Registered Nurse -Special Care Nursery- 18 Part-time - Days

Registered Nurse | Graduate Nurse

Sign On Bonus: $4,500

Department: Special Care Nursery

Schedule: 7am-7:30pm Weekdays & Every 3rd Weekend

Hospital: Henry Ford Health Genesys

Location: Grand Blanc, Michigan

General Summary

Use independent professional judgment, analytical skills, and the nursing process to provide a full range of delegated, interdependent, and independent nursing services to patients. Within the framework of the Seven Dimensions of Patient Care and Benner's Domains of Nursing Practice, demonstrate clinical competence; compassion and customer service orientation; focus on process and outcomes; and cost-consciousness when assessing, planning, implementing, and evaluating nursing care provided to patients.

Responsibilities

• Provide patient care that reflects a respect for patient's rights, dignity, values, culture, preferences, and expressed needs.
• Assess patient/family needs for information and education across the continuum, plans and implements patient teaching using a variety of techniques and methods, and evaluates effectiveness of educational interventions.
• Help to alleviate patient fears and anxiety through skillful application of professional and interpersonal communication.
• Utilize a variety of pharmacologic and non-pharmacologic approaches to ensure patient comfort and relief of pain.
• Involves patient, family, significant others in development of plan of care.
• Collaborate with patient/family, hospital staff, and community agencies to develop discharge plans that prepare patients for continued care needs.
• Complete assessment for Risk Factors; including fall, skin breakdown, VTE, and aspiration.
• Initiate appropriate initiatives as indicated SKINN Bundle, Fall Prevention Plan, SCD, etc.
• Complete Medication Reconciliation upon admission and change in level of care.
• Establish, direct, coordinate, and document plan of nursing care in conjunction with patient/family.
• Initiate Problems and Outcomes list (plan-of-care) based on medical diagnosis and patient needs.
• Monitor, document, and report patient response to interventions and progress toward outcomes.
• Document nursing interventions (NIC) and progress toward outcomes (NOC); patient education; and evaluation every shift, as required.
• Educate patient regarding treatment plan, safety measures, medications, and self-care as indicated.
• Review discharge plans/instructions with patient prior to discharge, including signs/symptoms to watch for after leaving the hospital.
• Ensures appropriate follow-up arranged.
• Ensure that core measures Discharge Instructions are given to all CHF patients.
• Document patient care according to established documentation guidelines.
• Administration of Therapeutic Regimens: Demonstrate knowledge and skill application of basic nursing procedures - dressing change, catheterization, NG tube insertion, suctioning.
• Implement/complete medical interventions as ordered.
• Initiate standing orders appropriately.
• Initiate and/or assists with all patient care activities including activities of daily living and provides other services as required for patient comfort, safety, and well-being.
• Assess and initiate interventions to prevent/minimize patient skin breakdown.
• Follow clinical practice guidelines and procedures as written.
• Establish and maintain peripheral IV therapy.
• Obtain body fluid specimens, per procedure.
• Obtains blood specimens if no phlebotomist assigned to area.
• Perform blood capillary glucose monitoring.
• Administer the following according to established policies and procedures: - Medications. - IVs. - Blood products.
• Prepare patients for surgery or other invasive procedures according to established guidelines.
• Perform or assist with procedures according to established standards of care and nursing practice.
• Utilize equipment based on manufacturers instructions and established nursing procedure.
• Correctly operates and trouble shoots IV pumps, PCA pumps, epidural pumps, feeding pumps, patient beds, as applicable.
• Monitoring Patient Responses/Responding to Changing Patient Situations.
• Regularly reviews work in progress to ensure that treatments, medications, and tests ordered are expeditiously carried out and documented.
• Review patient medical record/reports and confers with physician regarding treatment plans.
• Routinely checks chart for new orders.
• Monitor patient physiologic parameters including vital signs, lab work, I&O, blood glucose; recognizes and reports meaningful changes and intervenes appropriately.
• Documents interventions accordingly.
• Monitor presence and intensity of patients pain on admission, after pain producing events, with each new report of pain, and routinely at regular intervals.
• Informs patient about pain relief and pain relief measures; administers pain medication or alternative interventions as indicated; includes pain management resources in the discharge plan/instructions.
• Recognize acute changes in respiratory status - dyspnea, cyanosis, tachypnea, respiratory depression, airway obstruction and responds - appropriately with direct intervention and physician/SWAT notification.
• Recognize acute changes in neurologic status/decreased LOC and responds appropriately with direct intervention and physician/SWAT notification.
