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Registered Nurse RN

Summary This position maintains adequate respiratory and cardiac status of patients awakening from anesthesia. Continually assesses the patient, carries out doctor's orders while maintaining patient safety and comfort. 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 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. Demonstrates and verbalizes the different types of anesthetic agents and methods of administration, their expected physiologic response and possible side effects. Demonstrates skills for assessment and maintenance of ventilation and homeostasis. Demonstrates and documents assessment of level of consciousness and promotes reactivity. Demonstrates assessment of pain, promotes comfort through required intervention and documents accordingly. Demonstrates and verbalizes intervention that moves the patient toward PACU discharge criteria and promotes continuity of care. Effectively completes final patient preparation in the Pre-Op holding area. Demonstrates skills for assessment, documentation, pre and post procedure care, and follow up for pain clinic patients including use of appropriate forms and safe monitoring of patient. 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: ACLS: Advanced Cardiac Life Support Equivalent Experience: Within 1 month of hire or transfer Qualification Source: Essential: true Credential: RN: Registered Nurse Equivalent Experience: Qualification Source: MI Essential: true Required Education Education: Associates Degree Equivalent Experience: Education Specialization: NRG Essential: true Other Information EXPERIENCE, TRAINING AND SKILLS: Basic knowledge of dysrhythmia and critical care. 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 (CPAN-Certified Post Anesthesia Nurse and/or CAPA-Certified Ambulatory Perianesthesia Nurse) 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.