Registered Nurse - PACU II: Part-Time, 11a-930p, Mon-Fri. No weekends or on-call. Holidays as required.

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.

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.
• Collaborate with patient/family, hospital staff, and community agencies to develop discharge plans that prepare patients for continued care needs.

Standards of Performance

• Seven Domains of Nursing Practice.
• Helping/Teaching & Coaching: Incorporate all elements of Signature Care in Daily interactions with patient.

Orientation Self-Evaluation

(C) Competent (NT) Needs Training or Review.

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.
• Assess and initiate interventions to prevent/minimize patient skin breakdown. Follow clinical practice guidelines and procedures as written. Establish and maintain peripheral IV therapy. Obtain body fluid specimens, per procedure. Obtain blood specimens if no phlebotomist assigned to area. Perform blood capillary glucose monitoring. Administer the following according to established policies and procedures: Medications. IVs. Blood products.
• 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 manufacturers instructions and established nursing procedure. Correctly operate and troubleshoot IV pumps, PCA pumps, epidural pumps, feeding pumps, patient beds, as applicable.

Monitoring Patient Responses/Responding to Changing Patient Situations

• Regularly reviews work in progress to ensure that treatments, medications, and tests ordered are expeditiously carried out and documented. Review patient medical record/reports and confer with physician regarding treatment plans. Routinely check chart for new orders.
• Maintain ongoing assessment of patient physiologic parameters including vital signs, lab work, I&O, blood glucose; recognize and report meaningful changes and intervene appropriately. Document interventions accordingly.
• Monitor patient for acute changes in respiratory status, neurologic status, and cardiac status. Recognize and respond appropriately to acute changes 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 (as allowable and indicated).

Organizational and Work Role

• 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. Observe patients and work in progress periodically throughout the shift. Communicate with team members about work to be completed/problems encountered. Assist team members with patient care activities as needed. Assist 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. Communicate to co-workers with respect; resolve conflicts and/or negative feelings promptly, privately, and appropriately. Take responsibility for personal actions, behaviors, and attitudes and not displace anger or frustration onto co-workers, patients, or families.
• Communicate appropriate patient care issues/concerns to nurse manager. Respond appropriately to changes in unit workloads, patient census, and/or staffing levels.

Educational and Experience Requirements

• Licensed Registered Nurse credentialed from the Michigan Board of Nursing obtained within 2 Months (60 days).