Registered Nurse ( RN ) - Cardiac Surgical Unit ( CSU ) - Cardiac / Vascular ICU Crit Care - Bronson Methodist Hospital

Bronson Healthcare•Kalamazoo, MI

14d•Onsite

About The Position

This is a 6-bed unit specializing in Cardiac / Vascular Critical Care. Under general supervision and in accordance with established policies, procedures, and guidelines, the registered nurse manages patient care delivery throughout their length of stay to achieve quality outcomes and timely discharge. This involves utilizing the nursing process (assessment, planning, diagnosing, implementation, and evaluation), coordinating care provided by other professionals, delegating tasks to patient care assistants and universal service assistants, providing selected aspects of physical care, and documenting and communicating patient responses, resource consumption, and anticipated needs. Employees providing direct patient care must demonstrate competencies specific to the population served.

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
Critical care or ALS as well as other certifications may be required for some RNs, unit specific
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
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
As of December 29, 2013, any nurse hired by Bronson who does not hold a BSN (or higher nursing degree) will be given 8 years from date of hire date to obtain. If, after 8 years, the nurse has not met this requirement, employment will be terminated.
Bronson South Haven Specific- Effective July 1, 2017 all new hires are expected to successfully obtain their BSN within 8 years of hire date.
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 Electronic Fetal Monitoring Certification through PQF or NCC is required within 6 months of completing intermediate fetal monitoring
Ability to perform scrub duties in multiple services; ie: neuro and ortho STII able to perform spinal fusions in bother services.
For HDU Department Only: Additional on call requirements above and beyond regular scheduled hours
For Bronson Lakeview Hospital and Bronson South Haven Hospital: The RN is responsible for completing the Workday CBL –“Swing beds”. This is an annual CBL that describes the difference in a swing bed patient versus an in-patient or observation patient. 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

Manages the care delivery for patients in the organization throughout the length of stay to achieve quality outcomes and timely discharge.
Utilizes the nursing process of assessment, planning, diagnosing, implementation and evaluation.
Coordinates the care provided by other professionals.
Delegates 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.
Provides 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.
Documents and communicates during each tour of duty the patient's response to care provided, consumption of resources and anticipated needs.
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.
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.
Identifies 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.
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.
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.
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.
Participates in quality improvement activities.
Uses the results of quality improvement activities to initiate changes in 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.
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.
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.
Partners with the multiple health disciplines to effect change and generate positive outcomes for the patient and family, based on the plan of care.
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.
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. Such activities may include: identifying clinical problems, participating in data collection, participating in the research committee, sharing research activities/finding with others, conducting research, analyzing data and trends of nursing practice to develop changes in nursing practice and utilizes evidence based practice in the development of policies, procedures and standards of practice in patient care.
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.
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).
Interprets procedure card, assesses case cart for supplies prior to the scheduled procedure time. Identifies missing equipment and/or supplies and makes arrangements to acquire those supplies.
Applies 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.
Evaluates and updates case information, i.e., preference cards, broken or misplaced equipment, back-ordered supplies, and recommended changes in procedure.
Remains aware of the proper use of equipment and instruments, and discourages improper use and handling by co-workers & physicians.
Is observant of the changing needs of the operative field and the surgical team, anticipates potential needs, and takes appropriate actions.
Acts 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.
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.