Registered Nurse Casual - Post Anesthesia Care Unit

Department: PACU

Daily Work Times: 9:00am - 9:30pm

Shift: Days

Scheduled Bi-Weekly Hours: 0

Position Summary:

Collaborates with physician to provide a plan of care that will return the patient to optimal health. Provides bedside nursing care and carries out medical orders. Delegates to and oversees Nurse Assistant, Patient Care Associate, OB Care Associate, Surgical Service Assistant, Nursing Clerk and Psychiatric Tech functions. Responsible for evaluating effectiveness of care plan.

Essential Functions and Responsibilities:

Assumes responsibility for a leadership role encompassing:

Integrating evidence-based knowledge into practice.
Delegation and coordination of tasks and assignments of nursing care.
Facilitates/participates in patient conferences.
Identifies and provides the means to meet patients’ ongoing and discharge/transfer teaching needs by communicating with the appropriate resource persons and attending discharge/transfer planning conferences.
Assumes the responsibility for professional growth by seeking out educational opportunities and utilizing programs in the hospital or elsewhere in the community.
Teaches and/or guides professional and ancillary personnel.
Precepts/mentors new employees and students.
Functions as a team leader to ensure proper patient placement and delegation of assignments.
Team leads as assigned, responsible for efficient time management of peers (and self), ensuring efficient, cost-effective use of dept. resources, and ordering of supplies (may be delegated).
Possess ability to perform various assessment techniques, including cardiac rhythms and airway management, to identify potential/actual problems related to anesthesia and relevant surgical procedure. Consult anesthesiologist/physician when appropriate using assertive communication skills.
Utilize and troubleshoot specialty equipment (blood glucose monitor, IV pumps, Bladder scanner, ARJO lift/slides, EKG machine) in an independent, safe manner.

Required:

Graduate of an accredited school of nursing and holding a current license to practice in the state of Michigan.
BLS issued by American Heart Association or Red Cross Certification
Must satisfactorily complete the first available Basic Dysrhythmia course
Must satisfactorily complete ACLS course within one year of hire/transfer (PPH/PACU/PMCS/ ENDO MINOR PROCEDURES)
Six (6) months experience in an acute care setting or equivalent

Preferred:

Previous experience in Surgical Services area
Proficient in IV starts.
PALS (PACU)

Additional Information

Schedule: Per Diem
Requisition ID: 26002430
Daily Work Times: 9am - 9:30pm
Hours Per Pay Period: 0
On Call: Yes
Weekends: Yes

Share this job

Related Jobs

PACU

Full-time

1 month ago

Invasive Imaging and Recovery RN

MyMichigan Health Midland, MI

Summary This position cares for patients before, during and after an electrophysiology procedure. This position cares for Structural heart (including Watchman), Lead extractions, ablations, Vascular and EP pacemaker / device patients. This includes pre-procedure assessment, pre-medication, documentation of procedural process, dysrhythmia interpretation and management, mapping, post-procedure care and patient education. Responsibilities (35%)* Performs nursing care for the above outlined procedures, but not limited to: ( 35%)*Circulate and assists during cases, including sterically drop procedural supplies on tray, scrubbing in the case, running for supplies. (15%) * Records all pertinent information on appropriate data sheets. (15%)*Assists Radiologic Technologists circulate cases, sterically drop procedural supplies on tray. Other Duties And Responsibilities Collaborates with physicians to provide a plan of care for each individualized patient. Assists in other radiology/cardiology procedures as needed. Performs clinical functions as needed. Delegation and coordination of tasks and assignments of nursing care Assumes the responsibility for processional growth by seeking out educational opportunities and utilizing programs in the hospital. Precepts / mentors new employees and students. 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 ACLS - Advanced Cardiac Life Support Required Equivalent Experience - Within 1 month of hire or transfer BLS - Basic Life Support Required Equivalent Experience - Within 1 month of hire or transfer RN - Registered Nurse Required Equivalent Experience - Knowledge of the nursing techniques normally acquired through the completion of an Associate’s Degree in Nursing culminating in licensure in the State of Michigan. Required Education Education: Associates Degree Comments: Knowledge of the nursing techniques normally acquired through the completion of an associate’s degree in nursing culminating in licensure in the State of Michigan. BSN is preferred Other Information Education, Experience, And Training Knowledge of critical care nursing as normally acquired through 2 years experience working in a Medical Center or similar setting. 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. Preferred: Electrophysiology skills as gained through a minimum of 1 year of experience working in an electrophysiology lab environment 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 wearing lead and 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

