RN - PRN Nights-Medical Unit

Sign On Bonus: $20,000
Schedule: FT Nights 7P - 7:30A, MON - FRI & EOWE
Hospital: Ascension Genesys
Various health insurance options & wellness plans Retirement benefits including employer match plans Long-term & short-term disability Employee assistance programs (EAP) Parental leave & adoption assistance Tuition reimbursement Ways to give back to your community  *Please note, benefits and benefits eligibility can vary by position, exclusions may apply for some roles (for example: Travel, PRN, Short-Term Option, etc.). Responsibilities 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, demonstrates clinical competence; and cost-consciousness when assessing, planning, implementing, and evaluating nursing care provided to patients.
Seven Dimensions of Patient Care: 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. Help to alleviate patient fears and anxiety through skillfull application of professional and interpersonal communication.
Utilize a variety of pharmacologic and non-pharmacologic approaches to ensure patient comfort and relief of pain. Involves patient, family, 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.
Orientation Self-Evaluation: (C) Competent (NT) Needs Training or Review.
Standards of Performance:
Seven Domains of Nursing Practice.
Helping/Teaching &Coaching:
Incorporate all elements of Signature Care in Daily interactions with patient:
Discuss plan of care with patient/family.
Assess health status and determines care needs of the patient. Complete Admission Assessment and shift assessment as required.
Complete assessment for Risk Factors; 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); 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. 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 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.
Establish and maintain peripheral IV therapy.
Perform blood capillary glucose monitoring.
Administer the following according to established policies and procedures:
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. Monitoring Patient Responses/Responding to Changing Patient Situations:
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. Documents interventions accordingly.
Informs patient about pain relief and pain relief measures; Recognize acute changes in respiratory status - dyspnea, cyanosis, tachypnea, respiratory depression, airway obstruction and responds
Utilize SBAR tool or other standardized approach to data collection and information sharing when notifying physician of patient changes/concerns.
Respond appropriately to life-threatening emergencies through initiation of CPR, assembly of emergency equipment, and immediate interventions (as allowable and indicated).
Perform emergency equipment checks.
Ensuring Quality of Health Care Practices:
Communicate with other professionals/departments and physician staff to ensure appropriate progress of patients through the system.
Identify ethical issues related to patient care (including issues related to advanced directives) and initiates steps for resolution.
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.
Assist in evaluating new products, procedures, nursing practices.
Support organizational, nursing department, and unit strategic goals and activities; participates in department and unit based council/staff activities meetings.
Support and actively participates in Nursing Department and unit specific quality monitoring and quality improvement activities.
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 input on appropriate patient care assignments; taking into consideration patient condition and knowledge/experience/work load of staff.
Provide direction and leadership to other staff by:
Observing patients and work in progress periodically throughout the shift.
Assisting team members with patient care activities as needed.
Use the 4 Ps (patient, pertinent issues, picture, plan) to give appropriate and pertinent information at change-of-shift and/or transfer.
Communicating appropriate patient care issues/concerns to nurse manager.
~ Respond appropriately to changes in unit workloads, patient census, and/or staffing levels.

Graduate of an approved professional (RN) nursing program; Interpersonal skills necessary in order to interact with patients/families, other nursing staff members, physicians, and other hospital personnel.
Ability to concentrate and pay close attention to detail when planning and performing professional nursing care, resolving patient care problems, and dealing with patients and families; 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.
This position, aside from the above requirements, will require approximately three (3) to nine (9) 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.
It is not to be construed as an exhaustive statement of duties, responsibilities or qualifications for the people so classified, nor is it intended to limit or modify in any way, the right of any supervisor to assign, direct, and control the work of employees under their supervision. Requirements Licensure / Certification / Registration:
Licensed Registered Nurse credentialed from the Michigan Board of Nursing obtained within 2 Months (60 days) of hire date or job transfer date required.
Requires a graduate of an approved professional (RN) nursing program.

Why Join Our Team Ascension Michigan operates 16 hospitals and more than 300 related healthcare facilities that together employ nearly 23,000 compassionate associates. When you join our care teams, you join a team dedicated to providing spiritually centered, holistic care which sustains and improves the health of the communities we serve throughout Michigan.
 
Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.
 
Every associate is empowered to give back, volunteer and make a positive impact in their community. Equal Employment Opportunity Employer Ascension will provide equal employment opportunities (EEO) to all associates and applicants for employment regardless of race, color, religion, national origin, citizenship, gender, sexual orientation, gender identification or expression, age, disability, marital status, amnesty, genetic information, carrier status or any other legally protected status or status as a covered veteran in accordance with applicable federal, state and local laws.
 
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As a military friendly organization, Ascension promotes career flexibility and offers many benefits to help support the well-being of our military families, spouses, veterans and reservists. Please note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application.