RN Registered Nurse -PACU II - PT Days 6a-4:30p Mon - Fri (40-60 hours per pay)

About the role

This position is located at Henry Ford Health Genesys in Grand Blanc, Michigan. It offers competitive benefits including a 5% market pay differential, increased night shift premium, and a $2 weekend differential. Additionally, there is a sign-on bonus of $5,000.

Responsibilities

• Use independent professional judgment, analytical skills, and the nursing process to provide a full range of delegated, interdependent, and independent nursing services to patients.
• 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 skillful 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.
• 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.
• Monitor, document, and report patient response to interventions and progress toward outcomes.
• Educate patient regarding treatment plan, safety measures, medications, and self-care as indicated.
• Work with Case Manager to ensure appropriate referrals initiated prior to discharge.
• Ensure that core measures discharge instructions are given to all CHF patients.
• Document patient care according to established documentation guidelines.
• Demonstrate knowledge and skill application of basic nursing procedures such as 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.
• Obtains blood specimens if no phlebotomist assigned to area.
• Performs 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 operates and trouble shoots IV pumps, PCA pumps, epidural pumps, feeding pumps, patient beds, as applicable.
• Maintain patient physiologic parameters including vital signs, lab work, I&O, blood glucose; recognize and report meaningful changes and intervene appropriately.
• Monitor patient pain on admission, after pain producing events, with each new report of pain, and routinely at regular intervals.
• Informs patient about pain relief and pain relief measures; administer pain medication or alternative interventions as indicated; includes pain management resources in the discharge plan/instructions.
• 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/summons appropriate resources for families in crisis/grieving process.
• 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; reports 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; participates 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 develops a plan for continual improvement.
• Complete yearly safety and unit specific education requirements (GLI).
• Provide input on appropriate patient care assignments; taking into consideration patient condition and knowledge/experience/work load of staff.
• 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, 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.
• Communicate appropriate patient care issues/concerns to nurse manager.
• Respond appropriately to changes in unit workloads, patient census, and/or staffing levels.
• Interpersonal skills necessary in order to interact with patients/families, other nursing staff members, physicians, and other hospital personnel.
• Ability to concentrate and pay close attention to detail when planning and performing professional nursing care, resolving patient care problems, and dealing with patients and families; often during stressful situations.
• Ability to walk or stand continuously and frequently lift and position patients.

Qualifications

• Licensed Registered Nurse credentialed from the Michigan Board of Nursing.
• Three to nine months on-the-job experience required.