RN -Registered Nurse - 3S Telemetry - FT Days 7am-7:30pm Monday - Friday & every 3rd weekend

About the role

This position provides 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.

Responsibilities

• 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.
• Assess patient/family needs for information and education across the continuum, plans and implements patient teaching using a variety of techniques and methods, and evaluates 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.
• Perform ongoing reassessment as required.
• Complete Admission Assessment and shift assessment as required. Complete assessment for Risk Factors; including fall, skin breakdown, VTE, and aspiration. Initiate appropriate initiatives as indicated.
• Complete Medication Reconciliation upon admission and change in level of care.
• 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. Ensures appropriate follow-up arranged. Ensure that core measures Discharge Instructions are given to all CHF patients. Document patient care according to established documentation guidelines.
• 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 operates and trouble shoots IV pumps, PCA pumps, epidural pumps, feeding pumps, patient beds, as applicable.
• Maintain peripheral IV therapy.
• Obtains blood specimens if no phlebotomist assigned to area. Perform blood capillary glucose monitoring.
• Monitor patient physiologic parameters including vital signs, lab work, I&O, blood glucose; recognizes and reports meaningful changes and intervenes appropriately.
• Recognize acute changes in respiratory status - dyspnea, cyanosis, tachypnea, respiratory depression, airway obstruction and responds appropriately with direct intervention and physician/SWAT notification.
• Recognize acute changes in neurologic status/decreased LOC and responds appropriately with direct intervention and physician/SWAT notification.
• Recognize acute changes in cardiac status - tachycardia, chest pain and responds appropriately with direct intervention and physician/SWAT notification.
• Recognize acute changes in urinary output and responds 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).
• Provide appropriate support/summons appropriate resources for families in crisis/grieving process.
• Ensure that core measures Discharge Instructions are given to all CHF patients.
• Communicate with other professionals/departments and physician staff to ensure appropriate progress of patients through the system. Monitor individual patient length of stay (LOS); notifies case manager and nurse manager of potential LOS/discharge issues.
• Identify ethical issues related to patient care (including issues related to advanced directives) and initiates steps for resolution.
• Demonstrate adherence to patient confidentiality requirements. 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.
• 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.

Qualifications

Licensed Registered Nurse credentialed from the Michigan Board of Nursing obtained within 2 Months (60 days) of hire date or job transfer date required. Certified BLS Provider specializing in Basic Life Support credentialed from the American Heart Association (AHA) obtained within 3 Months (90 days) of hire date or job transfer date required.