RN Registered Nurse - PACU Float, M-F, 9p-730a, rotational weekends, on-call including holidays

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.

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.
• 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.
• 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. 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. 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.

Qualifications

• Sign On Bonus: $10,000
• Hospital: Henry Ford Health Genesys
• Location: Grand Blanc, Michigan