Manager

Position Summary:

Responsible for planning, implementing, supervising and evaluating day-to-day operations of the mechanical

circulatory support program in the critical care setting with a focus on maintaining the ECMO program in

accordance with accreditation requirements as defined by the ELSO. Works in collaboration with multi-

disciplinary team to ensure on-going clinical education and competencies of the ECMO team. Works with the

HLVI Data Management team to complete the registry requirements.

Provides overall supervision of Registered Nurses and Respiratory Therapist who deliver care within areas of responsibility. Responsible for recruitment and retention, performance review, and professional development; involved in the budget formulation process and quality outcomes; and helps to plan for, organize, and lead the delivery of care for a designated patient care area. A leader that communicates organizational vision and values and asks for the involvement of the work group to achieve target performance in quality, safety, service, efficiency and effectiveness

Core Behaviors

Dependability, Attendance and Punctuality.

a. Unscheduled absences and tardiness must be minimal.

b. Properly uses home clock and badges for clocking (if applicable).

c. Calls 2 hours prior to the start of a shift.

d. Demonstrates respect for others time by arriving on time.

e. Is ready to begin work by scheduled start time.

Safety

a. Communication/Teamwork.

b. Safe working practices.

c. Respect for others and patient privacy/dignity.

d. Environment of Care/Employee safety/Emergency management.

e. Incident Reporting.

f. Promotion of safe practices and accident prevention.

g. Hand Hygiene

Compliance and Adherence to Policies, Procedures and Regulations

a. Demonstrates his/her knowledge and willingness to comply with all policies, procedures and regulations.

Organizational Priorities & Position-Specific Responsibilities / Performance Standards

List the major duties/key responsibilities of the position with details on how to achieve that responsibility. Classify each key responsibility under one of the UTMC Organizational Priorities: Service, Efficiency/Effectiveness or Quality/Safety.

Service

Ensures ongoing staff competence with program related training and proficiencies

a. Plans and implements ongoing education opportunities for all members of the clinical team.

b. Identify and revise clinical competencies as appropriate.

c. Organize education and ongoing simulation exercises to maintain clinical proficiency of bedside medical team (or as requested by the medical team).

d. Identifies off site education opportunities and makes recommendations to the HLVI administration and medical leadership team.

Functions as a competent member of the advanced HF team with a focus on mechanical circulatory support

a. Participates in HF rounds as appropriate.

b. Maintains working relationship with HF program leaders and clinical team.

c. Provides support to HF Medical Director and Coordinator.

Supports the coordination of patient care

a. Attends ECMO rounds daily as appropriate.

b. Works with team to identify patients appropriate for transfer into or out of the facility.

c. Monitors clinical criteria to assist in decisions regarding appropriate use of mechanical circulatory support.

d. Serves as a liaison between clinical staff and patient and families.

Efficiency and Effectiveness

Maintains clinical skills by working in the clinical setting on an ongoing basis

a. Demonstrates ability to function at the bedside.

b. Maintains competencies for providing care to ECMO patients.

c. Identifies own education needs and pursues opportunities to complete CEUs.

d. Supports other clinical programs within HLVI as requested (i.e., Heart Failure).

e. Provides patient and family education.

f. Participates in leadership meetings or other committee as requested.

Supervise the training of technical staff in ECMO use

a. Organizes technical training on ECMO system.

b. Ensures processes are in place for system problem resolution.

c. Works collaboratively with perfusion team to identify technical learning needs as they relate to the ECMO system.

Ability to manage expenses to established budget and staffing plan

a. Prepares annual operating and capital expense needs.

b. Demonstrates fundamental business expertise.

c. Reviews expense variances and develops an appropriate plan to meet the budget.

d. Educates the patient care team members on financial implications of patient care decisions.

e. Responsible for staffing and scheduling personnel utilizing self- scheduling principles.

f. Meets agreed upon staffing targets.

Quality and Safety

Ensures compliance with ELSO guidelines and regulatory/accreditation body standards

a. Maintains knowledge of ELSO guidelines.

b. Works with physician and clinical leaders to ensure compliance with ELSO guidelines, regulations and accrediting body standards.

c. Works in collaboration with program physician leaders to conduct performance improvement activities to ensure best outcomes.

Maintains current policies and procedures including the indications and contraindications for ECMO

a. Develops policies and procedures as indicated.

b. Works with medical staff leaders to identify and document appropriate use criteria for placing patients on ECMO.

c. Participates when appropriate in decisions or discussions about appropriate patient selection.

d. Educates the clinical team on appropriate indications and contraindications for placing patients on ECMO.

