Forensic Nurse Examiner

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Location
BBC Bronson Battle Creek

Title
Forensic Nurse Examiner

Under minimal supervision and in accordance with organizational and departmental policies, procedures, guidelines, and the Public Health Code, the Forensic Nurse Examiner (FNE) functions as part of an interdisciplinary team providing 24/7 emergency, trauma-informed medical care and consultation to patients who have experienced sexual violence, including forensic evidence collection when elected by the patient. The FNE travels between examination sites in Calhoun, Kalamazoo and Van Buren counties to provide timely and high-quality care, utilizing the nursing process; and delivering appropriate physical care within the scope of professional nursing practice based on patient acuity and care complexity.

The FNE collaborates with multi-disciplinary teams and community partners to provide education and outreach throughout Calhoun, Kalamazoo and Van Buren counties in support of a coordinated community response to sexual violence. Employees providing direct patient care must demonstrate competencies specific to the population served.

This is a 24-hour program that will require a mixture of both weekday office hours and after hours/ weekend/ holiday call shift coverage.

Job Requirements:

Associate's degree in nursing required

Bachelor's degree in nursing preferred, must obtain within 8 years of hire

Licensed Registered Nurse in good standing for the state of Michigan

All new hires are expected to successfully obtain their BSN within 8 years of

hire date. If, after 8 years, the nurse has not met this requirement, employment will be terminated.

BLS certification required by completion of core orientation

Employment is contingent upon successfully completing required background checks and

maintaining ongoing clearance throughout employment.

This position is part of a 24/7 emergency response team, requiring flexibility in scheduling, including

nights, weekends, and holidays.

Travel between multiple facilities and community locations is required.

Completion of Adult/Adolescent SANE (SANE-A) basic training in accordance with IAFN

guidelines, or an equivalent program offered by a comparable recognized accrediting body preferred.

Completion of Pediatric SANE (SANE-P) basic training in accordance with IAFN guidelines, or an

equivalent program offered by a comparable recognized accrediting body preferred.

Two years of acute care nursing experience, preferably in the area(s) of: emergency/trauma, women's

health, or other areas serving patients who have experienced sexual violence.

SANE-A Certification is preferred. Nurses without certification at hire must obtain SANE-A

certification within three years, if certification is available. Failure to obtain certification within this timeframe may result in termination of employment.


SANE-P Certification is preferred. Nurses without certification at hire must obtain SANE-P

certification within five years, if certification is available. Failure to obtain certification within this timeframe may result in termination of employment.


Essential Duties and Responsibilities specific to Forensic Nurse Examiner

• Serve as a member of the 24/7 emergency response team, providing care during nights, weekends, and holidays.
• Travel between multiple facilities and community locations to ensure timely, high-quality care.
• Deliver trauma-informed care in sensitive and potentially distressing situations.
• Apply critical thinking and independent judgment in urgent or complex cases.
• Offer medical consultations by phone, including triage for the Child Advocacy Clinic when necessary.
• Perform acute medical forensic examinations for patients of all ages and genders, collect forensic evidence as requested, and maintain strict chain of custody procedures.
• Establish and maintain confidential medical records for each patient encounter.
• Maintain complete, accurate, and timely documentation.
• Utilize photography and videography for documentation as appropriate.
• Assist in staffing the Child Advocacy Clinic, by triaging referrals, scheduling patients, providing follow up for those prescribed HIV prevention medication during their acute medical forensic exam, gathering medical history from pediatric patients and supporting Bronson's Child Abuse Pediatrician with medical forensic examinations.
• Maintain equipment and supplies.
• Participate in departmental peer review:

• 100% of pediatric cases with positive physical findings with a SANE-P and/or Child Abuse Pediatrician.
• At least 75% of adult and adolescent cases with positive physical findings with SANE-A or SANE Medical Director.

• Participate in multi-disciplinary case review as appropriate.
• Educate patients and the community on available services and resources.
• Represent the Nurse Examiner Team on community panels and committees as requested.
• Attend a minimum of 75% of SANE staff meetings.
• Prepare for testimony by reviewing medical records and photo/video documentation; testify in court proceedings when subpoenaed or requested.
• Protect patient privacy and confidentiality in compliance with federal, state, and local laws, as well as organizational policies.
• Represent Sexual Assault Services in a professional manner and uphold the organization's mission, values, and customer service standards.
• Maintain respectful and professional collaboration with multidisciplinary colleagues, even in challenging situations.
• Maintain working knowledge of applicable laws, ethical standards, and organizational policies and procedures.
• Identify and implement action plans to strengthen the response to sexual violence
• Actively participate in the organization's system change plan.
• Mentor students and new staff
• Perform other related duties as assigned.

Bronson Health Care Group Standards of Practice:

• The registered nurse collects comprehensive data pertinent to the patients' health or the situation.

o Assesses the patient's physical and developmental needs

o Analyzes assessment data to identify appropriate patient needs

o Documents nursing history and age appropriate physical/emotional needs/strengths for assigned patients

o Reviews vital signs to assess condition of patient and detect deviations from normal.

