Registered Nurse - ER

Registered Nurse - ER

The Registered Nurse assesses, plans, implements and evaluates the nursing care provided to a group of patients. This nurse leads the nursing team members in the care as directed by the attending physician and in collaboration with other health care providers in accordance with the philosophy and policies of Insight. Actively participates in the creation of an environment that fosters patient, family, physician, and employee satisfaction. Ensures decisions made are based on patient and family centered care philosophy utilizing evidenced based practices, and focused on safety, customer satisfaction, and quality outcomes.

Scope of Service: The Registered Nurse provides nursing care to individuals and groups which require specialized knowledge, judgment, and skill derived from the principles of biological, physical, behavioral, social, spiritual/cultural, and nursing sciences. The Registered Nurse functions within the full scope of nursing practice as noted by the Board of Nursing of their designated state for which they are practicing in addition to compliance with any of the hospitals accrediting bodies.

Accountabilities:

• Patient & Family Centered Care
• Recognize the patient or designee as the source of control and full partner in providing compassionate and coordinated care based on respect for patient preference, values, and needs.
• Elicit and communicate patient values, preferences, and expressed needs.
• Provide patient-centered care with sensitivity and respect for the diversity of human experience in collaboration with the interdisciplinary team.
• Engage patients or designated surrogates in active partnerships that promote health, safety and well being, and self-care management.
• Addresses patient/family education needs considering patient level of comprehension, style of learning from the point of entry through discharge.
• Navigates and collaborates with patient, family and healthcare team regarding the care provided and needed to ensure appropriate transition along the continuum.
• Evaluates patient's response and intervenes to ensure optimal patient outcomes.
• Evidenced Based Practice
• Integrate best current evidence with clinical expertise and patient/family preferences and values for delivery of optimal health care.
• Base individualized care plan on patient values, clinical expertise, and evidence.
• Nursing Practice
• Assess, formulate nursing diagnosis, plans, and implements and continually evaluates effectiveness of the individualized written nursing care plan and delivery of nursing care for each patient assigned.
• Analyzes and prioritizes problems and makes sound judgments based on logic and/or critical thinking skills.
• Safety and Quality Improvement
• Improve the safety and quality of healthcare systems by minimizing the risk of harm to patients and the healthcare team.
• Administers medications and executes regimens as authorized by the state licensure.
• Incorporates quality measures and data to understand individual and system performance.
• Applies use of technology and standardized practices that support safety and quality.
• Identifies strategies to reduce risk of harm to self or others.
• Participates in unit-based quality improvement, evidence-based practice projects or research.
• Promotes and incorporates error prevention techniques.
• Report safety concerns and events including near misses.
• Informatics & Technology
• Promote and incorporate use of technology to communicate, manage information, mitigate errors, and support decision making.
• Navigates, plans patient care, and documents ongoing status, interventions, patient responses and outcomes in accurate, timely manner in the electronic health record.
• Responds appropriately to clinical decision-making supports and alerts.
• Advocates protecting the integrity of the healthcare record and the privacy of each patient.
• Communication, Teamwork & Collaboration
• Interacts effectively with patient, families and with healthcare team to foster open communication, mutual respect, and shared decision-making.
• Functions as the coordinator of the patient's plan of care through interaction and communication with healthcare team.
• Acts with integrity, consistency, and respect for diversity.
• Functions within scope of practice.
• Delegates to other team members as appropriate.
• Escalates barriers, safety and clinical concerns utilizing appropriate chain of command.
• Leadership & Professionalism
• Influences the behavior of individuals or groups within the environment to facilitate goal establishment and achievement.
• Accountable for the delivery of nursing care consistent with the core values, mission, philosophy, and policies of Insight.
• Integrates leadership skills to promote systems thinking, communication, and facilitating change.
• Participates in healthcare teams to improve patient care, the work environment, and patient and staff satisfaction.
• Accountable to own nursing practice by following nursing process. Assigns, directs, delegates, and supervises ancillary personnel and support staff in carrying out particular roles/functions aimed at achieving patient care goals.
• Systems-Based Practice
• Participates in practices endorsed at the healthcare system level.
• Plans, organizes, and delivers patient care in the context of the work unit.
• Rounds with providers.
• Practices bedside report/hand-offs.
• Ensures meaningful hourly rounding occurs.
• Escalates concerns utilizing appropriate chain of command to maintain safety, quality, and patient satisfaction.
• Other duties as assigned.

Required Qualifications:

• Education: The RN in Michigan must complete twenty-five contact hours of continuing education during his/her licensure period. At least 2 hours of contact hours must be related to pain and pain symptom management. At least 1 hour of contact hours must be related to implicit bias training.
• Skills: Complies with nursing process. Ability to respond effectively and efficiently to critical situations involving patients, personnel, and visitors in a professional manner. Performs basic nursing skills competently. Ability to evaluate own daily practice for errors and pursue corrective action. Engages in the changing environment and is open to new ideas. Functions as a dependable team member, assisting when requested or when the need is obvious. Communicates effectively and empathetically with all members of the healthcare team including patients. Responsible for continued professional growth and development and competency. Navigate and retrieve information from the computer and healthcare record.
• License: Current State license as a Registered Nurse
• Certification: Current CPR training. Specialty certifications as required

Preferred Qualifications:

• Education: BSN

Working Conditions:

• Personal Protective Equipment: Demonstrates knowledge and use of standard precautions and PPE. Demonstrates knowledge and use of safe patient handling equipment.
• Physical Demands: Must be able to tolerate exposure to dust, fumes, chemicals, temperature changes, and exposure to blood borne pathogens and bodily fluids. Must be able to attain all health requirements as identified by the organization (i.e., PPD, respirator training, vaccines, as appropriate). Must be able to move about hospital and between workstations, and prolonged periods of standing. Must be able to frequently move, lift or carry light to heavy patients or equipment. Must be able to lift medium materials, non-material handling; continuous standing, walking, bending, stooping, and reaching; frequent pushing, pulling, and squatting. Occasional sitting, stairs, and kneeling.