Registered Nurse - Observation Unit- Part-Time, Nights, 7pm-7:30am, every 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, 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.
• 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.
• 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, as required.
• 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.
• Monitor presence and intensity of patient’s pain on admission, after pain producing events, with each new report of pain, and routinely at regular intervals.
• 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 physician/SWAT notification.
• Recognize acute changes in urinary output and responds appropriately with direct action and physician notification.
• 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 system.
• Monitor individual patient length of stay (LOS); notifies case manager and nurse manager of potential LOS/discharge issues.
• Identify ethical issues related to patient care (including issues related to advanced directives) and initiates steps for resolution.
• Demonstrate adherence to patient confidentiality requirements.
• Act to resolve customer concerns/complaints immediately; reports complaints that cannot be immediately resolved to Patient Care Director, Clinical Manager, or House Supervisor.
• 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; participates in department and unit based council/staff activities meetings.
• 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 develops a plan for continual improvement.
• Complete yearly safety and unit specific education requirements (GLI).
• Provide direction and leadership to other staff by: clearly communicating expectations/responsibilities to team members, observing patients and work in progress periodically throughout the shift, communicating with team members about work to be completed/problems encountered, assisting team members with patient care activities as needed, assisting other "teams" as situation requires, and using the 4 Ps (patient, pertinent issues, picture, plan) to give appropriate and pertinent…