Registered Nurse (RN) - Acute Care Unit (Med/Surg) - Bronson Lakeview Hospital - Part-time 12N [...]

Bronson LakeView Hospital – Registered Nurse (RN) – Acute Care Unit (Med/Surg)

Part‑time 12N (48 hours per pay period).

Job Overview

Under general supervision and in accordance with the policies, procedures and guidelines established within the organization, 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 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.

Primary Responsibilities

• Assess patients' physical and developmental needs; analyze assessment data to identify appropriate patient needs; document nursing history and age‑appropriate physical/emotional needs/strengths for assigned patients; review vital signs to assess condition of patient and detect deviations from normal.
• Analyze the assessment data to determine patient problems or issues; use the assessment data to identify patient problems; confirm problems with patient and family when appropriate; document the expected outcomes and plan of care related to the problems through use of the clinical pathway and outcome teaching record.
• Identify expected outcomes for a plan individualized to the patient; utilize the patient/family input when defining outcomes; incorporate the patient values, ethical and cultural considerations; coordinate discharge planning for outcomes not achieved utilizing the continuum of care available.
• Develop a plan that prescribes interventions to attain expected outcomes; incorporate clinical pathways into the plan when appropriate; develop individualized interventions with patient input when appropriate; consider data from other members of the healthcare team when developing the plan of care.
• Implement the identified plan; administer prescribed medication and treatment in accordance with approved nursing techniques and policies; utilize evidence‑based interventions specific to the patient’s plan; maintain awareness of comfort and safety needs of the patient; initiate a patient education plan according to the individualized needs of the patient; manage the care plan for patients by organizing and delegating patient care interventions to be implemented; evaluate the effectiveness of care given by self and others.
• Evaluate progress toward attainment of the expected outcomes; evaluate the effectiveness of the planned interventions and the patient response toward achievement of the expected outcomes; document the patient response toward the expected outcomes.
• Participate in quality improvement activities; use the results of quality improvement activities to initiate changes in nursing practice.
• Participate in ongoing educational activities related to appropriate knowledge and professional issues; maintain professional records that provide evidence of competency and continued ongoing educational activities.
• Provide age‑appropriate care in a culturally and ethnically sensitive manner; participate in self‑evaluation, identifying areas of strengths as well as areas benefiting from professional development; participate in systematic peer review as appropriate.
• Share knowledge and skills with peers and colleagues; maintain compassionate and caring relationships; contribute to a supportive and healthy work environment.
• Partner with the multiple health disciplines to effect change and generate positive outcomes for the patient and family, based on the plan of care.
• Deliver care in a manner that preserves and protects patient autonomy, dignity, confidentiality and rights; demonstrate a commitment to connecting with self and others through relationship‑centered care giving; serve as a patient advocate.
• Use research to improve the health of patients and the practice environment; participate in the various levels of research based on their level of education; identify clinical problems, participate in data collection, participate in the research committee, share research activities/finding with others, conduct research, analyze data and trends of nursing practice to develop changes in nursing practice and utilize evidence‑based practice in the development of policies, procedures and standards of practice in patient care.
• Consider factors related to safety, effectiveness, cost and impact on practice in the planning and delivery of nursing services; assign or delegate 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; assist the patient and family in becoming informed consumers about the options, costs, risks and benefits of treatments and care.
• Participate in nursing councils, hospital and unit based committees; attend at least 50% of unit staff meetings; work to create and maintain a professional, healthy work environment when representing Bronson in all settings.

Scrub RN Responsibilities

• Interpret procedure card; assess case cart for supplies prior to the scheduled procedure time; identify missing equipment and/or supplies and make arrangements to acquire those supplies.
• Apply knowledge of operative procedure and physician preferences by anticipating physicians' needs.
• Observe overt changes in patient's condition that indicates a problem has emerged.
• Evaluate and update case information; e.g., preference cards, broken or misplaced equipment, back‑ordered supplies, and recommended changes in procedure.
• Remain aware of the proper use of equipment and instruments, and discourage improper use and handling by co‑workers and physicians.
• Be observant of the changing needs of the operative field and the surgical team, anticipate potential needs, and take appropriate actions.
• Act as the specialist and resource for circulators who may be unfamiliar with positioning devices, specialty equipment, or implants needed.
• Assigned and responsible for after‑hour call on a rotational basis.
• Ability to perform scrub duties in multiple services; e.g., neuro and ortho STII, able to perform spinal fusions in both services.
• For HDU department only: additional on‑call requirements above and beyond regular scheduled hours.

Key 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.
• BLS certification required by completion of core orientation.
• Additional certifications may be required for some RNs, unit specific.
• For Bronson South Haven:
• 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: Pediatric Advance Life Support certification within 6 months of hire.
• Labor & Delivery and Mother/Baby/Antepartum at BMH & BBC: Electronic Fetal Monitoring Certification through PQF or NCC required within 6 months of completing intermediate fetal monitoring.
• Current 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 electronically.
• Work includes high levels of mental and visual fatigue; operation of a personal computer or CRT between 40‑70% of the time; regularly lifting 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.

Physical Demands

Work involves mental and visual fatigue, interactive and repetitive or small detailed work requiring alertness and concentration for sustained periods of time; operation of a personal computer or CRT between 40 and 70% of the time; regularly lifting 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.

Compliance & Policies

Employees providing direct patient care must demonstrate competencies specific to the population served.

Under new guidelines effective July 1, 2017, 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.