Registered Nurse RN - Float

Registered Nurse (RN) - Float - Night

This Registered Nurse (RN) - Float - Night's position is a highly skilled role requiring advanced medical and surgical expertise to care for a diverse patient population at Midland and Saginaw Level II Trauma Centers, verified by the American College of Surgeons. The Midland facility serves as the hub of the hospital system, frequently receiving the highest-acuity patients from surrounding locations. Likewise, the Saginaw facility operates as a comprehensive Stroke Center, treating complex neurological cases from across the region. This role demands a high degree of autonomy, critical thinking, and adaptability, as it involves floating between multiple facilities - often within the same work week. The night shift schedule further necessitates independent decision-making and proactive patient management to ensure optimal outcomes in fast-paced, high-pressure environments. This is a more complex and demanding nursing role than standard inpatient positions, offering a dynamic and challenging opportunity.

Responsibilities include:

• Regularly assessing patients/clients needs and providing skilled nursing services as prescribed by the physician authorized plan of care, and accepted standards of nursing practice.
• Providing direct resident care, including medication administration, treatments, call lights, assisting with transfers, responding to alarms, etc.
• Evaluating effectiveness of treatment plan and making suggestions or participating in updating/revising the treatment plan in collaboration with the other team members, utilizing current information to improve patient care.
• Processing physician/provider orders and performing physician ordered care accurately, completely and in a timely manner.
• Following up regarding medication changes and order clarifications.
• Demonstrating the ability to quickly adapt to varied workflows, unit structures, and high-acuity patient populations across multiple Level II Trauma Centers while ensuring seamless transitions between medical/surgical and progressive care units.
• Demonstrating proficiency in rapid clinical assessment and data interpretation, effectively communicating critical findings to physicians and making autonomous decisions, particularly during night shifts with limited provider presence.
• Assessing patient and family learning needs, considering acuity, cognitive ability, and cultural/spiritual factors, and providing concise, individualized education to ensure understanding despite high turnover and shortened inpatient stays.
• Participating in care conferences as assigned.
• Evaluating patients' vital signs, laboratory data, and clinical presentation to identify emergency intervention needs, often in fast-paced, high-pressure environments where critical decision-making is essential.
• Monitoring high-acuity patients for signs of deterioration, including sepsis, shock, neurological decline, or respiratory distress, and initiating appropriate interventions with limited immediate physician presence during night shifts.
• Administering medications intravenously, via injection, orally, or through gastric tubes, ensuring precision in dosage and continuous monitoring for adverse reactions, particularly in complex multi-system failure patients.
• Performing complex pulmonary assessments, recognizing abnormal respiratory patterns or breathing difficulties that may indicate the need for urgent interventions, particularly in progressive care patients with advance respiratory conditions.
• Assessing and prioritizing care for critically ill patients based on acuity levels, clinical pathways, and evolving treatment needs while efficiently managing high patient turnover in both medical/surgical and progressive units.
• Monitoring fluid intake/output, electrolyte imbalances, and hemodynamic stability in patients at risk for complications, balancing the needs of diverse patient populations across multiple units and locations.
• Performing approved therapeutic and diagnostic procedures, including advance wound care ostomy management, heparin therapy protocols, and complex IV care, often requiring independent judgment during overnight hours.
• Setting up, monitoring, and troubleshooting advanced medical equipment, including cardiac monitors, ventilators, transducers, and infusion pumps, ensuring optimal function in high-acuity settings with limited technical support during night shifts.
• Assisting physicians with high-risk procedures, including bronchoscopy, endoscopy, central line insertions, and emergency airway management, frequently in situations where rapid intervention is necessary.
• Coordinating and overseeing patient care provided by patient care technicians and interdisciplinary team members, ensuring efficiency in a high-volume, high-acuity environment where rapid adaptability is required.
• Working closely with physicians, respiratory therapists, and other healthcare professionals to develop and continuously adjust treatment plans based on real-time patient assessments, especially in trauma and complex medical cases.
• Acting as a clinical resource and mentor for less experienced nursing staff, providing guidance and instruction on managing critically ill patients across multiple facilities and units.
• Participating in patient care conferences and advocating for patients and families, ensuring emotional and psychosocial needs are met while managing the high demands of progressive and trauma units.
• Identifying patients at risk for nutritional deficiencies, psychological distress, or inadequate copying mechanisms, initiating early interventions to support overall patient recovery and stability in a fast-paced setting.
• Maintaining accurate, clear, and concise documentation of assessments, interventions, and patient progress ensuring compliance with regulatory standards and effective communication across multiple shifts and units.
• Reporting significant changes in patient conditions, abnormal diagnostic findings, and treatment responses to the appropriate care team members, often making critical decisions with minimal supervision during overnight shifts.
• Remaining current on evidence-based practices, new medical technologies, and hospital protocols through continuing education and professional development, ensuring best practices are applied in high-stakes clinical scenarios.
• Maintaining proficiency in emergency preparedness procedures, ensuring readiness for mass casualty incidents, rapid code responses, and critical patient escalations across two Level II Trauma Centers.
• Serving as an active member in professional nursing organizations and participating in ongoing training programs to enhance clinical skills, particularly those relevant to trauma and progressive care settings.
• Assisting with the orientation, training, and competency development of new staff, ensuring that all team members are equipped to handle the high-acuity patient population and fast-paced environment.
• Providing post-mortem care, ensuring dignity and support for families while handling complex end-of-life situations with sensitivity and professionalism.

Certifications and Licensures:

Credential: RN: Registered Nurse

Equivalent Experience:

Qualification Source:

Essential: true

Credential: BLS: Basic Life Support

Equivalent Experience: Within 3 months of hire or transfer.

Qualification Source: AHA

Essential: true

Required Education:

Education: BACH

Equivalent Experience: Bachelor's degree in nursing required.

Other Information:

Experience, training and skills: 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.

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. Can move freely about the 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 are 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% of the workday) 10lbs.

MidMichigan Medical Center - Midland