Job Description/Competencies/Performance Appraisal
Pain Management Nurse Clinician Lead
FLSA Status – Non-Exempt
Employee: ___________ _______________________
Employee Number: _________________
Review Date: ___________
Department:
Division/Location: __________________
Job Code: _____________
Job Summary/Purpose:
The Pain Management Nurse Clinician Team Lead is a professional caregiver who serves as a clinical expert and liaison in coordinating pain
management. The responsibilities include day-to-day operations and long term planning of the department. This person serves as a role model for
professional excellence in the administration of patient care and staff relations. The Pain Management Nurse Clinician Team Lead will utilize the
nursing process, communication skills, and problem solving techniques to deliver quality care. The Pain Management Nurse Clinician Team Lead
will also be responsible for the knowledge and technical skill needed to operate a variety of mechanical devices to accomplish this task. The Pain
Management Nurse Clinician Team Lead is accountable for the age groups (average age group populations includes pediatrics from age 12
months, adolescents, adults and geriatrics) as defined in the scope of care.
Minimum Qualifications:
Current State Illinois Registered Nurse License
Minimum of 3 years experience as a Registered Nurse
Advanced knowledge in pain management
CPR or ACLS
Essential Physical Requirements:
 Ability to perform light to heavy work which includes frequent lifting and positioning of patients For greater than 50 pounds it may be
expected that the nurse will request assistance from a co-worker for lifting and transferring
 Ability to stand/walk 6 to 8 hours per shift
 Ability to frequently bend, twist, reach, stoop and occasionally kneel and squat
 Ability to perform various repetitive tasks i.e., simple grasping, pushing, pulling and fine manipulation (keyboard)
 Good visual acuity is required for patient assessment, medication administration and documentation of care.
 Good hearing is essential for accurate patient assessment
 All employees within this job classification may have high risk exposure to blood borne pathogens or other potentially infectious materials
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Demonstrates the minimum knowledge, skills and abilities to care for the following patient population:
 Neonatal
 Pediatrics
 Adolescent
 Adult
*How Measured?
Age Group Guidelines
O
D
P
RD
T
V
N
P
AD
A
G
= Observation
= Documentation
= Peer Review
= Return Demonstration
= Test
= Verbal
 Geriatric
= Neonatal / Infant (0 – 1 year)
= Pediatric (1 – 11 years)
= Adolescent (12 – 18 years)
= Adult (19 – 64 years)
= Geriatric (over age 64)
This form must be completed for each employee annually. The manager should retain a copy; give a copy to the employee, and forward the
original to Human Resources for retention in the employee's human resources file. Performance may be measured through feedback from
co-workers, customers, quality management information, tests, observation, documentation, and demonstration.
DEFINITIONS
RATINGS:
Exceeds:
 Consistently exceeds performance expectations
 Contributed significant result under own initiative
 Demonstrates strong expertise within critical areas
Achieves:
 Consistently accomplished performance expectations
 Met requirements reliably, accurately and with attention to detail
Partially Achieves:
 Requires development and cannot independently perform job expectations
 Did not accomplish results expected within some of the key areas of the job
 Performance improved, but requires continued improvement to consistently expectations of the performance plan
NOTE: Performance improvement plans are required for all employees that receive an overall evaluation of “Partially
Achieves”
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EE = Exceeds Expectations
CRITIERIA
Position Specific
Responsibilities and
Competencies
AE = Achieves Expectations
PA = Partially Achieves
PERFORMANCE EXPECTATIONS
EE
AE
PA
HOW
MEASURED
Performs a specialized pain assessment within 24 hours of consult.
Acts as a consultant to care team for patients on pain service.
Assists in the development of standards of care/practice related to pain
management.
Acts as a liaison between patient, staff and physicians.
Provides staff education related to pain management.
Identifies patient/family learning needs with regards to pain management and
documents on the care plan.
Plan intervention to meet patient/family lack of knowledge/skills related to pain
management.
Evaluates the effectiveness of educational activities in meeting individual learning
needs.
Assessment of patients in the inpatient and outpatient areas and by telephone
communicating findings with pain management physician or advanced practitioner
as appropriate to RN license.
