Registered Nurse RN Wound Treatment Center

MyMichigan Health•Gladwin Township, MI

About The Position

The Registered Nurse provides direct patient/resident care and coordinates care delegated to patient care technicians, ensuring residents receive appropriate care and comfort. The nurse maintains knowledge of and compliance with local, state, and federal regulations and guidelines related to facility care. The role requires basic medical-surgical knowledge to care for general surgical and orthopedic surgical patients. The nurse assesses patient needs and delivers skilled nursing services under physician-authorized plans of care and accepted standards of nursing practice. Responsibilities include providing treatments and medication administration, evaluating treatment effectiveness, collaborating with the care team on care-plan updates, processing provider orders, and following up on medication changes and order clarifications. The nurse also educates patients, reports pertinent clinical information and changes in condition, documents care, and participates in care conferences, regulatory surveys, and performance improvement activities. The role includes a range of clinical procedures performed according to physician orders, established policies, and procedures. Duties include care of central lines, chest tubes, IVs, feeding tubes, catheters, drains, wounds, and ostomies; monitoring PCA use; obtaining Doppler pulses and CVP readings; assisting with heparin therapy; and supporting orthopedic care such as traction, splints, braces, CPM machines, and hip and knee precautions. The nurse may also assist with orientation, competencies, emergency preparedness, and other assigned duties. The position requires competency with Microsoft Windows and the ability to work in stressful situations. Work involves patient contact, possible exposure to bloodborne pathogens and infectious materials, and use of personal protective equipment. Physical demands include extended periods of sitting, standing, or walking; postural changes; dexterity and repetitive movements; and lifting or carrying items up to 50 pounds on occasion.

Requirements

Active Registered Nurse credential; the stated credential source is Michigan.
Associate's degree in Nursing.
Demonstrated competency in Microsoft Windows.
Ability to perform the functions of the job, including moving about the facility with or without an assistive device.
Ability to meet the position's physical demands, including frequent sitting, standing, or walking; postural changes; dexterity; and lifting or carrying up to 50 pounds occasionally.
Ability to wear required personal protective equipment and follow bloodborne pathogen and TB testing requirements.
Ability to manage multiple tasks, work independently and with others, maintain regular and predictable attendance, and remain awake during work.
Overall vision and hearing, with or without assistive devices.

Nice To Haves

Bachelor's degree in Nursing.

Responsibilities

Assess patient/client needs and provide skilled nursing services in accordance with physician-authorized plans of care and accepted nursing practice.
Provide direct resident care, including medication administration, treatments, responding to call lights and alarms, and assisting with transfers.
Evaluate treatment effectiveness and collaborate with the care team on updates or revisions to treatment plans.
Process physician/provider orders and perform ordered care accurately, completely, and promptly.
Follow up on medication changes and order clarifications.
Interpret information and report pertinent clinical data to physicians and appropriate team members.
Assess individual learning needs and provide education suited to the patient's needs and ability to learn.
Participate in assigned care conferences and maintain effective working relationships with interdisciplinary personnel.
Coordinate care provided by patient care technicians and organize and prioritize patient-care needs.
Instruct team members when appropriate and explain goals and rationale for individualized care.
Implement clinical and technical care according to established policies and procedures, including use of clinical pathways.
Document care accurately and report significant changes or abnormal findings.
Participate in regulatory surveys, performance improvement activities, orientation, and ongoing competencies.
Maintain a safe and secure patient-care environment and understand emergency-preparedness responsibilities.
Keep current with regulations, guidelines, professional standards, and clinical developments through professional activities, journals, and seminars.
Set up and assist with central-line and chest-tube insertion and provide care for these tubes according to policy and procedure.
Insert cantor, nasogastric, and feeding tubes as ordered and according to proper procedure.
Insert and provide care for IVs.
Provide routine care and instruction for suprapubic catheters and surgical drains; care for and remove drains as ordered.
Remove sutures and skin clips; provide routine ostomy care; irrigate and pack wounds according to orders, procedures, and care plans.
Obtain accurate CVP readings as ordered and according to procedure.
Set up, instruct, and monitor use of PCA.
Obtain Doppler pulses according to procedure.
Provide routine care for gastrostomy and jejunostomy tubes according to procedure and physician orders.
Assist with heparin therapy protocols according to procedure.
Apply basic traction, splints, braces, and CPM machines according to procedure and physician orders.
Cut and trim casts and remove wound drains as ordered and according to procedure.
Maintain total hip and total knee precautions and instruct patients.
Perform other duties as assigned.