Registered Nurse -Surgical, Oncology, General Medicine, Hospice -Part-Time

Overview

• Schedule:
  
  Part-Time Days 7am - 7:30pm Monday through Friday & every 3rd weekend
• Hospital:
  Henry Ford Health Genesys
• Location:
  
  Grand Blanc, Michigan
• Sign On Bonus: $4,500
• Department:
  Surgical, Oncology, General Medicine, Hospice (2S)

• 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. 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 respects the patient s rights, dignity, values, culture, preferences, and expressed needs. Assess patient/family needs for information and education, plan and implement patient teaching, and evaluate the effectiveness of educational interventions. Help alleviate patient fears and anxiety through skilled professional and interpersonal communication. Utilize pharmacologic and non-pharmacologic approaches to ensure patient comfort and relief of pain. Involve patient, family, and significant others in the development of the plan of care.
• 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 (e.g., SKINN Bundle, Fall Prevention Plan, SCD). 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. Ensure appropriate follow-up is arranged. Ensure that core measures Discharge Instructions are given to all CHF patients. Document patient care according to established documentation guidelines.
• Administer therapeutic regimens and demonstrate knowledge and skill in basic nursing procedures (e.g., dressing changes, catheterization, NG tube insertion, suctioning). Implement/complete medical interventions as ordered. Initiate standing orders appropriately. Assist with all patient care activities including activities of daily living and other services as required for patient comfort, safety, and well-being.
• Assess and initiate interventions to prevent/minimize patient skin breakdown. Follow clinical practice guidelines and procedures as written. Establish and maintain peripheral IV therapy. Obtain body fluid specimens, and blood specimens if no phlebotomist is assigned. Perform blood capillary glucose monitoring. Administer medications, IVs, and blood products according to established policies and procedures.
• Prepare patients for surgery or other invasive procedures. Perform or assist with procedures according to established standards of care and nursing practice. Utilize equipment based on manufacturers instructions; operate and troubleshoot IV pumps, PCA pumps, epidural pumps, feeding pumps, patient beds, as applicable.
• Monitor patient responses, document progress toward outcomes, and communicate with the treatment team. Review patient medical records/reports and confer with physicians regarding treatment plans. Monitor physiologic parameters (vital signs, labs, I&O, blood glucose) and report meaningful changes. Manage patient pain and educate about pain relief measures; include pain management resources in the discharge plan.
• Recognize acute changes in respiratory, neurologic, cardiac, and urinary status and respond appropriately. Use SBAR or equivalent to communicate patient changes to physicians. Initiate life-saving actions (e.g., CPR) when required and coordinate emergency response efforts.
• Provide family support during crisis or grieving processes and ensure quality of…