About The Position

The Registered Nurse manages patient care throughout the stay under general supervision and in accordance with organizational, unit, and Michigan Public Health Code requirements. The nurse uses the nursing process to assess, plan, diagnose, implement, and evaluate care; coordinates care provided by other professionals; delegates appropriate tasks; provides physical care within professional nursing scope; and documents and communicates patient responses, resource use, and anticipated needs during each tour of duty. Direct-care employees must demonstrate competencies for the patient population served. The position follows a 12-hour day shift and is full-time, scheduled for 36 hours per week, in the Labor/Delivery Unit at Bronson Methodist Hospital in Kalamazoo. The role includes assessing patients, identifying problems, developing individualized plans and expected outcomes, implementing and evaluating interventions, educating patients and families, coordinating discharge planning, and collaborating with the care team. Nurses are expected to uphold professional practice standards, participate in quality improvement and ongoing education, support colleagues, protect patient rights, integrate research and evidence-based practice, and promote safety and effective use of resources. Additional duties described for particular RN assignments include scrub RN responsibilities, rotational after-hours call, department-specific on-call requirements, swing-bed duties, and virtual nursing services. These are conditional role-specific duties and are not stated as requirements for this Labor/Delivery position. For Labor & Delivery nurses at Bronson Methodist Hospital and Bronson Battle Creek, the Fetal Monitoring Credential is required within six months of completing the AWHONN intermediate fetal monitoring course; NCC Electronic Fetal Monitoring board certification is an alternative preferred qualification, but is not required.

Requirements

  • Associate degree in Nursing.
  • Licensed Registered Nurse in good standing in the state of Michigan.
  • BLS certification by completion of core orientation.
  • Nurses hired without a BSN or higher nursing degree must obtain a BSN within eight years of hire; failure to do so results in termination.
  • Ability to read, interpret, and analyze data from computer systems and equipment to determine an appropriate course of action.
  • Ability to communicate constantly verbally, in writing, and electronically.
  • For Labor & Delivery RNs at BMH and BBC, the Fetal Monitoring Credential is required within six months of completing the AWHONN intermediate fetal monitoring course.

Nice To Haves

  • Bachelor's degree in Nursing is preferred.
  • For Labor & Delivery RNs at BMH and BBC, NCC Electronic Fetal Monitoring (C-EFM) board certification is preferred as an alternative to the Fetal Monitoring Credential, but is not required.
  • Critical care, ALS, or other certifications may be required for some RNs depending on unit-specific needs.

Responsibilities

  • Collect comprehensive patient and situation data, assess physical and developmental needs, review vital signs, and document nursing history and patient needs and strengths.
  • Analyze assessment data to identify patient problems, confirm problems with patients and families when appropriate, and document expected outcomes and plans of care.
  • Develop individualized expected outcomes and plans of care using patient and family input, clinical pathways where appropriate, and information from the healthcare team.
  • Implement appropriate, evidence-based interventions; administer prescribed medications and treatments; maintain patient comfort and safety; and initiate and coordinate patient education.
  • Organize and delegate patient-care interventions appropriately, and evaluate the effectiveness of care provided by self and others.
  • Evaluate patient progress and responses toward expected outcomes and document the results.
  • Coordinate care with other professionals, patients, and families, including discharge planning and use of the continuum of care when outcomes are not achieved.
  • Document and communicate patient response to care, resource consumption, and anticipated needs during each tour of duty.
  • Participate in quality improvement activities and use their results to inform changes in nursing practice.
  • Maintain current knowledge and competency through ongoing educational activities and professional records.
  • Evaluate own practice against professional standards, guidelines, statutes, rules, and regulations; participate in self-evaluation and peer review as appropriate.
  • Share knowledge with colleagues, foster supportive working relationships, and contribute to a healthy professional work environment.
  • Protect patient autonomy, dignity, confidentiality, and rights; act as a patient advocate and provide culturally and ethnically sensitive care.
  • Use research and evidence-based practice to improve patient health and nursing practice; participate in research activities appropriate to education and role.
  • Consider safety, effectiveness, cost, and impact when planning and delivering nursing services; delegate tasks based on patient needs and task complexity.
  • Provide leadership in the professional practice setting, participate in nursing councils or committees as appropriate, attend at least 50% of unit staff meetings, and support a healthy professional environment.
  • For Labor & Delivery RNs at BMH and BBC, obtain the Fetal Monitoring Credential within six months after completing the AWHONN intermediate fetal monitoring course, or alternatively pursue the preferred NCC C-EFM board certification.
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