Oversees the development, growth and operations of the ECMO program.

a. Participates in decision making process with HLVI administration and medical staff.

b. Identifies program growth opportunities and develops plan for implementation.

c. Serves as liaison to the regional facilities.

d. Evaluates staffing needs of program and works with multi-disciplinary leaders to ensure adequate resources to provide patient care and oversite of technical systems.

e. Participates in equipment selection and supply evaluations.

f. Monitors documentation to ensure most appropriate coding and billing of cases.

g. Provide education as needed to the coding and billing teams.

h. Works with Decision Support to track and monitor finances of the program.

Leadership Responsibilities

Job Knowledge: Responds to administrative and technical questions demonstrating a level of expertise.

a. Demonstrates ability to resolve complex issues. Considered an expert in a particular subject matter and shares that knowledge with others in the health system.

b. Seeks to educate and improve self or others to raise performance levels and/or quality of care.

c. Recognizes and utilizes special skills of employees.

d. Supports and contributes to ongoing performance improvement activities. Seeks out information and applies knowledge to specific actions in his/her own work area and in cross function areas.

e. Remains current in the latest technologies, products or trends in the field.

f. Participates in professional organizations/societies relevant to responsibilities.

Leadership: Demonstrates the behaviors that organizational leaders need to drive performance. Provides the strategic and operational guidance to a division, department or unit as well as promotes a working environment that reflects the values and vision of UHS.

a. Demonstrates ability to motivate employees.

b. Demonstrates effectiveness in selecting employees, developing staff, and preparing employees for career advancement.

c. Inspires employees by providing guidance and is a role model in maximizing one's own or others' performance to consistently deliver a high level of performance.

d. Develops a culture that recognizes, rewards and appreciates employees for achieving organizational goals and demonstrating UHS values. Acts as a role model and inspires others to respect one another by helping them to clearly understand how their behavior impacts others.

e. Provides division, department or unit with the strategic and operational direction and support needed to be successful. Looks for external events, which may have an impact on the organization, alerts management, and makes suggestions to plan for and act in anticipation of these events.

f. Embraces, supports and implements change initiatives.

Managerial Effectiveness: Demonstrates ability to quickly understand a situation and find the best possible solution, even when under pressure. Understands that the solution may lead to either immediate action, or to reviewing the situation with someone at a higher level of authority, and knows which is the best course of action at the time.

a. Effectively handles managerial situations including planning, control, problem solving, and communication. Implements and follows through on organizational and team decisions and plans.

b. Organizes work volume and scheduling to produce quality product or service.

c. Exercises sound decision-making. Takes appropriate risks in making decisions and demonstrates a clear understanding of the consequences involved. Follows through on decisions made, and if the best decision was not made, moves quickly to correct it.

d. Communicates to all key people following a decision to be sure that high quality patient/customer care is given.

e. Demonstrates an understanding of the implications that decisions have on financial objectives. Constructs and manages budgets and resources to preserve the financial viability of UHS.

Organizational Commitment: Demonstrates initiative and strong drive to achieve results that support the vision, mission and values of UHS and their division, department or unit.

a. Demonstrates high ethical standard(s) in business practices.

b. Actively and positively supports organizational goals and changes as they occur.

c. Communicates organizational goals in a positive, supportive manner.

d. Supports management decisions that have been made by more senior management.

e. Acts as a role model by leading organizational initiatives, and encourages others to actively participate.

Marginal Responsibilities

Provides clinical care for ECMO support

Coordinates and participates in clinical experience for students

Participates in hospital and other committees as assigned

Participates in continuing education programs

Participates in nursing and medical research projects

Essential Functions

Regular and reliable attendance is an essential function. A team member who does not meet attendance standards outlined in the Personnel Policy, Attendance and Tardiness, is not qualified for this position.

The performance of key responsibilities must meet expectations as defined in the performance standards of this position description.

Ability to meet the physical requirements for the position.

Ability to get along with others and consistently engage in and promote positive interactions in the workplace.

Ability to report for work in a condition to perform job responsibilities and essential functions in a safe and productive manner.

Ability to problem solve

Ability to maintain composure in confrontational situations and respond to varied personalities in differing emotional conditions.

Ability to retain information and maintain confidentiality

Ability to analyze productivity/quality data and recommend changes to administrative team

Ability to make presentations to a variety of people and group sizes

Ability to receive, process and communicate in oral, written, and keyboarding formats.

Ability to demonstrate and maintain fine motor skills to manipulate medical supplies/equipment

Ability to read documents and assimilate ideas

Supervisory Responsibilities

# team members reporting directly to this position

10

# team members reporting indirectly to this position

0

Bloodborne Pathogen Category

Category I

Team members who have routine duties/tasks with potential for exposure to blood and other potentially infective body fluids.

