RN Registered Nurse - TCU​/Stepdown - 3rd weekend; per

RN Registered Nurse – TCU/Stepdown – Full‑time

Schedule: 7:00 am – 7:30 pm every 3rd weekend; 72 hours paid per pay period.

• Hospital: Henry Ford Health Genesys
• Location: Grand Blanc, Michigan
• Department: TCU/Stepdown
• Schedule: Full‑time, days 7 am‑7:30 pm every 3rd weekend; 72 hrs per pay

• 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 multidisciplinary 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.
  • Help to alleviate patient fears and anxiety through skillful application of professional and interpersonal communication.
  • Utilize a variety of pharmacologic and non‑pharmacologic approaches to ensure patient comfort and relief of pain. Involve 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: – Introduce self and writes name on whiteboard. – Discuss plan of care with patient/family. – Explain meds and treatments, provide teaching as appropriate. – Ask if patient needs anything else before leaving room. – Assess health status and determines care needs of the patient. Performs ongoing reassessment as required.
  
  – Complete Admission Assessment and shift assessment as required.
• 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. Document education activities on shift assessment flowsheet and plan of care (POC).
  • Work with Case Manager to ensure appropriate referrals initiated prior to discharge.
• Review discharge plans/instructions with patient prior to discharge, including signs/symptoms to watch for after leaving the hospital. Ensures appropriate follow‑up arranged.
• Ensure that core measures discharge instructions are given to all CHF patients.
• Document patient care according to established documentation guidelines.
• 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. Initiate standing orders…