Registered Nurse - PACU Part-time rotational weekends, on-call

Overview

Schedule:

Part-time 9am – 7:30pm rotational weekends, on-call including holidays. Hospital:
Henry Ford Health Genesys.

Location:

Grand Blanc, Michigan.

• Sign On Bonus: $5,000
• Department: PACU 1
• Schedule:
  
  Part-time 9am – 7:30pm rotational weekends, on-call including holidays
• Hospital:
  Henry Ford Health Genesys
• Location:
  
  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, demonstrate 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. Coordinate development of a multi-disciplinary plan of care in accordance with Nursing Problem Care Sets and/or clinical practice guidelines to ensure appropriate length of stay, use of resources, and achievement of quality outcomes.
• Provide patient care that reflects respect for patient rights, dignity, values, culture, preferences, and expressed needs. Assess patient/family needs for information and education across the continuum, plan and implement patient teaching, and evaluate effectiveness of educational interventions. 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.
• Orientation Self-Evaluation:
  Competent;
  Standards of Performance:
  Seven Domains of Nursing Practice. Incorporate all elements of Signature Care in daily interactions with patient: introduce self, discuss plan of care with patient/family, explain meds and treatments, provide teaching as appropriate, assess health status, perform ongoing reassessment, and complete admission and shift assessments as required.
• Complete assessment for risk factors (fall, skin breakdown, VTE, aspiration). Initiate SKINN Bundle, Fall Prevention Plan, SCD, etc. Perform medication reconciliation on admission or change in level of care. Establish, direct, coordinate, and document plan of nursing care with patient/family.
• Initiate problems and outcomes list (planning 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), progress toward outcomes (NOC), patient education, and evaluation every shift as required.
• Educate patient regarding treatment plan, safety measures, medications, and self-care. Document education activities on shift assessment flowsheet and plan of care. Work with Case Manager to ensure appropriate referrals initiated prior to discharge.
• Review discharge plans/instructions with patient prior to discharge and ensure appropriate follow-up.
• Ensure 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 changes, catheterization, NG tube insertion, suctioning). Implement/complete medical interventions as ordered and initiate standing orders appropriately. Assist with activities of daily living and 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 establish peripheral IV therapy. Obtain body fluid specimens as per procedure and blood specimens if no phlebotomist is assigned. Perform capillary glucose monitoring. Administer medications, IVs, and blood products per policy. Prepare patients for surgery or invasive procedures; perform or assist with procedures per standards of care.
  
  Utilize equipment per manufacturers’ instructions and nursing procedures.
• Monitor patient responses, review work in progress, and ensure timely documentation of treatments, medications, and tests. Review patient medical…