Registered Nurse - PACU II: Full-Time -1p-1130p, Mon-Fri. No weekends or on-call. Holidays as required.; 40 hours per pay

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

PACU II

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. Establish, direct, coordinate and document plan of nursing care in conjunction with patient/family. Initiate Problems and Outcomes list (plan-of-care) 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, 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.
• Monitor patient physiologic parameters including vital signs, lab work, I&O, blood glucose; recognize and report meaningful changes and intervene appropriately. Document interventions accordingly. Recognize acute changes in respiratory status, neurologic status, and cardiac status and respond appropriately with direct intervention and physician/SWAT notification. Recognize acute changes in urinary output and respond appropriately with direct action and physician 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 (as allowable and indicated). 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.

Qualifications

• Current Registered Nurse license in Michigan.
• Current BLS certification.
• Experience in PACU setting preferred.

Benefits

• 5% Market Pay Differential
• Increased Night Shift Premium - 10%
• $2 Weekend Differential

Pay

40 hours per pay

Schedule

Full-time 1p-1130p, Mon-Fri. No weekends or on-call. Holidays as required.