Registered Nurse - Emergency - Part- Time - thru 3rd weekend

Emergency Room Nurse

Nursing at Henry Ford Health Genesys Hospital

Requisition #: 266705

New Premiums:

• 5% Market Pay Differential
• Increased Night Shift Premium - 10%
• $2 Weekend Differential

Sign On Bonus: $6,500

Schedule:

Part-time 11am – 11:30pm Monday thru Friday & every 3rd weekend

Hospital:
Henry Ford Health Genesys

Location:

Grand Blanc, Michigan

General

Summary:

• 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 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.
• 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, 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).
• 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.
• 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, 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.
• Obtains 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 procedures according to established guidelines.
• Perform or assist with procedures according to established standards of care and nursing practice.
• Utilize equipment based on manufacturers instructions and established nursing procedure. Correctly operates and trouble shoots IV pumps, PCA pumps, epidural pumps, feeding pumps, patient beds, as applicable.
• Regularly reviews work in progress to ensure that treatments, medications, and tests ordered are expeditiously carried out and documented.
• Review patient medical record/reports and confers with physician regarding treatment plans. Routinely checks chart for new orders.
• Monitor patient physiologic parameters including vital signs, lab work, I&O, blood glucose; recognizes and reports meaningful changes and intervenes appropriately. Documents interventions accordingly.
• Monitor presence and intensity of patient’s pain on admission, after pain producing events, and routinely at regular intervals.
• Informs patient about pain relief and pain relief measures; administers pain medication or alternative interventions as indicated; includes pain management resources in the discharge plan/instructions.
• Recognize acute changes in respiratory status - dyspnea, cyanosis, tachypnea, respiratory depression, airway obstruction and responds appropriately with direct intervention and physician/SWAT notification.
• Recognize acute changes in neurologic status/decreased LOC and responds appropriately with direct intervention and physician/SWAT notification.
• Recognize acute changes in cardiac status - tachycardia, chest pain and responds appropriately with direct intervention and…