Manage clinically and administratively the operations of the hospital during assigned shifts and in collaboration with department directors/managers and hospital administration. In the absence of department management and hospital administration, collaborates with the Administrator on call and/or other members of the management team to insure appropriate facility resources and response to meet organization wide health care service responsibilities. Manage, administrate and coordinate activities of hospital services to ensure activities are consistent with organizational objectives, policies and procedures. This position is responsible to be a clinical and service resource, to ensure appropriate patient placement, supervise clinical activities, maintain disaster training skills, and to coordinate safe and appropriate patient care between all departments and disciplines. Also accepts responsibility and acts as administrative designee in absence of administration.

• Supervise and direct all aspects of patient care. These duties include providing effective distribution and utilization of personnel with emphasis on staffing for nursing areas by coordinating work schedules and shift coverage.
• Provides for adequate short-term and long-term staffing to meet patient care needs. Maintains good use of hospital resources. Ensures that staffing meets productivity guidelines.
• Coordinates placement of patients with ED, OR, Cardiac Cath Lab, Admitting and nursing units. Calls in emergency staff (OR or Cath Lab, etc.) as necessary.
• Coordinates activities with other hospital departments, i.e. Admitting, Social Services, Ancillary Departments, etc.
• Assists with placement of patients from other hospitals. Assists with transfer of patients from TRMC as needed.
• Acts as role model/mentor within the Department of Nursing enforcing nursing policy and ensuring standards of care and safe patient care.
• Responds to and participates in emergency codes.
• Administrative responsibilities include meeting with patients and family members to discuss concerns or patient care. The ability to evaluate issues and trends, as well as address and resolve issues collaboratively with department directors/managers or hospital administration.
• Rounds on the patient care units and is available as needed for issues that benefit from management help and/or intervention.
• Notifies Administrator On Call of potential patient issues, legal issues, and community or media issues as appropriate.

• Reports to work on time and as scheduled, completes work within designated time.
• Adheres to scheduling requests of the department (Works weekends, no �special days off�, no exceptions).
• Adheres to the Customer Service Standards of Texas Regional Medical Center while representing the organization in a positive and professional manner.
• Communicates the mission, ethics and goals of the facility, as well as the focus statement of the department and complies with all organizational policies regarding ethical business practices.
• Utilizes computerized punch time system correctly.
• Completes annual education requirements and maintains regulatory requirements.
• Adheres to dress code, appearance is neat and clean and wears identification while on duty.
• Completes in-services and returns in a timely fashion and has not missed any mandatory in-services.
• Attends at least 8 staff meetings annually, is responsible for information presented at monthly staff meetings that he/she is unable to attend.
• Actively participates in performance improvement and continuous quality improvement (CQI) activities.

• Current Texas Registered Nurse Licensure.
• Graduate of an accredited school of nursing.
• Bachelor of Science in Nursing or related field preferred.
• BLS & ACLS certification.

• Able to communicate effectively in English, both verbally and in writing.
• Additional languages preferred.

• 3-5 years of experience as a staff nurse in a clinical area
• Five years of clinical experience. Critical care experience preferred.
• Basic computer knowledge.
• Documented clinical knowledge and skills.
• Previous supervisory experience preferred.
• Effective verbal and written communication skills.
• Computer knowledge and keyboarding skills.
• Excellent public relations, negotiating and prioritizing skills are necessary
• Must be able to function in high pressure situations.
• Critical thinking skills, decisive judgment, strong communication skills and leadership abilities.

• Physical ability to make multiple rounds during a 12-hour shift is required.
• For physical demands of position, including vision, hearing, repetitive motion and environment, see following description.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position without compromising client care.