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  • NURSE EDUCATOR, GS-0610-12 PD#: X510A INTRODUCTION This position is located in the Surgical Services Directorate, National Naval Medical Center (NNMC), Bethesda, Maryland. The incumbent functions as the Clinical Nurse Specialist/Clinical Educator for the Post Anesthesia Care Unit (PACU) within the Surgical Services Directorate and is responsible to the Department Head, PACU. He/she is a self-directed individual whose primary function is that of the expert practitioner, with essential educator, consultant, and administrative components. The Clinical Nurse Specialist/Clinical Educator is responsible and accountable for administering clinical and educational activities to augment the knowledge, skills, and attitudes of all levels of the Surgical Services Directorate personnel to ensure optimal patient care. He/she utilizes advanced nursing knowledge in assessing, planning, implementing, and evaluating educational programs and clinical nursing practice within the framework of the Surgical Services Directorate and the Command. DUTIES AND RESPONSIBILITIES 1. EDUCATION Identifies and develops in-services and continuing education programs based on needs assessment data, performance improvement monitors, clinical observations, and in collaboration with the Division Officer and Department Head. Plans the yearly and monthly in-service and continuing education programs for the PACU in collaboration with the Department Head. Evaluates effectiveness of educational programs and consistently revises and updates content and instructional materials. Develops competency-based orientation programs and coordinates orientation with Unit Educational Officers and Department Heads. Reviews and revises orientation on a yearly basis. Ensures competencies mandated by accrediting bodies are achieved through provision of inservices on unit specific equipment. Develops, plans, implements, evaluates and revises major clinical specialty programs; e.g., Post Anesthesia Care Course. Ensures quality continuing educational programs through provision of contact hour recognition. Conducts classroom teaching utilizing adult education theory/adult learning principles and presents content based on standards of care, policies and procedures, current literature and research. Assists nursing personnel in identifying their own educational needs and assists individuals to perform competently with identified educational deficits. Fosters awareness of additional continuing education opportunities sponsored by the Command or available in other local government facilities or the private sector. Provides information on formal educational opportunities available at local colleges and universities; advanced technical programs offered by the Navy. Functions as a resource for educational theory to assist nursing personnel in developing skills as instructors. 1
  • Surveys national health care agencies, professional medical and nursing organizations, and the community to update resources/tools available for educational activities. Maintains and updates reference materials for PACU staff. Serves as a preceptor for undergraduate and graduate nursing students as time permits. Assumes personal responsibility for self-development in area of expertise by reviewing literature and research pertaining to critical care/Post Anesthesia Care and by attending continuing education programs, conferences, and seminars. Maintains affiliation and active participation in professional nursing organizations. Routinely conducts patient rounds with nursing personnel. 2. CLINICAL Functions as an expert clinician demonstrating advanced cognitive and psychomotor capabilities in the diagnosis, treatment, and evaluation of human responses to actual or potential life-threatening health problems. Integrates knowledge of nursing theory and research with clinical nursing practice; assists nurses with applying theory to their practice. Acts as a role model and clinical resource defining and teaching patient care; assesses, plans, implements interventions, and evaluates patient outcomes based on their bio-psychosocial needs. Participates in assessing and upgrading standards of care, patient care policies, and protocols based on nursing theory and research. Works collaboratively with multidisciplinary team members to coordinate patient care and confer on matters relating to patient care. Acts as a change agent using appropriate interpersonal skills to improve nursing practice and patient care outcomes. Serves as the clinical resource and consultant for the nursing staff and health care providers. 3. ADMINISTRATION Participates in the development, implementation, and evaluation of structure standards for care; including formulation and/or revision of nursing policies, procedures, and standards of care; serves on Surgical Services Directorate and Command committees. Develops the educational plan and measurable objectives on a yearly basis that is consistent with the Surgical Services Directorate and Command mission and goals. Counsels all levels of nursing staff regarding educational and/or professional needs; guides professional growth and development of staff; confers with Nurse Managers on performance of nursing staff for evaluation purposes by providing objective and documented information. Functions as a liaison interdepartmentally for educational issues Coordinates and maintains documentation of planned educational programs consistent with the Surgical Services Directorate, Command, regulatory agencies and accrediting bodies; provides oversight for maintenance of educational records on all individuals assigned to PACU. 2
