Registered Nurse - Graduate Nurse - Observation Unit Nights 3rd

Registered Nurse - Graduate Nurse - Observation Unit - Full-time, Nights, 7pm-7:30am, every 3rd weekend

Company: Henry Ford Health

Hospital: Henry Ford Health Genesys

Location: Grand Blanc, Michigan

Schedule: Full Time, Nights, 36 hours per week, 7pm-7:30am weekdays and every 3rd weekend

Pay Range: $72,470.00 - $

Sign-On Bonus: $10,000

• 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, demonstrates clinical competence; compassion and customer service orientation; focus on process and outcomes; and cost-consciousness when assessing, planning, implementing, evaluating nursing care provided to patients.
• Coordinate development of a multidisciplinary 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 skillful application of professional and interpersonal communication; utilize a variety of pharmacologic and non-pharmacologic approaches to ensure patient comfort and relief of pain;
  
  involve 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.
• Complete assessment for risk factors including fall, skin breakdown, VTE, and aspiration; initiate appropriate initiatives as indicated SKINN Bundle, Fall Prevention Plan, SCD, etc.; 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 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.
• Demonstrate knowledge and skill application of basic nursing procedures such as dressing change, catheterization, NG tube insertion and suctioning.
• Implement/complete medical interventions as ordered; initiate standing orders appropriately; initiate and/or assist 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.
• Obtain body fluid specimens per procedure.
• Obtain blood specimens if no phlebotomist assigned to area.
• Perform blood capillary glucose monitoring.
• Administer medications, IVs, blood products according to established policies and procedures.
• 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 operate and troubleshoot 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…