Registered Nurse RN

MyMichigan Health•Gladwin Township, MI

About The Position

The Registered Nurse (RN) provides direct patient care and demonstrates competent clinical practice. The RN triages patients; obtains histories and vital signs; assesses patients; and provides care to acutely ill and non-acute patients. In life-threatening situations and when a physician is absent, the RN independently initiates immediate care. The position involves performing nursing procedures using simple and complex skills, assisting physicians with procedures, providing physical and psychological comfort to patients and their families, and giving discharge and follow-up instructions. The RN also responds to ambulance radios and gives appropriate pre-hospital care orders without assistance. The work involves sophisticated equipment and varied patients in a frequently stressful environment. The RN assesses patient needs, provides skilled nursing services under physician-authorized plans of care and accepted nursing standards, processes provider orders, evaluates treatment effectiveness, and collaborates with the healthcare team to update care plans. The role includes patient and family education, documentation, maintaining a safe environment, and coordination of referrals when appropriate. Employees may be required to float between West Branch and Gladwin beginning July 1, 2026. Candidates need an Associate's Degree in Nursing and a Michigan RN license. The position requires knowledge of nursing skills normally acquired through two years of experience in a medical center or similar setting; weekend RN positions require at least two years of experience. Required certifications and credentials include RN licensure, ACLS, TNCC or ATCN, PALS, BLS, ENPC, fingerprinting, TEAM Advanced, and NIMS IS 100 and IS 700, with specified post-hire completion deadlines for several certifications. The role includes exposure to stressful situations, trauma, grief, death, and potentially infectious materials. Employees must be able to wear required personal protective equipment, move about the facility, and meet the position's physical and sensory requirements. The physical demand level is medium, including lifting or carrying up to 50 pounds occasionally and handling lighter loads more frequently. Annual TB testing and OSHA training are required. Employees must demonstrate competency in Microsoft Windows and may be required to participate in additional learning opportunities.

Requirements

Associate's Degree in Nursing.
Registered Nurse licensure in the State of Michigan.
Two years of nursing experience in a medical center or similar setting; weekend RN positions require at least two years of experience.
ACLS certification within 12 months of hire or transfer.
TNCC or ATCN certification within 12 months of hire or transfer.
PALS certification within 12 months of hire or transfer.
BLS certification within one month of hire or transfer.
ENPC certification within 18 months of hire or transfer.
Fingerprinting credential or requirement.
TEAM Advanced certification within six months of hire or transfer, with a 24-month completion period for employees in the position on or before December 31, 2023.
NIMS IS 100 completion within six months of hire or transfer.
NIMS IS 700 completion within six months of hire or transfer.
Knowledge of airway management, cardiac monitoring, IV therapy, blood gas analysis, venipuncture, and physical assessment.
Ability to handle multiple tasks, work independently, get along with others, maintain regular and predictable attendance, and stay awake.
Ability to move freely about the facility with or without an assistive device and perform the job's functions.
Vision and hearing sufficient to perform the role, with or without assistive devices.
Ability to wear personal protective equipment, including latex materials or an appropriate substitute if required.
Ability to sit, stand, and walk for extended periods and make frequent postural changes, including stooping, kneeling, or crouching.
Dexterity for handling, reaching, grasping, fingering, and feeling, potentially on a regular to frequent basis.
Ability to occasionally lift or carry 21–50 pounds, frequently handle 20 pounds and perform walking, standing, pushing, or pulling, and constantly handle 10 pounds.
Complete annual tuberculosis testing and OSHA training according to the Exposure Control Plan.
Demonstrate competency in Microsoft Windows.

Responsibilities

Perform nursing assessments, intervene promptly and appropriately, and participate in care planning.
Assess patient and client needs regularly and provide skilled nursing services as prescribed by the physician-authorized plan of care and accepted nursing standards.
Process physician and provider orders accurately, completely, and promptly; follow up on medication changes and order clarifications.
Evaluate treatment-plan effectiveness and suggest or facilitate changes to improve patient care.
Collaborate with team members to update and revise treatment plans using current information.
Use physical assessment techniques, including auscultation, percussion, palpation, and observation, to identify physical problems and care needs.
Recognize limitations and seek appropriate resources.
Reassess patient health status and identify significant changes in condition.
Individualize plans of care and coordinate prescribed plans with healthcare-team orders.
Communicate pertinent care information to patients, families, and other healthcare workers.
Initiate home health referrals when appropriate.
Set priorities and implement nursing measures consistent with the identified plan and standards of care.
Recognize changes in patient condition and act to manage, reduce, or eliminate symptoms and promote comfort.
Respect patient dignity and privacy.
Document nursing interventions and patient responses.
Maintain a safe patient environment and take action to prevent risks.
Educate patients and families about procedures, use available educational materials, and document instructions provided.
Set goals and prioritize Emergency Department care according to patient acuity.
Follow medical center policies and procedures and maintain work attendance.
Participate in continuing education, medical center NetLearning modules, ED in-services, and ED Skills Day.
Assist peers with patient care activities and use positive coping techniques when recognizing stress in others.
Answer ambulance radios and give appropriate orders for pre-hospital care.
Provide discharge and follow-up instructions to patients and families.
Assist physicians with procedures and perform procedures using simple and complex nursing skills.
Demonstrate competency in Microsoft Windows and participate in additional learning opportunities as required.
Float between West Branch and Gladwin if required beginning July 1, 2026.
Perform other duties as assigned.