Company: Ascension Health
Location: Grand Blanc
Posted on: June 24, 2022
We Are Hiring: Registered NurseDepartment: - Observation
UntiFull time 36 hrs3rd shift M-F and qowe 7p-730aAscension 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.We offer rewarding career paths for healthcare
professionals across all disciplines. - Ascension offers a
collaborative environment with competitive wages and opportunities
for advancement.Benefits include:
- Medical, dental, vision, life insurance, and a retirement plan
- Competitive compensation
- Paid time off
- Professional development
- Wellbeing programs and holistic growth opportunities
- Tuition reimbursement
- Adoption 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
- 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
- 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
- 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
- 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
- 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 CHF patients.
- 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,
- 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
- Follow clinical practice guidelines and procedures as
- 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
- 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
- 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; includespain 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
- 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 advanceddirectives) and initiates steps for
- Demonstrate adherence to patient confidentiality
- 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.
- 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
- 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
- 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 of staff.
- Provide direction and leadership to other staff by:
- Clearly communicating expectations/responsibilities to team
- Observing patients and work in progress periodically throughout
- Communicating with team members about work to be
- Assisting team members with patient care activities as
- 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.
- Minimum Qualifications:
- Graduate of an approved professional (RN) nursing program; must
possess current Michigan licensure to practice as a registered
- 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
- 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: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 from applicants.This
Ministry does not participate in E-Verify and therefore cannot
employ STEM OPT candidates.
Keywords: Ascension Health, Flint , Registered Nurse/Observation, Healthcare , Grand Blanc, Michigan
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