My two clinical hours of observing a manager took place at Washington Adventist University, in the Intermediate Care Unit ( IMCU). The manager I was following was the assistant to the head of unit on the IMCU units. Ms. A is task-oriented and knowledgeable, but she faces many responsibilities every day. She was an extraordinary, well-educated woman with a very broad education. She manages three different units, which have more than thirty nurses. She completed her studies at Washington Adventist University, which makes us share a common place. The purpose of this article is to observe a manager in order to acquire and distinguish the roles and responsibilities of a nurse manager. As the manager points out, using critical thinking skills as well as gaining advanced ideas is important for making optimal decisions in the units. the interest of the customer. She uses strategies and solves problems whenever there is a problem. At the time I was observing, I had witnesses with a few. For example, there was a nurse who was upset and frustrated at having to care for the patient alone. As we know, in IMCU unit, there are only two patient technicians per shift. Approximately, patient technicians may have seven or eight patients depending on the admission. The patient technician then went to the nurse manager's office and had a conversation with her alone, with the door locked. And then the technical patient looked relieved as she left the office. The charge nurse makes choices quickly, but carefully to satisfy staff members. Nurse managers should be responsible for ensuring that patients receive exceptional care and protect their rights, as well as nurses, who are employees of the units. ...... middle of paper ...... ically in the healthcare system because it must deal with the entire healthcare team. Conflicts always arise between patients, patients' families and unit employees. It's not just about leading, but also advocating for the patient, the employee, herself, and her profession. However, despite what happened, the nurse manager ensures that the work environment is both safe and protected. Once the problem is resolved and in place, the work is very rewarding and satisfying. In conclusion, the nurse manager has many tasks to accomplish; with the priority being the safety and defense of employees, not to mention patients. Ms. A has great skills in communication, time management, organization and leading three units together. She has many daily tasks, namely making the work environment healthy and safe for the healthcare team as well as for patients...