Registered Nurse - PACU II: Part-Time; 5am-3:30pm, 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. Involve 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.

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.
• Obtains 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 trouble shoot 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 confers with physician regarding treatment plans. Routinely checks chart for new orders.
• Maintain awareness 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; 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 (as allowable and indicated).
• Perform emergency equipment checks.
• Provide appropriate support/summons appropriate resources for families in crisis/grieving process.

Evaluating Own Performance

• Evaluate own performance utilizing input from peers, co-workers, managers, physicians, customers, and develop a plan for continual improvement.

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.
• Interact with patients/families, other nursing staff members, physicians, and other hospital personnel.

Education/Experience Requirements

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