Registered Nurse Supervisor - Atrium Health Carolinas Medical Center Progressive Care Unit FT Nights

Overview

10DE Progressive Care is a 19 bed, high acuity progressive care unit serving a diverse patient population with complex medical, surgical, cardiac, neurological, and trauma needs. Patients may be admitted from any of our specialty ICUs, the Emergency Department, or transferred from any other nursing unit when a patient’s status requires a higher level of care but does not require ICU care. Most patients we care for are still mechanically ventilated via tracheostomy, or require non-invasive positive pressure ventilatory support (BiPAP/CPAP).  Many of our patients are recovering from severe critical illnesses, and require frequent monitoring and nursing interventions, complex care coordination, and intensive rehabilitation needs by physical, occupational, and speech therapy. Due to the high acuity of our population, the typical nurse to patient ratio is 1:3. All patients in the Progressive Care Unit receive continuous cardiac and pulse oximetry monitoring. Our unit has a strong culture of teamwork, quality improvement, and professional involvement within the American Association of Critical-Care Nurses (AACN). 

Atrium Health’s Carolinas Medical Center (CMC) is the flagship hospital of Atrium Health, which is distinguished throughout the Southeastern United States for its excellent patient care and medical expertise. CMC serves as the region’s only Level 1 Trauma center, is Magnet-designated, and also an approved transplant center for heart, kidney, pancreas and liver. We also serve as one of North Carolina’s five Academic Medical Center Teaching Hospitals, providing residency training for more than 200 physicians in 15 specialties and serve as a satellite for the medical school at UNC-Chapel Hill.

Job Summary

Responsible for the direct provision of patient care and for assisting the manager with daily operations to include but not limited to coordination of patient care/outcomes, allocation of human and fiscal resources, communications, patient throughput, program development and oversight, patient, physician and employee rounding, selection, development, and retention of staff, clinical supervision and performance appraisal, performance improvement activities, service recovery and compliance with regulatory agency requirements. Maintains clinical and professional competency as appropriate to the population of patients served.

Essential Functions

• Supports the manager utilizing systematic approaches to enhance the quality and effectiveness of nursing practice, nursing service administration and delivery of care in the department
• Assists with interview, selection, and supervision of nursing personnel in the department
• Assists with coordination of communication at regular intervals throughout shifts via staff meetings/huddles to exchange information/ promote dialogue with teammates
• Collaborates with manager to ensure understanding and compliance with federal and state laws, to include healthcare services and practice, while complying with all required regulations and policies
• Rounds on patients, teammates, and physicians at prescribed frequencies to gain insight into patient care, employee, and physician satisfaction and appropriateness of patient care and/or department operations
• Delegates elements of care to appropriate healthcare workers in accordance with applicable legal or policy parameters or principles
• Assists in identifying expected outcomes to provide direction for continuity of care/department operations
• Assists in evaluating progress towards goal attainment/achievement of expected outcomes and disseminates information to teammates involved with the care or the situation
• Performs nursing care, assists with treatments, therapies, procedures, and administers medications as necessary
• Coordinates management of patient flow/throughput and staffing through continuous assessment of volume/acuity needs, utilizing resources available to assist in provision of appropriate staffing resources

Physical Requirements
Work requires walking, standing, sitting, lifting, reaching, stooping, bending, pushing, and pulling. Must be able to lift and support the weight of 35 pounds in handling patients, medical equipment, and supplies. Must speak and understand English fluently. Intact sense of sight, hearing, smell, and touch. Finger dexterity. Critical thinking and ability to concentrate.

Education, Experience and Certifications

Graduate from an accredited School of Nursing. Current RN licensure in appropriate state. Minimum two years nursing experience preferred. Previous management experience preferred. BSN required. RN candidates for external hire or internal promotion without BSN must be enrolled in a BSN program within 1 year of Hire/Transfer date and must complete program within 3 years of enrollment in the program. BLS required per policy guidelines. Appropriate professional certification (either clinical or leadership) is required within 1 year of eligibility for professional certification exam. Additional education, training, certifications, or experience may be required within the department by the nurse leader.