Location: Grand Blanc
Posted on: November 22, 2021
We Are Hiring: Registered Nurse/Emergency Department/PT Nights
7PM-7:30AM, Monday thru Friday and QOWE
Unit Information: - Emergency Department - 47 beds
Level 2 Trauma Center: Stroke certified, chest pain center,
teaching service and mandatory critical care core curriculum, ACLS,
TNCC, ENPC for all RN's.
Ascension Genesys Hospital - Grand Blanc, MI
Medical, dental, vision, life insurance, and a retirement plan with
Paid time off
Wellbeing programs and holistic growth opportunities
Ascension Genesys Hospital is a state-of-the-art community teaching
hospital with 410 beds, a level 2 emergency trauma center with a
cardiac rapid diagnostic center, the Genesys Heart Institute, the
Family Birthing Center, and expanded clinical expertise in
neurosciences, orthopedics, geriatric services, oncology, and
surgical procedures in almost every specialty area including
minimally invasive and robotic procedures.
In Michigan, Ascension operates 16 hospitals and hundreds of
related healthcare facilities that together employ over 20,000
associates. Across the state, Ascension Michigan is working
together to help bring patients more resources and better care.
Ascension Michigan is also committed to its community; it provided
over $272 million in community benefit and care of persons living
in poverty in FY2018. Ascension Michigan is dedicated to
spiritually centered, holistic care which sustains and improves the
health of individuals and communities.
Ascension is a faith-based healthcare organization dedicated to
transformation through innovation across the continuum of care. As
one of the leading non-profit and Catholic health systems in the
U.S., Ascension is committed to delivering compassionate,
personalized care to all, with special attention to persons living
in poverty and those most vulnerable. In FY2019, Ascension provided
$2 billion in care of persons living in poverty and other community
What You Will Do: 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.
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
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 skillfull
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: (C) Competent (NT) Needs Training or
Standards of Performance:
Seven Domains of Nursing Practice.
Incorporate all elements of Signature Care in Daily interactions
Introduce self and writes name on whiteboard.
Discuss plan of care with patient/family.
Explain meds and treatments, provide teaching as appropriate.
Ask if patient needs anything else before leaving room.
Assess health status and determines care needs of the patient.
Performs ongoing reassessment as required.
Complete Admission Assessment and shift assessment as required.
Complete assessment for Risk Factors; including fall, skin
breakdown, VTE, and aspiration. Initiate appropriate initiatives as
indicated SKINN Bundle, Fall Prevention Plan, SCD, etc.
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
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. Ensures appropriate follow-up arranged.
Ensure that core measures Discharge Instructions are given to all
Document patient care according to established documentation
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 including
activities of daily living and provides other services as required
for patient comfort, safety, and well-being.
Assess and initiate interventions to prevent/minimize patient skin
Follow clinical practice guidelines and procedures as written.
Establish and maintain peripheral IV therapy.
Obtain body fluid specimens, per procedure. Obtains blood specimens
if no phlebotomist assigned to area.
Perform blood capillary glucose monitoring.
Administer the following according to established policies and
Prepare patients for surgery or other invasive procedures according
to established guidelines.
Perform or assist with procedures according to established
standards of care and nursing practice.
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.
Monitoring Patient Responses/Responding to Changing Patient
Regularly reviews work in progress to ensure that treatments,
medications, and tests ordered are expeditiously carried out and
Review patient medical record/reports and confers with physician
regarding treatment plans. Routinely checks chart for new
Monitor patient physiologic parameters including vital signs, lab
work, I&O, blood glucose; recognizes and reports meaningful
changes and intervenes appropriately. Documents interventions
Monitor presence and intensity of patient s pain on admission,
after pain producing events, with each new report of pain, and
routinely at regular intervals. Informs patient about pain relief
and pain relief measures; administers pain medication or
alternative interventions as indicated; includes
pain management resources in the discharge plan/instructions.
Recognize acute changes in respiratory status - dyspnea, cyanosis,
tachypnea, respiratory depression, airway obstruction and
appropriately with direct intervention and physician/SWAT
Recognize acute changes in neurologic status/decreased LOC and
responds appropriately with direct intervention and physician/SWAT
Recognize acute changes in cardiac status - tachycardia, chest pain
and responds appropriately with direct intervention and
Recognize acute changes in urinary output and responds
appropriately with direct action and physician notification.
Utilize SBAR tool or other standardized approach to data collection
and information sharing when notifying physician of patient
Respond appropriately to life-threatening emergencies through
initiation of CPR, assembly of emergency equipment, and immediate
interventions (as allowable and indicated).
Perform emergency equipment checks.
Provide appropriate support/summons appropriate resources for
families in crisis/grieving process.
Ensuring Quality of Health Care Practices:
Communicate with other professionals/departments and physician
staff to ensure appropriate progress of patients through the
Monitor individual patient length of stay (LOS); notifies case
manager and nurse manager of potential LOS/discharge issues.
Identify ethical issues related to patient care (including issues
related to advanced
directives) and initiates steps for resolution.
Demonstrate adherence to patient confidentiality requirements.
