RN - Registered Nurse - Observation Unit * Nights - 12hrs/wk

RN - Registered Nurse - Observation Unit * Nights - 24hrs/wk (New Hire Incentive)

Shift: Nights FTE status: 0.6 On-call: No Weekends: Yes

General Summary:

The RN Staff Nurse is a professional care giver who assumes responsibility and accountability for a group of patients for a designated time frame and provides care to these patients via therapeutic use of self, the nursing process, the environment / instrumentation, and other health care team members. Assigns and directs the work of related staff.

Requirements:

• Michigan Registered Professional Nurse licensure required.
• Bachelor of Science in Nursing preferred.
• Current Basic Life Support (BLS/CPR) providerrequired.
• Previous experience in specialty preferred.
• Endoscopy RN: Current Advanced Cardiac Life Support (ACLS) provider preferred. Must obtain ACLS certification within 60 days of hire or placement in the unit.
• Level 4/Level 5 RN: Current Advanced Cardiac Life Support (ACLS) provider preferred. Must obtain ACLS certification within one year of hire or placement in the unit.
• Level 4/Level 5 RN: Competence in basic cardiac dysrhythmia interpretation required, will train.
• Level 6: Current Pediatric Advanced Life Support (PALS) provider preferred.
• ED: Current Pediatric Advanced Life Support (PALS) provider preferred. Must obtain PALS certification within six months of hire or placement in the unit. Advanced Cardiac Life Support (ACLS) certification within three (3) months after hire or transfer. Must maintain ACLS certification with re-certification every two (2) years.
• IR/NEURO IR RN: Current Advanced Cardiac Life Support (ACLS) provider required.
• HPE Infusion/Cancer Center Infusion RN: Must obtain ONS/ONCC Chemotherapy Immunotherapy Certificate prior to administering chemotherapy.

Essential Functions and Responsibilities:

1. ASSESSMENTAssess the patient's condition and physical, psychological, cognitive, social, rehabilitative, and discharge needs.
2. PLANNINGDevelop a plan of care using nursing diagnoses and setting patient outcome goals.
3. IMPLEMENTATIONImplement nursing plan of care and physician's orders.
4. IMPLEMENTATIONEstablish priorities of patient care based on essential patient needs and available resources of time, personnel, equipment and supplies.
5. IMPLEMENTATIONPerform nursing procedures, assist physicians, and use equipment following established standards.
6. EVALUATIONEvaluate the patient's response to nursing interventions and physician ordered therapy / diagnostics. Update or modify plan of care to meet the current needs of the patient.
7. PATIENT EDUCATIONEducate the patient and significant others based on the cognitive needs of each and defined by patient outcome goals.
8. DOCUMENTATIONDocument concise, accurate and timely information in the patient care record.
9. PATIENT/FAMILY RIGHTSDemonstrate knowledge of and respect for patient and significant others' rights, including confidentiality.
10. SAFETY/RISK MANAGEMENTFollow established standards in provision for safety.
11. LEGAL ISSUESDemonstrate awareness of legal issues in all aspects of patient care and department function and strive to manage situations in a reduced risk manner.
12. EMERGENCIESPerform efficiently in emergency patient situations following established standards, remaining calm, informing appropriate persons, and documenting events.
13. KNOWLEDGE BASEMaintain a current knowledge base and use standards of care in professional practice.
14. PROFESSIONALISMAssume responsibility for own practice including appearance, attendance, punctuality and flexibility in scheduling.
15. SELF EDUCATIONPursue self-directed learning experiences, continuing education, and seek direction when necessary.
16. STAFF DEVELOPMENTParticipate in and promote staff development activities and achievement of department goals.
17. QUALITY ASSURANCE/STANDARDS DEVELOPMENTParticipate in peer review, quality assurance, standards development, and research activities.
18. COORDINATION/ORGANIZATIONUse delegation skills and therapeutic use of self to coordinate and organize patient care delivery.
19. COORDINATION/ORGANIZATIONSet priorities in work using effective time management and support personnel to complete assigned work.
20. PROBLEM SOLVING/DECISION MAKINGPractice effective problem identification and resolution skills as a method of sound decision making.
21. COMMUNICATIONUse written and oral communication through designated channels to attain desired patient outcomes as well as department and hospital goals.
22. STAFFINGDemonstrate flexibility in staffing patterns and resolution of staffing conflicts; participate in temporary assignment measures.
23. ORIENTATION-Successful completion of unit-specific core competencies as defined in the orientation checklist.
24. DELEGATION--Evaluates and identifies patient needs and assigns appropriate staff to address specific individual patient needs. Directs and reviews the work of support staff to assure nursing care plan is fully implemented and patient needs are addressed.
25. Assumes supervisory duty for department employees in absence of Clinical Director and Clinical Coordinator per HR-45 policy.
26. Performs other duties as assigned. These may include but are not limited to: Maintaining a current knowledge base of department processes, protocols and procedures, pursuing self-directed learning and continuing education opportunities, and participating on committees, task forces, and work groups as determined by management.