Registered Nurse RN (Float)
Company: MyMichigan Health
Posted on: January 25, 2023
Registered Nurse RN (Float)
The Registered Nurse provides direct care to patients using the
nursing process. This includes ongoing assessment of the total
patient. The RN provides interventions to treat the presenting
symptoms and evaluates the effect of nursing interventions and
patient's responses. The RN functions as a team leader/member and
resource to others. The RN delegates, oversees and provides
direction to support staff. Collaborates with interdisciplinary
team to establish goals and outcomes for each patient. The RN is
responsible for meeting the needs of all types of patients.
- 1 weekend a month
- No holidays!
A day in the life as a Registered Nurse RN (Float) with MyMichigan
- (40%)* Regularly assesses patient's needs and provides skilled
nursing services as prescribed by the physician authorized plan of
care and accepted standards of evidence based nursing practice.
- (30%)* Provides direct patient care including medication
administration, treatments, education, call lights, assisting with
transfers, responding to alarms, and other duties as
- (20%)* Evaluates effectiveness of treatment plan and makes
suggestions or participates in updating/revising the treatment plan
in collaboration with other team members, utilizing current
information to improve patient care.
- (10%)* The RN is knowledgeable and compliant with all local,
state and federal regulations and guidelines as well as hospital
specific policies and procedures relating to care provided in the
OTHER DUTIES AND RESPONSIBILITIES:
- Demonstrates the MidMichigan Health mission, vision and
- Behaves in a courteous, professional manner at all times with
patients, visitors, and co-workers.
- Meets and maintains MidMichigan Health's behavioral
- Demonstrates the ability to interpret information and reports
pertinent data to the physician.
- Educate patient/family according to assessed learning needs
considering readiness, ability, preferences, and cultural /
- Demonstrates the ability to organize and prioritize the needs
of groups of patients or an individual patient.
- Maintains patient rights and confidentiality.
- Demonstrates a general ability to manage assignments and
perform routine duties on the unit. instructs other team members
when appropriate, explaining goals and rationale for individualized
care. Demonstrates understanding of clinical pathways/tiers and
utilizes appropriately. -unit specific
- Maintains a professional demeanor in all situations.
- Documents in an accurate, clear, and concise way and includes
pertinent clinical data.
- Shares information and reports significant changes and/or
abnormal findings to appropriate team members in a timely
- Participates in regulatory surveys.
- Participates in the performance improvement activities.
- Participates in quality initiative programs and patient
- Attends monthly department meetings and reads weekly
- Possesses an understanding
- Assists with orientation and ongoing competencies.
- Provides a safe and secure environment for patient care.
- Maintains knowledge with current trends and professional
standards within a specialty .
- Demonstrates understanding of role in emergency preparedness
- Obtains prenatal history (prenatal L&D records) and
antenatal care, gathering data and identifying risk factors.
Performs physical assessment. Performs Leopold's maneuvers for
fetal position. Assesses fetal heart rate and identifies
maternal-fetal risk factors. Palpates uterus to assess frequency,
length and quality of contractions. Distinguishes, reports and
records normal and abnormal conditions. ldentifies
- Decides when to do or not to do a vaginal examination on the
laboring patient. Assesses and evaluates dilatation and effacement
of the cervix and station of presenting part via sterile vaginal
- Distinguishes true labor from false labor. Assesses and
evaluates suspected rupture of membranes. Visualizes pooling of
amniotic fluid. Uses nitrazine paper to prepare slide for fern test
or collects amnisure specimens. Performs and/or assists with
sterile speculum examinations.
- Assesses and documents family interaction/support system.
ldentifies support person and desired birthing plan. Assesses
effectiveness of patient's/family's current coping mechanisms.
Evaluates level of childbirth preparation. Explains diet and
activity orders during labor.
- Communicates and documents admission data with physician,
nursing staff, family and appropriate personnel. Prioritizes and
delivers care based on information obtained from maternal-fetal
labor assessment of status and initial exam. ldentifies those
patients with high-risk conditions that may require consultation
and/or transportation to a tertiary center.
- Assesses patient during all stages of labor, obtaining vital
signs, fetal heart rate and patterns, and amount, color, and odor
of amniotic fluid, etc. Continuously updates nursing care plan.
ldentifies common analgesic drugs, contraindications, dosage
parameters, and acceptable routes of administration. ldentifies and
promptly initiates appropriate nursing intervention for maternal
and/or fetal side effects of medication and/or complications.
- Sets up sterile delivery or operating instrument table using
strict aseptic technique according to specific physician's request.
