Registered Nurse - Cardiac Cath Lab on-call; response tim

Registered Nurse - Cardiac Cath Lab

Full‑time, 6:30 AM – 5:00 PM, on‑call variable weeknights, weekends and holidays. 30‑minute response time.

Location:

Grand Blanc, Michigan

Hospital:
Henry Ford Health Genesys Hospital

Sign‑On Bonus: $10,000

Department:
Cardiac Cath Lab

• 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. – 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. 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.
• Orientation Self‑Evaluation: (C) Competent (NT) Needs Training or Review. – Standards of Performance: – Seven Domains of Nursing Practice.
• Complete assessment for Risk Factors; including fall, skin breakdown, VTE, and aspiration. Initiate appropriate initiatives as indicated SKINN Bundle, Fall Prevention Plan, SCD, etc.
• 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. Document education activities on shift assessment flowsheet and plan of care (POC).
• Administration of Therapeutic Regimens:
  Demonstrate knowledge and skill application of basic nursing procedures—dressing change, catheterization, NG tube insertion, suctioning. Implement/complete medical interventions as ordered.
• 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 operates and troubleshoots IV pumps, PCA pumps, epidural pumps, feeding pumps, patient beds, as applicable.
• Monitoring Patient Responses/Responding to Changing Patient Situations. Regularly review work in progress to ensure that treatments, medications, and tests ordered are expeditiously carried out and documented.
• 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.
• Recognize acute changes in respiratory status—dyspnea, cyanosis, tachypnea, respiratory depression, airway obstruction—and respond appropriately with direct…