RN Registered Nurse - PACU II as

GENERAL SUMMARY

• Department: PACU II
• Schedule:
  
  Full-Time, 530am-4pm, Mon-Fri. Holidays as required.
• Hospital:
  Henry Ford Health Genesys
• Location:
  
  Grand Blanc, Michigan

• 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 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 skilled application of professional and interpersonal communication. Utilize a variety of pharmacologic and non-pharmacologic approaches to ensure patient comfort and relief of pain.
  
  Involves 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 and Standards of Performance reference the Seven Domains of Nursing Practice, and include Helping/Teaching & Coaching;
  Signature Care elements; and daily interactions with patients (introduce self, discuss plan of care, explain meds and treatments, provide teaching, assess needs, perform reassessments, complete admissions and shift assessments).
• Complete assessment for Risk Factors (fall, skin breakdown, VTE, aspiration) and initiate related initiatives (SKINN Bundle, Fall Prevention Plan, SCD, etc.). Complete Medication Reconciliation on admission and changes in level of care. Establish, direct, coordinate and document plan of nursing care 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. 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.
• Administration of Therapeutic Regimens: 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 per procedure; obtain 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 according to manufacturers instructions and established nursing procedures; operate and troubleshoot IV pumps,…