  • Monitors and assists Unit Educational Officers with developing and documenting educational programs, maintaining educational files on nursing personnel, and Performance improvement monitoring. Schedules, advertises, and coordinates lecturers for educational offerings. Evaluates education programs effectiveness by developing and implementing on-going Performance improvement monitors. Facilitates the procurement of equipment and supplies required to meet the PACU educational needs. Maintains custody of educational equipment and supplies assigned to the PACU Department. Such items may include lap top computer, LCD projector, overhead projector, and various audiovisual aides as received. Serves as a clinical consultant on nursing and patient care issues in critical care and critical care/ Post Anesthesia Care Unit education for the Command and for other Commands. 4. RESEARCH Applies research findings to his/her own clinical practice and teaching. Interprets research projects and/or findings relevant to critical care/Post Anesthesia Care nursing practice and/or patient outcomes to nursing staff. Collaborates with nursing personnel and members of related disciplines in research activities. Assists staff in the identification of research questions and refers them to the Clinical Nurse Researcher for investigation. CLASSIFICATION FACTORS Factor 1. Knowledge Required by the Position Demonstrates advanced cognitive and psychomotor capabilities in the diagnosis, treatment, and evaluation of human responses to actual or potential life-threatening health problems. Demonstrates ability to apply advanced nursing concepts, theory, and research to clinical nursing practice; changes nursing practice based on these principles. Knowledge of adult learning principles and curriculum design with demonstrated abilities in teaching, communication, and creativity to create an environment conducive to learning for all levels of personnel, patients and families. Knowledge of assessing individual/group learning needs, planning, implementing, evaluating and documenting educational interventions for staff development programs as well as for patients and families. Knowledge of emergency procedures for actual or potential life-threatening situations in order to initiate prompt and appropriate action in accordance with accepted ACLS protocols. Demonstrates knowledge and ability to anticipate and evaluate technological, economical, social, and environmental factors to facilitate efficient health care delivery for optimal patient outcomes. 3
  • Knowledge of a wide variety of interdepartmental, multidisciplinary resources and referral mechanisms in order to directly provide or refer nursing service personnel to appropriate resources to ensure the provision of comprehensive care to patients and families. Knowledge of performance improvement principles and processes, including mechanisms to monitor educational programs and accepted standards of nursing practice in accordance with the Surgical Services Directorate and Command Performance improvement requirements. Knowledge of current nursing research relative to critical care nursing so as to develop and implement new nursing procedures and protocols in conjunction with accepted standards of care. Knowledge of stress management techniques so as to effectively cope with work-related stressors and to serve as a role model for staff and patients. Knowledge of ethical and legal concerns to provide direction and support to the patient and family, and health care providers. Knowledge of safety, fire, disaster, and infection control policies so as to train staff and to protect patients/ families and staff from injury. Computer literacy to design educational programs, instructional materials, and develop data bases for tracking educational training. Knowledge of standards of nursing care and unit specific and Surgical Services Directorate policies, procedures, and protocols to educate staff in patient care. The Clinical Nurse Specialist/Clinical Educator will demonstrate evidence of initiative, creativity, responsibility, accountability, autonomy, and flexibility in problem solving, as well as demonstrate good written and verbal communication, interpersonal relationship, teaching, and leadership skills The Clinical Nurse Specialist/Clinical Educator must be able to monitor his/her own stress level and function effectively under stress. The Clinical Nurse Specialist/Clinical Educator must be a RN with a current nursing license and must demonstrate competency in critical care nursing practice based on the critical care nursing process. The Clinical Nurse Specialist/Clinical Educator must possess a Master of Science in Nursing Degree from an accredited school of nursing. Role preparation as a clinical nurse specialist in adult critical care is preferred. The Clinical Nurse Specialist/Clinical Educator must maintain current Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) certifications. The Clinical Nurse Specialist/Clinical Educator must possess at least two years experience in the PACU and/or adult critical care nursing. Factor 2. Supervisory Controls The Clinical Nurse Specialist/Clinical Educator is responsible for the professional development of PACU nursing personnel on all levels. This includes management of orientation, in-service education, and continuing education programs. In addition, he/she serves as the clinical expert for the Department. The Clinical Nurse Specialist/Clinical Educator ensures that all PACU nursing personnel obtain the requisite knowledge and skills to function within the scope of nursing practice. The Clinical Nurse Specialist/Clinical Educator directly reports to the Department Head, PACU. He/she functions in collaboration with the Department Heads, Staff Education and Training (SEAT), Naval Medical Personnel Education and Training Command (NMPE&T), Nurse Practice Committee, Surgical 4
  • Directorate, and multidisciplinary team members to coordinate educational programs and ensure these are consistent with the mission and goals of the Department, Directorate and Command. In addition, he/she assists Unit Educational Officers with the coordination of staff development, ensuring educational requirements are achieved, and with developing, planning, evaluating, and documenting staff development programs. The Clinical Nurse Specialist/Clinical Educator’s performance evaluation is written by the Department Head, PACU. Factor 3. Guidelines Clinical guidelines include the patient’s bio-psychosocial parameters, medical history and medical orders, and the nursing plan of care based on the nursing process and theory. Educational guidelines include assessment of the needs of the individual, unit, department, Surgical Services Directorate and the Command. Formal guidelines include unit specific policy and procedure manuals, the Nursing Services Administrative Policy Manual, Civil Service policies, NAVMEDCOM and NNMC instructions, and JC requirements. The Clinical Nurse Specialist/Clinical Educator must exercise independent judgment when applying these guidelines to meet the multidisciplinary needs of the patient and in the educational process. The Clinical Nurse Specialist/Clinical Educator practices within the scope of a Registered Nurse (RN). Factor 4. Complexity The Clinical Nurse Specialist/Clinical Educator independently performs a variety of clinical, educational and management functions within the PACU. The nursing care of complex critically-ill patients requires the ability to rapidly assess and interpret physiological data