Registered Nurse (RN) - Surgery (OR) - Full Time - Evenings variable shifts - Bronson Methodist Hospital

Bronson Healthcare•Kalamazoo, MI

5d•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 provided by other professionals, delegating selected acts, tasks or functions, 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. Responsibilities include collecting comprehensive data pertinent to patients’ health, analyzing assessment data to determine patient problems, identifying expected outcomes for a plan individualized to the patient, developing a plan that prescribes interventions, implementing the identified plan, and evaluating progress toward attainment of expected outcomes. Professional performance standards include systematically evaluating the quality and effectiveness of nursing practice, attaining knowledge and competency, evaluating one’s own nursing practice, interacting with and contributing to the professional development of peers and colleagues, collaborating with patient, family, and others, integrating ethical provisions, integrating research findings into practice, considering factors related to safety, effectiveness, cost and impact on practice, and providing leadership. Specific responsibilities for the Scrub RN include interpreting procedure cards, assessing case carts for supplies, anticipating physician needs, observing patient condition changes, evaluating and updating case information, ensuring proper use of equipment, and acting as a specialist and resource for circulators. On-call duties are also a responsibility. For HDU Department, additional on-call requirements may apply. For Bronson Lakeview Hospital and Bronson South Haven Hospital, RNs are responsible for completing the Workday CBL – “Swing beds” and understanding the documentation differences and specific care required. Employees approved to work in a Swing Bed Facility may be expected to cover shifts at Bronson Lakeview Hospital and/or Bronson South Haven Hospital depending on patient acuity and staffing needs.

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
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
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
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
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 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
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
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
Completing the Workday CBL –“Swing beds”
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

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
Effective July 1, 2017 all new hires are expected to successfully obtain their BSN within 8 years of hire date.
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

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.
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 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.
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.
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.
Completing the Workday CBL –“Swing beds”.
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.

Benefits

Community-owned, not-for-profit health system
Workforce of more than 9,000 people and 1,500 medical staff members
Area's largest employer and leading healthcare system
Provides care in virtually every specialty and offers a full range of services from primary care to critical care at more than 100 locations
Exceptionally high quality standards
Empowered as individuals and as teams
State-of-the-art, technology and evidence-based processes
Patient and family at the center of our work
Dignity and respect for each individual served
Unique healing environment
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