Registered Nurse Casual - Post Anesthesia Care Unit

17 hours ago

Registered Nurse RN

Summary The Registered Nurse (RN) functions primarily in direct patient care, and demonstrates “competent” clinical practice. This position triages patients, obtains patient history and vital signs and assesses patients. Acts independently to initiate immediate care in the absence of a physician in life threatening situations. Provides care for the acutely ill as well as the non-acute patient. Performs multiple procedures utilizing both complex and simple nursing skills and assists the physician with their procedures. Provides comfort, both physical and psychological, to the patient, their family and visitors utilizing the Relationship Based Care (RBC) model. Provides discharge and follow-up instructions to the patient and family. Answers the ambulance radios and, without assistance, gives appropriate orders for pre-hospital care. Works with multiple types of sophisticated equipment and handles various types of patients in a frequently stressful environment. Responsibilities (25%)* Performs nursing assessments, intervenes appropriately and promptly, and participates in care planning. (25%)* 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. (20%)* Processes physician/provider orders accurately, completely, and in a timely manner, and does follow up regarding medication changes and order clarifications. (15%)* Evaluates effectiveness of treatment plan and makes suggestions or facilitates changes in plan to improve patient care. (15%)* Actively participates in updating/revising the treatment plan in collaboration with other team members, utilizing current information. Other Duties And Responsibilities: Uses physical assessment techniques (auscultation, percussion, palpation, observation) to identify patient’s physical problems and their patient care needs. Recognizes self-limitations and seeks out appropriate resources. Possess clinical competence in airway management, cardiac monitoring, Intravenous (IV) therapy, blood gas analysis, venipuncture and physical assessment. Reassesses patient health status and identifies significant changes in conditions. Individualizes plan of care. Coordinates the prescribed plans with orders on health care team. Communicates pertinent aspects of care to patient, family, or other health care workers. Initiates home health referrals when appropriate. Sets priorities and implements nursing measures which correlate with identified plan and standard of care. Recognizes change in patient’s condition and takes action to manage, reduce, or eliminate symptoms and promote comfort. Demonstrates respect for patient’s dignity and privacy. Documents nursing intervention and patient’s response. Maintains a safe patient environment and takes actions to prevent risk situations. Provides for patient/family education-explains about all procedures, utilizes available educational materials, documents any instructions given to family. Has effective interpersonal skills with customers. Assists peers in patient care activities. Recognizes stress in others and uses positive coping techniques. Sets goals and prioritizes Emergency Department care to patients according to acuity. Is accountable in following medical center policy and procedures and work attendance. Participates in continuing education program, Medical Center Computer based learning modules, and ED in-service training. NIH Stroke training required within 6 months of hire or transfer and renewed annually. All other duties as assigned. 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. Certifications and Licensures Credential: ACLS: Advanced Cardiac Life Support Equivalent Experience: Within 12 months of hire or transfer Qualification Source: Essential: true Credential: BLS: Basic Life Support Equivalent Experience: Within 3 months of hire or transfer Qualification Source: AHA Essential: true Credential: ENPC: Emerg Nurse Pediatric Course Equivalent Experience: Within 18 months of hire or transfer Qualification Source: Essential: true Credential: PALS: Ped Advance Life Support Equivalent Experience: Within 24 months of hire or transfer Qualification Source: Essential: true Credential: RN: Registered Nurse Equivalent Experience: Knowledge of nursing technique as normally acquired through completion of at least an Associate�s Degree in Nursing culminating in licensure in the State of Michigan. Knowledge of nursing skills as normally acquired through 2 years� experience working in the medical center or similar setting. Qualification Source: MI Essential: true Credential: TNCC: Trauma Nurse Core Course or ATCN Equivalent Experience: Within 12 months of hire or transfer Qualification Source: Essential: true Credential: TEAM ADVANCED: Techniques for Effective Aggression Mgt Equivalent Experience: Within 6 months of hire or transfer (Employees who are in this position on or before 12/31/2023 will have 24 months to complete this certification) Qualification Source: Essential: true Credential: NIMS IS 100: NIMS IS 100 Introduction Incident Command System Equivalent Experience: Within 6 months of hire or transfer Qualification Source: Essential: true Credential: NIMS IS 700: NIMS IS 700 Introduction National Incident Mgt System Equivalent Experience: Within 6 months of hire or transfer Qualification Source: Essential: true Required Education Education: ASSOC Equivalent Experience: Bachelor's degree in nursing is preferred. Education Specialization: NRG Essential: true Other Information Experience, Training And Skills: Knowledge of nursing skills as normally acquired through 2 years’ experience working in the medical center or similar setting. 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 MyMichigan 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% of the workday) 10 lbs. Equivalent Experience And Other Comments (Education) Education: ASSOC Equivalent Experience: Bachelor's degree in nursing is preferred. Education Specialization: NRG Essential: true Education: BACH Equivalent Experience: Education Specialization: NRG Essential: false Other Comments Credential: ACLS: Advanced Cardiac Life Support Equivalent Experience: Within 12 months of hire or transfer Qualification Source: Essential: true

