Registered Nurse - Observation Unit- Part-Time, Nights 3rd weekend

Nursing Position at Henry Ford Health Genesys Hospital

This part-time position in the Observation Unit at Henry Ford Health Genesys Hospital in Grand Blanc, Michigan, offers a sign-on bonus of $6000, a 5% market pay differential, a 10% increased night shift premium, and a $2 weekend differential. The schedule is 18 hours per week, working nights from 7pm to 7:30am on weeknights and every third weekend.

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.

Responsibilities include:

• Coordinate development of a multi-disciplinary plan of care in accordance with Nursing Problem Care Sets and/or clinical practice guidelines.
• Provide patient care that reflects respect for patient's rights, dignity, values, culture, preferences, and expressed needs.
• Collaborate with patient/family, hospital staff, and community agencies to develop discharge plans.
• Complete assessment for risk factors including fall, skin breakdown, VTE, and aspiration.
• Monitor, document, and report patient response to interventions and progress toward outcomes.
• Document nursing interventions and progress toward outcomes; patient education; and evaluation every shift.
• Demonstrate knowledge and skill application of basic nursing procedures.
• Implement/complete medical interventions as ordered.
• 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, neurologic, and cardiac status and respond appropriately.
• Recognize acute changes in urinary output and respond appropriately.
• Respond appropriately to life-threatening emergencies through initiation of CPR, assembly of emergency equipment, and immediate interventions.
• Provide appropriate support/summons appropriate resources for families in crisis/grieving process.
• Communicate with other professionals/departments and physician staff to ensure appropriate progress of patients through the system.
• Monitor individual patient length of stay; notifies case manager and nurse manager of potential LOS/discharge issues.
• Identify ethical issues related to patient care and initiate steps for resolution.
• Demonstrate adherence to patient confidentiality requirements.
• Act to resolve customer concerns/complaints immediately.
• Promote a physically safe environment for the patient including use and documentation of restraints according to policy.
• Utilize universal precautions for all patients.
• Make cost effective use of supplies and resources.
• Support organizational, nursing department, and unit strategic goals and activities.
• Support and actively participate in Nursing Department and unit specific quality monitoring and quality improvement activities.
• Participate in teaching/mentoring of student nurses and orientates.
• Evaluate own performance utilizing input from peers, co-workers, managers, physicians, customers, and develop a plan for continual improvement.
• Complete yearly safety and unit specific education requirements.
• Provide input on appropriate patient care assignments.
• Provide direction and leadership to other staff.
• Participate in the creation and maintenance of a healthy work environment.
• Respond appropriately to changes in unit workloads, patient census, and/or staffing levels.
• Ability to interact with patients/families, other nursing staff members, physicians, and other hospital personnel.
• Ability to walk or stand continuously and frequently lift and position patients.

Working Conditions:

Normal patient care environment with moderate exposure to excessive noise, dust, temperature, etc. Frequent exposure to communicable diseases, hazardous substances, and moderately adverse working conditions due to performance of patient care activities.

Orientation Requirements:
This position will require approximately three to nine months on-the-job experience in order to acquire and effectively apply knowledge of unit and departmental policies, procedures, and standards for patient care and professional nursing practice.