ER Night Nurse: Drive Critical Care & Outcomes

Schedule and Location

• Schedule:
  
  Full‑Time Nights 7 pm – 7:30 am Monday thru Friday & every 3rd weekend
• Hospital:
  Henry Ford Health Genesys
• 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.
• Provide patient care that reflects a respect for patient's rights, dignity, 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.
• 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.
• 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.
• Implement/complete medical interventions as ordered. Initiate standing orders appropriately. Initiate and/or assist with 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 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 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 that treatments, medications, and tests ordered are expeditiously carried out and documented.
• Review patient medical record/reports and confer with physician regarding treatment plans. Routinely check chart for new orders.
• Monitor patient physiologic parameters including vital signs, lab work, I&O, blood glucose; recognize and report meaningful changes and intervene appropriately.
• Monitor presence and intensity of patient pain on admission, after pain‑producing events, with each new report of pain, and routinely at regular intervals.
• Informs…