Registered Nurse RN- SICU

Summary 14K sign on bonus for qualified candidates This position performs a variety of integrated pre and post-operative critical care functions, intuitively, using the nursing process while applying a broad nursing knowledge in a caring, concerned manner. Responsibilities (25%)* Assesses patient for physical, emotional, psych/social and family support. (25%)* Organizes and coordinates all aspects of patient care according to the patients real and/or perceived needs. (25%)* Evaluates patient progress by correlating patient information with nursing knowledge to determine if goals are being met according to the patients plan of care or clinical path. (25%)* Consults and collaborates with members of the healthcare team in planning and implementing total patient care for individuals. OTHER DUTIES AND RESPONSIBILITIES: Provides for the age specific needs of the population served according to department standards and policies/procedures as evidenced by observation, documentation and peer feedback for the following: Adolescent - 13 to 17 years Adult - 18 to 64 years Later Adult - 65 years and older Demonstrates proficiency (according to hospital and unit policy and procedure) in nursing skills to carry out the patients plan of care. Communicates interactions, both verbal and written, that clearly and positively accomplish desired patient care as a collaborative effort. Educates patients and families. Provides teaching, support and coordination of healthcare plans for patient and family through the acute phase of illness, as needed. Promotes clinical knowledge development including critical thinking skills and improves strategies for comparing clinical judgment through research and continuing education. Other duties as assigned. Certifications and Licensures Credential: ACLS: Advanced Cardiac Life Support Equivalent Experience: Within 12 months of hire or transfer Qualification Source: Essential: true Credential: BLS: Basic Life Support Equivalent Experience: Within 3 months of hire or transfer Qualification Source: AHA Essential: true Credential: RN: Registered Nurse Equivalent Experience: Qualification Source: MI Essential: true Credential: TEAM ADVANCED: Techniques for Effective Aggression Mgt Equivalent Experience: Within 6 months of hire or transfer (Employees who are in this position on or before 12/31/2023 will have 24 months to complete this certification) Qualification Source: Essential: true Required Education Education: ASSOC Equivalent Experience: Bachelor's degree in nursing preferred. Education Specialization: NRG Essential: true Other Information EXPERIENCE, TRAINING AND SKILLS: Completion of orientation process as described in the Critical Care Competency Policy, and as outlined for the care of the post-operative cardiothoracic surgery patient and general surgery patient requiring critical care nursing skills. Open-heart trained within one year of hire and with manager approval. Interpersonal 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 manner. MyMichigan 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 MyMichigan Health. 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 MyMichigan 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. Equivalent Experience And Other Comments (Education) Education: ASSOC Equivalent Experience: Bachelor's degree in nursing preferred. Education Specialization: NRG Essential: true Other Comments #Indeed1RN

