Registered Nurse - Endoscopy - PT Night​/Weekend​/On-call

Position Details

• Hospital:
  Henry Ford Health Genesys
• Location:
  
  Grand Blanc, Michigan
• SIGN ON BONUS: $5,000
• Department:
  Endoscopy
• Schedule:
  
  PT Days – 7a-5:30p Monday – Friday;
  Night/Weekend/Holiday On‑call Rotation

• 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.
• Provide patient care that reflects a respect for patients' 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 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.
• 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.
• Educate patient regarding treatment plan, safety measures, medications, and self‑care as indicated. Work with case manager to ensure appropriate referrals are 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 is arranged.
• Ensure that core 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.
• Perform and assist with procedures according to established standards of care and nursing practice.
• Utilize equipment based on manufacturer instructions and established nursing procedure. Operate and troubleshoot IV pumps, PCA pumps, epidural pumps, feeding pumps, and patient beds as applicable.
• Regularly review work in progress to ensure that treatments, medications, and tests ordered are expeditiously carried out and documented.
• Monitor patient physiologic parameters including vital signs, lab work, I&O, blood glucose; recognize and report meaningful changes and intervene appropriately.
• Recognize acute changes in respiratory status – dyspnea, cyanosis, tachypnea, respiratory depression, airway obstruction – and respond appropriately with direct intervention and physician/SWAT notification.
• Recognize acute changes in neurologic status/decreased LOC and respond appropriately with direct intervention and physician/SWAT notification.
• Recognize acute changes in cardiac status – tachycardia, chest pain and respond appropriately with direct intervention and physician/SWAT notification.
• Recognize acute changes in urinary output and respond appropriately with direct action and physician notification. Utilize SBAR tool or other standardized approach to data collection and information sharing when notifying physician of patient changes/concerns.
• Respond appropriately to life‑threatening emergencies through initiation of CPR, assembly of emergency equipment, and immediate interventions (as allowable and indicated).
• Communicate with other professionals/departments and physician staff to ensure appropriate progress of patients through the…