PACU

Full-time

2 months ago

Invasive Imaging and Recovery RN

MyMichigan Health Midland, MI

Summary This position cares for patients before, during and after an electrophysiology procedure. This position cares for Structural heart (including Watchman), Lead extractions, ablations, Vascular and EP pacemaker / device patients. This includes pre-procedure assessment, pre-medication, documentation of procedural process, dysrhythmia interpretation and management, mapping, post-procedure care and patient education. Responsibilities (35%) *Performs nursing care for the above outlined procedures, but not limited to: ( 35%) *Circulate and assists during cases, including sterically drop procedural supplies on tray, scrubbing in the case, running for supplies. (15% ) *Records all pertinent information on appropriate data sheets. (15%) *Assists Radiologic Technologists circulate cases, sterically drop procedural supplies on tray. Other Duties And Responsibilities Collaborates with physicians to provide a plan of care for each individualized patient. Assists in other radiology/cardiology procedures as needed. Performs clinical functions as needed. Delegation and coordination of tasks and assignments of nursing care Presumes the responsibility for processional growth by seeking out educational opportunities and utilizing programs in the hospital. Precepts / mentors new employees and students. 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: RN: Registered Nurse Equivalent Experience: Knowledge of the nursing techniques normally acquired through the completion of an Associates Degree in Nursing culminating in licensure in the State of Michigan. Bachelor's Degree in Nursing preferred. Essential: true Credential: BLS: Basic Life Support Equivalent Experience: Within 1 month of hire or transfer Qualification Source: AHA Essential: true Credential: ACLS: Advanced Cardiac Life Support Equivalent Experience: Within 1 month of hire or transfer Essential: true Required Education Education: ASSOC Equivalent Experience: Knowledge of the nursing techniques normally acquired through the completion of an Associates Degree in Nursing culminating in licensure in the State of Michigan. Bachelor's Degree in Nursing preferred. Education Specialization: NRG Essential: true Other Information Education, Experience, And Training Knowledge of critical care nursing as normally acquired through 2 years� experience working in a Medical Center or similar setting. 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. Preferred: Electrophysiology skills as gained through a minimum of 1 year of experience working in an electrophysiology lab environment 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 wearing lead and 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.

Outpatient

Full-time

21 hours ago

Medical Office Nurse RN - Hem/Onc (Midland)

MyMichigan Health Midland, MI

Summary Under direct supervision of the specialty provider, will be responsible for patient assessment and care, and maintaining appropriate documentation. This position must have knowledge of specialty care and able to assess, plan, implement and evaluate care for patients. This position is responsible for coordinating care to assure high quality, compassionate patient care is provided. They will maintain and oversee patients at the office locations and will act as the liaison with other health care providers, organizations and departments. This position may be required to order all medical, pharmacy supplies, and office supplies to manage patient care. They will assure compliance with all the policies/procedures of MyMichigan Health and follow Occupational Safety and Health Administration (OSHA) guidelines, Clinical Laboratory Improvement (CLIA) regulations, and all appropriate regulatory agencies. They will coordinate with and train any new employees, students and float staff as required. The clinical person will provide patient education, assist with specialty care modalities, symptom management, be available for emergencies, monitor for compliance and the effects of care management with high risk patients, educate on prescriptions and teach the patient and family the reasons for the medication and side effects, coordinate and ensure continuity of care with other providers. Also, may perform general office duties (keyboarding, filing, telephone, computer and office equipment) as needed. The expectations outlined in this job description may vary slightly depending on the practice in which you are assigned. Your immediate supervisor will be able to clarify your responsibilities for you. Responsibilities (30%)* Provides complete patient assessment within their scope of their licensure. Greets patients and/or family, performs routine pre-examination procedures including vital signs, assessing and recording objective and subjective data concerning presenting condition. Updates and maintains an accurate patient record by performing but not limited to, orders reconciliation, secure messaging (if available) and other tasks as assigned. Performs medication reconciliation, enters allergy reaction type, processes refills within the scope of their licenses. (20%)* Triages all calls, schedules daily urgent/emergent add-ons, receives and relays test results, processes medication refills, supports, directs and refers patients for consults and/or testing and insurance pre-certification and documentation. (20%)* Coordinates the care team with the care indicated by the provider, and works with the patient and families with the disease process and/or care management. (20%)* Assists provider with examinations and procedures. (10%)* Prepares and cleans the patient area, sets up equipment, cleans and facilitates room set up after a procedure. Disposes of contaminated supplies and sterilizes medical instruments. Other Duties And Responsibilities Demonstrates critical thinking for patient management. Provides for the age specific needs of the population served according to standards and policies/procedures as evidenced by observation, documentation and peer feedback. Maintains medical supplies to assure consistent supply levels to meet the needs of the patients. Understands necessary computer functions in the office setting: Michigan Automated Prescription System (MAPS), Michigan Care Improvement Registry (MCIR), Practice Management, Electronic Medical Records, Laboratory Information System (LIS), Emageon, dictation systems, and any other necessary programs to assist providers and staff. If applicable, maybe required to travel to satellite clinics. Maintains a system for accurately documenting and coding in the medical record as appropriate per policy. Participate in annual review for quality and completeness as necessary. Management of the patient symptoms as directed by the provider.. Coordinates and ensure continuity of care with other providers. 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 MidMichigan Health. Certifications and Licensures BLS - Basic Life Support Required Equivalent Experience - Within 1 month of hire or transfer RN - Registered Nurse Required Required Education Education: Associates Degree Comments: BSN is preferred. Other Information Experience, Training And Skills Working knowledge of the organization’s Infor, Electronic Medical Records, and Practice Management programs preferred or knowledge of similar software. PC software knowledge must include: Excel and Word. Knowledge of medical office policies, practices and procedures as normally acquired through three to five years working in the health care system or similar setting. Excellent interpersonal skills needed to communicate successfully with individuals and interact with people at all levels to communicate concepts in a clear and understandable manner. 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: Light. Must be able to occasionally (0-33% of the workday) lift or carry 11-20 lbs., frequently (34-66% of the workday) 10 lbs. and or Walk/Stand/Push/Pull of Arm/Leg controls.

