Registered Nurse - Observation Unit- Part-Time, Nights, 7pm-7:30am, every 3rd weekend

Nursing Position at Henry Ford Health Genesys Hospital

This part-time position in the Observation Unit at Henry Ford Health Genesys Hospital in Grand Blanc, Michigan, offers a sign-on bonus of $6000, a 5% market pay differential, a 10% increased night shift premium, and a $2 weekend differential. The schedule is 18 hours per week, working nights from 7pm to 7:30am on weeknights and every third weekend.

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 include:

• Coordinate development of a multi-disciplinary plan of care in accordance with Nursing Problem Care Sets and/or clinical practice guidelines, age-specific requirements and professional and regulatory requirements to ensure appropriate length of stay, use of resources, and achievement of quality outcomes.
• Provide patient care that reflects a respect for patient's rights, dignity, values, culture, preferences, and expressed needs.
• 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.
• Monitor, document, and report patient response to interventions and progress toward outcomes.
• Document nursing interventions and progress toward outcomes; patient education; and evaluation every shift, as required.
• 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.
• Monitor presence and intensity of patients pain on admission, after pain producing events, with each new report of pain, and routinely at regular intervals.
• 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.
• Respond appropriately to life-threatening emergencies through initiation of CPR, assembly of emergency equipment, and immediate interventions (as allowable and indicated).
• 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.
• 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.
• 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 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, and using 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, and responding 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.

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

Henry Ford Hospital