RN Full-time
Summary

The registered nurse will perform direct patient/resident care and delegation to patient care technicians in providing care and comfort to the residents. Knowledge and compliance with all local, state and federal regulations and guidelines relating to facility care will be maintained. This position has basic medical/surgical knowledge in order to care for general surgical and orthopedic surgical patients.

Responsibilities

(30%)* 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.

(30%)* 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.

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.

Sets up and assists with central line and chest tube insertion and care for these tubes according to policy and procedure.

Inserts cantor tubes, nasogastric tubes, and feeding tubes per physician order, following proper procedure.

Inserts and provides care for IV's.

Provides routine care and instruction of Suprapubic (SP) catheters and surgical drains following physician order.

Provides proper care for drains and removal of same.

Removes sutures and skin clips, provides routine ostomy care and irrigates and packs wounds, following physician order, procedure and care plan.

Does accurate Central Venous Pressure (CVP) reading, according to physician order and following proper procedure.

Sets up, instructs and monitors use of PCA.

Obtains doppler pulses following proper procedure.

Provides routine care of gastrostomy/jejunostomy tubes according to procedure and physician orders.

Assists in heparin therapy protocol per procedures.

Applies basic traction, splints, braces, and Continuous Passive motion (CPM) machines following procedure and physician order.

Cuts and trims casts, removes wound drains following physician order and procedure.

Maintains total hip and total knee precaution measures and instructs patients.

Other duties as assigned.

Certifications and Licensures

Credential:RN: Registered Nurse

Equivalent Experience:

Qualification Source:

Essential: true

Required Education

Education: ASSOC

Equivalent Experience:

Education Specialization: NRG

Essential: true

Other Information

EXPERIENCE, TRAINING AND SKILLS:

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:

Education Specialization: NRG

Essential: true

Other Comments

Credential:RN: Registered Nurse

Qualification Source:

Essential: true

Share this job

Share to FB Share to LinkedIn Share to Twitter

Related Jobs

Majestic Care of Flushing

Registered Nurse RN

Registered Nurse, RN Majestic Care of Flushing is looking for Registered Nurses to join our team's mission and believe in our core values! Our mission: Through the hearts of our Care Team Members, we provide excellent healthcare to those we serve. Our Core Values... L - Listening E - Empathy A - Accountability D - Decisiveness This is how we create a culture to LEAD with Love. Position Overview: Majestic Care RNs render skilled technical nursing services to residents within an assigned unit/wing in support of medical care as directed by the nursing management team; supervises CNAs to ensure a high quality of care is provided to all residents in that unit. Key Responsibilities: Initiate and lead team conferences in development of individualized nursing care plans. Assess and document the residents’ condition and nursing needs. Accurately and promptly implement physicians’ orders. Administer medications, start IVs, and perform treatments for assigned residents and document that treatment as required by Majestic Care and local, state, and federal rules and regulations. Participate in orientation and in-service training for personnel. Assist physicians with special tests and procedures within the scope of state specified Nursing Practice Act. Report and record pertinent observations and reactions regarding residents. Coordinate nursing care of residents when scheduled for therapy or procedures by other departments. Assist with or institute emergency measures for sudden adverse developments in residents. Qualifications: Graduate of accredited school of nursing. Licensed as an RN in the state employed; license must be active, valid, and in good standing. Valid CPR teaching certificate preferred but not required. Majestic Difference Benefits: Quarterly Pay Increase Daily Pay Company-Paid Life Insurance Telehealth Services Double Pay on Holiday Care Team Member Relief Fund Join the Majestic Care team where compassion meets excellence! #HiMed
MyMichigan Health

