Registered Nurse - Endoscopy - PT Night​/Weekend​/On-call

Department & Location

Department:
Endoscopy

Schedule:

PT Days - 7a-5:30p Monday - Friday;
Night/Weekend/Holiday On-call Rotation
Hospital:
Henry Ford Health Genesys

Location:

Grand Blanc, Michigan

• SIGN ON BONUS: $5,000
• 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; compassion and customer service orientation; focus on process and outcomes; and cost-consciousness when assessing, planning, implementing, and evaluating nursing care provided to patients.
• 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.
• Perform admission assessment and shift assessment as required; complete assessment for Risk Factors, including fall, skin breakdown, VTE, and aspiration.
• 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. 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.
• 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 appropriately; initiate and/or assists with all patient care activities.
• 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, per procedure.
• 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.
• Utilize equipment based on manufacturers instructions and established nursing procedure. Correctly operates and trouble shoots IV pumps, PCA pumps, epidural pumps, feeding pumps, patient beds, as applicable.
• Monitor patient physiologic parameters including vital signs, lab work, I/O, blood glucose; recognize and report meaningful changes and intervene appropriately.
• Recognize acute changes in respiratory status — dyspnea, cyanosis, tachypnea, respiratory depression, airway obstruction; respond appropriately with direct intervention and physician/SWAT notification.
• Recognize acute changes in neurologic status/decreased LOC and respond appropriately with direct intervention and physician/SWAT notification.
• Recognize acute changes in cardiac status — tachycardia, chest pain and respond appropriately with direct intervention and physician/SWAT notification.
• Recognize acute changes in urinary output and respond appropriately with direct action and physician notification.
• Respond appropriately to life‑threatening emergencies through initiation of CPR, assembly of emergency equipment, and immediate interventions (as allowable and indicated).
• Perform…