RN ER Full-time
MyMichigan Health

Registered Nurse RN- Emergency Department

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 patients/clients 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 patients' condition and takes action to manage, reduce, or eliminate symptoms and promote comfort.

Demonstrates respect for patients' 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:BLS: Basic Life Support

Equivalent Experience: Within 3 months 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: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: PALS or ENPC required within one of year of hire or transfer to position.

Qualification Source:

Essential: true

Credential:RN: Registered Nurse

Equivalent Experience:

Qualification Source: MI

Essential: true

Credential:ENPC: Emerg Nurse Pediatric Course

Equivalent Experience:

Qualification Source:

Essential: true

Credential:NIMS: National Incident Management System

Qualification Source:

Essential: true

Credential:NIMS IS 100: NIMS IS 100 Introduction Incident Command System

Qualification Source:

Essential: true

Credential:NIMS IS 700: NIMS IS 700 Introduction National Incident Mgt System

Qualification Source:

Essential: true

Required Education

Education: Associate degree in nursing, bachelors preferred.

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

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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