Registered Nurse RN - Float Pool

Summary

Up to 14K sign on bonus for qualified candidates

This Registered Nurse (RN) - Float - Night's position is a highly skilled role requiring advanced medical and surgical expertise to care for a diverse patient population at Midland and Saginaw Level II Trauma Centers, verified by the American College of Surgeons. The Midland facility serves as the hub of the hospital system, frequently receiving the highest-acuity patients from surrounding locations.

Likewise, the Saginaw facility operates as a comprehensive Stroke Center, treating complex neurological cases from across the region.

This role demands a high degree of autonomy, critical thinking, and adaptability, as it involves floating between multiple facilities - often within the same work week. The night shift schedule further necessitates independent decision-making and proactive patient management to ensure optimal outcomes in fast-paced, high-pressure environments. This is a more complex and demanding nursing role than standard inpatient positions, offering a dynamic and challenging opportunity.

• (30%) * Regularly assesses patient’s/client’s needs and provides skilled nursing services as prescribed by the physician authorized plan of care, and accepted standards of nursing practice.
• (30%) * Provides direct resident care, including medication administration, treatments, call lights, assisting with transfers, responding to alarms, etc.
• (20%) * Evaluates effectiveness of treatment plan and makes suggestions or participates in updating /revising the treatment plan in collaboration with the other team members, utilizing current information to improve patient care.
• (10%) * Processes physician/provider orders and performs physician ordered care accurately, completely and in a timely manner.
• (10%) * Follows up regarding medication changes and order clarifications.
• OTHER
  
  DUTIES AND RESPONSIBILITIES:
  
  Demonstrates the ability to quickly adapt to varied workflows, unit structures, and high-acuity patient populations across multiple Level II Trauma Centers while ensuring seamless transitions between medical/surgical and progressive care units.
• Demonstrates proficiency in rapid clinical assessment and data interpretation, effectively communicating critical findings to physicians and making autonomous decisions, particularly during night shifts with limited provider presence.
• Assesses patient and family learning needs, considering acuity, cognitive ability, and cultural/spiritual factors, and provides concise, individualized education to ensure understanding despite high turnover and shortened inpatient stays.
• Participates in care conferences as assigned.
• Evaluate patients’ vital signs, laboratory data, and clinical presentation to identify emergency intervention needs, often in fast-paced, high-pressure environments where critical decision-making is essential.
• Monitor high-acuity patients for signs of deterioration, including sepsis, shock, neurological decline, or respiratory distress, and initiate appropriate interventions with limited immediate physician presence during night shifts.
• Administer medications intravenously, via injection, orally, or through gastric tubes, ensuring precision in dosage and continuous monitoring for adverse reactions, particularly in complex multi-system failure patients.
• Perform complex pulmonary assessments, recognizing abnormal respiratory patterns or breathing difficulties that may indicate the need for urgent interventions, particularly in progressive care patients with advanced respiratory conditions.
• Assess and prioritize care for critically ill patients based on acuity levels, clinical pathways, and evolving treatment needs while efficiently managing high patient turnover in both medical/surgical and progressive units.
• Monitor fluid intake/output, electrolyte imbalances, and hemodynamic stability in patients at risk for complications, balancing the needs of diverse patient populations across multiple units and locations.
• Perform approved therapeutic and diagnostic procedures, including advance wound care, ostomy management, heparin therapy protocols, and complex IV care, often requiring independent judgment…