RN Jobs in St. Louis, MI

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 Riecker Surgery Center 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.

1 day 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 Riecker Surgery Center 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: ASSOC 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. Equivalent Experience And Other Comments (Education) Education: ASSOC Equivalent Experience: Bachelor�s degree in nursing preferred. Education Specialization: Essential: true Other Comments Credential: RN: Registered Nurse Qualification Source: Essential: true

3 days ago

Registered Nurse RN

Summary This position has basic knowledge of neonatal care and is able to assess, plan, implement and evaluate care for maternity patients. Responsibilities (40%)* 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%)* 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 as requested. 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 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. Remain current on new developments by reading professional journals, and attending seminars. Demonstrates understanding of role in emergency preparedness procedures. Obtains prenatal history (prenatal Labor and Delivery (L&D) records) and antenatal care, gathering data and identifying risk factors. Performs physical assessment. Performs Loepold’s maneuvers for fetal position. Assesses fetal heart rate and identifies maternal-fetal risk factors. Palpates uterus to assess frequency, length and quality of contractions. Distinguishes, reports and records normal and abnormal conditions. Identifies life-threatening/emergency situations. Formulates conclusions, making a diagnosis. Decides when to do or not to do a vaginal examination on the laboring patient. Assesses and evaluates dilatation and effacement of the cervix and station of presenting part via sterile vaginal examination. Graphs labor process based on Friedman labor curve. Distinguishes true labor from false labor. Assesses and evaluates suspected rupture of membranes. Visualizes pooling of amniotic fluid. Uses nitrazine paper to prepare slide for fern test. Performs and/or assists with sterile speculum examinations. Assesses and documents family interaction/support system. Identifies support person and desired birthing plan. Assesses effectiveness of patient’s/family’s current coping mechanisms. Evaluates level of childbirth preparation. Explains diet and activity orders during labor. Communicates and documents admission data with physician, nursing staff, family and appropriate personnel. Prioritizes and delivers care based on information obtained from maternal-fetal labor assessment of status and initial exam. Identifies those patients with high-risk conditions that may require consultation and/or transportation to a tertiary center. Assesses patient during all stages of labor, obtaining vital signs, fetal heart rate and patterns, and amount, color, and odor of amniotic fluid, etc. Continuously updates nursing care plan. Identifies common analgesic drugs, contraindications, dosage parameters, and acceptable routes of administration. Identifies and promptly initiates appropriate nursing intervention for maternal and/or fetal side effects of medication and/or complications. Sets up sterile delivery or operating instrument table using strict aseptic technique according to specific physician’s request. Ensures presence and proper functioning of emergency/resuscitation equipment for mother and newborn and radiant warmer for infant if appropriate. Positions patient in desired delivery position, utilizing physiologic positioning. Performs perineum or abdominal scrub using sterile technique. Instructs coach/family in appropriate attire and hand washing technique per medical center protocol. Notes and documents time of birth. Assesses Apgar scores at one and five minutes after birth. Assists with stabilization of at-risk neonate and performs cardiopulmonary resuscitation if indicated. Performs preliminary physical assessment for obvious physical abnormalities and notifies physician if abnormalities are noted. Correctly identifies newborn and mother, applying identification bracelets to both. Obtains necessary cord blood samples and sends them to the laboratory. Initiates newborn eye prophylaxis after initial bonding per Medical Center protocol. Assists in initial infant-parent-family bonding. Encourages immediate touch and eye contact as soon as possible after delivery. Answers Patient-family Questions About Newborn. Assists with initial breastfeeding. Notes and records delivery time of placenta. Notes and documents condition/ intactment of placenta and number of vessels in umbilical cord. Obtains cultures or specimen for laboratory analysis if indicated. Assesses and documents maternal vital signs every 15 minutes for first hour, more frequently if the patient’s condition warrants, and until stable per Medical Center protocol. Institutes uterine massage and/or applies perineal ice pack if indicated. Assesses for maternal discomfort and distended bladder and uses nursing intervention if needed. Encourages and promotes the bonding process. Explains post-delivery procedures and postpartum routine to patient and family. Prepares patient for transfer to postpartum status and/or gives discharge instructions to mother for self and infant care. If indicated, administers and documents oxytocin for induction/augmentation of labor after a physician, nurse midwife or qualified intrapartum nurse examines the patient. Performs continuous electronic fetal monitoring and immediately discontinues oxytocin if there is maternal-fetal intolerance. Develops a nursing plan of care based on appropriate data and rationale. Monitors status of patient and fetus if antepartum. Monitors status of infant. Performs physical care, technical procedures and maintains a therapeutic environment. Intervenes in emergency situations. Evaluates and initiates changes in plan of care based on changes in status of patient. Evaluates and initiates changes in plan of nursing care based on changes in status of infant. Collaborates with other health care providers in order to achieve optimal outcomes. Performs neonatal resuscitation if needed. All 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: NRP: Neonatal Resuscitation Equivalent Experience: Within 12 months of hire or transfer 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 12/31/2023 will have 24 months to complete this certification) Qualification Source: Essential: true Required Education Education: ASSOC 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. 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. Equivalent Experience And Other Comments (Education) Education: ASSOC Equivalent Experience: Bachelor's degree in nursing preferred. Education Specialization: NRG Essential: true Other Comments Credential: BLS: Basic Life Support Equivalent Experience: Within 1 month of hire or transfer Qualification Source: AHA Essential: true Credential: RN: Registered Nurse Qualification Source: Essential: true

