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Clinical Nurse Leader (CNL) - Level 1 Trauma Center - Progressive Care

Date Posted: Feb 26, 2021
Charlotte, NC, United States
Job ID: 1556
Job Family: Nursing - Inpatient
Status: Full Time
Shift: Day
Shift Details: Regular
Department Name: 11011005030330-Nursing - 10DE Progressive Care
Location: AH CMC Main - 1000 Blythe Blvd

Overview

Shift Details: Primarily Mon-Fri, 7a-3p; occasional evenings and weekends possible

 

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
Masters 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. Must be able to lift and support the weight of 35 pounds in handling patients, medical equipment, and supplies. Must speak English in good, understandable terms. Intact sense of sight, hearing, smell, and touch. Finger dexterity. Critical thinking and ability to concentrate. Responds quickly to changes in patient and/or unit conditions. Physical Abilities Testing required. Additional department specific physical requirements may be identified for unique responsibilities within the department by the nurse leader.

Education, Experience and Certifications
Graduate from an accredited School of Nursing. 1 year of experience as a bedside staff nurse required. BSN prepared. Graduate of an approved Clinical Nurse Leader (CNL) Masters level nursing program. Current Basic Life Support for Healthcare Provider status per American Heart Association. Current RN license or temporary license as a Registered Nurse Petitioner in the state in which you work and reside or; if declaring a National License Compact (NLC) state as your primary state of residency, meet the licensure requirements in your 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 manager.

 

At Atrium Health, our patients, communities and teammates are at the center of everything we do. Our commitment to diversity and inclusion allows us to deliver care that is superior in quality and compassion across our network of more than 900 care locations.

 

As a leading, innovative health system, we promote an environment where differences are valued and integrated into our workforce. Our culture of inclusion and cultural competence allows us to achieve our goals and deliver the best possible experience to patients and the communities we serve.