Clinical Nurse Leader (RN) - Atrium Health Carolinas Medical Center Medical Telemetry Unit FT Days

Overview

Historically, 10T Medical Telemetry has been the chosen unit that Atrium Health looks to when piloting and implementing innovative work. Our unit has a reputation of containing an exceptionally well-rounded team that possesses a wealth of knowledge and clinical expertise.  

Through our exemplary teamwork and collaboration, we have maintained an exceptional reputation throughout the hospital. When the novel coronavirus pandemic began in 2020 and a dedicated COVID-19 medical-surgical unit was needed, the first choice by senior leadership was 10 Tower. This has been a challenge that we have met with open arms and open minds.  Throughout this experience, 10 Tower staff is now regarded as the content experts for COVID-19 patients. We have gained hands-on experience on materials and conditions that have made our staff even more versatile and invaluable to Atrium Health.  

10T Medical Telemetry is a recipient of the PRISM award (Premier Recognition in the Specialty of Med/Surg) from the Academy of Medical/Surgical Nurses, given to outstanding acute care or med/surg units or adult/pediatric units classified as med/surg. It is a medical telemetry unit that provides inpatient care 24 hours a day to the adult population – 18 and up.  Adult patients are admitted with acute medical and/or surgical conditions, many with multiple co- morbidities. The care is delivered for a wide range of diagnoses, some of these include COPD, diabetes, chest pain, shortness of breath, pneumonia, fever of unknown etiology and fluid & electrolyte imbalances. 10T also has the capacity for telemetry monitors up to 16 patients and administers/monitors several cardiac drips.

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

Master's prepared advanced generalist that leads the practice of professional nursing and manages care on an adult inpatient unit. Oversees the needs of individuals and groups of patients and their families by providing evidence based care, monitors patient and health care outcomes and applies best practice nursing strategies for the benefit of patients and their families. Promotes evidence based nursing practice through care of patients and education and supervision of CN I, II, and III, and Nursing Assistants. Maintains clinical and professional competency as appropriate to the population of patients served.

Essential Functions

• Performs or oversees the collection of holistic assessment and the development and implementation of a plan of care.
• Carries a caseload of patients within their microsystem.
• Oversees the management of patient care.
• Trouble shoots complex problems in patient care, documents findings and progress in patient record.
• Provides briefings to new care providers and reviews pertinent information for care across continuum.
• Reviews all patient information, including lab & other test results and progress notes in patient health record daily.
• Develops a partnership with care providers and patient/family and ensures that patient goals are set with patient and patient's family involvement.
• Provides or oversees the education of the patient and family to understand illness and self-care concepts.
• Utilizes information technology to obtain evidence-based practices and the latest research to provide current best practice information to care providers on the unit.
• Develops and utilizes tools available to effectively evaluate, summarize and communicate patient's progress toward outcomes to members of the healthcare team, patient, and family.
• Reviews available data on nurse sensitive outcomes and incident reports for the unit/cohort to compare to system wide and national data. Seeks opportunities to make improvements to reduce risk.
• Works with team members, other leaders and physicians to develop and trend performance improvement indicators based on national standards and best practices.
• On a daily basis delegates, supervises and evaluates the nursing care given by others while retaining accountability for the quality of care given to the patients.

Physical Requirements

Work requires walking, standing, sitting, lifting, reaching, stooping, bending, pushing, and pulling. Working in a fast-paced clinical setting. 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 and have an intact sense of sight, hearing, smell, and finger dexterity. Critical thinking and ability to concentrate. Must be able to respond quickly to changes in patient and/or unit conditions. Additional department specific physical requirements may be identified for unique responsibilities within the department by the nurse leader.

Education, Experience and Certifications

Master’s Degree in Nursing in the CNL track required; Current license to practice as a RN in the state of NC. CNL certification from the Commission on Nurse Certification of the American Association of Colleges of Nursing which is approved by the North Carolinas Board of Nursing (NCBON) required. Recognition as a CNL must be maintained in accordance with the requirements of the Commission on Nurse Certification. BLS required per policy guidelines.

Current RN license or temporary license as a Registered Nurse Petitioner in the state in which the RN works and resides or; if declaring a National License Compact (NLC) state as the primary state of residency, meet the licensure requirements in the home state; or for Non-National License Compact states, current RN license or temporary license as a Registered Nurse Petitioner required in the state where the RN works.

Additional education, training, certifications, or experience may be required within the department by the nurse leader.