Registered Nurse RN Float

The Registered Nurse provides direct care to patients using the nursing process. This includes ongoing assessment of the total patient, providing interventions to treat presenting symptoms, evaluating the effect of nursing interventions and patient responses. The RN functions as a team leader or member and resource to others, delegates, oversees and directs support staff, collaborates with the interdisciplinary team to establish goals and outcomes for each patient, and is responsible for meeting the needs of all types of patients.

• (40%) Regularly assesses patient’s needs and provides skilled nursing services as prescribed by the physician authorized plan of care and accepted standards of evidence‑based nursing practice.
• (30%) Provides direct patient care including medication administration, treatments, education, call lights, assisting with transfers, responding to alarms, and other duties as appropriate.
• (20%) Evaluates effectiveness of treatment plan and makes suggestions or participates in updating/revising the plan in collaboration with other team members, utilizing current information to improve patient care.
• (10%) The RN is knowledgeable and compliant with all local, state and federal regulations and guidelines as well as hospital specific policies and procedures relating to care provided in the medical center.

• Demonstrates the My Michigan Health mission, vision and values.
• Behaves in a courteous, professional manner at all times with patients, visitors, and co‑workers.
• Meets and maintains My Michigan Health’s behavioral standards.
• Demonstrates the ability to interpret information and reports pertinent data to the physician.
• Educates patient/family according to assessed learning needs considering readiness, ability, preferences, and cultural/spiritual variables.
• Demonstrates the ability to organize and prioritize the needs of groups of patients or an individual patient.
• Maintains patient rights and confidentiality.
• Demonstrates a general ability to manage assignments and perform routine duties on the unit; instructs other team members when appropriate, explaining goals and rationale for individualized care; demonstrates understanding of clinical pathways/tiers and utilizes them appropriately (unit specific).
• Maintains a professional demeanor in all situations.
• Documents in an accurate, clear, and concise way and includes pertinent clinical data.
• Shares information and reports significant changes and/or abnormal findings to appropriate team members in a timely manner.
• Participates in regulatory surveys, performance improvement activities, quality initiative programs, and patient experience initiatives.
• Attends monthly department meetings and reads weekly communication.
• Assists with orientation and ongoing competencies.
• Provides a safe and secure environment for patient care.
• Maintains knowledge of current trends and professional standards within a specialty.
• Demonstrates understanding of role in emergency preparedness procedures.

Obtains prenatal history (prenatal L&D records) and antenatal care, gathering data and identifying risk factors. Performs physical assessment. Performs Leopold’s maneuvers for fetal position. Assesses fetal heart rate and identifies maternal–fetal risk factors. Palpates uterus to assess frequency, length and quality of contractions. Distinguishes, reports and records normal and abnormal conditions and life‑threatening/emergency situations. Decides when to do or not to do a vaginal examination on the laboring patient.

Assesses and evaluates dilatation and effacement of the cervix and station of presenting part via sterile vaginal examination. Distinguishes true labor from false labor. Assesses and evaluates suspected rupture of membranes. Visualizes pooling of amniotic fluid. Uses nitrazine paper to prepare slide for fern test or collects amnisure specimens. Performs and/or assists with sterile speculum examinations. Assesses and documents family interaction/support system.

Identifies support person and desired birthing plan. Assesses effectiveness of patient/family’s current coping mechanisms.…