Registered Nurse - PACU - Variable - 72 hrs/pp - Bronson Methodist Hospital

Bronson Healthcare Group•Kalamazoo, MI

4d•Onsite

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 involves utilizing the nursing process, coordinating care, delegating tasks, providing direct patient care, and documenting/communicating patient responses and needs. Employees providing direct patient care must demonstrate competencies specific to the population served. The role also includes responsibilities related to interpreting procedure cards, assessing case carts, anticipating physician needs, observing patient condition changes, managing equipment and supplies, and acting as a resource for other staff. For specific departments, additional requirements like triage certifications, advanced life support certifications, fetal monitoring credentials, and swing bed training may apply. A Virtual Registered Nurse (VRN) role leverages technology for remote patient care, including screening, education, discharge planning, and supporting bedside staff.

Requirements

Associate's degree in Nursing required
Licensed Registered Nurse in good standing for the state of Michigan
BLS certification required by completion of core orientation
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 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.
The registered nurse collects comprehensive data pertinent to the patients’ health or the situation.
Assesses the patient’s physical and developmental needs
Analyzes assessment data to identify appropriate patient needs
Documents nursing history and age appropriate physical/emotional needs/strengths for assigned patients
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 issues
Uses the assessment data to identify patient problems
Confirms problems with patient and family when appropriate
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 patient
Utilizes the patient/family input when defining outcomes. Incorporates the patient values, ethical and cultural considerations.
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.
Incorporates clinical pathways into the plan when appropriate
Develops individualized interventions with patient input when appropriate
Considers data from other members of the healthcare team when developing the plan of care
The registered nurse implements the identified plan.
Implements appropriate interventions.
Administers prescribed medication and treatment in accordance with approved nursing techniques and polices.
Utilizes evidence-based interventions specific to the patients plan
Maintains awareness of comfort and safety needs of the patient.
Initiates a patient education plan according to the individualized needs of the patient, and coordinates the implementation of the plan.
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 outcomes
Evaluates the effectiveness of the planned interventions and the patient response toward achievement of the expected outcomes.
Documents the patient response toward the expected outcomes.
The registered nurse systematically evaluates the quality and effectiveness of nursing practice.
Participates in quality improvement activities
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.
Participates in ongoing educational activities related to appropriate knowledge and professional issues.
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.
Provides age appropriate care in a culturally and ethnically sensitive manner.
Participates in self-evaluation, identifying areas of strengths as well as areas benefiting from professional development.
Participates in systematic peer review as appropriate.
The registered nurse interacts with and contributes to the professional development of peers and colleagues.
Shares knowledge and skills with peers and colleagues
Maintains compassionate and caring relationships with peers and colleagues
Contributes to a supportive and healthy work environment.
The registered nurse collaborates with patient, family, and others in the conduct of nursing practice.
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.
Delivers care in a manner that preserves and protects patient autonomy, dignity, confidentiality and rights.
Demonstrates a commitment to connecting with self and others through relationship centered care giving.
Serves as a patient advocate
The registered nurse integrates research finding into practice.
Uses research to improve the health of patients and the practice environment.
Participates in the various levels of research based on their level of education.
The registered nurse considers factors related to safety, effectiveness, cost and impact on practice in the planning and delivery of nursing services.
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 interaction
Assists the patient and family in becoming informed consumers about the options, costs, risks and benefits of treatments and care.
The registered nurse provides leadership in the professional practice setting and the profession.
Participated in nursing councils, hospital and unit based committees as appropriate.
Attends at least 50% of unit staff meetings
Works to create and maintain professional, healthy work environment when representing Bronson in all settings (local, regional or nationally)
Ability to project voice at volume that can easily be heard by individuals with little to no hearing impairment via audio-visual technology; speech in English is easy to understand
Ability to grip and use computer keyboard and mouse

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
Bronson 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 Fetal Monitoring Credential (FMC) is required within 6 months of completing the AWHONN intermediate fetal monitoring course; completion of the National Certification Corporation (NCC) Electronic Fetal Monitoring (C-EFM) board certification is alternatively preferred, though not required.
For HDU Department Only: Additional on call requirements above and beyond regular scheduled hours
The RN will understand the documentation differences and the specific care required for each individual swing bed patient.
Bronson South Haven Hospital and Bronson Lakeview Hospital employees who are approved to work in a Swing Bed Facility only: Employees may be expected to cover shifts at Bronson Lakeview Hospital and/or Bronson South Haven Hospital depending on patient acuity and staffing needs.

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.
Interpreting procedure card, assessing case cart for supplies prior to the scheduled procedure time.
Identifying missing equipment and/or supplies and making 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 discouraging improper use and handling by co-workers & physicians.
Observant of the changing needs of the operative field and the surgical team, anticipating potential needs, and taking 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.
Completing the Workday CBL –“Swing beds”.
Conducting admission screening, patient/family education, discharge planning, and medication dual acknowledgments via secure digital platforms.
Completing diagnostic testing questionnaires and supporting patient safety initiatives.
Mentoring and supporting nursing staff and facilitating patient progression toward discharge using electronic health record (EHR) tools such as checklists and clinical pathways.
Analyzing assessment data to identify patient problems, confirming issues with patients/families as appropriate, and documenting individualized care plans in collaboration with bedside RNs.
Systematically evaluating the quality and effectiveness of virtual nursing services, ensuring compliance with professional standards and organizational policies.