Registered Nurse - Surgery - Full Time 7am - 3:30pm rotational weekends, rotational holidays, rotational call; 40 hours per week

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

Surgery

Hospital

Henry Ford Health Genesys

Location

Grand Blanc, Michigan

Sign On Bonus

• $10,000

Premiums

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

Qualifications

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.

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 skilful 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.

Administer the following according to established policies and procedures: Medications. IVs. Blood products. 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. Monitor patient responses/responding to changing patient situations. Regularly review 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. 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, cardiac status, and urinary output 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 (as allowable and indicated). Perform emergency equipment checks. Provide appropriate support/summon 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; report 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; participate in department and unit-based council/staff activities meetings. Support and actively participate 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 develop 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/workload 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.