Communicate with patients and families cordially, diplomatically
Act to resolve customer concerns/complaints immediately; reports
complaints that cannot be immediately resolved to Patient Care
Director, Clinical Manager, or House Supervisor.
Promote a physically safe environment for the patient including use
and documentation of restraints according to policy.
Utilize universal precautions for all patients.
Make cost effective use of supplies and resources.
Assist in evaluating new products, procedures, nursing
Support organizational, nursing department, and unit strategic
goals and activities; participates in department and unit based
council/staff activities meetings.
Support and actively participates in Nursing Department and unit
specific quality monitoring and quality improvement activities.
Participate in teaching/mentoring of student nurses and
Evaluate own performance utilizing input from peers, co-workers,
managers, physicians, customers, and develops a plan for continual
improvement. (Does not include formal peer review.).
Complete yearly safety and unit specific education requirements
Organizational and Work Role:
Provide input on appropriate patient care assignments; taking into
consideration patient condition and knowledge/experience/work load
Provide direction and leadership to other staff by:
Clearly communicating expectations/responsibilities to team
Observing patients and work in progress periodically throughout the
Communicating with team members about work to be completed/problems
Assisting team members with patient care activities as needed.
Assisting other "teams" as situation requires.
Use the 4 Ps (patient, pertinent issues, picture, plan) to give
appropriate and pertinent information at change-of-shift and/or
Participate in the creation and maintenance of a healthy work
Treating co-workers with respect.
Communicating to co-workers with respect; resolving conflicts
and/or negative feelings promptly, privately, and
Taking responsibility for personal actions, behaviors, and
attitudes and not displacing anger or frustration onto co-workers,
patients, or families.
Communicating appropriate patient care issues/concerns to nurse
Respond appropriately to changes in unit workloads, patient census,
and/or staffing levels.
Graduate of an approved professional (RN) nursing program; must
possess current Michigan licensure to practice as a registered
Interpersonal skills necessary in order to interact with
patients/families, other nursing staff members, physicians, and
other hospital personnel.
Ability to concentrate and pay close attention to detail when
planning and performing professional nursing care, resolving
patient care problems, and dealing with patients and families;
often during stressful situations.
Ability to walk or stand continuously and frequently lift and
Working Conditions: Normal patient care environment with moderate
exposure to excessive noise, dust, temperature, etc. Frequent
exposure to communicable diseases, hazardous substances, and
moderately adverse Working Conditions due to performance of patient
Orientation Requirements: This position, aside from the above
requirements, will require approximately three (3) to nine (9)
months on-the-job experience in order to acquire and effectively
apply knowledge of unit and departmental policies, procedures, and
standards for patient care and professional nursing practice.
The above is intended to describe the general nature and level of
work performed by people assigned to this classification. It is not
to be construed as an exhaustive statement of duties,
responsibilities or qualifications for the people so classified,
nor is it intended to limit or modify in any way, the right of any
supervisor to assign, direct, and control the work of employees
under their supervision. The most recently dated job description on
file in the Human Resources Department will be considered the
official job description.
What You Will Need: Licensure / Certification / Registration:
Licensed Registered Nurse credentialed from the Michigan Board of
Nursing obtained within 2 Months (60 days) of hire date or job
transfer date required.
Certified BLS Provider specializing in Basic Life Support
credentialed from the American Heart Association (AHA) obtained
within 3 Months (90 days) of hire date or job transfer date
required.Or Certified Instructor.
Requires a graduate of an approved professional (RN) nursing
Additional Preferences: 1 year of RN experience preferred.
1 year of ER -hospital experience preferred.
2 years of EMT and/or Paramedic experience preferred.
Why Join Our Team: Ascension Michigan employs over 20,000
compassionate caregivers across 16 hospitals and hundreds of
related healthcare facilities. Our care teams are dedicated to
providing spiritually centered, holistic care which sustains and
improves the health of the communities we serve. We provide
generous paid time off for work-life balance, a collaborative work
environment, professional development opportunities and more to
help our associates flourish personally and professionally. If you
are looking for a rewarding career in healthcare, we invite you to
When you join Ascension, you join a team of over 150,000
individuals across the country committed to a Mission of serving
others and providing compassionate, personalized care to all. Our
inclusive culture, continuing education programs, career coaches
and benefit offerings are just a few of the resources and tools
that team members can use to create a rewarding career path. In
fact, Ascension spent nearly $46 million in tuition assistance
alone to support associate growth and development. If you are
looking for a career where you can grow and make a difference in
your community, we invite you to join our team today.
Equal Employment Opportunity Employer: Ascension Genesys is an
equal opportunity employer (EEO) and affords equal opportunity to
all associates and applicants without regard to race, color,
religion, national origin, gender identity, sexual orientation,
age, physical or mental disability, veteran status, genetic data,
or other legally protected status.
For further information regarding your EEO rights, click on the
following link to the "EEO is the Law" poster:
EEO is the Law Poster Supplement
Please note that Ascension will make an offer of employment only to
individuals who have applied for a position using our official
application. Be on alert for possible fraudulent offers of
employment. Ascension will not solicit money or banking information
Keywords: Ascension, Flint , Registered Nurse, Healthcare , Grand Blanc, Michigan
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