Registered Nurse RN

MyMichigan Health West Branch, MI 48661, US

Summary

This position has basic knowledge of neonatal care and is able to assess, plan, implement and evaluate care for maternity patients.

**This position is eligible for a $14,000 sign-on bonus**

Responsibilities

(40%)* 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%)* Provides direct resident care including medication administration, treatments, call lights, assisting with transfers, responding to alarms, etc.

(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%)* 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 as requested.

Certifications and Licensures

Credential: BLS: Basic Life Support

Equivalent Experience: Within 1 month of hire or transfer

Qualification Source: AHA

Essential: true

Credential: NRP: Neonatal Resuscitation

Equivalent Experience: NRP required within 12 months of hire or transfer to position.

Qualification Source

Essential: true

Credential: RN: Registered Nurse

Qualification Source: MI

Essential: true

Credential: TEAM ADVANCED: Techniques for Effective Aggression Management

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)

Essential: true

Credential: ACLS: Advanced Cardiac Life Support

Equivalent Experience: Required within 12 months of hire or transfer. Effective 5/8/24, current employees will have 12 months to obtain the certification.

Essential: true

Required Education

Education: Associates Degree in Nursing required.

Equivalent Experience: Bachelor's Degree in Nursing preferred.

Education Specialization: NRG

Essential: true

Other Information

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.

Remain current on new developments by reading professional journals, and attending seminars.

Demonstrates understanding of role in emergency preparedness procedures.

Obtains prenatal history (prenatal Labor and Delivery (L&D) records) and antenatal care, gathering data and identifying risk factors.

Performs physical assessment.

Performs Loepold'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.

Identifies life-threatening/emergency situations.

Formulates conclusions, making a diagnosis.

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 examination.

Graphs labor process based on Friedman labor curve.

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.

Performs and/or assists with sterile speculum examinations.

Assesses and documents family interaction/support system.

Identifies 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.

Identifies 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.

Identifies common analgesic drugs, contraindications, dosage parameters, and acceptable routes of administration.

Identifies 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.

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.

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.

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Summary Under general direction of nursing leadership, the Manager RN position is responsible for planning, organizing, and directing of the operations and staff of the respective department. This position has 24-hour responsibility and accountability for planning, directing, coordinating, and evaluating nursing care to ensure optimal patient health outcomes in their respective department. This position links nursing leadership with nursing care through the application of organizational and nursing service policies, procedures, and care delivery model. The Manager RN uses the Code of Ethics for Nurses with Interpretive Statements to guide leadership and practice. The Manager RN attains knowledge and competence reflective of current nursing practice; promotes innovation and futuristic thinking by incorporating evidence based practice and research findings. Has responsibility for the Surgical Department. Is competent to assure provision of effective, high quality patient care, which includes coordinating clinical nursing practice and patient care delivery, managing surgery and personnel schedule, development of personnel, and compliance with regulatory and professional standards. Responsibilities 40%)* Coordination of Operating Room, PACU, Ambulatory Surgery and pain procedures. (30%)* Responsible for supervising care of patients in preoperative, perioperative, and post-operative phases. (30%)* Serves on Nursing Management Committee, Infection Control Committee, Safety committee, and any others that may apply. OTHER DUTIES AND RESPONSIBILITIES: Responsible for maintenance of quality monitors in OR with strict observance of medical and surgical asepsis. Responsible for monitors such as refrigerator temperature logs, eye wash station check, crash cart checks, and maintaining medication inventory. Participates in Performance Improvement activities. Responsible for observance of standard universal precautions for staff. Insures that hospital policies are followed regarding completion of history and physical, lab work, consents, consultations and assistants. Schedules surgeries and procedures according to surgeon and pain specialist designated privileges. Provides administration with monthly statistics of census, PI activities, chart review activities, and meeting minutes. Maintains records of preventative maintenance of anesthesia equipment, autoclaves, and appropriate OR Pain procedure equipment. Responds appropriately to variances in equipment. Responsible for monitoring and scheduling surgery, monitoring distribution of the surgery schedule. Responsible for scheduling personnel, including daily and call schedules for all levels of staff Will be responsible to fill in as OR staff member, and take call as needed. Responsible for reviewing and updating policies and procedures in collaboration with Radiology/Cardiology Manager, Administration and/or Infection Control Manager in accordance with current standards. Conducts and maintains annual evaluations. Conducts staff competency reviews. Conducts staff meetings and in-services and maintains documentation of competency reviews and meeting attendance. Responsible for new employee orientation. Responsible for ordering supplies and equipment as needed and planning for capital equipment. Responsible to schedule equipment maintenance and repairs and monitor equipment for trends of breakage and recommendations for new. Responsible to collaborate with Radiology/Cardiology manager and Pain Clinic Supervisor to schedule and support Pain Procedures. Oversees sterile processing department in conjunction with infection control nurse to ensure policies are adhered to and environment is maintained in a clean/safe manner. Also orients new personnel and schedules CS aides, participates in budgetary considerations for central sterile, and evaluates sterile processing personnel. Responsible for performing and/or delegating charge posting. Ensures that all staff attend annually Net Learning BLS training ACLS training for RN’s. Competent to function in the OR staff nursing role, recovery nurse role, ambulatory surgery nurse and Pain Procedure staff role fulfilling each area of duties. Competent to assess the physiological health status of patients of all age groups. Assessment is age specific (pediatric, adult, and geriatric). Verifies operative procedure/operative site. Communicates variances to CRNA/physician prior to surgery. Complete s time-out on all procedures and ensures OR and Pain Procedure staff meet this standard. Must attend 75% of all nursing, management, and inservice meetings. 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. Certifications and Licensures Credential: CNOR: Peri-Operative Nurs-NCC Equivalent Experience: 2 years from hire date or transfer and maintain. (Employees who are in this position on or before 8/1/2024 will have 24 months to complete this certification) Qualification Source: Essential: true Credential: RN: Registered Nurse Equivalent Experience: Qualification Source: Essential: true Credential: BLS: Basic Life Support Equivalent Experience: Within 1 month of hire or transfer Qualification Source: AHA 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 Credential: NIMS IS 200: NIMS IS 200 Basic Incident Command System Initial Response Equivalent Experience: Within 6 months of hire or transfer Qualification Source: Essential: true Required Education Education: BACH Equivalent Experience: Master's Degree in clinical or health related field preferred at the time of hire or transfer to position. Associate's prepared managers must enroll in a Bachelor's program with in 1 year of hire or transfer with completion in 3 years. Education Specialization: NRG Essential: true Other Information EXPERIENCE, TRAINING AND SKILLS: EXPERIENCE, TRAINING AND SKILLS: Knowledge of nursing practices and procedures as normally acquired through 4 years’ experience working in a Medical Center or similar setting. Knowledge of nursing leadership as normally acquired through working 2 years’ in a Medical Center or similar setting with involvement in supervision, charge nurse, project implementation, professional development program, shared governance leadership role, or equivalent. Two to five years of clinical experience as an operating room nurse. Demonstrates leadership abilities; able to work under stressful situations; and possesses good oral and written communication skills. 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: BACH Equivalent Experience: Master's Degree in clinical or health related field preferred at the time of hire or transfer to position. Associate's prepared managers must enroll in a Bachelor's program with in 1 year of hire or transfer with completion in 3 years. Education Specialization: NRG Essential: true Other Comments Credential: CNOR: Peri-Operative Nurs-NCC Equivalent Experience: 2 years from hire date or transfer and maintain. (Employees who are in this position on or before 8/1/2024 will have 24 months to complete this certification) Qualification Source: Essential: true #Indeed1RN