RN - Ambulatory Care

MyMichigan Health•Sault Ste. Marie, MI

About The Position

Coordinates total nursing care for patients of all ages undergoing surgical interventions and medical procedures. Participates in patient and family teaching and provides leadership by working cooperatively with ancillary nursing and other patient-team personnel to maintain professional nursing standards of care. May be required to take call and respond in a timely manner, and may be required to cross-train to other areas of the surgical services department as determined by departmental needs. The role includes assessing patients, providing skilled nursing services in accordance with physician-authorized plans of care and accepted nursing standards, processing provider orders, evaluating and updating treatment plans, and coordinating care with other team members. The nurse communicates with patients, families, and healthcare workers; documents interventions and responses; supports education and referrals; and maintains a safe, respectful care environment. The position requires an associate degree in nursing and Michigan RN licensure. The posting specifies one year of experience as an RN, Graduate Nurse, or Nurse Intern, while the certification/licensure section also describes nursing skills normally acquired through two years of experience in a medical center or similar setting. BLS is required within three months of hire or transfer, ACLS within 12 months, and PALS within 18 months. Fingerprinting is listed as a credential without a stated timeframe.

Requirements

  • Associate degree in nursing.
  • Registered Nurse licensure in the State of Michigan.
  • One year of experience as an RN, Graduate Nurse, or Nurse Intern.
  • The posting also describes nursing skills normally acquired through two years of experience working in a medical center or similar setting.
  • BLS certification through AHA required within three months of hire or transfer.
  • ACLS certification required within 12 months of hire or transfer.
  • PALS certification required within 18 months of hire or transfer.
  • Fingerprinting credential is listed; no timeframe is specified.
  • Clinical competence in airway management, cardiac monitoring, IV therapy, blood gas analysis, venipuncture, and physical assessment.
  • Competency in Microsoft Windows; further learning may be required.
  • Ability to handle multiple tasks, work independently, get along with others, maintain regular and predictable attendance, and stay awake.
  • 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 job functions described.
  • Overall vision and hearing 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/or walk, stand, push, or pull arm/leg controls; and constantly handle 10 pounds.

Responsibilities

  • Perform nursing assessments, intervene appropriately and promptly, and participate in care planning.
  • Assess patient/client needs and provide skilled nursing services as prescribed by the physician-authorized plan of care and accepted standards of nursing practice.
  • 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.
  • Participate in updating and revising treatment plans in collaboration 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.
  • Reassess patient health status and identify significant changes in condition.
  • Individualize plans of care and coordinate prescribed plans with healthcare-team orders.
  • Communicate relevant aspects of care to patients, families, and other healthcare workers.
  • Initiate home-health referrals when appropriate.
  • Set priorities and implement nursing measures that align with the care plan and standards of care.
  • Recognize changes in patient condition and act 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 given to families.
  • Assist peers with patient-care activities.
  • Set goals and prioritize care according to patient acuity.
  • Follow medical center policies and procedures and maintain work attendance.
  • Participate in continuing education, medical-center computer-based learning modules, in-service training, and Skills Day.
  • Demonstrate competency in Microsoft Windows and participate in additional learning opportunities offered by MyMichigan Health when required.
  • Take call and respond in a timely manner when required.
  • Cross-train to other areas of the surgical services department when required by departmental needs.
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