• Recognize acute changes in cardiac status - tachycardia, chest pain and responds appropriately with direct intervention and physician/SWAT notification.
• Recognize acute changes in urinary output and responds appropriately with direct action and physician notification.
• Utilize SBAR tool or other standardized approach to data collection and information sharing when notifying physician of patient changes/concerns.
• Respond appropriately to life-threatening emergencies through initiation of CPR, assembly of emergency equipment, and immediate interventions (as allowable and indicated).
• Perform emergency equipment checks.
• Provide appropriate support/summons appropriate resources for families in crisis/grieving process.
• Communicate with other professionals/departments and physician staff to ensure appropriate progress of patients through the system.
• Monitor individual patient length of stay (LOS); notifies case manager and nurse manager of potential LOS/discharge issues.
• Identify ethical issues related to patient care (including issues related to advanced directives) and initiates steps for resolution.
• Demonstrate adherence to patient confidentiality requirements.
• Communicate with patients and families cordially, diplomatically and respectfully.
• Act to resolve customer concerns/complaints immediately; reports complaints that cannot be immediately resolved to Patient Care Director, Clinical Manager, or House Supervisor.
• Promote a physically safe environment for the patient including use and documentation of restraints according to policy.
• Utilize universal precautions for all patients.
• Make cost effective use of supplies and resources.
• Assist in evaluating new products, procedures, nursing practices.
• Support organizational, nursing department, and unit strategic goals and activities; participates in department and unit based council/staff activities meetings.
• Support and actively participate in Nursing Department and unit specific quality monitoring and quality improvement activities.
• Participate in teaching/mentoring of student nurses and orientates.
• Evaluate own performance utilizing input from peers, co-workers, managers, physicians, customers, and develops a plan for continual improvement.
• Complete yearly safety and unit specific education requirements (GLI).
• Provide input on appropriate patient care assignments; taking into consideration patient condition and knowledge/experience/work load of staff.
• Provide direction and leadership to other staff by: Clearly communicating expectations/responsibilities to team members.
• Observing patients and work in progress periodically throughout the shift.
• Communicating with team members about work to be completed/problems encountered.
• Assisting team members with patient care activities as needed.
• Assisting other "teams" as situation requires.
• Use the 4 Ps (patient, pertinent issues, picture, plan) to give appropriate and pertinent information at change-of-shift and/or transfer.
• Participate in the creation and maintenance of a healthy work environment by: Treating co-workers with respect.
• Communicating to co-workers with respect; resolving conflicts and/or negative feelings promptly, privately, and appropriately.
• Taking responsibility for personal actions, behaviors, and attitudes and not displacing anger or frustration onto co-workers, patients, or families.
• Communicating appropriate patient care issues/concerns to nurse manager.
• Respond appropriately to changes in unit workloads, patient census, and/or staffing levels.
• Interpersonal skills necessary in order to interact with patients/families, other nursing staff members, physicians, and other hospital personnel.
• Ability to concentrate and pay close attention to detail when planning and performing professional nursing care, resolving patient care problems, and dealing with patients and families; often during stressful situations.
• Ability to walk or stand continuously and frequently lift and position patients.
• Working Conditions: Normal patient care environment with moderate exposure to excessive noise, dust, temperature, etc.
• Frequent exposure to communicable diseases, hazardous substances, and moderately adverse Working Conditions due to performance of patient care activities.
• Orientation Requirements: This position, aside from the above requirements, will require approximately three (3) to nine (9) months on-the-job experience in order to acquire and effectively apply knowledge of unit and departmental policies, procedures, and standards for patient care and professional nursing practice.
• The most recently dated job description on file in the Human Resources Department will be considered the official job description.

Education/Experience Requirements

• Licensed Registered Nurse credentialed from the Michigan Board of Nursing obtained within 2 Months (60 days) of hire date or job transfer date required.
• Certified BLS Provider specializing in Basic Life Support credentialed from the American Heart Association (AHA) obtained within 3 Months (90 days) of hire date or job transfer date required.
• Or Certified Instructor.
• Education: Requires a graduate of an approved professional (RN) nursing program.
• No additional preference