Manager

**Job Description**:
The Integrated Stroke Unit and Rehabilitation Inpatient is an inpatient unit that oversees the acute care needs of patients that have had a stroke, and as soon as they are ready and appropriate for rehabilitation, moves them right into the intensive acute rehabilitation program. The unit provides best practice stroke care and follows evidence-based clinical pathways. The unit uses evidence-based screening tools, techniques, and equipment to develop each patients' needs and functional goals.

The team consists of physicians, registered nurses, registered practical nurses, patient care assistants, dietitians, pharmacists, physiotherapists, occupational therapists, rehabilitation assistants, a discharge planner, social worker, a respiratory therapist, a speech language pathologist, a chaplain, unit clerks, and volunteers. Each member has a specific role to play to ensure seamless integration of care and together, they strive to provide exceptional care to each patient and family.

As the Nursing Unit Manager you are responsible to oversee the delivery of patient services in his/her department including safe, quality patient care and efficient patient flow. The Nursing Unit Manager prepares budgets and manages department resources. The Nursing Unit Manager develops a human resource plan for the department and provides effective leadership for the people in the department. The Nursing Unit Manager also contributes to Program planning and operations, as well as participating in hospital-wide initiatives

**Responsibilities**:
Patient Care Management
- Accountable to the standards of RHPA.
- Ensures patient safety in the department/unit. Ensures a safe environment. Monitors patient safety indicators. Investigates incidents related to patient safety. Promotes a culture of safety where near-misses are examined as an opportunity for improvement. Models both a responsible attitude and behaviour to promote patient safety.
- Identifies patient care risks and creates a risk management plan.
- Monitors the quality of patient care through direct contact and observation, review of documentation and evaluation of the outcomes of care. Takes corrective action if necessary and works to ensure positive outcomes.
- Works with Professional Practice to ensure that the care given in the clinical setting is consistent with the vision, mission and values of the Royal Victoria Regional Health Centre and meets the standards of the College of Nurses of Ontario or other allied health professional Colleges. Supports inter-professional collaboration and teamwork.
- Recognizes opportunities for improvement and ensures problems are addressed. Organizes a robust unit based Quality/Practice Council to involve staff in continuous quality improvement.
- Develops policies and procedures for the department. Ensures standards of nursing care for the nursing unit.
- Selects and supports a patient care delivery system in conjunction with Professional Practice i.e. team nursing, primary nursing, or total patient care as followed on designated units.
- Develops, monitors, and evaluates activity indicators which reflect patient and staffing needs.
- Is the link with physicians and other patient care services throughout the health centre.
- Promotes and encourages communication between patient, family, and inter-professional health care team.
- Ensures patient teaching, including health promotion and illness prevention aspects.

Patient Flow Management
- Accountable for overall patient flow through the department/unit (input, throughput and output).
- Ensures timely acceptance of patients to unit/department.
- Ensures sufficient resources and staff to meet patient care demands. Acts as an effective liaison with service departments such as Environmental Services to reduce barriers to patient flow.
- Monitors daily reports related to patient flow and bed utilization, e.g. 24 hour report.
- Requests and reviews data/reports about patient flow in department/unit and takes corrective action when required.
- Supports interdisciplinary team to ensure Bullet Rounds/Daily Communication occurs as per department/unit requirements.
- Liaises with other Managers of patient care areas to ensure good movement of patients throughout the health centre.
- Participates in bed meetings. Contributes to daily hospital-wide bed management plans.
- Communicates with HSL to ensure 24 hour patient flow on unit/department.
- Identifies situations in department/unit which present barriers to daily patient flow.
- Ensures effective plans are in place for patients exceeding EDD in collaboration with interdisciplinary team.
- Displays leadership in removing barriers to patient flow in unit/department.
- Liaises with external providers to remove barriers to discharge, e.g. CCAC.
- Works with Patient Flow Leader re: eliminating systemic barriers to flow.

Human Resource Management
- Establishes a safe workplace for staff, ensuring staff have the necessary training a