Registered Nurse RN

Summary

The ED/SSU RN functions primarily in direct patient care, and demonstrates “competent” clinical practice with a variety of patients. The RN in the ED/SSU works as part of a team with a common goal of offering patient centered, timely care, in a safe and friendly environment. The RN in this position offers individualized compassionate care to emergency department patients, observation patients, and outpatients. The RN acts to initiate immediate care in the absence of a physician, in life threatening situations. The RN pleasantly provides nonjudgmental care for the acutely ill, as well as the non-acute patient. This position requires the ability to perform multiple procedures, utilizing both complex and simple nursing skills. This position requires assisting the physician and other members of the team to provide relationship based patient centered care. The RN provides comfort, both physically and psychologically, to patients, their families, and visitors utilizing the Relationship Based Care Model. Registered nurses shall provide patient specific discharge and follow-up instructions to the patient and family using appropriate language for the patient and family’s psychosocial intellect. This position requires the ability to communicate with EMS on a daily basis. The RN must be able to relay appropriate orders from the physician for pre-hospital care in a friendly and respectful manner. The RN in this role works with multiple types of sophisticated equipment and handles various types of patients in a friendly and frequently stressful environment.

Responsibilities

Essential:

40%* The RN as part of a multidisciplinary team, maintains a friendly customer oriented attitude at all times. It is expected that all team members will work together to provide the best possible care to MyMichigan Health’s staff, patients, families, visitors, community members, and any other person that is encountered while representing MyMichigan Health. It is expected that at all times the RN will treat every person they encounter with non-judgmental: kindness, compassion, respect and relationship based care.

30%* Regularly assesses patient’s needs and provides skilled nursing services as prescribed by the physician’s authorized plan of care and accepted standards of evidence based nursing practice. Provides direct patient care including medication administration, treatments, education, call lights, assisting with transfers, responding to alarms, and other duties as assigned.

20%* Evaluates effectiveness of treatment plan and makes suggestions or participates in updating/revising the treatment plan in collaboration with other team members, utilizing current information to improve patient care.

10%*The RN is knowledgeable and compliant with all local, state, and federal regulations and guidelines. The RN maintains knowledge of MyMichigan Health and ED/SSU specific policies and procedures relating to the care provided, guides patient teaching, and maintains professional nursing standards.

Certifications and Licensures

Credential:RN: Registered Nurse

Equivalent Experience:

Qualification Source:

Essential: true

Credential:DIMC: Dysrhythmia Interpretation Man

Equivalent Experience: Dysthrymthia Interpretation Monitoring (DIM) Certification or comparable cardiac rhythm knowledge required 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

Credential:ACLS: Advanced Cardiac Life Support

Equivalent Experience: Within 12 months of hire or transfer

Qualification Source:

Essential: true

Credential:PALS: Ped Advance Life Support

Equivalent Experience: Within 12 months of hire or transfer

Qualification Source:

Essential: true

Credential:ENPC: Emerg Nurse Pediatric Course

Equivalent Experience: Within 12 months of hire or transfer

Qualification Source:

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

Required Education

Education: Associates Degree

Equivalent Experience:

Education Specialization: NRG

Essential: true

Other Information

Other Responsibilities:

Demonstrates the MyMichigan Health mission, vision and values.

Behaves in a pleasant, courteous, and professional manner at all times with MyMichigan Health’s staff, patients, families, visitors, community members, and any other persons encountered while representing MyMichigan Health.

Maintains a therapeutic relationship with the patient, family and other health care providers to assure that patient care goals have been accomplished.

Demonstrates the ability to interpret information and report pertinent data to the physician.

Educate patient/family according to assessed learning needs considering readiness, ability, preferences, and cultural / spiritual variables.

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 within both the ED and SSU.

Instructs other team members when appropriate, explaining goals and rationale for individualized care.

Uses physical assessment techniques (auscultation, percussion, palpation, and observation) to identify patient’s physical problems and their patient care needs. Recognizes self-limitations and seeks out appropriate resources.

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:

Neonate/Infant - Birth to 1 year

Toddler - 1 to 4 years

Child - 5 to 12 years

Adolescent - 13 to 17 years

Adult - 18 to 64 years

Later Adult - 65 years and older

Documents in an accurate, clear, and concise way that includes pertinent clinical data utilizing both electronic and paper format.

Participates in regulatory surveys.

Participates in the performance improvement activities including but not limited to shared governance system councils and unit council.

Assists with orientation, ongoing competencies, and students.

Maintains knowledge with current trends and professional standards within a specialty.

Demonstrates understanding of role in emergency preparedness procedures.

Will be responsible to work on-call, as scheduled.

All other duties as assigned.

REQUIRED EDUCATION, EXPERIENCE, TRAINING AND SKILLS:

Knowledge of nursing technique as normally acquired through completion of an Associate’s Degree in nursing culminating in RN Licensure in the State of Michigan.

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.

Mandatory tuberculosis (TB) testing must be done annually.

Mandatory Occupational Safety and Health Administration (OSHA) training must be completed annually according to the Exposure Control Plan.

Dysthrymthia Interpretation Monitoring (DIM) Certification or comparable cardiac rhythm knowledge required within 12 months of hire or transfer.

Health Care Provider Basic Life Support (BLS) Certification within 30 days of hire or transfer.

Advanced Cardiac Life Support (ACLS) Certification required within 12 months of hire or transfer.

Pediatric Advanced Life Support (PALS) required within 12 months or hire or transfer.

Emergency Nurse Pediatric Course (ENPC) required within 12 months of hire or transfer.

Trauma Nursing Core Course (TNCC) required within 12 months of hire or transfer.

CPI (Crisis Prevention Intervention) within 6 months of hire, and annually thereafter.

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.

Preferred Education, Experience, Training And Skills:

Neonatal Resuscitation Program (NRP)

Certified Emergency Nurse (CEN) Certification

Bachelors in Science of Nursing (BSN)

One year of Emergency Department 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.