Registered Nurse -Medical Nursing Pulmonary Unit Nights 3rd

Overview

Department:
Medical Nursing Pulmonary Unit (4S).

Hospital:
Henry Ford Health Genesys.

Location:

Grand Blanc, Michigan.

Schedule:

Full-Time, Days, 7pm-7:30am, every 3rd weekend, 72 hours per pay.

Sign On Bonus: $10,000.

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 (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 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.
  
  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.
• Standards of Performance:
  Seven Domains of Nursing Practice;
  Helping/Teaching & Coaching;
  Incorporate all elements of Signature Care in Daily interactions with patient.
• Initiate and/or coordinate tasks related to patient care: introductions, plan of care discussions with patient/family, medication and treatment explanations, and patient education as appropriate; assess health status and determine care needs; perform ongoing reassessment; complete Admission and shift assessments as required.
• Complete assessments for risk factors (fall, skin breakdown, VTE, aspiration); initiate SKINN Bundle, Fall Prevention Plan, SCD, etc.; complete medication reconciliation on admission and when level of care changes; 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.
• Administration of Therapeutic Regimens: demonstrate knowledge and skill application of basic nursing procedures; implement/complete medical interventions as ordered; initiate standing orders appropriately; participate in 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 is assigned. Perform blood capillary glucose monitoring. Administer medications, IVs, and blood products as established by policies and procedures.
• Prepare patients for surgery or other invasive procedures; perform or assist with procedures according to established standards of care and nursing practice.
• Utilize equipment based on manufacturers instructions; correctly operate and troubleshoot IV pumps, PCA pumps, epidural pumps, feeding pumps, patient beds, as applicable.
• Monitor patient responses and respond to changing patient situations; regularly review work in progress to ensure timely execution and documentation of treatments, medications, and tests; review medical records and confers with physician…