Coordinates total nursing care for patients, participates in patient and family teaching and provides leadership by working cooperatively with ancillary nursing and other patient team personnel in maintained standards for professional nursing practice in the clinical setting.
The Registered Nurse is held accountable to the ethical and professional standards as defined in the ANA Code for Nurses, the ANA Nursing’s Social Policy Statement, the State of Michigan Public Health code and the ANA and Specialty Nursing Standards of Clinical Practice.
The Registered Nurse is also accountable to adhering to the standards set by regulatory agencies such as but not limited to the American Osteopathic Association (AOA), Conditions of Participation of Healthcare Finance Administration (HCFA), and Michigan Occupational Health and Safety (MIOSHA). These accountabilities require individual competence in nursing practice, and the recognition and responsible acceptance of individual actions and judgments.
Unit Based Competencies – Emergency
Assesses patients for suicidal tendencies and ideations, as indicated.
Assesses and treats pediatric fever, utilizing age specific competencies.
Appropriately assesses and treats abdominal pain and headaches in patients of all ages.
In collaboration with other healthcare team members, assesses and treats lacerations and extremity injuries.
Assesses adult patients for dyspnea and provides treatment as indicated.
Based on the patient’s clinical condition, administers high risk medications safely, effectively and accurately.
Effectively manages the care of the trauma patient in collaboration with other members of the healthcare team.
Effectively assesses and manages the care of the stroke patient in collaboration with other members of the healthcare team.
Transfuses blood in a safe and timely manner
Safely handles body fluids contaminated by toxic chemicals to protect patients, healthcare workers and the public.
Required:
Education - Graduate of an approved registered nursing program.
Must have a current Michigan Registered Nurse license
BLS Certification
Must become ALS certified within three (3) months of date of hire or transfer
Must become PALS certified within six (6) months of date of hire or transfer
TNCC (Trauma Nursing Core Curriculum) within 1 year of hire or transfer
Preferred:
Six (6) months ER and/or ICU experience within the last two (2) years and/or meet internal posting criteria.
Summary Primarily Clare County Area** The Staff Registered Nurse provides professional and comprehensive nursing care within the scope of agency services. The target patient population for this position are those requiring Hospice services. Activities of this position are patient/client focused and utilize the nursing process of assessment, planning, intervention, and evaluation in accordance with nursing practice standards, physician orders, and agency policies and procedures. Responsibilities (15%)* Understands criteria for admission and recertification to hospice care and takes appropriate actions in response to patient/client conditions related to these criteria. (10%)* Upon admission, assesses patient’s/clients needs including physical, emotional, spiritual, cultural, and environmental. (45%)* Regularly assesses patients/clients needs and caregiver abilities and communicates with other team members as needed to ensure optimal patient and family/caregiver care. (30%)* Initiates plan of care for assigned patients/clients and revises and adapts as necessary. OTHER DUTIES AND RESPONSIBILITIES: 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. Provides symptom management for discomfort related to end of life care. Provides nursing care (or arranges for services through specialized staff) through ongoing visits to a group of patients/clients, based on acuity and level of care needed. Coordinates patient/client care by evaluating outcomes and providing on-going feedback to others involved in care relative to patient/client status and changes needed on patient/client care plan including referrals to other services as needed. May coordinate care provided by a Licensed Practical Nurse (LPN) and a Home Health Aide. Implements preventative and rehabilitative nursing procedures and utilizes community resources for optimum patient care. Notifies physician of changes in patient/client condition and care needs and obtains new orders as needed. Utilizes Agency documentation system to record services provided according to agency, professional, and program standards. Assists in maintenance of patient/client records. Provides patients/clients/caregivers/physicians with the necessary information regarding the disease process and end of life care issues deal with issues of ethical concern. Participates in the clinical team in providing patients/clients/caregivers with information required by regulatory agencies. Functions as part of multi-disciplinary team in coordinating care and prioritizing needs. Acts as a preceptor to provide educational visit opportunities for students and will participate in orientation of new staff as assigned. Participates in Agency, community and/or home health/hospice organization education and activities as assigned and appropriate. Participates in staff meetings, in-service education programs, and other opportunities for learning. Maintains awareness of own needs for support and takes appropriate actions to ensure own health and safety. Complies with documentation requirements for employee personnel and activity records as defined in Agency policy. Carries out work according to Agency policies and procedures in such a manner as to appropriately reflect Agency standards for timeliness, accuracy, and productivity. Maintains confidentiality of client and Agency information. Adheres to the Agency standards related to personal appearance and behavior. Participates in weekend and holiday rotations and on-call duties as identified in personnel policies. Participates in Agency performance improvement process. Assists in Agency community education activities as requested. Other duties as assigned. Certifications and Licensures Credential: BLS: Basic Life Support Equivalent Experience: Within 1 month of hire or transfer Qualification Source: AHA Credential: DRIVERSLIC: Drivers License Equivalent Experience: Credential: RN: Registered Nurse Equivalent Experience: Credential: VEH INS: Vehicle Insurance Equivalent Experience: Credential: FINGERPRIN: Fingerprinting Equivalent Experience: 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 Other Information EXPERIENCE, TRAINING AND SKILLS: Access to reliable transportation and must possess a current and valid driver's license and insurance. One year of direct patient care nursing experience prefer med/ surg experience. Must have strong critical thinking skills. Able to function as part of a team. Successful completion of Agency orientation and competency programs. Ability to communicate effectively, verbally and in writing and speak the English language. Ability to recognize needs and concerns of people and maintain constructive interpersonal relationships. Ability to work independently, demonstrating problem solving and organizational skills. Ability to drive under hazardous road conditions. Ability to work where employee may be exposed to communicable diseases in unpredictable home situations. Ability to perform essential job functions with reasonable accommodation. 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.
