RN Registered Nurse - Labor & Delivery - Nights 3rd weekend

RN Registered Nurse – Labor & Delivery – FT Nights (7pm–7:30am, Every 3rd Weekend)

Grand Blanc, Michigan

• 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, and evaluating nursing care provided to patients. – 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.
• Provide patient care that reflects a respect for patient's rights, dignity, values, culture, preferences, and expressed needs. Assesses 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 skillful 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.
• Orientation Self-Evaluation: (C) Competent (NT) Needs Training or Review. – Standards of Performance: – Seven Domains of Nursing Practice. – Helping/Teaching &
  
  Coaching:
  
  – Incorporate all elements of Signature Care in Daily interactions with patient: – Introduce self and writes name on whiteboard. – Discuss plan of care with patient/family. – Explain meds and treatments, provide teaching as appropriate. – Ask if patient needs anything else before leaving room. – Assess health status and determines care needs of the patient. Performs 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 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 (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.
• 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. Initiate and/or assists with all patient care activities including activities of daily living and provides other services as required for patient comfort,…