GRADUATE REGISTERED NURSE Rehab Institute of Michigan

Trane Technologies•Detroit, MI

About The Position

DMC Rehabilitation Institute of Michigan (RIM) is a hospital specializing in rehabilitation medicine and research, with clinical expertise in spinal cord injury, brain injury, stroke, amputee, orthopedic and catastrophic injury care. RIM houses the Center for Spinal Cord Injury Recovery and the Southeastern Michigan Traumatic Brain Injury System, and operates 31 outpatient sites throughout southeast Michigan specializing in sports medicine and orthopedics. The Graduate Nurse (GN) is a member of the patient care delivery team and works under the supervision of a registered nurse. The GN engages in patient care activities, including patient and family education, for an assigned group of patients and their families, collaborating with team members and ancillary and support services. Specific tasks may vary by unit and service line according to patient population and may be adjusted with nursing administration approval. The GN collaborates with care team members to support consistent, quality care and productive employee relations. Under RN supervision, the GN coordinates care for assigned patients, serves as care coordinator for uncomplicated patients, uses clinical pathways and protocols, incorporates discharge planning, evaluates progress and variances, and adjusts plans toward desired outcomes. The GN provides direct care based on patient, family and unit needs; carries out physician orders; documents and communicates patient responses; monitors medication-related laboratory values and effects; promotes safety; identifies education needs; and supports interdisciplinary teaching and discharge planning. The GN also collaborates with physicians, care management specialists and other providers in developing, implementing and evaluating care plans.

Requirements

Graduation from an accredited school of nursing.
Temporary authorization to practice as a graduate nurse under the direct supervision of a registered nurse, as required by law, regulation in the state of practice or policy.
Obtain a Michigan registered nurse license within 90 days of hire; failure to obtain licensure may result in reclassification to Nurse Associate or termination.
Ability to work effectively in a complex environment, handle multiple and changing priorities, and manage stresses associated with patient care.
Ability to adapt to new technologies used in the work environment.
Appropriate clinical judgment and analytical skills to provide comprehensive care and formulate and document care plans.
Reading, writing and comprehension skills sufficient to understand and communicate procedures, processes, orders, methods and standards.
Strong interpersonal and verbal communication skills and commitment to teamwork to support patient-unit services and communicate effectively with patients, families and hospital personnel.
Willingness to make a meaningful contribution to the work environment through behavior and attitude.
Ability to change job-related practices, priorities or procedures and reschedule activities in response to changing work conditions.
Physical ability and visual/manual dexterity to move or transport patients and supplies, insert needles and catheters, prepare medications and perform emergency CPR maneuvers.
Mathematical ability to perform addition, subtraction, multiplication and division.

Nice To Haves

Bachelor of Science in Nursing (BSN) preferred.

Responsibilities

Collaborate and cooperate with care team members to ensure consistent, quality care and productive employee relations.
Coordinate patient care activities and patient/family education for an assigned group under the supervision of a registered nurse.
Assume the care coordinator role for uncomplicated patients and use available clinical pathways and protocols.
Incorporate discharge planning into care plans from admission; evaluate progress and variances; and modify plans to achieve desired outcomes.
Coordinate care activities involving other departments to promote efficiency, minimize delays and optimize patient outcomes; participate in cost-containment efforts.
Assess patient and family needs, identify goals, develop and implement plans, and provide culturally sensitive, patient- and family-centered care.
Follow through to ensure physician orders are carried out according to plan.
Document and communicate patient responses to care and treatment, monitor medication-related laboratory values, and assess medication side effects and responses.
Participate in identifying quality-improvement opportunities based on feedback from patients, families, visitors and physicians.
Promote the safety of patients, families, employees, visitors and the unit.
Identify patient and family learning needs; initiate and coordinate interdisciplinary teaching and discharge planning; and provide discharge instructions about treatment, follow-up care and medications.
Collaborate with physicians, care management specialists and other healthcare providers in carrying out the nursing process.
Contact care management and continuum care management specialists as indicated by patient assessments, risk factors and referral mechanisms.
Seek input from other caregivers in developing, implementing and evaluating plans of care.
Contribute to continuous improvement and teamwork, support the DMC mission, vision and values, and adhere to DMC Customer Service Standards.