Registered Nurse RN- ED

MyMichigan Health•Saginaw, MI

4d•Onsite

About The Position

The Registered Nurse (RN) works primarily in direct patient care and demonstrates competent clinical practice in the Emergency Department. The RN triages patients; obtains histories and vital signs; assesses patients; and initiates immediate care independently in life-threatening situations when a physician is absent. The position provides care for both acutely ill and non-acute patients, performs procedures using a range of nursing skills, and assists physicians with procedures. The RN 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 role involves sophisticated equipment and care for diverse patients in a frequently stressful environment. The RN assesses patient needs, provides skilled nursing services in accordance with physician-authorized plans and accepted nursing standards, processes provider orders, evaluates treatment effectiveness, and collaborates with the care team to update plans. The role also includes patient and family education, documentation, maintaining a safe environment, and prioritizing Emergency Department care according to acuity. The position requires an associate degree in nursing; a bachelor's degree is preferred. An RN license is required, along with specified life-support, trauma, emergency pediatric, aggression-management, and incident-management credentials within the stated timeframes. The role typically requires knowledge gained through two years of experience in the medical center or a similar setting. Weekend RN positions require at least two years of experience.

Requirements

Associate degree in nursing; bachelor's degree preferred.
Registered Nurse (RN) credential, with Michigan listed as the qualification source.
ACLS certification within 12 months of hire or transfer.
BLS certification from AHA within 3 months of hire or transfer.
TNCC or ATCN within 12 months of hire or transfer.
PALS within 24 months of hire or transfer.
ENPC: 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 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 within 6 months of hire or transfer.
NIMS IS 700 within 6 months of hire or transfer.
Knowledge of nursing skills normally acquired through two years of experience working in the medical center or a similar setting.
Weekend RN positions require a minimum of two years of experience.
Ability to wear personal protective equipment, including latex materials or an appropriate substitute if required.
Ability to move freely about the facility, with or without an assistive device, and perform the functions of the job.
Vision and hearing adequate for the role, with or without assistive devices.
Ability to handle multiple tasks, work independently and with others, maintain regular and predictable attendance, and stay awake.
Overall dexterity, including handling, reaching, grasping, fingering, and feeling; these movements may be repeated regularly or frequently.
Ability to meet the stated medium physical-demand requirements, including lifting or carrying 21–50 pounds occasionally, 20 pounds frequently, and 10 pounds constantly; walking, standing, pushing, and pulling are also specified.

Nice To Haves

Bachelor's degree in nursing.
Weekend RN positions require a minimum of two years’ experience.

Responsibilities

Triage patients and obtain patient histories, vital signs, and assessments.
Initiate immediate care independently in life-threatening situations when a physician is absent.
Provide nursing care to acutely ill and non-acute patients, including procedures and assistance with physician procedures.
Provide physical and psychological comfort to patients, families, and visitors, and give discharge and follow-up instructions.
Answer ambulance radios and provide appropriate pre-hospital care orders.
Perform nursing assessments, intervene promptly and appropriately, and participate in care planning.
Assess patient needs and provide skilled nursing services according to the physician-authorized plan of care and accepted nursing standards.
Process physician/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 to identify patient problems and care needs, recognize limitations, and seek appropriate resources.
Apply clinical skills in airway management, cardiac monitoring, IV therapy, blood gas analysis, venipuncture, and physical assessment.
Reassess patient health status, identify significant changes, and take action to manage symptoms and promote comfort.
Individualize and coordinate the plan of care with orders from the health care team.
Communicate relevant care information 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 standards of care, prioritizing Emergency Department patients according to acuity.
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.
Use effective interpersonal skills, assist peers in patient care, 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 if required.