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. Employees may be required to participate in further learning opportunities offered by MyMichigan Health. Other duties as assigned. Certifications and Licensures BLS: Basic Life Support Within 1 month of hire or transfer RN: Registered Nurse Required Education Associate's degree is required BSN in nursing 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.
Department : Emergency Services Daily Work Times: 7:00/9:00a - 7:30/9:30p Shift: 12 Scheduled Bi-Weekly Hours : 72 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. Required: Graduate of an accredited school of nursing and holding a current license to practice in the state of Michigan. Must statisfactorily complete ACLS course and Basic Neuroscience course; required within first 6 months of hire/transfer. Must satisfactorily complete first available Basic Dysrhythmia course Must complete TNCC (Trauma Nurse Certification) within one (1) year of hire/transfer Must complete ENPC within two (2) years of hire/transfer Preferred: Six (6) months experience in an acute care setting or equivalent preferred Critical Care Nurse preferred Additional Information Schedule: Full-time Requisition ID: 26004185 Daily Work Times: 7:00/9:00a- 7:30/9:30p Hours Per Pay Period: 72 On Call: No Weekends: Yes
Department: Emergency Services Daily Work Times: 7p-730a Shift : Night Scheduled Bi-Weekly Hours: 72 Benefits: 403(b) Dental insurance Health insurance Paid time off Vision insurance Position Summary: Responsible for the delivery of nursing care within the assigned unit scope of practice following hospital policies and procedures, nursing process guidelines, standards of care, and standards of practice. Essential Functions and Responsibilities: Assesses each assigned patient, documents and evaluates their response to plan of care, and takes appropriate corrective action. Plans and implements the patient’s plan of care/standard of care and provides patient teaching using the plan of care/standard of care. Oversee all ancillary personnel for technical tasks. Required: Graduate of an accredited school of nursing. Experience in a specialty area will be considered. Experience specific to the unit/position may be required to maintain overall competency level of unit, as required by regulatory agency. Current State of Michigan Registered Nurse license. American Heart Association or American Red Cross BLS certification as Healthcare Provider. Within six months of hire into department, ACLS required for RNs in Critical Care, Emergency, Endoscopy, Cardiac Cath Lab, Cardiac Rehab, Intensive Care Unit and Step-Down, Telemetry Floats. NRP required for RNs in Labor and Delivery; and PALS required for RNs in Pediatrics; PALS and TNCC within one year for the Emergency Department. Preferred: One year of professional nursing experience. ACLS preferred in other units. Additional Information Schedule: Full-time Additional Locations: Michigan, Lansing Requisition ID: 26004135 Daily Work Times: 7p-730a Hours Per Pay Period: 72 On Call: Yes Weekends: Yes
Department: Emergency Services Daily Work Times: 3p-3a Shift : Evening Scheduled Bi-Weekly Hours: 72 Benefits: 403(b) Dental insurance Health insurance Paid time off Vision insurance Position Summary: Responsible for the delivery of nursing care within the assigned unit scope of practice following hospital policies and procedures, nursing process guidelines, standards of care, and standards of practice. Essential Functions and Responsibilities: Assesses each assigned patient, documents and evaluates their response to plan of care, and takes appropriate corrective action. Plans and implements the patient’s plan of care/standard of care and provides patient teaching using the plan of care/standard of care. Oversee all ancillary personnel for technical tasks. Required: Graduate of an accredited school of nursing. Experience in a specialty area will be considered. Experience specific to the unit/position may be required to maintain overall competency level of unit, as required by regulatory agency. Current State of Michigan Registered Nurse license. American Heart Association or American Red Cross BLS certification as Healthcare Provider. Within six months of hire into department, ACLS required for RNs in Critical Care, Emergency, Endoscopy, Cardiac Cath Lab, Cardiac Rehab, Intensive Care Unit and Step-Down, Telemetry Floats. NRP required for RNs in Labor and Delivery; and PALS required for RNs in Pediatrics; PALS and TNCC within one year for the Emergency Department. Preferred: One year of professional nursing experience. ACLS preferred in other units. Additional Information Schedule: Full-time Additional Locations: Michigan, Lansing Requisition ID: 26004137 Daily Work Times: 3p-3a Hours Per Pay Period: 72 On Call: Yes Weekends: Yes
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