About The Position

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

Requirements

  • Associate's degree in Nursing
  • Licensed Registered Nurse in good standing for the state of Michigan
  • BLS certification required by completion of core orientation
  • 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
  • SALT triage, ESI Triage, and NIH Stroke Scale to be completed within 90 days of hire date (For Bronson South Haven Specific: Emergency Department)
  • 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 (For Bronson South Haven Specific: Emergency Department)
  • Pediatric Advance Life Support certification within 6 months of hire (For Special Care Unit)
  • Electronic Fetal Monitoring Certification through PQF or NCC is required within 6 months of completing intermediate fetal monitoring (For RNs in Labor & Delivery and Mother/Baby/Antepartum at BMH & BBC Specific)
  • Current driver's license in the state of Michigan and proof of insurance required for BAH

Nice To Haves

  • Bachelor's degree in Nursing preferred, must obtain within 8 years of hire
  • Critical care or ALS as well as other certifications may be required for some RNs, unit specific

Responsibilities

  • 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
  • Documenting and communicating during each tour of duty the patient's response to care provided, consumption of resources and anticipated needs
  • Collecting comprehensive data pertinent to the patients’ health or the situation
  • Assessing the patient’s physical and developmental needs
  • Analyzing assessment data to identify appropriate patient needs
  • Documenting nursing history and age appropriate physical/emotional needs/strengths for assigned patients
  • Reviewing vital signs to assess condition of patient and detect deviations from normal
  • Using the assessment data to identify patient problems
  • Confirming problems with patient and family when appropriate
  • Documenting the expected outcomes and plan of care related to the problems through use of the clinical pathway and outcome teaching record
  • Identifying expected outcomes for a plan individualized to the patient
  • Utilizing the patient/family input when defining outcomes
  • Incorporating the patient values, ethical and cultural considerations
  • Coordinating discharge planning for outcomes not achieved utilizing the continuum of care available
  • Developing a plan that prescribes interventions to attain expected outcomes
  • Incorporating clinical pathways into the plan when appropriate
  • Developing individualized interventions with patient input when appropriate
  • Considering data from other members of the healthcare team when developing the plan of care
  • Implementing the identified plan
  • Implementing appropriate interventions
  • Administering prescribed medication and treatment in accordance with approved nursing techniques and polices
  • Utilizing evidence-based interventions specific to the patients plan
  • Maintaining awareness of comfort and safety needs of the patient
  • Initiating a patient education plan according to the individualized needs of the patient, and coordinating the implementation of the plan
  • Managing the care plan for patients by organizing and delegation patient care interventions to be implemented
  • Evaluating the effectiveness of care given by self and others
  • Evaluating progress toward attainment of the expected outcomes
  • Evaluating the effectiveness of the planned interventions and the patient response toward achievement of the expected outcomes
  • Documenting the patient response toward the expected outcomes
  • Systematically evaluating the quality and effectiveness of nursing practice
  • Participating in quality improvement activities
  • Using the results of quality improvement activities to initiate changes in nursing practice
  • Attaining knowledge and competency that reflects current nursing practice
  • Participating in ongoing educational activities related to appropriate knowledge and professional issues
  • Maintaining professional records that provide evidence of competency and continued ongoing educational activities
  • Evaluating one’s own nursing practice in relation to professional practice standards and guidelines, relevant statues, rules and regulations
  • Providing age appropriate care in a culturally and ethnically sensitive manner
  • Participating in self-evaluation, identifying areas of strengths as well as areas benefiting from professional development
  • Participating in systematic peer review as appropriate
  • Interacting with and contributing to the professional development of peers and colleagues
  • Sharing knowledge and skills with peers and colleagues
  • Maintaining compassionate and caring relationships with peers and colleagues
  • Contributing to a supportive and healthy work environment
  • Collaborating with patient, family, and others in the conduct of nursing practice
  • Partnering with the multiple health disciplines to effect change and generate positive outcomes for the patient and family, based on the plan of care
  • Integrating ethical provisions in all areas of practice
  • Delivering care in a manner that preserves and protects patient autonomy, dignity, confidentiality and rights
  • Demonstrating a commitment to connecting with self and others through relationship centered care giving
  • Serving as a patient advocate
  • Integrating research finding into practice
  • Using research to improve the health of patients and the practice environment
  • Participating in the various levels of research based on their level of education
  • Considering factors related to safety, effectiveness, cost and impact on practice in the planning and delivery of nursing services
  • Assigning or delegating 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
  • Assisting the patient and family in becoming informed consumers about the options, costs, risks and benefits of treatments and care
  • Providing leadership in the professional practice setting and the profession
  • Participating in nursing councils, hospital and unit based committees as appropriate
  • Attending at least 50% of unit staff meetings
  • Working to create and maintain professional, healthy work environment when representing Bronson in all settings (local, regional or nationally)
  • Interpreting procedure card, assessing case cart for supplies prior to the scheduled procedure time
  • Identifying missing equipment and/or supplies and makes arrangements to acquire those supplies
  • Applying knowledge of operative procedure and physician preferences by anticipating physicians' needs
  • Observant of overt changes in patient's condition that indicates a problem has emerged
  • Evaluating and updating case information, i.e., preference cards, broken or misplaced equipment, back-ordered supplies, and recommended changes in procedure
  • Remaining aware of the proper use of equipment and instruments, and discourages improper use and handling by co-workers & physicians
  • Being observant of the changing needs of the operative field and the surgical team, anticipates potential needs, and takes appropriate actions
  • Acting as the specialist and resource for circulators who may be unfamiliar with positioning devices, specialty equipment, and/or implants needed
  • Assigned and responsible for after-hour call on a rotational basis
  • Ability to perform scrub duties in multiple services; ie: neuro and ortho STII able to perform spinal fusions in bother services
  • Additional on call requirements above and beyond regular scheduled hours (For HDU Department Only)
  • Completing the Workday CBL –“Swing beds” (For Bronson Lakeview Hospital and Bronson South Haven Hospital)
  • Understanding the documentation differences and the specific care required for each individual swing bed patient
  • Covering shifts at Bronson Lakeview Hospital and/or Bronson South Haven Hospital depending on patient acuity and staffing needs (For Bronson South Haven Hospital and Bronson Lakeview Hospital employees who are approved to work in a Swing Bed Facility only)
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