RN Registered Nurse - Graduate Nurse - Observation Unit Nights

Job Title

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

• Henry Ford Health Genesys Hospital
• Department:
  Observation Unit
• Location:
  
  Grand Blanc, Michigan
• Union Code: MIGRA Teamsters RN Local 332

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

$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, and evaluating nursing care provided to patients.
• 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.
• 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; perform 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. 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: dressing change, catheterization, NG tube insertion, suctioning.
• Implement/complete medical interventions as ordered. Initiate standing orders appropriately. Initiate and assist with all patient care activities including activities of daily living and provide 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 the following according to established policies and procedures: medications, IVs, blood products.
• Prepare patients for surgery or other invasive…