Registered Nurse RN

MyMichigan Health•Midland, MI

About The Position

The Registered Nurse (RN) functions primarily in direct patient care and demonstrates competent clinical practice. The role triages patients, obtains patient histories and vital signs, assesses patients, and independently initiates immediate care in life-threatening situations when a physician is absent. The RN provides care to acutely ill and non-acute patients, performs procedures using simple and complex nursing skills, and assists physicians with procedures. The RN provides physical and psychological comfort to patients, families, and visitors using the Relationship Based Care (RBC) model; gives discharge and follow-up instructions; and answers ambulance radios, providing appropriate orders for pre-hospital care without assistance. The position involves sophisticated equipment and caring for varied patients in a frequently stressful environment. The RN provides and evaluates skilled nursing care, contributes to individualized care plans, processes provider orders, communicates and coordinates care with patients, families, and the health care team, and documents interventions and patient responses. The role includes Emergency Department prioritization according to patient acuity, patient and family education, maintaining a safe environment, and participation in continuing education and training. Required certifications and courses must be completed within the specified timeframes after hire or transfer.

Requirements

Associate's degree in Nursing is required.
Registered Nurse licensure in the State of Michigan is required.
Two years of experience working in the medical center or a similar setting.
Clinical competence in airway management, cardiac monitoring, intravenous therapy, blood gas analysis, venipuncture, and physical assessment.
ACLS (Advanced Cardiac Life Support) within 12 months of hire or transfer.
BLS (Basic Life Support) within 3 months of hire or transfer.
ENPC (Emergency Nurse Pediatric Course) within 18 months of hire or transfer.
PALS (Pediatric Advanced Life Support) within 24 months of hire or transfer.
TNCC (Trauma Nurse Core Course) or ATCN within 12 months of hire or transfer.
TEAM ADVANCED (Techniques for Effective Aggression Management) within 6 months of hire or transfer; employees in the position on or before 12/31/2023 have 24 months to complete it.
NIMS IS 100 (Introduction to the Incident Command System) within 6 months of hire or transfer.
NIMS IS 700 (Introduction to the National Incident Management System) within 6 months of hire or transfer.
NIH Stroke training within 6 months of hire or transfer, renewed annually.
Demonstrate competency in Microsoft Windows and participate in further learning opportunities offered by MyMichigan Health when required.
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.
Overall vision and hearing, with or without assistive devices.
Ability to handle multiple tasks, work independently, get along with others, maintain regular and predictable attendance, and stay awake.
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/or walk, stand, or use arm/leg controls for pushing or pulling, and constantly handle 10 pounds.

Nice To Haves

Bachelor's degree in Nursing is preferred.

Responsibilities

Perform nursing assessments, intervene promptly and appropriately, and participate in care planning.
Assess patient and client needs 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 to identify patient problems and care needs; recognize personal limitations and seek appropriate resources.
Reassess patient health status and identify significant changes in condition.
Individualize plans of care and coordinate prescribed plans with health care team orders.
Communicate relevant 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 identified 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 act to prevent risks.
Educate patients and families about procedures, use available educational materials, and document instructions given to family members.
Set goals and prioritize Emergency Department care according to patient acuity.
Follow medical center policies and procedures and meet work attendance expectations.
Participate in continuing education, Medical Center computer-based learning modules, and Emergency Department in-service training.
Answer ambulance radios and independently provide appropriate pre-hospital care orders.
Assist peers with patient care activities and use positive coping techniques when recognizing stress in others.
Perform other duties as assigned.