Position Qualification:

Degree / Diploma Type

Program

Required/Preferred (and/or)

Bachelors

None Specified

Preferred

Masters preferred, but will consider clinical experience (may be required to obtain Masters)

Experience

Years of Experience

Type of Experience

Required/Preferred (and/or)

Prefer experience as an ECMO or VAD Coordinator

Will consider relevant clinical experience in high volume ECMO center

Years of Experience can be related experience and/or training; or equivalent combination of education and experience.

Licensure, Certification, Registration

ACLS

Advanced Cardiac Life Support

BLS

Basic Life Support

Additional License/Cert/Registration Info

Comments

Appropriate clinical license in Tennessee

Language Skills

Skill and Description

Ability to read, analyze, and interpret common scientific and technical journals, financial reports and legal documents. Ability to write reports and correspondence. Ability to respond to common inquiries or complaints. Ability to write speeches and articles for publication.

Mathematical Skills

Skill and Description

Ability to work with mathematical concepts such as probability and statistical inference. Ability to apply concepts, such as fractions, percentages, ratios and proportions to practical situations.

Reasoning Ability

Ability and Description

Ability to apply principles of logical or scientific thinking to a wide range of intellectual and practical problems. Ability to deal with nonverbal symbols (formulas, scientific equations, graphs) in the most difficult phases. Ability to deal with a variety of abstract and concrete variables.

Skills and Abilities

Skill/Ability and Description

Knowledge of Microsoft Access

Knowledge of Microsoft Excel

Knowledge of Microsoft Outlook

Knowledge of Microsoft PowerPoint

Knowledge of Microsoft Word

Knowledge of regulatory agency (JCAHO, OSHA, CDC) guidelines/requirements

Ability to conduct effective meetings, resolve conflict, manage change and make presentations including huddle and roll call.

Demonstrates interpersonal skills

Demonstrates organizational skills

Ability to operate standard nursing equipment

Equipment

10-key calculator

Copier

Fax machine

Multi-line telephone

Nurse call and intercom systems

Personal computer or laptop

Printer

Physical Demands Frequency Table

8 hour shift10 hour shift12 hour shift

Occasionally (1-33% of day)Up to 2.5 hrsUp to 3 hrsUp to 4 hrs

Frequently (34-66% of day)2.5 - 5 hrs3 - 6.5 hrs4 - 8 hrs

Continuously (67-100% of day)5 hrs or more6.5 hrs or more8 hrs or more

Physical Demands

Occasionally

Frequently

Continuously

Climbing

None

Balancing

X

Kneeling

X

Crouching

X

Crawling

None

Reaching

X

Standing

X

Standing Work

X

Walking

X

Static Position

X

Physical Demands Continued

Sitting

X

Pushing

X

Pulling

X

Fingering

X

Grasping

X

Feeling

X

Talking

X

Hearing

X

Seeing

X

Physical Demands Continued

Repetitive Motions

None

Carrying

X

Driving

None

Lifting (weight)

Occasionally

Frequently

Continuously

Up to 10 lbs

X

Up to 25 lbs

X

Up to 50 lbs

None

Up to 100 lbs

None

More than 100 lbs

Lifting (level)

Low-Level (between floor and 36")

Mid-Level (between 36" and 55")

High-Level (exceeding 55" or overhead)

Up to 10 lbs

X

Up to 25 lbs

X

Up to 50 lbs

None

Up to 100 lbs

None

More than 100 lbs

None

Pushing / Pulling

Up to 40 lbs

Up to 80 lbs

More than 80 lbs

Horizontal Push

None

Lateral Pull

None

Vertical Pull

None

Horizontal Pull

None

Environmental Conditions

Occasionally

Frequently

Continuously

Wet or humid conditions

None

Work near moving mechanical parts

None

Work in high, precarious places

None

Work in confined spaces

None

Hazardous chemicals

None

Outdoor weather conditions

None

Extreme cold (non-weather)

None

Extreme heat (non-weather)

None

Risk of electrical shock

None

Environmental Conditions Continued

Occasionally

Frequently

Continuously

Risk of radiation

None

Vibration

None

Standing surface condition

None

Vision

Occasionally

Frequently

Continuously

Close Vision

X

Distance Vision

X

Color Vision

X

Peripheral Vision

X

Depth Perception

X

Ability to Adjust Focus

X

Noise Conditions

Occasionally

Frequently

Continuously

Very quiet conditions

None

Quiet conditions

X

Moderate noise

X

Loud noise

None

Very loud noise

None