I think you do more hands on direct nursing care than most managers. I don't necessarily think that is a bad thing. When talking about your resume, emphasize metrics/outcomes. Maintained operating margin of 8-10%, managed 20 FTE's, Lean Six Sigma PI project saved the unit x number of dollars, Press Ganey scores in top decile for ___# of years, core measures.... With a smaller unit/hospital, you will wear more hats. If you go to a larger hospital, you probably won't be expected to work the floor, most of the managers at my hospital do only in a crisis situation. My duties involve: staffing unit, schedule, maintaining productivity numbers, managing/disciplining staff, recruitment/hiring, service recovery, tracking metrics/core measures, education (we don't have a unit educator either), serving as a magnet team leader, human rights advocate, research council chair, and various other hospital committees. So, just remember to focus on outcomes and numbers if you're working on a resume and emphasize what you've learned and how you've contributed to the bottom line and to quality patient care. You can be a great manager in a small hospital as well as a large one. Keep us posted!