Registered Nurse/Med Surg 2S
Company: Ascension Health
Location: Grand Blanc
Posted on: May 14, 2022
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Job Description:
We Are Hiring: Registered Nurse/Med Surg 2S/PT Nights 7P-730A
QOWE SSUnit Information:-- - Med Surg 2S - 56 beds, surgical
patients including bowel resections, TURP, femoral popliteal bypass
grafts. Oncology diagnosis (leukemia, colon, breast, lung,
uncontrolled pain).-- - General medicine (diabetes, dehydration,
substance abuse).-- -Ascension Genesys Hospital - Grand Blanc, MI--
-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.Benefits
include:Medical, dental, vision, life insurance, and a retirement
plan with matchCompetitive compensationPaid time offProfessional
developmentWellbeing programs and holistic growth
opportunitiesTuition reimbursementAdoption assistance 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
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, andevaluates 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
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
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
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
(POC).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 CHF patients.Document patient care according to established
documentation guidelines.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 breakdown.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
procedures:Medications.IVs.Blood products.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 Situations:Regularly reviews work in progress to ensure
that treatments, medications, and tests ordered are expeditiously
carried out and documented.Review patient medical record/reports
and confers with physician regarding treatment plans. Routinely
checks chart for new orders.Monitor patient physiologic parameters
including vital signs, lab work, I&O, blood glucose; recognizes
and reports meaningful changes and intervenes appropriately.
Documents interventions accordingly.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; includespain management resources in the discharge
plan/instructions.Recognize acute changes in respiratory status -
dyspnea, cyanosis, tachypnea, respiratory depression, airway
obstruction and respondsappropriately with direct intervention and
physician/SWAT notification.Recognize acute changes in neurologic
status/decreased LOC and responds appropriately with direct
intervention and physician/SWAT notification.Recognize acute
changes in cardiac status - tachycardia, chest pain and responds
appropriately with direct intervention and physician/SWAT
notification.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
changes/concerns.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 system.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 advanceddirectives) and initiates steps for
resolution.Demonstrate adherence to patient confidentiality
requirements.Communicate with patients and families cordially,
diplomatically and respectfully.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.Self:.Make
cost effective use of supplies and resources.Assist in evaluating
new products, procedures, nursing practices.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
orientates.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 (GLI).Organizational and Work Role:Provide input on
appropriate patient care assignments; taking into consideration
patient condition and knowledge/experience/work load of
staff.Provide direction and leadership to other staff by:Clearly
communicating expectations/responsibilities to team
members.Observing patients and work in progress periodically
throughout the shift.Communicating with team members about work to
be completed/problems encountered.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 transfer.Participate in the creation and
maintenance of a healthy work environment by:Treating co-workers
with respect.Communicating to co-workers with respect; resolving
conflicts and/or negative feelings promptly, privately, and
appropriately.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 manager.Respond appropriately
to changes in unit workloads, patient census, and/or staffing
levels.Minimum Qualifications:Graduate of an approved professional
(RN) nursing program; must possess current Michigan licensure to
practice as a registered nurse (RN).Essential
Functions: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 position
patients.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 care activities.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.Education:Requires a graduate of an approved
professional (RN) nursing program. Additional Preferences: No
additional preferences. 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 apply today.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, citizenship, 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:is the Law Poster
SupplementPlease 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 from applicants.This Ministry does not participate in
E-Verify and therefore cannot employ STEM OPT candidates.
Keywords: Ascension Health, Flint , Registered Nurse/Med Surg 2S, Healthcare , Grand Blanc, Michigan
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