Nurse Manager, ICU and Stepdown Units, Full time Days, Clarksville

Discover Vanderbilt University Medical Center:  Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded, and your abilities challenged. Vanderbilt Health is committed to an environment where everyone has the chance to thrive and where your uniqueness is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilt’s mission is to advance health and wellness through preeminent programs in patient care, education, and research.

Organization:

VCH Nursing Admin

Job Summary:

Reporting to the Clinical Director, directs unit personnel in care activities, controls and monitors the patient care and hospital services to meet the requirements of the accrediting agency, Federal and State agencies, VWCH, and the community. Collaborates with ancillary departments to achieve patient care goals. Mentors new employees and assists with educational needs of the staff. Gathers and collates data as assigned. Assists with evaluations, coordinates schedules.

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The ideal candidate will have previous clinical management experience in an acute care setting - preferably in critical care.

Vanderbilt Clarksville Intensive Care Unit (ICU), is a 21 bed mixed medical/surgical adult ICU specialized in providing close monitoring and treatment for patients with a wide-range of diagnosis. We care for patients being treated for Cardiovascular conditions, Acute Respiratory Failure, Acute Respiratory Distress Syndrome (ARDS), Multisystem Organ System Failure, Sepsis, Drug Overdoses, Gastrointestinal Bleeds, Diabetic Ketoacidosis, Hypertensive Crisis, Acute/Chronic Renal Failure, STEMI, cardiogenic shock and post heart catheterization.

Our staff is committed to provide exceptional care to our patients. Our environment is challenging, team oriented, patient and family centered. We work collaboratively to provide opportunities for nurses to grow in critical thinking, professionalism, and participate in ongoing education.

Our team consists of Intensivists, advanced practice nurses, critical care nurses, and respiratory therapists.  Daily multidisciplinary rounds include the intensivist, advanced practice nurse, ICU nurse, case manager, respiratory therapy, pharmacy, infectious disease, and a nurse leader. SWAT team consists of intensivist, advance practice nurse and charge nurse available as bedside consult. ICU charge nurse responds to codes, and RRT’s. Each shift begins with a safety huddle to look back and forward 24 hours to review safety and quality concerns.

Certifications: BLS, ACLS, NIH, ECG interpretation.

Orientation:  12 weeks of orientation is offered based on nursing experience for nurses with at least one year of experience.

Ratios 2:1

Medical Equipment - cardiac monitors, mechanical ventilators, high flow, bipap, feeding tubes,  intravenous (IV) lines, arterial lines swan ganz catheters, foley catheters, chest tubes, alaris, pca, epidural, arctic sun, blanketrol, ultrasound, glidescope, bladder scanner, tele neurobot, ventilator, ETc02, wound vac.

Clinical Skills: Hemodynamic monitoring, invasive and noninvasive, Tracheostomy care, ventilator management protocols, cardiac arrthymias, drip titration, cardiac drips, oxygenation management, lines tubes, drains, Sheath pulls.

Professionalism:  critical thinking, collaboration, multidisciplinary rounding, bedside shift report, shared governance, certifications.

New Services: Neurosurgery

Drips:  Vasopressors, inotropes, paralytics, thrombolytic, all sedation, insulin, Blood products, TPN

Bedside procedures: Central lines, bronch, chest tube, arterial lines, paracentesis, thoracentesis, sheath pulls, cardioversions.

Specialized competencies: Intra-Aortic Balloon pump, Impella device, EVD, Swan Ganz, Arterial Line.

STEPDOWN UNIT

Stepdown is a 21 bed hardwired telemetry unit that focuses on acutely ill but stable patients requiring closer monitoring.  We care for patients with a variety of cardiac, vascular and medical diagnoses with specialized needs such as cardiac arrhythmias, bedside cardioversions, titrated medications, oxygenation management, withdrawal, sepsis, stroke, and post-operative care.

Our staff is dedicated to provide excellent care to our patients. Our environment is challenging, fast-paced, team oriented, and patient and family centered. Our staff is very engaged with problem-solving and identifying ways to improve patient care. They have a desire to continue learning, have strong communication skills, and collaborate with the team to provide excellent patient care.

Daily interdisciplinary rounds include the provider, registered nurse, case manager, and a nurse leader. Each shift begins with a safety huddle to look back and forward 24 hours to review safety and quality concerns.

Ratio 4:1

Certifications: BLS, ACLS, NIH

Orientation:  We offer 8-12 week orientation based on nursing experience.

Professionalism:  critical thinking, collaboration, multidisciplinary rounding, bedside shift report, shared governance, certifications.

Medical equipment: ECG hardwired, alaris, pca, epidural, Etc02, bladder scanner, bipap, high flow oxygen therapy.

Drips: cardiac, IV fluids, blood products, sedation, TPN

Key Responsibilities:

• Assisting Director with scheduling/staffing, reporting, communications

• Overall Department management when Director is unavailable or otherwise needs assistance

• Provide nursing care as needed

• Chart audits/quality

• Oversee departmental education

Technical Capabilities:

• Business Results (Fundamental Awareness): Implements appropriate measures for attaining business results and tracks progress in meeting goals and objectives. Demonstrates the ability to deliver products and services on time, within budget, and in accordance with organizational standards and goals. Continuously demonstrates a strong focus on quality. Responds effectively to customer or client needs. Recognizes incipient problems and communicates them to management.

• Quality Management (Novice): Has provided continuous analysis and evaluation of assignment work processes, constantly striving for improvement in the way tasks and activities are accomplished by questioning their value to the process and contributing creative solutions. Has participated in the process of establishing, communicating and monitoring standards for quality and excellence. Demonstrates the ability to actually work on and improve a current business process, product or service.

