NURSE EDUCATOR, GS-0610-12
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
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
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
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.
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
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
Serves as the clinical resource and consultant for the nursing staff and health care providers.
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.
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
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
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.
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
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
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.
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
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
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
The Clinical Nurse Specialist/Clinical Educator’s performance evaluation is written by the Department
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
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
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.
Nurse Practice Committee.
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
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
the Surgical Directorate is for the purpose of facilitating their involvement in the educational process of the
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