May 17, 2021

Registered Nurse Clinical Observation

  • Vanderbilt Health
  • Nashville, TN, USA

Job Description

Your Role:

The Registered Nurse on the Clinical Observation Unit will apply the nursing process to plan and implement the care of patients, including patient and family education and continuum of care planning. The RN effectively communicates pertinent patient/family information to the health care team. Collaborates in establishing patient goals and evaluates progress to ensure effective outcomes.

  • Relocation Assistance available to eligible candidates.

Unit Summary

The Vanderbilt Clinical Observation Unit, also known as (TOBS), is an exciting fast-paced 17 bed unit located on the seventh floor of Vanderbilt University Medical Center. The environment on this unit is fast-paced and unpredictable. As a unit, we value teamwork, knowledge sharing with our patients, and the delivery of quality safe care. We care for adult patients 18 years or older who are being treated for a variety of medical diagnoses. Our patients are unique because of the wide range of medical, surgical and other specialized areas of care.

To work in the TVC Observation Unit, our nurses need strong assessment skills, the ability to think critically and adapt to new challenges, along with strong communication skills to care for our patient population and work with our interdisciplinary teams. Our nurses are compassionate, have a can-do attitude, and a zeal for learning. As a team, they are committed to their success and share a common goal in the delivery of evidence-based and quality safe care.

As an Observation unit, we are dedicated to our patients by providing quality care with attention to clinical expertise, evidence-based practice, patient safety and positive outcomes.

Patient Population
Our patient population includes, but is not limited to, the care of the adult patient with a variety of medical diagnoses of the pulmonary, gastrointestinal, renal, endocrine system, infectious disease, other medical conditions, cardiac and minor surgeries. Patients on our unit may have an average length of stay of 48 hours to four days.

As an Observation Unit at Vanderbilt Medical Center, we are dedicated to our patients by providing quality care with attention to clinical expertise, evidence-based practice, patient safety and positive outcomes. We utilize an interdisciplinary team approach along the continuum of care in an effort to provide balance for the physical, emotional, mental, and spiritual needs for every patient and their family.

The Leadership team is comprised of a Unit Manager and 2 Clinical Staff Leaders. The unit also shares the support of a Nursing Education Specialist, and Administrative Assistant.

  • The staff is comprised of Registered Nurses, Care Partners, and Medical Receptionists.
  • Nursing assignments are determined by both acuity and patient census, staffing ratios are 1:5, but may require 1:6.

All RNs are required to attend centralized hospital and clinical nursing, orientation, in addition to unit orientation. Orientation is individualized as needed but lasts on average 6-8 weeks. Unit-based orientation is preceptor-based.


  • BLS certification, along with successful completion of basic arrhythmia didactic classes and testing is required.

Position Shift:

This is a 12-hour shift, 36 hours per week, night shift position. The schedule is made for six weeks in advance. We offer self-scheduling.

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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. It is a place where your diversity — of culture, thinking, learning and leading — 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.

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.

Achieve the Remarkable:

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