in order to rapidly detect subtle changes in status and to prevent or treat actual or potential life-threatening occurrences. The Clinical Nurse Specialist/Clinical Educator must demonstrate a mastery of the specific knowledge and skills required to care for this diverse patient population to serve as the clinical expert and resource The Clinical Nurse Specialist/Clinical Educator requires a strong knowledge base in adult learning principles, and in assessment, development, implementation, and evaluation of educational programs to ensure that nursing personnel have the requisite knowledge and skills to provide the highest quality nursing care. Due to the complexity of caring for this diverse patient population and continuing technological and medical advances, this is a constant requirement Factor 5. Scope and Effect The Clinical Nurse Specialist/Clinical Educator manages all aspects of staff development and serves as the clinical expert for all departments within PACU. These roles directly impact on all levels of nursing personnel and influence patient outcomes. As an expert practitioner, he/she functions in a leadership role to provide instruction and guidance in the patient care areas and continually examines clinical practice to optimize patient outcomes. The Clinical Nurse Specialist/Clinical Educator is responsible for the administration of educational programs and is accountable for ensuring that all levels of nursing service personnel obtain the requisite cognitive and psychomotor skills necessary to care for the complex critically-ill patient. He/she works in collaboration with the Surgical Services Directorate and the Command in offering educational opportunities to all levels in the Command. The Clinical Nurse Specialist/Clinical Educator’s work contributes to the continuing evolvement and expansion of nursing knowledge. His/her work performance directly impacts on the effectiveness of the 5
  • nursing profession. Therefore, the Clinical Nurse Specialist/Clinical Educator exerts an indirect influence on all patients served. Factor 6. Personal Contacts Personal contacts include the following: Patients and their family members or significant others. Department Head, Senior Nurse Executive, Assistant Director, and Director, Surgical Directorate. All levels of nursing personnel in the PACU, including officers and enlisted. All levels of nursing personnel within the Command, including officers and enlisted. Educational Officers from the PACU. SEAT Department. Nurse Practice Committee. Surgical Directorate. Multidisciplinary team members (e.g., respiratory therapy, cardiopulmonary technicians, pharmacy, psychology and clergy). Nurse Corps Officers from other Commands. Medical and nursing professionals in the community. Factor 7. Purpose of Contacts Contact with the patients, families or significant others is for the purpose of directing, coordinating, and promoting holistic nursing care by using a theory based practice and the nursing process to identify their bio-psychosocial needs and resolve patient care issues to promote optimal wellness. Contact with the Senior Nurse Executive Surgical Directorate and Department Heads is to collaborate in assessing, planning, and to prioritize staff development programs based on the needs of the environment. Contact with PACU personnel is for the purpose of: Assessment of individual learning needs to assist in guiding personal and professional growth and development. Counseling staff regarding educational and/or professional needs. Providing formal and informal instruction in the classroom and in the patient care areas. Contact with all levels of nursing personnel in the Command is for the purpose of coordinating, planning, and implementing educational programs for the Command. Furthermore, he/she participates in the Surgical Services Directorate or Command committees to assist in the development and revision of area wide policies, procedures, and standards of nursing practice. Contact with the Educational Officer of PACU is to motivate, guide, and direct them in the development and documentation of educational programs as determined by unit needs, performance improvement audits, JC, Surgical Services Directorate and Command requirements. Contact with SEAT Department is for the purpose of coordinating staff development programs, receiving contact hour recognition, and periodic evaluation of certified continuing education programs. Contact with the Nurse Practice Committee is for the purpose of identifying needs of the Surgical Services Directorate and collaborating with all nursing departments in planning staff development programs to achieve the mission and goals of the Surgical Services Directorate and Command. Contact with the Surgical Directorate is for the purpose of conferring on matters related to patient care and participating in multidisciplinary committees to evaluate standards of care. In addition, contact with 6
  • the Surgical Directorate is for the purpose of facilitating their involvement in the educational process of the staff. Contact with multidisciplinary team members is for the purpose of providing and coordinating comprehensive, holistic nursing care for all the critical care patients and for educating all nurses in their roles to facilitate this care. Contact with Nurse Corps Officers from other Commands is for the purpose of establishing programs for the Navy Nurse Corps, consulting on nursing practice and standards, and educating Navy Nurse Corps Officers in the Post Anesthesia Care Course. Contact with nursing and medical professionals in the community is for the purpose of collaborating with colleagues on clinical issues and concerns and for facilitating their involvement in educational programs. Factor 8. Physical Demands The work requires periodic standing and walking while instructing and in the clinical area. It may also require moving and transporting light items such as supplies, charts, and equipment. The work requires prolonged standing, walking, bending, stooping and lifting when performing patient care activities in the inpatient critical care areas. The Clinical Nurse Specialist/Clinical Educator must be able to function efficiently and effectively in a work environment that periodically is highly stressful. Factor 9. Work Environment Work is performed on the unit or within other hospital areas with the possibility of exposure to contagious disease, radiation or infection. Proper precautions must be taken during any exposure to bodily secretions. The Clinical Nurse Specialist/Clinical Educator office is located within or near the assigned area. 7