Registered Nurse - Observation Unit thru 3rd weekend

Schedule: Full-time 7pm – 7:30am Monday thru Friday & every 3rd weekend

Hospital: Henry Ford Health Genesys

Location: Grand Blanc, Michigan

• NEW PREMIUMS
• 5% Market Pay Differential
• Increased Night Shift Premium - 10%
• $2 Weekend Differential
• Sign On Bonus: $10,000
• Department:
  Observation

• 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's 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.
• Involve patient, family, and 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.
• Complete risk factor assessment, including fall, skin breakdown, VTE, and aspiration, and initiate appropriate initiatives.
• Perform medication reconciliation upon 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 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 each shift, as required.
• 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.
• Document patient care according to established documentation guidelines.
• Demonstrate knowledge and skill application of basic nursing procedures – dressing change, catheterization, NG tube insertion, suctioning.
• Implement and complete medical interventions as ordered and initiate standing orders appropriately.
• Assist with all patient care activities, including activities of daily living and other services to ensure patient comfort, safety, and well‑being.
• Prevent and minimize patient skin breakdown.
• Adhere to clinical practice guidelines and procedures as written.
• Establish and maintain peripheral IV therapy.
• Obtain body fluid specimens per protocol and blood specimens if no phlebotomist is assigned.
• Perform blood capillary glucose monitoring.
• Administer medications, IVs, and blood products per established policies and procedures.
• Prepare patients for surgery or other invasive procedures according to established guidelines.
• Assist with procedures according to established standards of care and nursing practice.
• Operate and troubleshoot IV pumps, PCA pumps, epidural pumps, feeding pumps, and patient beds as applicable.
• Monitor patient responses, including physiological parameters such as vital signs, lab work, I&O, blood glucose, and…