Registered Nurse Clinic McLaren Medical Group

5 days ago

Registered Nurse RN - Ambulatory Surgery

Summary This position has basic knowledge of operative procedures in order to assess and implement care for ambulatory surgery 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 patient 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 resident 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 . Completes admission procedure and obtains appropriate signatures. Assesses both patient's physical and psychological needs and notifies attending physician and anesthesia as needed. Supervises ancillary departments in preparing patients for surgery and administers appropriate medications. Checks patient chart for completeness and documents appropriately. Possesses a thorough knowledge of normal pre-operative, intra-operative and post-operative routine and conveys this information to both patient and family in a relaxed empathetic, reassuring manner. Demonstrates a good basic knowledge of anesthetic agents and their side effects/complications. Assesses patient readiness for discharge and proceeds accordingly. Carries out physician orders and documents information in compliance with medical center policy. Demonstrates a thorough knowledge of individual physicians' routine. Assesses both patient's physical and medical needs and provides proper follow-up as applicable to each patient. Possesses thorough knowledge of individual physician preference regarding discharge instructions. Demonstrates appropriate communication and assessment skills with both family and patient. Seeks assistance of necessary support services to guarantee appropriate home care. Demonstrates ability to assist and circulate in completion of minor surgeries scheduled in treatment rooms. Possesses good knowledge of aseptic technique and physician preference. Communicates with individual physicians in regard to both their needs as well as those of patients and anxillary departments. Completes appropriate charting. Demonstrates assessment of pain, promotes comfort through required intervention, and documents accordingly. Other duties as assigned. Certifications and Licensures Credential: BLS: Basic Life Support Equivalent Experience: Within 1 month of hire or transfer Qualification Source: AHA Essential: true Credential: RN: Registered Nurse Equivalent Experience Qualification Source: MI Essential: true Credential: ACLS: Advanced Cardiac Life Support Equivalent Experience: Within 12 months of hire or transfer Qualification Source Essential: true Required Education Education: Associates Degree Equivalent Experience: Bachelor's degree in nursing preferred. Education Specialization: NRG Essential: true Other Information Experience, Training And Skills 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. Basic knowledge of surgical process including pre-, intra-, and post-operative phases. 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.

2 weeks ago

Registered Nurse GI RN

Summary This position possesses the knowledge to assess, implement and monitor the patient care for a variety of diagnostic and therapeutic procedures scheduled in this department. Outlines individual care plans, implements, evaluates, and documents the care of a patient pre and post operatively/procedurally. Provides leadership to the Riecker Surgery Center team and communicates with patient and family, Surgery Center team and manager and ancillary departments. Participates in staff development through preceptorship and continuing education. Responsibilities (30%)* Completes admission procedure and obtains appropriate signatures. Assesses both patients physical and psychological needs and notifies attending physician and anesthesia as needed. Supervises ancillary departments in preparing patients for surgery and administers appropriate medications. Checks patient chart for completeness and documents appropriately. (25%)* Assesses patient readiness for discharge and proceeds accordingly. Carries out physician orders and documents information in compliance with medical center policy. Demonstrates a thorough knowledge of individual physicians' routine. Assesses both patients physical and medical needs and provides proper follow-up as applicable to each patient. (25%)* Supervises activity in procedure room. Anticipates and coordinates any schedule changes for the room. Assists anesthesia as necessary. Provides conscious sedation and monitoring of patient. Assesses the needs of the procedural patient and develops a plan of care specific for that patient. Implements, evaluates and makes necessary adjustments to the plan of care keeping patient safety a priority. (10%)* 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. Other Duties And Responsibilities Cover call shifts as assigned. 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. Possesses a thorough knowledge of normal pre-operative, intra-operative and post-operative routine and conveys this information to both patient and family in a relaxed empathetic, reassuring manner. Demonstrates a good basic knowledge of anesthetic agents and their side effects/complications. Demonstrates the ability to interpret information and reports pertinent data to the physician, including pertinent clinical information. Possesses thorough knowledge of individual physician preference regarding discharge instructions. Demonstrates appropriate communication and assessment skills with both family and patient. Seeks assistance of necessary support services to guarantee appropriate home care. Assess learning needs considering readiness, ability, preferences, and cultural / spiritual variables. Provide education to meet the individual needs and ability to learn. Develops and maintains good working rapport with interdisciplinary personnel to meet the needs of each patient. 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. Assures compliance with regulatory agencies standards such as The Joint Commission (TJC), Centers for Medicare Services (CMS), and Michigan Department of Public Health. Participates in staff development by attending in-services, completing net learning modules, attending educational opportunities, and preceptorships. 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. Demonstrates assessment of pain, promotes comfort through required intervention, and documents accordingly. Other duties as assigned. Certifications and Licensures Credential: RN: Registered Nurse Equivalent Experience Qualification Source: MI Essential: true 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 1 month of hire or transfer Qualification Source: AHA Essential: true Required Education Education: Associates Degree Equivalent Experience: Bachelor's Degree in nursing preferred. Education Specialization: NRG Essential: true Other Information Experience, Training And Skills 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. Basic knowledge of surgical process including pre-, intra-, and post-operative phases. 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 perianesthesia nursing: CAPA (Certified Ambulatory Perianesthesia Nurse) at time of hire 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.

