Senior Registered Nurse

2 weeks ago

Grand Blanc, Michigan, United States Ascension Full time

Department:
Advanced Respiratory Care

Schedule:
Full-Time Night Shift, 7 PM - 7:30 AM, Monday to Friday and Alternate Weekends (Saturday/Sunday), 72 hours per pay period

Organization:
Ascension Genesys

A variety of health insurance options and wellness programs
Retirement plans with employer matching
Long-term and short-term disability coverage
Employee assistance programs (EAP)
Parental leave and adoption support
Tuition reimbursement opportunities
Community engagement initiatives

*Travel, PRN, Short-Term Options, etc.). Utilize independent professional judgment, analytical skills, and the nursing process to deliver a comprehensive range of delegated, interdependent, and independent nursing services to patients. Operate within the framework of the Seven Dimensions of Patient Care and Benner's Domains of Nursing Practice,
while maintaining cost-effectiveness in assessing, planning, implementing, and evaluating nursing care provided to patients.
Seven Dimensions of

Patient Care:

Facilitate the development of a multidisciplinary care plan in alignment with Nursing Problem Care Sets (Core Outcomes and Core Intervention Sets) and/or clinical practice guidelines, age-specific requirements, and professional and regulatory standards to ensure appropriate length of stay, resource utilization, and achievement of quality outcomes.

Deliver patient care that honors the patient's rights, dignity, values, culture, preferences, and expressed needs. Alleviate patient fears and anxiety through skilled application of professional and interpersonal communication.
Employ a range of pharmacologic and non-pharmacologic strategies to ensure patient comfort and pain relief. Involve patients, families, and significant others in the care plan development. Collaborate with patients/families, hospital staff, and community organizations to create discharge plans that prepare patients for ongoing care needs.

Orientation Self-Evaluation:
(C) Competent (NT) Needs Training or Review.

Performance Standards:
Seven Domains of Nursing Practice.

Assisting/Teaching & Coaching:
Integrate all elements of Signature Care in daily interactions with patients:
Discuss care plans with patients/families.
Assess health status and determine care needs of the patient. Complete Admission Assessment and shift assessments as required.
Conduct assessments for Risk Factors; Complete Medication Reconciliation upon admission and changes in care level.
Establish, direct, coordinate, and document the nursing care plan in collaboration with patients/families.
Initiate Problems and Outcomes list (care plan) based on medical diagnosis and patient needs.
Monitor, document, and report patient responses to interventions and progress toward outcomes.
Document nursing interventions (NIC) and progress toward outcomes (NOC); and evaluation every shift, as required.
Educate patients regarding treatment plans, safety measures, medications, and self-care as indicated. Document educational activities on shift assessment flowsheet and care plan (POC).
Review discharge plans/instructions with patients prior to discharge, including signs/symptoms to monitor after leaving the facility. Document patient care according to established documentation guidelines.
Demonstrate knowledge and skill application of fundamental nursing procedures - dressing changes, catheterization, NG tube insertion, suctioning.
Implement/complete medical interventions as ordered.

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.

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 procedures.

Monitoring Patient Responses/Responding to Changing Patient Situations:

Regularly review ongoing work to ensure that treatments, medications, and tests ordered are promptly executed and documented.

Review patient medical records/reports and consult with physicians regarding treatment plans. Document interventions accordingly.
Inform patients about pain relief and pain management measures; Recognize acute changes in respiratory status - dyspnea, cyanosis, tachypnea, respiratory depression, airway obstruction and respond

Utilize SBAR tool or other standardized approaches to data collection and information sharing when notifying physicians 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 initiate steps for resolution.

Act to resolve customer concerns/complaints immediately; report 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, and nursing practices.

Support organizational, nursing department, and unit strategic goals and activities; participate 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.
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 (GLI).
Provide input on appropriate patient care assignments; taking into consideration patient condition and knowledge/experience/workload 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.

Communicate appropriate patient care issues/concerns to the nurse manager.
~ Respond appropriately to changes in unit workloads, patient census, and/or staffing levels.

Graduate of an accredited professional (RN) nursing program; Interpersonal skills necessary 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 issues, and dealing with patients and families;

Working Conditions:
Standard 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 of on-the-job experience to acquire and effectively apply knowledge of unit and departmental policies, procedures, and standards for patient care and professional nursing practice.

This description is not to be construed as an exhaustive statement of duties, responsibilities, or qualifications for the individuals 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.


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 accredited professional (RN) nursing program.

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.

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.

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.

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