Nurse Manager

Department/Unit/Section: BTS Outpatient Services Division

Sub-Specialty Units: Extracorporeal Photopheresis (ECP), Cellular Therapy Collections (HPC and MNC), Therapeutic Apheresis, Outpatient Transfusions and Infusions, and Therapeutic Phlebotomy/Autologous Whole Blood Collections, Research Apheresis

Reports To: BTS Patient Services Medical Director

Date Description Last Revised: 06/02/2024

GENERAL SUMMARY AND OVERVIEW STATEMENT:

The BTS Nurse Manager Ambulatory is responsible for coordinating clinical, educational and administrative activities of the various sub-specialty areas within the unit; Extracorporeal Photopheresis (ECP), Hematopoietic Progenitor Cell Collection, MNC Collection Outpatient Transfusion & Infusion, and Therapeutic Phlebotomy/Autologous whole blood collection. The Nurse Manager Ambulatory is an extension of the BTS Patient Services Medical Director and works to ensure competent, compassionate care to the patients and their families. The Standards of Practice of the Profession and the philosophy of the BTS form the basis of such care. The Nurse Manager Ambulatory is responsible for the organization of the sub-specialty units, the implementation of all policies and procedures, staffing and the evaluation of all clinical staff.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

1.0 Patient Care Management:

Serves as a clinical resource in the management of patient care.

1.1 Supports primary nursing (if feasible) and the active participation of the clinical staff

1.2 Assesses, observes, supervises, demonstrates and evaluates patient care

1.3 Maintains patient standards, policies, and practices of the department.

1.4 Maintains a safe environment for patients, visitors and staff within the department.

1.5 Initiates appropriate actions in emergency situations.

1.6 Assists staff in identifying and utilizing inter and intra-departmental resources to facilitate patient care

1.7 Demonstrates and supervises the appropriate use of equipment, supplies and physical facilities.

2.0 Administration:

In collaboration with the Administrative Director assumes nursing administrative and clinical responsibility for the department.

2.1 Serves as an administrative role model and resource in resolving unit or department problems.

2.2 Coordinates communication and planning between nursing and other department members.

2.3 Participates in departmental and service quality assurance efforts.

2.4 Actively participates in departmental committees for the formulation of nursing and hospital policies and procedures.

2.5 Participates in evaluative studies of patient care.

2.6 Hires, trains and supervises all staff (RN's, LPN's, and Medical Assistant.

2.7 Assigns and adjusts staffing as necessary, taking into consideration the patient population, overall unit and departmental needs, and the skills of individual staff members.

2.8 Makes recommendations for staffing patterns to the Medical Director.

2.9 Counsels individual staff members as appropriate and as required.

2.10 Initiates disciplinary action as appropriate and follows through with the Medical Director.

2.11 Initiates appropriate actions during internal and/or external disaster situations.

2.12 Collaborates with leadership in identifying current and future departmental needs and shares responsibility for meeting these.

2.13 Collaborates with ancillary services to identify problems and resolve them.

2.14 Works with the Medical Director and the Administrative Director to determine the annual budget.

2.15 Monitors the budget throughout the year.

2.16 Collaborates with the Medical Director to formulate long term plans/goals for the renovation and/or unit expansion planning.

2.17 Coordinates weekly staff meetings.

2.18 Ensures preventative maintenance of equipment is performed in a timely fashion.

2.19 Reviews and maintains all appropriate documentation.

2.20 Collaborates with the Apheresis Quality Specialist to ensures that all quality control processes are carried out and documented in a timely fashion.

2.21 Maintains all records for review by the Medical Director, Quality Officers, Administrative Director and any/all Investigatory Bodies.

3.0 Educational:

Serves as an education resource to the staff.

3.1 Identifies educational needs of the staff. Arranges educational programming when appropriate.

3.2 Communicates progress of staff development to the Medical Director on an on-going basis.

3.3 Assists in the orientation of all new staff members, and the BTS Residents and/or Fellows

4.0 Professional Development:

Assumes responsibility for own professional development.

4.1 Identifies learning needs and goals and designs a plan to meet them.

4.2 Maintains necessary clinical skills through self-directed practice.

4.3 Supports and participates in departmental administration and institutional committees.

4.4 Completes annual training requirements.

SUPERVISORY RESPONSIBILITY:

Responsible for the following FTE's:

• Up to 10 RN's, One Medical Assistant.

FISCAL RESPONSIBILITY:

• Review the budget on a quarterly basis with the Administrative Director.

• Monitor the necessity of utilizing staff overtime to fulfill the mission of the department.

• Report findings to the Medical Director, as needed.

• Collaborates with the Medical Director and Administrative Director to formulate long term plans/goals in regard to current and future expenditures.

• Replaces broken and outdated equipment whenever necessary to maintain donor/patient safety.

• Ensures that outpatient clinical staff are EPIC trained, thus allowing for the proper input of patient data to complete timely and accurate billing procedures.

• Monitors the ordering of all supplies to ensure appropriate use and to prevent possible abuse.

• Ensures that the billing of all patient care services proceeds correctly, efficiently and in a timely fashion.

• Collaborates with the Administrative Director to ensure accuracy of information and improve unit processes as needed.

SKILLS/ABILITIES/COMPETENCIES REQUIRED:

Demonstration of clinical competence in the area of nursing practice predominant in each of the assigned units within the BTS.

Demonstration of leadership qualities which include interpersonal and organizational skills.

WORKING CONDITIONS:

Oversee all activity in the following sup-specialty units; Extracorporeal Photopheresis, Cellular Therapy Collections (HPC and MNC), Therapeutic Apheresis, Outpatient Transfusion and Infusion and Therapeutic Phlebotomy/Autologous whole blood collection.

Oversee all activity in the clean supply storage facility in the Jackson Basement.

Actively participate in the patient care areas as a staff nurse when deemed necessary to carry out the departmental mission.

Take "on-call" responsibility for emergency therapeutic apheresis procedures, as needed.

Current Massachusetts Registered Nurse license.

Baccalaureate degree in nursing or higher degree in nursing required.

Masters degree in nursing or in business administration preferred.

Apheresis experience or Dialysis experience, preferred.

Critical Care Nursing Experience, preferred.

Five to six years of medical - surgical nursing required.