Registered Nurse ( RN ) - Emergency Department ( ED ) - Bronson Lakeview Hospital - Full-time 12N (1900-0730)

Bronson Healthcare • Paw Paw, MI

1d • 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 patient responses and needs. Employees providing direct patient care must demonstrate competencies specific to the population served. The role requires the ability to read, interpret, and analyze data from various computer systems and equipment, and to communicate verbally, in writing, and electronically. The work involves high levels of mental/visual fatigue, sustained concentration, and regularly lifting up to 50 pounds, with occasional assistance for heavier tasks.

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.
• The registered nurse collects comprehensive data pertinent to the patients’ health or the situation.
• The registered nurse analyzes the assessment data to determine patient problems or issues.
• The registered nurse identified expected outcomes for a plan individualized to the patient.
• The registered nurse develops a plan that prescribes interventions to attain expected outcomes.
• The registered nurse implements the identified plan.
• The registered nurse evaluates progress toward attainment of the expected outcomes.
• The registered nurse systematically evaluates the quality and effectiveness of nursing practice.
• The registered nurse attains knowledge and competency that reflects current nursing practice.
• The registered nurse evaluates one’s own nursing practice in relation to professional practice standards and guidelines, relevant statues, rules and regulations.
• The registered nurse interacts with and contributes to the professional development of peers and colleagues.
• The registered nurse collaborates with patient, family, and others in the conduct of nursing practice.
• The registered nurse integrates ethical provisions in all areas of practice.
• The registered nurse integrates research finding into practice.
• The registered nurse considers factors related to safety, effectiveness, cost and impact on practice in the planning and delivery of nursing services.
• The registered nurse provides leadership in the professional practice setting and the profession.
• Interprets procedure card, assesses case cart for supplies prior to the scheduled procedure time.
• 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.
• 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.

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.
• 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.
• All nurses in department will need to have Pediatric Advance Life Support certification within 6 months of hire.
• The Electronic Fetal Monitoring Certification through PQF or NCC is required within 6 months of completing intermediate fetal monitoring.
• For HDU Department Only: Additional on call requirements above and beyond regular scheduled hours.

Responsibilities

• Manages the care delivery for patients 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.
• 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.
• 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.
• 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.
• 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.
• 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.
• 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.
• 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).
• 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.
• 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.
• Understand the documentation differences and the specific care required for each individual swing bed patient.
• May be expected to cover shifts at Bronson Lakeview Hospital and/or Bronson South Haven Hospital depending on patient acuity and staffing needs.

Benefits

• Community-owned, not-for-profit health system
• More than 100 locations
• High quality standards
• State-of-the-art technology
• Evidence-based processes
• Ranked by Forbes as one of America’s Best-In-State Employers (2022-23)
• Ranked by Newsweek as one of America’s Greatest Workplaces for Women (2023)
• Ranked by the National Association for Business Resources as one of the 2023 Top 101 Best and Brightest Companies to Work For.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree