Registered Nurse ( RN ) - Observation Unit - Bronson Methodist Hospital

Registered Nurse (RN) - Observation Unit - Bronson Methodist HospitalTeam Bronson is compassionate, resilient and strong. We are driven by Positivity which inspires us to be our best and to go above and beyond for our patients, for one another, and for our community.If you're ready for a rewarding new career, join Team Bronson and be part of the experience.The 18-bed Observation Unit serves a variety of adult med/surg patients with an emphasis on completing the admission process and facilitating discharge or transfer to an inpatient unit. The unit also serves a specialized population of Emergency Department chest pain patients.Under general supervision and in accordance with the policies, procedures and guidelines established within the organization, the unit, and the Michigan Public Health Code, the registered nurse manages the care delivery for patients in the organization throughout the length of stay to achieve quality outcomes and timely discharge by the following: utilizing the nursing process of assessment, planning, diagnosing, implementation and evaluation; coordinating the care provided by other professionals; delegating selected acts, tasks or functions that fall within the scope of professional nursing practice and the abilities of patient care assistants and universal service assistants; providing selected aspects of physical care within the scope of professional nursing practice as appropriate given the patient's level of acuity and complexity of care required; and documenting and communicating during each tour of duty the patient's response to care provided, consumption of resources and anticipated needs. Employees providing direct patient care must demonstrate competencies specific to the population served.Associate's degree in Nursing requiredBachelor's degree in Nursing preferred, must obtain within 8 years of hireLicensed Registered Nurse in good standing for the state of MichiganAs of December 29, 2013, any nurse hired by Bronson who does not hold a BSN (or higher nursing degree) will be given 8 years from date of hire date to obtain. If, after 8 years, the nurse has not met this requirement, employment will be terminated.BLS certification required by completion of core orientationCritical care or ALS as well as other certifications may be required for some RNs, unit specificBronson South Haven Specific:Emergency Department: SALT triage, ESI Triage, and NIH Stroke Scale to be completed within 90 days of hire date. Advanced Cardiac Life Support, Pediatric Advanced Life Support, and Trauma Nursing Core Course (TNCC only required for FT and part -time nurses) within 6 months of hire date. Special Care Unit: All nurses in department will need to have Pediatric Advance Life Support certification within 6 months of hire.RNs in Labor & Delivery and Mother/Baby/Antepartum at BMH & BBC Specific: The Electronic Fetal Monitoring Certification through PQF or NCC is required within 6 months of completing intermediate fetal monitoringCurrent driver's license in the state of Michigan and proof of insurance required for BAH• Ability to read, interpret, and analyze data from various computer systems and equipment in order to set an appropriate plan of action• Must be able to constantly communicate both verbally, in writing and electronicallyWork which produces high levels of mental/visual fatigue, e.g., interactive and repetitive or small detailed work requiring alertness and concentration for sustained periods of time, the operation of and full attention to a personal computer or CRT between 40 and 70 percent of the time. Involves regularly lifting of bulky or moderately heavy weights (i.e., up to 50 pounds), and occasionally assisting with heavier tasks or expending the equivalent effort in pushing, pulling, or otherwise handling material, equipment, and other objects.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 needso Analyzes assessment data to identify appropriate patient needso Documents nursing history and age appropriate physical/emotional needs/strengths for assigned patientso 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 issueso Uses the assessment data to identify patient problemso Confirms problems with patient and family when appropriateo 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 patiento 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 appropriateo Develops individualized interventions with patient input when appropriateo Considers data from other members of the healthcare 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 patients plano 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 outcomeso 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.Standards of Professional Performance:• The registered nurse systematically evaluates the quality and effectiveness of nursing practice.o Participates in quality improvement activitieso 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.o Participates in systematic peer review as appropriate.• The registered nurse interacts with and contributes to the professional development of peers and colleagues.o Shares knowledge and skills with peers and colleagueso Maintains compassionate and caring relationships with peers and colleagueso 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 interactiono Assists the patient and family in becoming informed consumers about the options, costs, risks