Clinical Nurse Leader (CNL) - 10T Med/Tele

Department: 34409 Carolinas Medical Center - Nursing: Med Surg 10T Status: Full time Benefits Eligible: Yes Hou rs Per Week: 36 Schedule Details/Additional Information: Option for 3, 12-hour shifts, 4, 9-hour shifts, or 5, 8-hour shifts per week Pay Range: $41.10 - $61.65 Where You Will Work:  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 ( P remier R ecognition i n the S pecialty of M ed/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. We’re Looking For:  Master’s degree in Nursing required. Graduation from an accredited  Clinical Nurse Leader program as required to sit for the CNL certification exam  for enterprise consistency.   Current RN license in the state of practice required. Basic Life Support required per policy. Clinical Nurse Leader certification through the Commission on Nurse Certification/AACN required or obtained within an approved timeframe if the role is posted as a CNL position.  Additional specialty certification may be required by department or patient population. Clinical registered nursing experience in the patient population or care setting served. Demonstrated experience coordinating care for complex patients, leading clinical quality/safety work, using electronic health record data, and coaching nursing teammates in practice is required. Exact years of experience to be validated by Nursing Operations for enterprise posting consistency.   What You’ll Do:  Provides bedside clinical leadership for a defined patient cohort: Maintains situational awareness of assigned patients through rounding, focused assessment, chart review, patient/family interaction, and communication with bedside nurses and other care team members. Provides direct or indirect patient care support within RN scope when needs arise to maintain patient safety and care progression. Performs real-time clinical surveillance and escalation:  Identifies early changes in patient condition, safety risks, care delays, diagnostic or treatment gaps, noncompliance with evidence-based practice and policy standards, and clinical deterioration concerns. Escalates to providers or leaders as appropriate and assists with timely interventions, follow-up, and documentation of patient status and plan of care. Coordinates interdisciplinary care at the point of care:  Leads or actively participates in multidisciplinary rounds, hallway huddles, ADOD/throughput discussions, bedside touchpoints, the implementation of evidence-based practice, and discharge planning. Aligns physicians, nurses, HCTs/nursing assistants, pharmacists, therapists, case management, social work, and other stakeholders around patient-specific goals and barriers. Implements evidence-based clinical protocols and standards:  Supports bedside implementation and monitoring of protocols and standards such as mobility and turn programs, nursing clinical care practices, nurse-sensitive indicator practices to include but not limited to fall prevention, HAPI prevention, CAUTI/CLABSI prevention, CHG bathing, ERAS pathways, delirium risk mitigation, telemetry stewardship, sepsis and chronic disease management,  education, post-operative recovery expectations, and other population-specific clinical priorities. Uses clinical data to improve patient outcomes:  Reviews dashboards, reports, audits, nurse-sensitive indicator outcomes, patient safety events, documentation trends, and patient-care outcomes. Translates findings into real-time feedback, countermeasures, education, and sustainable care process improvements at the unit or service-line level. Provides just-in-time coaching, mentoring, and clinical education:  Coaches RNs, HCTs/nursing assistants, and other teammates at the bedside to reinforce critical thinking, clinical standards, evidence-based care, documentation expectations, escalation criteria, patient education, and safety practices. Supports onboarding, competency validation, and professional development activities connected to clinical practice. Supports patient and family engagement:  Clarifies care plans, reinforces education using health-literate and teach-back approaches, supports MyChart or other patient engagement tools, addresses barriers to care progression, and coordinates services such as palliative care, home health, Hospital at Home, or other transition resources when clinically appropriate. Promotes scalable clinical practice improvement:  Participates in professional governance, unit-