Registered Nurse - Diagnostic Cardiology Rotating Weekends

Overview

Hospital: Henry Ford Health Genesys

Location: Grand Blanc, Michigan

Department: Diagnostic Cardiology

Schedule: Full-Time 6:30am - 5pm and rotating weekends

Organization: Henry Ford Health Genesys Hospital

Department: Diagnostic Cardiology Anc 001

Shift: Day Job

Union Code: MIGRA Teamsters RN Local 332

• 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. Assesses patient/family needs for information and education across the continuum, plans and implements patient teaching using a variety of techniques and methods, and evaluates effectiveness of educational interventions. Help to alleviate patient fears and anxiety through skilful 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:
  Competent;
  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, discuss plan of care with patient/family, explain meds and treatments, provide teaching as appropriate, assess health status and determine care needs, perform ongoing reassessment, complete admission and shift assessments as required.
• 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. 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 arranged. Ensure that core measures discharge instructions are given to all CHF patients. Document patient care according to established documentation guidelines.
• Administrative and clinical responsibilities: demonstrate knowledge and skill in basic nursing procedures (dressings, catheterization, NG tube insertion, suctioning); implement/complete medical interventions as ordered; initiate standing orders; assist with 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 per manufacturers  instructions and established nursing procedure. Correctly operate and troubleshoot IV pumps, PCA pumps, epidural pumps, feeding pumps, patient beds, as applicable.
• Monitor patient responses and changing conditions; regularly review work in progress to ensure…