involves the nursing staff in developing and meeting yearly goals which are congruent with the hospital''s mission statement and for improving the professional activities on the unit as evidenced by yearly submission of goals and bi-yearly evaluation of progress toward meeting goals.
  • 3.2 Establishes work schedules and assignments as needed to ensure delivery of care. Accepts twenty-four (24) hour responsibility for staffing the unit and promotes accountability among the staff by providing coverage for the unit which meets patient care needs. Covers sick calls.
  • 3.3 Maintains an on-going assessment of the unit employees strengths and weaknesses. Gives staff feedback at appropriate intervals which help them develop professionally.
  • 3.4 Demonstrates the ability to motivate staff and team build.
  • 3.5 Demonstrates ability to create an atmosphere in the unit that fosters meaningful work for the staff.
  • 3.6 Completes or assures completion of employee reports and records according to Employee Relations Policies and Procedures and with established time frames.
    1.Employee evaluations
    2.Payroll records
    3.Equipment skills list
    4.Educational log
  • 3.7 Identifies the need for disciplinary action and initiates the appropriate system for correction.
  • 3.8 Generates Incident Reports appropriately to report deviations from policy or incidents which could cause potential harm to patients, visitors, or staff.
  • 3.9 Investigates all incidents and takes action to correct problems or prevent future recurrence of similar incidents.
  • 4. Responsible for the cost-effective management of the nursing unit.
  • 4.1 Participates in annual budget development with the Program Director.
  • 4.2 Devises and implements a system which assures that supplies and equipment are readily available, organized in good order for patient care.
  • 4.3 Operates the unit within budgetary constraints as indicated by the Actual Budgetary Reports.
  • 4.4 Participates in developing the yearly Capital Budget with the Program Director.
  • 4.5 Uses time efficiently. Organizes time so that management tasks are accomplished and submitted on a timely basis.
  • 4.6 Reviews weekly time sheets, assessing costs of overtime, call, etc. Making recommendations for reducing costs.

    Other information:


    BSN. MSN preferred. Certification in Nursing Specialty, preferred


    Five (5) years experience on a hospital nursing unit.
    Three (3) to five (5) years ED management experience preferred.


    RN in State of Connecticut, CEN,
    ACLS, PALS, TNCC preferred


    CQI/QA. Charge responsibilities, shared governance, yearly competencies, mandatory in-services. Serves as a resource person in the scope of medical/surgical nursing. These include interaction with patient centered care team, patients and families and the YNHH System. Professionalism with staff and other hospital personnel. Moderate stress from scheduling, meetings and deadlines. Strong critical thinking, clinical reasoning skills. Strong leadership, interpersonal, and conflict resolution skills.


    Standing, walking, frequently pushing, pulling, bending, reaching, stooping, squatting and working in awkward positions. Able to help lift objects and patients ranging from five (5) to three hundred (300) pounds. Moderate stress from coordinating and supervising unit staff.
    May be exposed to infectious diseases/blood/body fluids. Will be exposed to physical, mental and emotional illness as well as end of life conditions and death. Moderate stress and risk of injury from patient care.

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    Job Info

    Job: 5495

    Department: Emergency Department
    Category: Mgmt/leadership
    Sub Category: NURSING MGMT
    Status: Full Time
    Shift: DAYS
    Hours: 37.50

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