Ensures presence and proper functioning of emergency/resuscitation
equipment for mother and newborn and radiant warmer for infant if
appropriate. Positions patient in desired delivery position,
utilizing physiologic positioning. Performs perineum or abdominal
scrub using sterile technique. lnstructs coach/family in
appropriate attire and hand washing technique per medical center
- Notes and documents time of birth. Assesses Apgar scores at one
and five minutes after birth. Assists with stabilization of at-risk
neonate and performs cardiopulmonary resuscitation if indicated.
Performs preliminary physical assessment for obvious physical
abnormalities and notifies physician if abnormalities are noted.
Correctly identifies newborn and mother, applying identification
bracelets to both. Obtains necessary cord blood samples and sends
them to the laboratory. lnitiates newborn eye prophylaxis after
initial bonding per Medical Center protocol. Assists in initial
infant-parent-family bonding. Encourages immediate touch and eye
contact as soon as possible after delivery. Answers patient-family
questions about newborn. Assists with initial breastfeeding.
- Notes and records delivery time of placenta. Notes and
documents condition/ intactment of placenta and number of vessels
in umbilical cord. Obtains cultures or specimen for laboratory
analysis if indicated.
- Assesses and documents maternal vital signs every 15 minutes
for first hour, more frequently if the patient's condition
warrants, and until stable per Medical Center protocol. lnstitutes
uterine massage and applies perineal ice pack if indicated.
Assesses for maternal discomfort and distended bladder and uses
nursing intervention if needed. Encourages and promotes the bonding
process. Explains post-delivery procedures and postpartum routine
to patient and family. Prepares patient for transfer to postpartum
status and/or gives discharge instructions to mother for self and
- lf indicated, administers and documents oxytocin for
induction/augmentation of labor after a physician, nurse midwife or
qualified intrapartum nurse examines the patient. Performs
continuous electronic fetal monitoring and immediately discontinues
oxytocin if there is maternal-fetal intolerance.
- Develops a nursing plan of care based on appropriate data and
- Monitors status of patient and fetus if antepartum. Monitors
status of infant. Performs physical care, technical procedures and
maintains a therapeutic environment. lntervenes in emergency
- Evaluates and initiates changes in plan of care based on
changes in status of patient. Evaluates and initiates changes in
plan of nursing care based on changes in status of infant.
Collaborates with other healthcare providers in order to achieve
- Performs neonatal resuscitation if needed.
- All other duties as assigned.
REQUIRED EDUCATION, EXPERIENCE, SKILLS & TRAINING:
- Associates Degree Nursing (ADN) required. BSN preferred.
- A current license as a Registered Nurse in the State of
- Fingerprinting results obtained prior to hire or transfer.
- lnterpersonal skills needed to communicate successfully with
individuals and groups and interact with people at all levels to
communicate ideas and concepts in a clear and understandable
- This position must show knowledge, ability, and competence in
treating unit specific patient populations .
- MidMichigan Health is a technology driven organization and
employees need to demonstrate competency in Microsoft Windows. An
employee may be required to participate in further learning
opportunities offered by MidMichigan Health.
- Specialty certification preferred.
PHYSICAL/ MENTAL REQUIREMENTS AND TYPICAL WORKING
CONDITIONS:Exposure to stressful situations, including those
involving public contact, as well as, trauma, grief and death.Able
to wear personal protective equipment that includes latex materials
or appropriate substitute if required for your position.Is able to
move freely about facility with or without an assisted device and
must be able to perform the functions of the job as outlined in the
job description.Overall vision and hearing is necessary with or
without assisted device(s).Frequently required to sit/stand/walk
for long periods of time. May require frequent postural changes
such as stooping, kneeling or crouching.Some exposure to blood
borne pathogens and other potentially infectious material. Must
follow MidMichigan Health bloodborne pathogen and TB testing as
required.Ability to handle multiple tasks, get along with others,
work independently, regular and predictable attendance and ability
to stay awake.Overall dexterity is required including handling,
reaching, grasping, fingering and feeling. May require repetition
of these movements on a regular to frequent basis.Physical Demand
Level: Medium. Must be able to occasionally (0-33% of the workday)
lift or carry 21-50 lbs., frequently 34-66% of the workday 20 lbs.
and or Walk/Stand/Push/Pull of Arm/Leg controls and constantly
(67-100% or the workday) 10 lbs.
Keywords: MyMichigan Health, Flint , Registered Nurse RN (Float), Healthcare , Alma, Michigan
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