Registered Nurse - Medical Nursing Pulmonary Unit - Part Time Nights 7 pm - 7:30 am and every 3[...]

Overview

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.

Responsibilities

• Coordinate development of a multi-disciplinary plan of care in accordance with Nursing Problem Care Sets (Core Outcomes and Core Intervention 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. Assess patient/family needs for information and education across the continuum, plan and implement patient teaching using a variety of techniques and methods, and evaluate effectiveness of educational interventions. Help to alleviate patient fears and anxiety through skilled application of professional and interpersonal communication. Utilize a variety of pharmacologic and non-pharmacologic approaches to ensure patient comfort and relief of pain. Involves patient, family, significant others in development of plan of care.
• Collaborate with patient/family, hospital staff, and community agencies to develop discharge plans that prepare patients for continued care needs.
• Orientation Self-Evaluation: Competent; Needs Training or Review. Standards of Performance: Seven Domains of Nursing Practice; Helping/Teaching & Coaching; incorporate all elements of Signature Care in daily interactions with patient: introduce self and write name on whiteboard; discuss plan of care with patient/family; explain meds and treatments, provide teaching as appropriate; ask if patient needs anything else before leaving room; assess health status and determine care needs of the patient; perform ongoing reassessment as required; complete Admission Assessment and shift assessment as required.
• Complete assessment for risk factors including fall, skin breakdown, VTE, and aspiration. Initiate appropriate initiatives as indicated (SKINN Bundle, Fall Prevention Plan, SCD, etc.). Complete Medication Reconciliation upon admission and change in level of care. Establish, direct, coordinate and document plan of nursing care in conjunction with patient/family.
• Initiate Problems and Outcomes list (plan-of-care) based on medical diagnosis and patient needs.
• Monitor, document, and report patient response to interventions and progress toward outcomes.
• Document nursing interventions (NIC) and progress toward outcomes (NOC); patient education; and evaluation every shift, as required.
• Educate patient regarding treatment plan, safety measures, medications, and self-care as indicated. Document education activities on shift assessment flowsheet and plan of care (POC). Work with Case Manager to ensure appropriate referrals initiated prior to discharge.
• Review discharge plans/instructions with patient prior to discharge, including signs/symptoms to watch for after leaving the hospital. Ensure appropriate follow-up is arranged.
• Ensure that core measures discharge instructions are given to all CHF patients.
• Document patient care according to established documentation guidelines.
• Administration of Therapeutic Regimens: demonstrate knowledge and skill application of basic nursing procedures (dressing changes, catheterization, NG tube insertion, suctioning); implement/complete medical interventions as ordered; initiate standing orders appropriately; assist with all patient care activities including activities of daily living and provide other services as required for patient comfort, safety, and well-being.
• Assess and initiate interventions to prevent/minimize patient skin breakdown.
• Follow clinical practice guidelines and procedures as written; establish and maintain peripheral IV therapy; obtain body fluid specimens per procedure; obtain blood specimens if no phlebotomist is assigned; perform blood capillary glucose monitoring.
• Administer medications, IVs, and blood products according to established policies and procedures.
• Prepare patients for surgery or other invasive procedures according to established guidelines; perform or assist with procedures according to established standards of care and nursing practice; utilize equipment based on manufacturers instructions and established nursing procedure; correctly operate and troubleshoot IV pumps, PCA pumps, epidural pumps, feeding pumps, patient beds, as applicable.
• Monitor patient responses and changing patient situations; regularly review work in progress to ensure treatments, medications, and tests are expeditiously carried out and documented; review patient medical records and confers with physician regarding treatment plans; routinely checks chart for new orders.
• Monitor physiologic parameters including vital signs, labs, intake/output, and blood glucose; recognize and report meaningful changes and intervene accordingly. Document interventions; monitor pain and provide relief as indicated; inform patient about pain relief and include pain management resources in the discharge plan.
• Recognize acute changes in respiratory, neurologic, cardiac status and respond appropriately with direct intervention and physician/SWAT notification; recognize changes in urinary output and notify as indicated; utilize SBAR or other standardized data collection when notifying physician of patient changes/concerns.
• Respond to life-threatening emergencies through initiation of CPR, emergency equipment checks, and immediate interventions; provide support for families in crisis and grieving process; ensure quality of health care practices.
• Communicate with other professionals/departments and physician staff to ensure appropriate progress of patients through the system; monitor LOS and notify case manager/nurse manager of potential issues.
• Identify ethical issues related to patient care and initiate steps for resolution; adhere to patient confidentiality requirements; communicate with patients and families cordially, diplomatically, and respectfully.
• Address customer concerns/complaints promptly and escalate where needed; promote a physically safe environment for the patient including use and documentation of restraints as required; utilize universal precautions; make cost-effective use of supplies and resources.
• Assist in evaluating new products, procedures, and nursing practices; support organizational, nursing department, and unit goals; participate in department and unit-based meetings and quality improvement activities.
• Participate in teaching/mentoring of student nurses and orientates; evaluate own performance and develop a plan for continual improvement; complete yearly safety and unit-specific education requirements (GLI).
• Provide input on appropriate patient care assignments; provide direction and leadership to other staff; clearly communicate expectations and responsibilities; observe patients and work in progress; communicate with team members about work to be completed and problems encountered; assist other teams as situations require.
• Use the 4 Ps (patient, pertinent issues, picture, plan) to convey information at change-of-shift and transfers; contribute to a healthy work environment and resolve conflicts promptly and privately.
• Respond appropriately to changes in unit workloads, patient census, and staffing levels; maintain interpersonal skills necessary to interact with patients/families, staff, physicians, and hospital personnel.
• Demonstrate ability to concentrate and pay close attention to detail; physical ability to walk/stand continuously and lift/position patients; describe working conditions and safety considerations.
• Orientation Requirements: This position requires approximately three to nine months on-the-job experience to acquire unit and departmental knowledge; the most recent job description on file in HR will be considered official.

Qualifications

• Licensed Registered Nurse credentialed from the Michigan Board of Nursing obtained within 2 months (60 days) of hire or transfer date.
• Certified BLS Provider with Basic Life Support credential from the American Heart Association obtained within 3 months (90 days) of hire or transfer date, or Certified Instructor.
• Graduate of an approved professional (RN) nursing program.

Additional Information

• Organization: Henry Ford Health Genesys Hospital
• Department: Medical Nursing Unit 4S
• Shift: Night Job
• Union Code: MIGRA Teamsters RN Local 332