I would love to get some feedback regarding roles and responsibilities. Let me preface this by saying I work at a 60 bed hospital. We have an ED, OB, ICU/IMCU, and 2 floors of medical and surgical patients. I work under a director of my unit who also is over another ancillary department.
Recently I became manager after working in the unit for 5 years working my way up to a full-time charge nurse and now manager. My role varies from day to day based on staffing and census in our unit. When we are short I take a team. This doesn't happen often, but at times I do. More often, I work in a charge role helping the nurses out and fielding where patients are going or helping them get admitted as they come. Intermittent meetings to act in the role as leadership on core measures team, inpatient satisfaction, doing payroll, quality team meetings as well as nurse leadership meetings. I also serve as the hospital champion for computerized charting. We have no hospital staff development or educator so I am in charge of education for my unit as well.
I realize the structure of managerial duties may be very different at a larger facility but would like to know if this is common practice. Also, if I were to look at transferring to a larger facility, would I be overlooked due to coming from a smaller one? Any feedback from rural nurse managers or from larger facilities would be appreciated.