Registered Nurse ( RN ) - Pediatrics Unit ( Peds ) - Bronson Methodist Hospital

Bronson Healthcare•Kalamazoo, MI

1d•Onsite

About The Position

Part of the Bronson Children’s Hospital, this 33-bed general pediatric unit (including a 4-bed stepdown unit) provides care for children between the ages of 0 and 18 with a variety of medical needs including, but not limited to, orthopedic, respiratory, oncology, trauma, surgical and medical. The Bronson Children’s Hospital incorporates art, music and pet therapy into our model of care. 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 by the following: 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 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.
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
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

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.
Analyzing the assessment data to determine patient problems or issues.
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.
Participating in quality improvement activities.
Using the results of quality improvement activities to initiate changes in 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.
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.
Partnering with the multiple health disciplines to effect change and generate positive outcomes for the patient and family, based on the plan of care.
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.
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. 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.
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.
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. The RN will understand the documentation differences and the specific care required for each individual swing bed patient.
Employees may be expected to cover shifts at Bronson Lakeview Hospital and/or Bronson South Haven Hospital depending on patient acuity and staffing needs.
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.