Registered Nurse RN- ED

MyMichigan Health•Saginaw, MI

About The Position

The Registered Nurse (RN) works primarily in direct patient care and demonstrates competent clinical practice in the Emergency Department. The role triages patients; obtains histories and vital signs; assesses patients; and initiates immediate care independently in life-threatening situations when a physician is absent. The RN cares for acutely ill and non-acute patients, performs procedures using simple and complex nursing skills, and assists physicians with procedures. The role provides physical and psychological comfort to patients, families, and visitors; gives discharge and follow-up instructions; and answers ambulance radios, providing appropriate pre-hospital care orders without assistance. The position involves sophisticated equipment and caring for varied patient populations 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 care team to update plans. The position also includes patient and family education, documentation, coordination of referrals and care, and maintaining a safe patient environment. Required credentials include an RN license and specified life-support, trauma, emergency nursing, aggression-management, and incident-management certifications, with completion deadlines after hire or transfer. An associate degree in nursing is required; a bachelor’s degree is preferred. The job requires nursing knowledge typically acquired through two years of experience in a medical center or similar setting. Weekend RN positions require at least two years of experience.

Requirements

Associate degree in nursing.
Current Registered Nurse credential/license; qualification source: MI.
Knowledge of nursing skills typically acquired through two years of experience working in a medical center or similar setting.
Weekend RN positions require a minimum of two years of experience.
ACLS certification within 12 months of hire or transfer.
BLS certification through AHA within 3 months of hire or transfer.
TNCC or ATCN certification within 12 months of hire or transfer.
PALS certification within 24 months of hire or transfer.
ENPC certification: new employees have 12 months from hire or transfer; employees at Saginaw, Tawas, and Standish locations have until January 1, 2026. This is a one-time requirement for the position.
TEAM ADVANCED (Techniques for Effective Aggression Management) certification within 6 months of hire or transfer; employees in the position on or before August 1, 2024 have 24 months to complete it.
NIMS IS 100 certification within 6 months of hire or transfer.
NIMS IS 700 certification within 6 months of hire or transfer.
Ability to handle multiple tasks, work independently, get along with others, maintain regular and predictable attendance, and stay awake.
Ability to wear required personal protective equipment, including latex materials or an appropriate substitute.
Ability to move freely about the facility, with or without an assistive device, and perform the job functions described.
Vision and hearing sufficient to perform the role, with or without assistive devices.
Dexterity for handling, reaching, grasping, fingering, and feeling, potentially repeated regularly or frequently.
Ability to occasionally lift or carry 21–50 pounds, frequently handle 20 pounds and walk, stand, push, pull, or operate arm/leg controls, and constantly handle 10 pounds.

Nice To Haves

Bachelor’s degree in nursing preferred.

Responsibilities

Perform nursing assessments, intervene promptly and appropriately, and participate in care planning.
Assess patient or client needs regularly and provide skilled nursing services as prescribed by the physician-authorized plan of care and accepted nursing standards.
Process physician or provider orders accurately, completely, and promptly; follow up on medication changes and order clarifications.
Evaluate the effectiveness of treatment plans and suggest or facilitate changes to improve patient care.
Participate in updating and revising treatment plans with other team members using current information.
Use physical assessment techniques to identify physical problems and patient-care needs, recognize limitations, and seek appropriate resources.
Provide care involving airway management, cardiac monitoring, IV therapy, blood gas analysis, venipuncture, and physical assessment.
Reassess patient health status and identify significant changes in condition.
Individualize plans of care and coordinate prescribed plans with the health-care team’s orders.
Communicate pertinent aspects of care to patients, families, and other health-care workers.
Initiate home-health referrals when appropriate.
Set priorities and implement nursing measures consistent with the care plan and standard of care.
Recognize changes in patient condition and take action 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.
Assist peers with patient-care activities and use positive coping techniques when recognizing stress in others.
Follow medical center policies and procedures and maintain work attendance.
Participate in continuing education, computer-based learning modules, ED in-service training, and ED Skills Day.
Demonstrate competency in Microsoft Windows and participate in further learning opportunities offered by MyMichigan Health when required.