Registered Nurse RN- Specialty Surgery

MyMichigan Health•Midland, MI

About The Position

The Registered Nurse provides direct patient and resident care and delegates appropriate tasks to patient care technicians. The role maintains knowledge of and compliance with applicable local, state, and federal regulations and guidelines. It requires basic medical-surgical knowledge to care for general surgical and orthopedic surgical patients, as well as communication skills to interact clearly and effectively with individuals and groups at all levels. The nurse assesses patient needs, provides skilled nursing services in accordance with physician-authorized plans of care and accepted nursing standards, administers medications and treatments, processes provider orders, and evaluates treatment effectiveness in collaboration with the care team. The position also provides patient education, coordinates care, documents clinical information, and performs a range of ordered nursing procedures involving tubes, IVs, drains, wounds, ostomies, monitoring, and orthopedic precautions.

Requirements

Registered Nurse (RN) credential; qualification source listed as Michigan.
Associate degree in nursing.
Basic Life Support (BLS) certification within 3 months of hire or transfer; qualification source listed as AHA.
TEAM Advanced (Techniques for Effective Aggression Management) certification within 6 months of hire or transfer. Employees in the position on or before December 31, 2023, have 24 months to complete it.
For employees hired after January 1, 2025, completion and passing of the Telemetry Monitoring and Management class (DIMC) within 12 months of hire or transfer.
Interpersonal skills to communicate effectively with individuals and groups at all levels.
Competency in Microsoft Windows and willingness to participate in further learning opportunities offered by MyMichigan Health.
Ability to handle multiple tasks, work independently and with others, maintain regular and predictable attendance, and stay awake.
Ability to perform the job functions, move about the facility with or without an assistive device, and meet the stated physical demands.
Overall vision and hearing, with or without assistive devices, and dexterity for handling, reaching, grasping, fingering, and feeling.
Ability to wear required personal protective equipment, including latex materials or an appropriate substitute.
Ability to meet the medium physical demand level: occasionally lift or carry 21–50 pounds; frequently handle 20 pounds and walk, stand, push, or pull; and constantly handle 10 pounds.

Nice To Haves

Bachelor’s degree in nursing preferred.

Responsibilities

Assess patient and client needs and provide skilled nursing services in accordance with physician-authorized plans of care and accepted nursing standards.
Provide direct patient care, including medication administration, treatments, responding to call lights and alarms, and assisting with transfers.
Evaluate treatment-plan effectiveness and collaborate with team members on updates or revisions to improve patient care.
Process physician or provider orders and carry out ordered care accurately, completely, and promptly.
Follow up on medication changes and clarify orders as needed.
Interpret clinical information and report pertinent data and significant changes or abnormal findings to physicians and appropriate team members.
Assess learning needs and provide education suited to patients’ readiness, abilities, preferences, and cultural or spiritual variables.
Participate in assigned care conferences and maintain collaborative working relationships with interdisciplinary personnel.
Coordinate the care provided by patient care technicians; organize and prioritize patient needs and manage unit assignments and routine duties.
Instruct team members when appropriate, including explaining goals and rationale for individualized care.
Implement clinical and technical care according to established policies and procedures; understand and appropriately use clinical pathways.
Document care accurately and clearly, including pertinent clinical data.
Participate in regulatory surveys and performance-improvement activities; assist with orientation and ongoing competencies.
Provide a safe and secure environment, monitor for risks of injury, and understand the role in emergency-preparedness procedures.
Keep current with regulations, guidelines, and professional standards through professional association activities, journals, and seminars.
Insert and care for Cantor, nasogastric, and feeding tubes as ordered and according to procedure; insert and care for IVs.
Provide ordered care and instruction for suprapubic catheters, surgical drains, and gastrostomy or jejunostomy tubes; 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 central venous pressure readings and Doppler pulses according to orders and procedures.
Set up, instruct, and monitor patient-controlled analgesia (PCA).
Assist with heparin therapy protocols according to procedures.
Apply basic traction, splints, braces, and continuous passive motion (CPM) machines according to orders and procedures; cut or trim casts as required.
Maintain total hip and total knee precautions and instruct patients in those precautions.
Remain calm and efficient in stressful situations.
Perform other duties as assigned.