Oncology

Registered Nurse RN- Medical Oncology

Summary The medical oncology unit will consist of patients with a cancer diagnosis, medical step-down patients, and general medical overflow. This position has basic knowledge of pathophysiology of cancer and is able to assess, plan, implement and evaluate care for patients on this unit. Employees who are in the casual position are required to pick up shifts as outlined in the Midland Nursing Casual Employee Policy. Responsibilities (30%)* Regularly assesses patients/clients needs and provides skilled nursing services as prescribed by the physician authorized plan of care, and accepted standards of nursing practice. (30%)* Provides direct patient care, including nursing assessment, medication administration, treatments, call lights, assisting with transfers, responding to alarms, etc. (20%)* Evaluates effectiveness of treatment plan and patients' condition to make suggestions and participate in updating/revising the treatment plan in collaboration with other team members, utilizing current information and assessments 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 interpret information and reports pertinent data to the physician, including pertinent clinical information. Assess learning needs considering readiness, ability, preferences, and cultural / spiritual variables. Provide education to meet the individual needs and ability to learn. Participates in care conferences as assigned. Develops and maintains good working rapport with interdisciplinary personnel to meet the needs of each patient. Coordinates care provided by patient care technicians. Demonstrates the ability to organize and prioritize the needs of groups of patients or an individual patient. 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. Implements clinical and technical aspects of care in accordance with established policies and procedures. Demonstrates understanding of clinical pathways and utilizes appropriately. Remains calm and efficient when working in stressful 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. Participates in regulatory surveys. Participates in the performance improvement activities. Assists with orientation and ongoing competencies. Provides a safe and secure environment for patient care. Attend and participate in professional association activities and programs to assure being current on regulations, guidelines, and professional standards. Remains current on new developments by reading professional journals, and attending seminars. Demonstrates understanding of role in emergency preparedness procedures Administers cardiac drips and chemotherapy per provider orders. Assesses patient for signs or symptoms of complications of cancer or treatment protocols. Accurately uses central lines for drawing blood, administering chemotherapy, etc. Interacts positively with patients and families during severe stress situations. Demonstrates critical thinking and integration of theory to practice for medical patients, oncology patients, medical step-down, and telemetry patients. Participates in Transition of Care course for first 12 months after hire or transfer to position. Monitors and initiates the need to institute safety measures to prevent patient injury. Other duties as assigned. Certifications and Licensures Credential: RN: Registered Nurse Equivalent Experience: Qualification Source: MI Essential: true Credential: BLS: Basic Life Support Equivalent Experience: Within 3 months of hire or transfer. Qualification Source: AHA Essential: true Credential: DIMC: Dysrhythmia Interpretation Man Equivalent Experience: Employees hired after January 1, 2025, are required to take, and pass Telemetry Monitoring and management class (DIMC) within 12 months of hire or transfer. Qualification Source: Essential: true Credential: ACLS: Advanced Cardiac Life Support Equivalent Experience: Within 6 months of hire or transfer (Employees who are in this position on or before 12/31/2023 will have 24 months to complete this certification). Qualification Source: AHA Essential: true Credential: TEAM ADVANCED: Techniques for Effective Aggression Mgt Equivalent Experience: Within 6 months of hire or transfer (Employees who are in this position on or before 12/31/2023 will have 24 months to complete this certification) Qualification Source: Essential: true Credential: ONS BIOCRT: ONS/ONCC Chemotherapy Bio Cert Equivalent Experience: Required within 12 months of hire or transfer into positions. Must be renewed every 24 months. Qualification Source: Essential: true Required Education Education: Associate degree in nursing, bachelors preferred. Other Information EXPERIENCE, TRAINING AND SKILLS: The following education outline is intended for new hires or transfers who are new to Oncology Nursing. Any new hire or transfer who has already received their ONS Chemo / Bio safe handling card and/or their OCN certification is exempt from completing Cancer Basics or Chemotherapy Fundamentals. Chemotherapy Education Pathway: Full time & Part time RN Pass ONS Cancer Basics course within 6 months. Pass ONS Chemotherapy/ Biotherapy Fundamentals of Administration course within 12 months. Maintain ONS Chemotherapy/ Biotherapy Fundamentals of Administration or ONS Chemotherapy and Biotherapy Certificate course (if applicable) per ONS recommendations. Additional components of demonstrating competency for all nurses administering antineoplastic agents include: Demonstration of safety and proficiency in the preparation, administration, handling, and disposal of antineoplastic agents as defined in the ONS Chemotherapy/ Biotherapy Fundamentals of Administration course and or the ONS Chemotherapy and Biotherapy Certificate course. Demonstration of compliance with policy for management of chemotherapy spills and extravasation. Demonstration of skill in compliance with the health system's policy for accessing, dressing, and flushing a variety of vascular access devices including Hohn, PICCs, Groshong, Hickman, and implanted medports. Demonstration of skills in the assessment, planning, implementation, and evaluation of the oncology patient and family's learning needs. Interpersonal 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 manner. MyMichigan 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 MyMichigan Health. 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 MyMichigan 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. Equivalent Experience And Other Comments (Education) Other Comments #Indeed1RN

