Registered Nurse - Medical Nursing Pulmonary Unit thru Fri

Registered Nurse - Medical Nursing Pulmonary Unit (4S) - Full-Time, 7am
-7:30pm Monday thru Friday & every 3rd weekend

• Department: Medical Pulmonary Nursing Unit (4S)
• Schedule: Full Time Days 7am - 7:30pm Monday thru Friday & every 3rd weekend
• 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.
• Demonstrates clinical competence, compassion and customer service orientation; focuses on process and outcomes; and cost-consciousness when assessing, planning, implementing, and evaluating nursing care provided to patients. Coordinates 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 to ensure appropriate length of stay, use of resources, and achievement of quality outcomes.
• Provide patient care that reflects a respect for patient 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. Helps alleviate patient fears and anxiety through skilful application of professional and interpersonal communication. Utilizes a variety of pharmacologic and non-pharmacologic approaches to ensure patient comfort and relief of pain.
  
  Involves patient, family, and 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; and incorporation of Signature Care elements in daily interactions with patients (e.g., introduce self, discuss plan of care, explain meds and treatments, assess needs, perform reassessments, complete admissions and shift assessments).
• Complete assessments for risk factors (including fall, skin breakdown, VTE, and aspiration). Initiate SKINN Bundle, Fall Prevention Plan, SCD, etc. Complete Medication Reconciliation upon 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); document 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 and ensure appropriate follow-up is arranged. Ensure 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 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 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 capillary glucose monitoring. Administer medications, IVs, and blood products per established policies and procedures.
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