2 weeks ago

Registered Nurse RN

Summary This position is responsible for assessing the needs of each patient during a surgical procedure, and ensures that policies and procedures are met and maintains patient safety. Outlines individual care plans, implements, evaluates and documents care of patient during surgery. Provides leadership to the Great Lakes Bay team, communicates with patient and family, Surgery Center team and manager and ancillary departments. Participates in staff development through preceptorship and continuing education. Assists anesthesia and performs other duties as assigned. Responsibilities (40%) *Assesses the needs of the surgical patient and develops a plan of care specific for that patient. Implements and evaluates the plan of care during the procedure and makes necessary adjustments keeping patient safety a priority. (20%) *Supervises activity in room. Anticipates and coordinates any schedule changes for the room. Assembles equipment and supplies. Assists anesthesia as necessary. Monitors sterile field. (20%) *Completes admission procedure and obtains appropriate signatures. Assesses both patient's physical and psychological needs and notifies attending physician and anesthesia as needed. Supervises ancillary departments in preparing patients for surgery and administers appropriate medications. Checks patient chart for completeness and documents appropriately. Assesses patient readiness for discharge and proceeds accordingly. Carries out physician orders and documents information in compliance with medical center policy. Demonstrates a thorough knowledge of individual physicians' routine. Assesses both patient's physical and medical needs and provides proper follow-up as applicable to each patient. (10%) *Communicates with patient, family, physician, Riecker Surgery Center team and manager, and ancillary departments. (10%) *Participates in staff development by attending in-services and preceptorships. Other Duties And Responsibilities Demonstrates a positive, courteous and helpful attitude toward patient, visitors, physicians and co-workers. Demonstrates ability to fill varying roles as necessary. 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. Develops and maintains good working rapport with interdisciplinary personnel to meet the needs of each patient. Possesses a thorough knowledge of normal pre-operative, intra-operative and post-operative routine and conveys this information to both patient and family in a relaxed empathetic, reassuring manner. Demonstrates a good basic knowledge of anesthetic agents and their side effects/complications. Possesses thorough knowledge of individual physician preference regarding discharge instructions. Demonstrates appropriate communication and assessment skills with both family and patient. Seeks assistance of necessary support services to guarantee appropriate home care. Demonstrates ability to assist and circulate in completion of minor surgeries scheduled in treatment rooms. Possesses good knowledge of aseptic technique and physician preference. Communicates with individual physicians in regard to both their needs as well as those of patients and ancillary departments. Completes appropriate charting. Demonstrates assessment of pain, promotes comfort through required intervention, and documents accordingly. 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. Other duties as assigned. Certifications and Licensures Credential: RN: Registered Nurse Equivalent Experience Qualification Source: MI Essential: true Credential: BLS: Basic Life Support Equivalent Experience: Required within 1 month of hire. Qualification Source: AHA Essential: true Credential: ACLS: Advanced Cardiac Life Support Equivalent Experience: Required within 12 months of hire. Qualification Source Essential: true Required Education Education: Associates Degree Equivalent Experience: Bachelor's degree in nursing preferred. Education Specialization Essential: true Other Information Experience, Training And Skills Leadership skills needed to effectively direct a group. 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. Certified Nurse of the Operating Room (CNOR) 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.

3 weeks ago

Medical Office Nurse RN - Family Medicine (Midland)

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. Other Comments

4 months ago

Registered Nurse RN