RN Contract
MyMichigan Health

Registered Nurse RN- ED

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 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.

 

(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 patient’s condition and takes action to manage, reduce, or eliminate symptoms and promote comfort.

 

Demonstrates respect for patient’s 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: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 3 months of hire or transfer

Qualification Source: AHA

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: Within 24 months of hire or transfer

Qualification Source:

Essential: true

 

 

Credential:ENPC: Emerg Nurse Pediatric Course

Equivalent Experience: Employees at Saginaw, Tawas, and Standish locations will have until January 1st, 2026 to complete this course. New employees in this position will have 12 months from hire or transfer to obtain. This is a one-time requirement for this position.

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 8/1/2024 will have 24 months to complete this certification)

Qualification Source:

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

 

 


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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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. Maintains knowledge with current trends and professional standards within a specialty. Demonstrates understanding of role in emergency preparedness procedures. Assemblies the patient's chart. Completes and documents patient's medical history. Delivers pre-operative and discharge instructions in the manner best suited for the patient and family. Ensures that current history and physical is on the chart, that the plan of care in the history and physical match surgical consent, and the surgical consent is signed by patient. Ensures completion and documentation of necessary lab work, x-rays, and cardiograms for surgical patients and communicates necessary results to the surgeon and anesthesiologist in a timely manner. Completes procedural checklist. Initiates physician orders and completes necessary tasks to ensure that patient is safely prepared for surgery. Participates in direct patient care. Performs other clinical and technical aspects of care in accordance with all established policies and procedures within the health system. Practices within the scope of practice as designated by the state of licensure. Delegates appropriate tasks and oversee completion of tasks by other members of the team. Assists anesthesiologist in performing nerve blocks by ensuring proper site marking, completion of safety check list, signing of consent, and maintaining sterile field. All other duties as assigned. REQUIRED 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. This position must show knowledge, ability, and competence in treating unit specific patient populations. Must follow MyMichigan Health blood borne pathogen and TB testing as required. 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. One year of acute care experience. PHYSICAL/MENTAL REQUIREMENTS AND TYPICAL WORKING CONDITIONS: Regularly exposed to stressful situations; trauma, grief and death, public contact, decision making and a high level of concentration. Able to work with latex equipment or supplies. Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position. Is able to move freely about the unit and hospital. Overall vision is necessary; including reading, depth perception, close-up work and must have a peripheral field of vision. Hearing and speech on the phone as well as in person are necessary. Must be able to communicate verbally in person, on the phone and in writing. Frequently required to sit/stand/walk for long periods of time. Frequently exposed to blood borne pathogens and other potentially infectious material. Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake. Is frequently required to physically aide patients, including lifting. Must be able to lift minimum of 50 lbs. Overall dexterity is required, including handling, reaching, grasping, fingering, and feeling. Subject to on-call or irregular schedule. Equivalent Experience and Other Comments (Education)