Conducts rounds on all patients on pain service, assessing the effectiveness of
therapy as well as patient’s physical status. Document in progress notes and care
plan.
Uses age appropriate assessment tools and techniques to determine patient’s level
of pain and response to pain interventions.
Consults with physician to adjust doses of pain medications based on age, physical
condition and past medication responses.
Plan interventions in collaboration with patient/family and other caregivers to
optimize pain control and minimize side effects.
Provides ongoing communication to the care team on the effectiveness of pain
management and revisions to the care plan.
Evaluates and documents the patient response to pain management interventions
and alters the plan of care as necessary.
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CTCA Core Service
Standards
Demonstrates the spirit of ___________________ values and standards through:
Actions and Speech.
Connects with customers (patients, caregivers, co-workers) with a smile or pleasant
demeanor.
Addresses customers (patients, care-givers, co-workers) by their preferred names
whenever possible.
Finds ways to focus solely on the needs of our patients and their caregivers.
Listens attentively and educates patients and caregivers to ensure their
understanding.
Offers choices to patients and caregivers and respects their decisions.
Job Knowledge /
Management
Competencies
(For Department Heads
and above)
Leadership
Competencies
Develops and executes departmental goals such that they support the
organizational mission and strategic plan.
Develops and implements policies and procedures that guide and support
consistent provision of services.
Plans for, develops and effectively manages departmental budget such that
resources are deployed effectively and efficiently.
Serves as an effective coach in recognizing and supporting individual team member
strengths and talents. Manages performance of staff through continuing education,
effective delegation and ongoing coaching and counseling.
Promotes inter and intra departmental collaboration, nurtures relationships with
others and is viewed positively by co-workers. Responds appropriately to
negativity, seeks to promote understanding and mutual achievement of goals.
Strong orientation toward services excellence. Utilizes brand platform for consistent
deployment of services. Effectively motivates and coaches staff in
______________standards of excellence.
Seeks opportunities for organizational improvement, consistently applies lean
thinking to departmental operations to enhance or improve services.
Demonstrates an orientation toward achievement and professional growth actively
seeks and initiates self-improvement through continuing education and/or
participation in work projects that offer developmental challenges .
Teamwork,
Communication and
Citizenship
Promotes teamwork, nurtures relationships with others and is viewed positively by
co-workers.
Carries own share of responsibility and willingly offers assistance to others.
Supports the goals of the department and participates in department performance
improvement.
Attends required staff meetings in addition to net learning requirements.
Meets annual health screening requirements.
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Safety
Demonstrates knowledge of patient safety goals relevant to the work environment.
Demonstrates knowledge of hospital variance reporting system and appropriate
management procedures for unexpected occurrences.
Demonstrates appropriate response to organizational disaster codes.
Completes annual department Hazardous Communications Training.
Completes required Net Learning modules.
Infection Control
Consistently follows organizational guidelines for effective hand hygiene.
As indicated, follows guidelines for standard and transmission based precautions.
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Competency / Performance Summary
Type of Review:
 Annual
 Other
Accomplishments / Strengths: _______________________________________________________________________________________ ____
_______________________________________________________________________________________________________________ ____
Areas for Improvement: ____________________________________________________________________________________________ ____
____________________________________________________________________________________________________________________
Overall Performance Evaluation:
Overall Performance Evaluation:
 EE = Exceeds Expectations
 AE = Achieves Expectations
 PA = Partially Achieved Expectations
This employee meets all competencies required by this position.
 Yes  No
This employee meets Net Learning educational requirements (attach record).
 Yes 
This employee meets annual health screening requirements.
 Yes  No
Plan for Improvement: _____________________________________________________________________________________________ ____
_______________________________________________________________________________________________________________ ____
Goals / Career Development: _______________________________________________________________________________________ ____
Manager Signature: ________________________________________________
Date: ______________________________ ____
Manager’s Name (please print): _______________________________________
Employee Signature: _______________________________________________
Date: ______________________________ ____
Employee’s Name (please print): ______________________________________
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