Registered Nurse - Acute Rehab - Part-Time - Days -7am-7:30pm Monday thru Friday & every 3rd weekend

5% Market Pay Differential, 10% Night Shift Premium, $2 Weekend Differential, $6,666 Sign On Bonus

About the Role

Use independent professional judgment, analytical skills, and the nursing process to provide a full range of delegated, interdependent, and independent nursing services to patients. Within the framework of the Seven Dimensions of Patient Care and Benner's Domains of Nursing Practice, demonstrates clinical competence; compassion and customer service orientation; focus on process and outcomes; and cost-consciousness when assessing, planning, implementing, and evaluating nursing care provided to patients.

Responsibilities

• Coordinate development of a multi-disciplinary plan of care in accordance with Nursing Problem Care Sets (Core Outcomes and Core Intervention Sets) and/or clinical practice guidelines, age-specific requirements, and professional and regulatory requirements.
• Provide patient care that reflects respect for patient's rights, dignity, values, culture, preferences, and expressed needs.
• Assess patient/family needs for information and education across the continuum, plan and implement patient teaching, and evaluate effectiveness of educational interventions.
• Alleviate patient fears and anxiety through skillful application of professional and interpersonal communication.
• Utilize a variety of pharmacologic and non-pharmacologic approaches to ensure patient comfort and relief of pain, involving patient, family, and significant others in the development of the plan of care.
• Collaborate with patient/family, hospital staff, and community agencies to develop discharge plans that prepare patients for continued care needs.
• Incorporate all elements of Signature Care in daily interactions with patients:
  • Introduce self and write name on whiteboard.
  • Discuss plan of care with patient/family.
  • Explain meds and treatments, provide teaching as appropriate.
  • Ask if patient needs anything else before leaving the room.
• Assess health status and determine care needs of the patient; perform ongoing reassessment as required.
• Complete Admission Assessment and shift assessment, including assessment for Risk Factors (fall, skin breakdown, VTE, aspiration) and initiate appropriate initiatives (SKINN Bundle, Fall Prevention Plan, SCD, etc.).
• Complete Medication Reconciliation upon admission and change in level of care.
• Establish, direct, coordinate, and document plan of nursing care in conjunction with patient/family; initiate Problems and Outcomes list based on medical diagnosis and patient needs.
• Monitor, document, and report patient response to interventions and progress toward outcomes; document nursing interventions (NIC) and progress toward outcomes (NOC), patient education, and evaluation every shift.
• Educate patient regarding treatment plan, safety measures, medications, and self-care; document education activities.
• Work with Case Manager to ensure appropriate referrals are initiated prior to discharge; review discharge plans/instructions with patient, including signs/symptoms to watch for after leaving the hospital.
• Ensure core measures Discharge Instructions are given to all CHF patients.
• Demonstrate knowledge and skill in basic nursing procedures (dressing change, catheterization, NG tube insertion, suctioning).
• Implement/complete medical interventions as ordered; initiate standing orders appropriately.
• Assist with all patient care activities including activities of daily living and provide services for patient comfort, safety, and well-being.
• Assess and initiate interventions to prevent/minimize patient skin breakdown.
• Follow clinical practice guidelines and procedures; establish and maintain peripheral IV therapy.
• Obtain body fluid specimens per procedure; perform blood capillary glucose monitoring.
• Administer medications, IVs, and blood products according to established policies and procedures.
• Prepare patients for surgery or other invasive procedures according to established guidelines.
• Perform or assist with procedures according to established standards of care and nursing practice.
• Utilize equipment based on manufacturer's instructions and established nursing procedure; operate and troubleshoot IV pumps, PCA pumps, epidural pumps, feeding pumps, patient beds, as applicable.
• Regularly review work in progress to ensure treatments, medications, and tests ordered are expeditiously carried out and documented.
• Monitor patient physiologic parameters including vital signs, lab work, I&O, blood glucose; recognize and report meaningful changes and intervene appropriately.
• Monitor presence and intensity of patient's pain on admission, after pain-producing events, with each new report of pain, and routinely at regular intervals; inform patient about pain relief measures and administer pain medication or alternative interventions.
• Recognize acute changes in respiratory, neurologic, and cardiac status and respond appropriately with direct intervention and physician/SWAT notification.
• Utilize SBAR tool or other standardized approach to data collection and information sharing when notifying physician of patient changes/concerns.
• Respond appropriately to life-threatening emergencies through initiation of CPR, assembly of emergency equipment, and immediate interventions.
• Perform emergency equipment checks; provide support for families in crisis/grieving process.
• Communicate with other professionals/departments and physician staff to ensure appropriate progress of patients through the system.
• Monitor individual patient length of stay (LOS); notify case manager and nurse manager of potential LOS/discharge issues.
• Identify ethical issues related to patient care (including advanced directives) and initiate steps for resolution.
• Demonstrate adherence to patient confidentiality requirements; communicate with patients and families cordially, diplomatically, and respectfully.
• Resolve customer concerns/complaints immediately; report unresolved complaints to appropriate personnel.
• Promote a physically safe environment for the patient, including use and documentation of restraints according to policy.
• Utilize universal precautions for all patients; make cost-effective use of supplies and resources.
• Assist in evaluating new products, procedures, and nursing practices.
• Support organizational, nursing department, and unit strategic goals and activities; participate in department and unit-based council/staff activities and meetings.
• Participate in teaching/mentoring of student nurses and orientation of new staff.
• Evaluate own performance utilizing input from peers, co-workers, managers, physicians, and customers; develop a plan for continual improvement.
• Complete yearly safety and unit-specific education requirements (GLI).
• Provide input on appropriate patient care assignments considering patient condition and staff knowledge/experience/workload.
• Provide direction and leadership to other staff by:
  • Clearly communicating expectations/responsibilities to team members.
  • Observing patients and work in progress periodically throughout the shift.
  • Communicating with team members about work to be completed/problems encountered.
  • Assisting team members with patient care activities as needed.
• Use the 4 Ps (patient, pertinent issues, picture, plan) to give appropriate and pertinent information at change-of-shift and/or transfer.
• Participate in the creation and maintenance of a healthy work environment by treating co-workers with respect and resolving conflicts promptly and appropriately.

Qualifications

• Licensed Registered Nurse credentialed from the Michigan Board of Nursing obtained within 2 months (60 days) of hire date or transfer date required.
• Certified BLS provider specializing in Basic Life Support credentialed from the American Heart Association (AHA) obtained within 3 months (90 days).

Schedule

Part-time, 7am – 7:30pm Monday through Friday & every 3rd weekend

Benefits

• 5% Market Pay Differential
• 10% Night Shift Premium
• $2 Weekend Differential
• $6,666 Sign On Bonus

Working Conditions

Normal patient care environment with moderate exposure to excessive noise, dust, temperature, etc. Frequent exposure to communicable diseases, hazardous substances, and moderately adverse working conditions due to performance of patient care activities.

Orientation Requirements

This position requires approximately three (3) to nine (9) months of on-the-job experience to acquire and effectively apply knowledge of unit and departmental policies, procedures, and standards for patient care and professional nursing practice.