Medical Office Nurse RN - Surgical Oncology (Midland)

MyMichigan Health Midland, MI

Summary Under direct supervision of the provider, will be responsible for patient assessment and care, and maintaining appropriate documentation. This position must have basic knowledge of specialty and/or primary care and able to assess, plan, implement and evaluate care for patients. This position is responsible for coordinating care to assure high quality, compassionate patient care is provided. They will maintain and oversee patients at the office locations and will act as the liaison with other organizations and departments. This position may be required to order all medical, pharmacy supplies, and office supplies to manage patient care. They will assure compliance with all the policies/procedures of MyMichigan Health and follow Occupational Safety and Health Administration (OSHA) guidelines, Clinical Laboratory Improvement Amendments (CLIA) regulations, and all appropriate regulatory agencies. They will coordinate with and train any new employees, students and float staff as required. The clinical person will provide patient education, assist with specialty care modalities, symptom management, be available for emergencies, monitor for compliance and the effects of care management with high risk patients, educate on prescriptions and teach the patient and family the reasons for the medication and side effects, coordinate and ensure continuity of care with other providers. Also, may perform general office duties (keyboarding, filing, telephone, computer and office equipment) as needed. The expectations outlined in this job description may vary slightly depending on the practice in which you are assigned. Your immediate supervisor will be able to clarify your responsibilities for you. Responsibilities (20%)* Triages all calls, schedules daily urgent/emergent add-ons, receives and relays test results, processes medication refills, supports, directs and refers patients for consults and/or testing and insurance pre-certification and documentation. (20%)* Provides complete patient assessment within their scope of their licensure. Greets patients and/or family, performs routine pre-examination procedures including vital signs, assessing and recording objective and subjective data concerning presenting condition. Updates and maintains an accurate patient record by performing but not limited to, orders reconciliation, secure messaging (if available) and other tasks as assigned. Performs medication reconciliation, enters allergy reaction type, processes refills within the scope of their certification. (20%)* Coordinates the care team with the care indicated by the provider, and works with the patient and families with the disease process and/or care management. (20%)* Assists provider with examinations and procedures. (20%)* Prepares and cleans the patient area, sets up equipment, cleans and facilitates room set up after a procedure. Disposes of contaminated supplies and sterilizes medical instruments. Other Duties And Responsibilities Demonstrates critical thinking for patient management. Provides for the age specific needs of the population served according to standards and policies/procedures as evidenced by observation, documentation and peer feedback. Maintains medical supplies to assure consistent supply levels to meet the needs of the patients. Understands necessary computer functions in the office setting: Michigan Automated Prescription System (MAPS), Michigan Care Improvement Registry (MCIR), Practice Management, Electronic Medical Records, Laboratory information system (LIS), Emageon, dictation systems, and any other necessary programs to assist providers and staff. If applicable, maybe required to travel to satellite clinics. Maintains a system for accurately documenting and coding in the medical record as appropriate per policy. Participate in annual review for quality and completeness as necessary. Management of the patient symptoms as directed by the provider. Coordinates and ensure continuity of care with other providers. MyMichigan Health is a technology driven organization and employees need to demonstrate Competency in Microsoft® Windows. Certifications and Licensures BLS - Basic Life Support Required Equivalent Experience - Within 1 month of hire or transfer RN - Registered Nurse Required Required Education Education: Associates Degree Comments: BSN is preferred. Other Information Experience, Training And Skills Working knowledge of the organization’s Infor, Electronic Medical Records, and Practice Management programs preferred or knowledge of similar software. PC software knowledge must include: Excel and Word. Knowledge of medical office policies, practices and procedures as normally acquired through three to five years working in the health care system or similar setting. Excellent interpersonal skills needed to communicate successfully with individuals and interact with people at all levels to communicate concepts in a clear and understandable manner. 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: Light. Must be able to occasionally (0-33% of the workday) lift or carry 11-20 lbs., frequently (34-66% of the workday) 10 lbs. and or Walk/Stand/Push/Pull of Arm/Leg controls. Equivalent Experience And Other Comments (Education) Other Comments

Full-time

3 days ago

Registered Nurse RN - ED

MyMichigan Health Midland, MI

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. 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 patients 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 patients 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, Medial Center Computer-based-learning modules, and ED In-service training and ED Skills Day. 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: 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: TNCC: Trauma Nurse Core Course or ATCN Equivalent Experience: Within 12 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: ENPC: Emerg Nurse Pediatric Course Equivalent Experience: Within 12 months of hire or transfer. This is a one-time requirement for this position. 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: Associate degree Nursing 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. Weekend RN positions require a minimum of two years’ experience. 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