Registered Nurse GI RN

Summary This position possesses the knowledge to assess, implement and monitor the patient care for a variety of diagnostic and therapeutic procedures scheduled in this department. Outlines individual care plans, implements, evaluates, and documents the care of a patient pre and post operatively/procedurally. Provides leadership to the Riecker Surgery Center team and communicates with patient and family, Surgery Center team and manager and ancillary departments. Participates in staff development through preceptorship and continuing education. Responsibilities (30%)* Completes admission procedure and obtains appropriate signatures. Assesses both patients physical and psychological needs and notifies attending physician and anesthesia as needed. Supervises ancillary departments in preparing patients for surgery and administers appropriate medications. Checks patient chart for completeness and documents appropriately. (25%)* Assesses patient readiness for discharge and proceeds accordingly. Carries out physician orders and documents information in compliance with medical center policy. Demonstrates a thorough knowledge of individual physicians' routine. Assesses both patients physical and medical needs and provides proper follow-up as applicable to each patient. (25%)* Supervises activity in procedure room. Anticipates and coordinates any schedule changes for the room. Assists anesthesia as necessary. Provides conscious sedation and monitoring of patient. Assesses the needs of the procedural patient and develops a plan of care specific for that patient. Implements, evaluates and makes necessary adjustments to the plan of care keeping patient safety a priority. (10%)* 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%)* Processes physician/provider orders and performs physician ordered care accurately, completely and in a timely manner. Other Duties And Responsibilities Cover call shifts as assigned. 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. Possesses a thorough knowledge of normal pre-operative, intra-operative and post-operative routine and conveys this information to both patient and family in a relaxed empathetic, reassuring manner. Demonstrates a good basic knowledge of anesthetic agents and their side effects/complications. Demonstrates the ability to interpret information and reports pertinent data to the physician, including pertinent clinical information. Possesses thorough knowledge of individual physician preference regarding discharge instructions. Demonstrates appropriate communication and assessment skills with both family and patient. Seeks assistance of necessary support services to guarantee appropriate home care. Assess learning needs considering readiness, ability, preferences, and cultural / spiritual variables. Provide education to meet the individual needs and ability to learn. Develops and maintains good working rapport with interdisciplinary personnel to meet the needs of each patient. Demonstrates the ability to organize and prioritize the needs of groups of patients or an individual patient. 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. Implements clinical and technical aspects of care in accordance with established policies and procedures. Demonstrates understanding of clinical pathways and utilizes appropriately. Remains calm and efficient when working in stressful 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. Participates in regulatory surveys. Assures compliance with regulatory agencies standards such as The Joint Commission (TJC), Centers for Medicare Services (CMS), and Michigan Department of Public Health. Participates in staff development by attending in-services, completing net learning modules, attending educational opportunities, and preceptorships. Participates in the performance improvement activities. Assists with orientation and ongoing competencies. Provides a safe and secure environment for patient care. Attend and participate in professional association activities and programs to assure being current on regulations, guidelines, and professional standards. Remains current on new developments by reading professional journals, and attending seminars. Demonstrates understanding of role in emergency preparedness procedures. Demonstrates assessment of pain, promotes comfort through required intervention, and documents accordingly. Other duties as assigned. Certifications and Licensures Credential: RN: Registered Nurse Equivalent Experience Qualification Source: MI Essential: true Credential: ACLS: Advanced Cardiac Life Support Equivalent Experience: Within 12 months of hire or transfer Qualification Source Essential: true Credential: BLS: Basic Life Support Equivalent Experience: Within 1 month of hire or transfer Qualification Source: AHA Essential: true Required Education Education: Associates Degree Equivalent Experience: Bachelor's Degree in nursing preferred. Education Specialization: NRG Essential: true Other Information Experience, Training And Skills Interpersonal 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 manner. Basic knowledge of surgical process including pre-, intra-, and post-operative phases. MyMichigan 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 MyMichigan Health. Certification in perianesthesia nursing: CAPA (Certified Ambulatory Perianesthesia Nurse) at time of hire 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 MyMichigan 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.

Registered Nurse RN