Registered Nurse - MICU - Part-Time Nights - 7pm-7:30am Mon thru Fri & every 3rd weekend

General Summary

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, demonstrate 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.

Department

MICU

Schedule

• Part-time 7pm – 7:30am Monday thru Friday & every 3rd weekend
• 36-60 hours per pay period

Hospital

Henry Ford Health Genesys

Location

Grand Blanc, Michigan

Responsibilities

• Seven Dimensions of Patient Care: 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 to ensure appropriate length of stay, use of resources, and achievement of quality outcomes.
• Provide patient care that reflects a 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 using a variety of techniques and methods, and evaluate effectiveness of educational interventions.
• Help to alleviate patient fears and anxiety through skilled application of professional and interpersonal communication. Utilize a variety of pharmacologic and non-pharmacologic approaches to ensure patient comfort and relief of pain. Involves patient, family, significant others in development of plan of care.
• Collaborate with patient/family, hospital staff, and community agencies to develop discharge plans that prepare patients for continued care needs.
• Orientation Self-Evaluation: (C) Competent (NT) Needs Training or Review.
• Standards of Performance: Seven Domains of Nursing Practice. Helping/Teaching & Coaching: Incorporate all elements of Signature Care in Daily interactions with patient.
• Administration of Therapeutic Regimens: Demonstrate knowledge and skill application of basic nursing procedures - dressing change, catheterization, NG tube insertion, suctioning. Implement/complete medical interventions as ordered. Initiate standing orders appropriately. Initiate and/or assists with all patient care activities including activities of daily living and provides other services as required for patient comfort, safety, and well-being.
• 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, as required. Educate patient regarding treatment plan, safety measures, medications, and self-care as indicated. Document education activities on shift assessment flowsheet and plan of care (POC).
• Work with Case Manager to ensure appropriate referrals initiated prior to discharge. Review discharge plans/instructions with patient prior to discharge, including signs/symptoms to watch for after leaving the hospital. Ensure appropriate follow-up arranged. Ensure that core measures Discharge Instructions are given to all CHF patients. Document patient care according to established documentation guidelines.
• Perform emergency equipment checks. Provide appropriate support/summons appropriate resources for families in crisis/grieving process. Ensure Quality of Health Care Practices. 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 issues related to advanced directives) and initiate steps for resolution.
• Communicate with patients and families cordially, diplomatically, and respectfully. Act to resolve customer concerns/complaints immediately; reports complaints that cannot be immediately resolved to Patient Care Director, Clinical Manager, or House Supervisor. 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, nursing practices. Support organizational, nursing department, and unit strategic goals and activities; participates in department and unit based council/staff activities meetings. Support and actively participates in Nursing Department and unit specific quality monitoring and quality improvement activities. Participate in teaching/mentoring of student nurses and orientates. Evaluate own performance utilizing input from peers, co-workers, managers, physicians, customers, and develops a plan for continual improvement. (Does not include formal peer review.) Complete yearly safety and unit specific education requirements (GLI).
• Provide input on appropriate patient care assignments; taking into consideration patient condition and knowledge/experience/work load of staff. 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. Assisting other "teams" as situation requires. 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. Communicating to co-workers with respect; resolving conflicts and/or negative feelings promptly, privately, and appropriately. Taking responsibility for personal actions, behaviors, and attitudes and not displacing anger or frustration onto co-workers, patients, or families.

Qualifications

This position, aside from the above requirements, will require approximately three (3) to nine (9) months on-the-job experience in order to acquire and effectively apply knowledge of unit and departmental policies, procedures, and standards for patient care and professional nursing practice.