Invasive Imaging and Recovery RN

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
MyMichigan Health

Case Manager RN

Summary The RN Case Manager plays a pivotal role in maintaining the quality of care patients receive during medical centerization and post discharge while ensuring the organization is fully reimbursed. The RN CM must have a high level of expertise and skill to create highly effective strategies for short term and long term goals in order to prevent readmissions and address unpredictable situations. CM must be proficient in planning, executing and monitoring effectiveness of the care provided to ensure timely transition through the continuum of care. Educating and consulting with the physician and the healthcare team to ensure accuracy of medical necessity criteria and to ensure timely and appropriate level of care is achieved. This requires effective skills in conflict resolution, decision making and team building. The Nurse Case Manger practices in accordance with the care management process utilizing tools, standards, models, goals and objectives, and performance improvement concepts. The Nurse Case Manager provides pertinent clinical data to outside agencies as needed to assure compliance with their requirements and represents the organization professionally. The ability to analyze, evaluate and distribute resources and educational information to ensure understanding of services to all educational level is key to the role. Responsibilities (30%)* Work with healthcare team, patient, family and/or significant others to continually transition the patient to the appropriate level/place of care. Advocate, mediate, and negotiate, with an emphasis on self-determination for the patient system, to formulate a cohesive plan for maintaining the patient's health status, improving social supports, and moving the patient safely into less restrictive, less costly levels of care according to available resources. (20%)* Collaborates with all members of the Care Management Team including physicians, nurses, medical social workers, health information analysts, and others to provide information relating to admission, continued stay, discharge criteria, managed care, federal program regulations, reimbursement fundamentals, and regulatory standards on a daily basis. (20%)* Actively participate in care coordination efforts to successfully identify high-risk factors and respond appropriately so that key information, next steps and available days are captured and documented. Is able to lead, with the case management team, daily care coordination meetings. (10%)* Facilitates discharge planning for patients i.e. extended care placements, other facility transfers, and home care arrangements in collaboration with the health care team. (10%)* Determines the necessity for second-level review and implement process per hospital policy. Collaborates with physicians to determine appropriate patient status and successfully negotiates patient status with the payer. (10%)* Analyzes the clinical information on admission, concurrently, and retrospectively (per medical necessity criteria/InterQual Guidelines) to assure quality care is being provided to the patient, in the appropriate location, on a daily basis. Other Duties And Responsibilities Accepts accountability for the clinical outcomes that the Utilization Review and Discharge Planning role can facilitate. Provides pertinent clinical data to designated outside agencies to assure compliance with their requirements. Assures compliance with regulatory requirements and acts as a resource/liaison to physicians and hospital staff regarding all aspects of Case Management activities. Provides education to the physicians and healthcare team regarding medical necessity criteria, resources to ensure a safe and timely discharge. During Care Coordination Rounds, RN CM communicates with the healthcare team a patient-centered plan that is needs based, appropriate to patient resources, timely and addresses the risk of readmission. Builds professional relationships with patient, families, facilities and resources to address conflict resolution with positive outcomes. Maintains timely, clear and concise documentation in all required systems. Is skilled in determining the need for and implementing the hospital notices of non-coverage. Identifies high risk population and addresses opportunities for intervention. Willingly and consistently offer to help peers as needed. Communicates teamwork, caring and compassion. Provide excellent customer service with internal and external customers. Assume responsibility for professional development and education requirements for maintenance of professional licensure. RN CM may be responsible for Utilization Review and Discharge Planning simultaneously or separately based on department and health system needs. Additional cross training will be available when required or requested. Other duties as assigned. Certifications and Licensures Credential: RN: Registered Nurse Equivalent Experience: Certification in case management preferred. Recommend that the Case Manager receives their ACM certification after two years of experience. Qualification Source: MI Essential: true Required Education Education: ASSOC Equivalent Experience: BSN preferred. Education Specialization: NRG Essential: true Other Information Experience, Training And Skills Three to five years clinical experience. 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 case management preferred. Recommend that the Case Manager receives their ACM certification after two years of 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: Sedentary. Must be able to occasionally (0-33% of the workday) lift or carry 0-10 lbs. Equivalent Experience And Other Comments (Education) Other Comments
MyMichigan Health

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
MyMichigan Health

Registered Nurse RN- PCU

Summary 14K for 2-year sign on bonus for qualified candidates This position performs a variety of integrated 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 patient’s 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 patient’s plan of care or clinical path. (25%)* Consults and collaborates with members of the health care team in planning and implementing total patient care for individuals. OTHER DUTIES AND RESPONSIBILITIES: Demonstrates proficiency (according to hospital and unit policy and procedure) in nursing skills to carry out the patient’s 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 health care 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. In the performance of the regular job duties, it is appropriate for this job code to have access to the medication room and supply room for the purpose of stocking. 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: DIMC: Dysrhythmia Interpretation Man 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 directed by the Progressive Care Unit (PCU) nurse manager and critical care educator. 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. PCCN 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 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