Registered Nurse RN

Registered Nurse

The Registered Nurse provides direct care to patients using the nursing process. This includes ongoing assessment of the total patient. The RN provides interventions to treat the presenting symptoms and evaluates the effect of nursing interventions and patient's responses. The RN functions as a team leader/member and resource to others. The RN delegates, oversees and provides direction to support staff. Collaborates with interdisciplinary team to establish goals and outcomes for each patient. The RN is responsible for meeting the needs of all types of patients.

Responsibilities

(40%)* Regularly assesses patient's needs and provides skilled nursing services as prescribed by the physician authorized plan of care and accepted standards of evidence based nursing practice.

(30%)* Provides direct patient care including medication administration, treatments, education, call lights, assisting with transfers, responding to alarms, and other duties as appropriate

(20%)* Evaluates effectiveness of treatment plan and makes suggestions or participates in updating/revising the treatment plan in collaboration with other team members, utilizing current information to improve patient care.

(10%)* The RN is knowledgeable and compliant with all local, state and federal regulations and guidelines as well as hospital specific policies and procedures relating to care provided in the medical center, and guides patient teaching and maintaining standards of professional nursing. Other functions that may be assigned.

Other Duties And Responsibilities

Demonstrates the MyMichigan Health mission, vision and values.

Behaves in a courteous, professional manner at all times with patients, visitors, and co-workers.

Demonstrates the ability to interpret information and reports pertinent data to the physician.

Educate patient/family according to assessed learning needs considering readiness, ability, preferences, and cultural / spiritual variables.

Demonstrates the ability to organize and prioritize the needs of groups of patients or an individual patient. Demonstrates a general ability to manage assignments and perform routine duties on the unit. Instructs other team members when appropriate, explaining goals and rationale for individualized care.

Demonstrates understanding of clinical pathways and utilizes appropriately. Maintains a professional demeanor in all situations.

Documents in an accurate, clear, and concise way and includes pertinent clinical data.

Shares information and reports significant changes and/or abnormal findings to appropriate team members in a timely manner.

Participates in regulatory surveys.

Participates in the performance improvement activities.

Assists with orientation and ongoing competencies.

Provides a safe and secure environment for patient care.

Maintains knowledge with current trends and professional standards within a specialty.

Demonstrates understanding of role in emergency preparedness procedures.

Education Provides opportunities for staff education in: New employee orientation Department/job specific education Education for new services provided by the department Attends education days annually. Attends educational conferences and shares information. Encourages development and implementation of patient education tools in collaboration with patient education committee. Utilizes appropriate lift equipment on a routine basis.

Job specific: Provides direct patient care in the Emergency department and collects data to determine the current functional ability and health status of the patient. Assesses patient/family knowledge base to facilitate admission/transfer/discharge teaching process. Accurately identifies problems to determine appropriate interventions. Initiates and documents a plan of patient care to ensure that patient and family needs are met. Initiates and documents discharge and/or transfer planning to facilitate communication and to ensure continuity of care. Implements and documents plan of patient care to ensure consistency with nursing standards, hospital policies and procedures. Promotes an environment that encourages individual growth and nurtures professional practice.

Quality: Measures effectiveness of nursing care to ensure that patient care outcomes are met. Participate in quarterly reports of departmental quality monitoring results. Participates in interdisciplinary performance improvement activities. Assists with compliance with JCAHO and MDPH regulations. Participates in established departmental and hospital quality improvement efforts and quality assurance standards.

Community relationships: Develops and maintains relationships with Physicians, surrounding hospitals, other health care agencies and community services agencies to enhance the continuity of patient care services, foster communications and understanding.

Demonstrates competency in Infection Prevention and Control Practices and Policies: Possesses an understanding of infection prevention and control measures designed to prevent the spread of infectious diseases. Maintains the standards of the infection prevention and control policies. Implements and maintains isolation techniques per policy. Follows hand hygiene policies and utilizes personal protective equipment as required.

MyMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft® Windows. An employee may be required to participate in further learning opportunities offered by MyMichigan Health.

Certifications and Licensures

Credential: ACLS: Advanced Cardiac Life Support Equivalent Experience: Within 12 months of hire or transfer

Credential: TNCC: Trauma Nurse Core Course or ATCN Equivalent Experience: Within 12 months of hire or transfer

Credential: RN: Registered Nurse Equivalent Experience: MI

Credential: BLS: Basic Life Support Equivalent Experience: Within 1 month of hire or transfer

Credential: PALS: Ped Advance Life Support Equivalent Experience: Within 12 months of hire or transfer

Credential: DIMC: Dysrhythmia Interpretation Man Equivalent Experience: Telemetry Competency through testing or Telemetry Monitoring & Management class with passing score within 12 months of hire.

Credential: TEAM ADVANCED: Techniques for Effective Aggression Mgt Equivalent Experience: Within 6 months of hire or transfer (Employees who are in this position on or before 12/31/2023 will have 24 months to complete this certification)

Credential: NIMS IS 100: NIMS IS 100 Introduction Incident Command System Equivalent Experience: Within 6 months of hire or transfer

Credential: NIMS IS 700: NIMS IS 700 Introduction National Incident Mgt System Equivalent Experience: Within 6 months of hire or transfer

Required Education

Education: Associates Degree Equivalent Experience: BSN preferred.

Education Specialization: NRG

Other Information

Interpersonal skills needed to communicate successfully with individuals and groups and interact with people at all levels to communicate ideas and concepts in a clear and understandable manner.

Mandatory Occupational Safety and Health Administration (OSHA) training must also be completed annually according to the Exposure Control Plan.

Certified Emergency Nurse Exam recommended.

NIMS 100, 200, 700 & 800 required within one year of hire or transfer.

Experience as a registered nurse preferred. Exception: completion of one year externship in an Emergency Dept. as part of education. comp.

Physical/Mental Requirements And Typical Working Conditions:

Exposure to stressful situations, including those involving public contact, as well as, trauma, grief and death.

Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position.

Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description.

Overall vision and hearing is necessary with or without assisted device(s).

Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching.

Some exposure to blood borne pathogens and other potentially infectious material. Must follow MyMichigan Health bloodborne pathogen and TB testing as required.

Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake.

Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis.

Physical Demand Level: Medium. Must be able to occasionally (0-33% of the workday) lift or carry 21-50 lbs., frequently 34-66% of the workday 20 lbs. and or Walk/Stand/Push/Pull of Arm/Leg controls and constantly (67-100% or the workday) 10 lbs.