• Operations Planning (Novice): Demonstrates ability to realistically anticipate resource needs, identify discrete tasks, set priorities, define dependencies, schedule activities, meet deadlines, and organize work within areas of direct responsibility. Appropriately matches equipment and capital resources to task demands. Achieves results within budget. Competently handles multiple assignments simultaneously. Reshapes project during life-cycle evolution, if needed. Demonstrates ability to break down work into manageable and measurable units. Accepts changes to assignments with minimal disruption and loss of productivity. Able to absorb changes to major assignments while maintaining a high level of performance. Uses available time efficiently. Follows up to assure problems and issues are resolved.

• People Management (Novice): Conducts performance reviews. Effectively delegates tasks to others. Coaches subordinates on technical and interpersonal topics, as well as professional development. Demonstrates team building techniques and provides leadership through personal example of good work habits, open communication and effective people relationships. Involves subordinates in decisions which affect them. Demonstrates self-reliance and resourcefulness as an example to others.

• Clinical Expertise (Intermediate): Demonstrates the mastery of patient care including patient assessment and treatment, care planning, patient education and evidence based practice. Possesses sufficient knowledge, training and expertise to role model and coach less experienced staff.

• Compliance (Novice): Can explain and apply basic statutory instructions in normal situations on the job. Understands the principles upon which the rules and regulations are based. Appropriately escalates problems relating to rules and regulations in timely and effective manner.

• Leadership (Novice): Sets the example in challenging and difficult situations. Can demonstrate different leadership styles, such as supportive and authoritative, as individuals and situations require it. Communicates team and unit goals clearly and effectively. Is receptive to ideas and suggestions from team members. Shows leadership and initiative in situations where supervision is not present or required.

 Our Nursing Philosophy:  

We believe highly skilled and specialized nursing care is essential to Vanderbilt University Medical Center’s mission of quality in patient care, education and research. We believe nursing is an applied art and science focused on helping people, families and communities reach excellent health and well-being. 

As a Vanderbilt University Medical Center employee, you make a difference to our patients and their families by bringing compassion and care to those in need of hope and healing. Please see our current employee benefits offered:

• Affordable High Quality Health Plan Options
• Dental and /or vision plan
• 403 (b) retirement plan
• Paid Time off (flex PTO)
• Tuition Reimbursement and adoption assistance (maximums applied)
• Short-Long term disability
• Subsidized backup childcare
• And many more... Ask us about our current inpatient nursing supplemental Pay Program!

Achieve the Remarkable: 

Learn more about VUMC Nursing here.

Core Accountabilities:

Organizational Impact: Executes job responsibilities with the understanding of how output would affect and impact other areas related to own job area/team with occasional guidance. Problem Solving/ Complexity of work: Analyzes moderately complex problems using technical experience and judgment. Breadth of Knowledge: Has expanded knowledge gained through experience within a professional area. Team Interaction: Provides informal guidance and support to team members.

Core Capabilities :

Supporting Colleagues:- Develops Self and Others: Invests time, energy, and enthusiasm in developing self/others to help improve performance e and gain knowledge in new areas.- Builds and Maintains Relationships: Maintains regular contact with key colleagues and stakeholders using formal and informal opportunities to expand and strengthen relationships.- Communicates Effectively: Recognizes group interactions and modifies one's own communication style to suit different situations and audiences. Delivering Excellent Services:- Serves Others with Compassion: Seeks to understand current and future needs of relevant stakeholders and customizes services to better address them.- Solves Complex Problems: Approaches problems from different angles; Identifies new possibilities to interpret opportunities and develop concrete solutions.- Offers Meaningful Advice and Support: Provides ongoing support and coaching in a constructive manner to increase employees' effectiveness. Ensuring High Quality: - Performs Excellent Work: Engages regularly in formal and informal dialogue about quality; directly addresses quality issues promptly.- Ensures Continuous Improvement: Applies various learning experiences by looking beyond symptoms to uncover underlying causes of problems and identifies ways to resolve them. - Fulfills Safety and Regulatory Requirements: Understands all aspects of providing a safe environment and performs routine safety checks to prevent safety hazards from occurring. Managing Resources Effectively: - Demonstrates Accountability: Demonstrates a sense of ownership, focusing on and driving critical issues to closure.- Stewards Organizational Resources: Applies understanding of the departmental work to effectively manage resources for a department/area.- Makes Data Driven Decisions: Demonstrates strong understanding of the information or data to identify and elevate opportunities. Fostering Innovation:- Generates New Ideas: Proactively identifies new ideas/opportunities from multiple sources or methods to improve processes beyond conventional approaches.- Applies Technology: Demonstrates an enthusiasm for learning new technologies, tools, and procedures to address short-term challenges.- Adapts to Change: Views difficult situations and/or problems as opportunities for improvement; actively embraces change instead of emphasizing negative elements.

Position Qualifications:

Responsibilities:

Certifications:

LIC-Registered Nurse - Licensure-OthersLicensure-Others

Work Experience:

Relevant Work Experience

Experience Level:

2 years

Education:

Bachelor's

This role offers the opportunity to make a meaningful impact within Vanderbilt Health, supported by a comprehensive benefits package which may include health, disability, retirement and/or wellness offerings to enhance your well-being and professional growth.

Vanderbilt Health is committed to fostering an environment where everyone has the chance to thrive and is committed to the principles of equal opportunity.  EOE/Vets/Disabled.