• The registered nurse analyzes the assessment data to determine patient problems or issues

o Uses the assessment data to identify patient problems

o Confirms problems with patient and family when appropriate

o Documents the expected outcomes and plan of care related to the problems through use of the clinical pathway and outcome teaching record

• The registered nurse identified expected outcomes for a plan individualized to the patient

o Utilizes the patient/family input when defining outcomes. Incorporates the patient values, ethical and cultural considerations.

o Coordinates discharge planning for outcomes not achieved utilizing the continuum of care available.

• The registered nurse develops a plan that prescribes interventions to attain expected outcomes.

o Incorporates clinical pathways into the plan when appropriate

o Develops individualized interventions with patient input when appropriate

o Considers data from other members of the multidisciplinary team when developing the plan of care

• The registered nurse implements the identified plan.

o Implements appropriate interventions.

o Administers prescribed medication and treatment in accordance with approved nursing techniques and polices

o Utilizes evidence-based interventions specific to the patient's plan

o Maintains awareness of comfort and safety needs of the patient.

o Initiates a patient education plan according to the individualized needs of the patient and coordinates the implementation of the plan.

o Manages the care plan for patients by organizing and delegation patient care interventions to be implemented. Evaluates the effectiveness of care given by self and others.

• The registered nurse evaluates progress toward attainment of the expected outcomes.

o Evaluates the effectiveness of the planned interventions and the patient response toward achievement of the expected outcomes.

o Documents the patient response toward the expected outcomes.

Bronson HealthCare Group Standards of Professional Performance:

• The registered nurse systematically evaluates the quality and effectiveness of nursing practice.

o Participates in quality improvement activities

o Uses the results of quality improvement activities to initiate changes in nursing practice.

• The registered nurse attains knowledge and competency that reflects current nursing practice.

o Participates in ongoing educational activities related to appropriate knowledge and professional issues.

o Maintains professional records that provide evidence of competency and continued ongoing educational activities.

• The registered nurse evaluates one's own nursing practice in relation to professional practice standards and guidelines, relevant statues, rules and regulations.

o Provides age-appropriate care in a culturally and ethnically sensitive manner.

o Participates in self-evaluation, identifying areas of strengths as well as areas benefiting from professional development.

• The registered nurse interacts with and contributes to the professional development of peers and colleagues.

o Shares knowledge and skills with peers and colleagues

o Maintains compassionate and caring relationships with peers and colleagues

o Contributes to a supportive and healthy work environment.

• The registered nurse collaborates with patient, family, and others in the conduct of nursing practice.

o Partners with the multiple health disciplines to effect change and generate positive outcomes for the patient and family, based on the plan of care.

• The registered nurse integrates ethical provisions in all areas of practice.

o Delivers care in a manner that preserves and protects patient autonomy, dignity, confidentiality and rights.

o Demonstrates a commitment to connecting with self and others through relationship centered care giving.

o Serves as a patient advocate

• The registered nurse integrates research finding into practice.

o Uses research to improve the health of patients and the practice environment.

o Participates in the various levels of research based on their level of education. Such activities may include identifying clinical problems, participating in data collection, participating in the research committee, sharing research activities/finding with others, conducting research, analyzing data and trends of nursing practice to develop changes in nursing practice and utilizes evidence-based practice in the development of policies, procedures and standards of practice in patient care.

• The registered nurse considers factors related to safety, effectiveness, cost and impact on practice in the planning and delivery of nursing services.

o Assigns or delegates tasks based on the needs and condition of the patient, potential for harm, complexity of the nursing activity, required problem solving and innovation, predictability of outcome, extent of patient interaction

o Assists the patient and family in becoming informed consumers about the options, costs, risks and benefits of treatments and care.

• The registered nurse provides leadership in the professional practice setting and the profession.

o Participated in nursing councils, hospital and unit-based committees as appropriate.

o Works to create and maintain professional, healthy work environment when representing Bronson in all settings (local, regional or nationally)

Shift
Variable

Time Type
Full time

Scheduled Weekly Hours
40

Cost Center
8564 Sass (BBC)

Agency Use Policy and Agency Submittal Disclaimer

Bronson Healthcare Group and its affiliates ("Bronson") strictly prohibit the acceptance of unsolicited resumes from individual recruiters or third-party recruiting agencies ("Recruiters") in response to job postings or word of mouth. Unsolicited resumes sent to any employee of Bronson by Recruiters, without both a valid written agreement with Bronson and a direct written request from the Bronson Talent Acquisition Department for a specific job position, will be considered the property of Bronson. Furthermore, no fees will be owed or paid to Recruiters who submit resumes for unsolicited candidates, even if those candidates are hired. This policy applies regardless of whether the Recruiter has a pre-existing agreement with Bronson. Only candidates submitted through a specific written agreement with the Bronson Talent Acquisition Department for a named position are eligible for fee consideration.

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