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

About this role

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. . 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. Dem

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