Home Health Registered Nurse

AdvisaCare Midland, MI

Bring the care, skip the chaos. Love your work again!! Are you a Registered Nurse who's amazing at what you do - but tired of call lights, crowded units, and 12 hour marathons? Come join a home health team where your skills, time, and compassion actually matter. Why Home Health? Because one patient at a time means: Real connections, not revolving doors Care that's personal, not rushed Autonomy, flexibility, and a calmer pace Seeing the impact of your work every single day What you'll do: Provide skilled nursing care in patients' homes Perform assessments, wound care, medication management, and patient education Collaborate with physicians, therapists, and care teams Be a trusted guide for patients and families during their journey What we need: Current and valid RN license in the state MI Previous experience in home health a plus but willing to train Strong assessment, critical thinking skills, communication and interpersonal skills Ability to work independently and as part of a team Valid driver's license and reliable transportation Basic Life Support (BLS) certification Must be able to pass a drug screen and background check What you'll get: Competitive pay Flexible scheduling (hello, work-life balance!) Supportive leadership that actually has your back Mileage reimbursement Training, growth, and a team that feels like a team 401K Retirement Plan for full time Medical benefits Available for 30+ Hourly Employees Paid general orientation, PTO Employee Appreciation program, rewarding Work Environment The best part? You'll leave work knowing you truly made a difference - without feeling completely drained.

Supervisor Medical Office RN

Summary This position must have basic knowledge of general and complex rehabilitation patients and able to assess, plan, implement and evaluate care for patients. They will maintain and oversee employees and patients at the office location and will act as the liaison with other subsidiary and organization's personnel. This position orders all medical supplies to manage patient care. The Supervisor RN will assure compliance with the policies/procedures by maintaining the; Health Systems policies, OSHA guidelines, CLIA regulations, and corporate compliance. The Supervisor RN will coordinate and train of any new employees. The position will provide teaching to patients and their family members. Manages the patient with pain management and symptom management, and will be available for office emergencies. Calls in prescriptions and teaches the patient and family the reasons for the medication and side effects. Will be working in collaboration with providers and staff from Michigan Medicine. This position provides daily direction and problem solving to clinical and administrative staff. Responsibilities (25%) The Supervisor RN will coordinate and train new employees and conduct coaching and disciplinary conversations, along with job performance reviews for all staff. Processes time keeping in the payroll system for bi-weekly payroll. Facilitate the hiring process and selection of new employees. (25%) Performs clinical duties as needed including triaging patient calls and reporting test results to patients. Assess patients as appropriate and serve as a liaison between the provider and patient. (25%) Handles day-to-day clinical operations in the clinic and utilize critical thinking skills to resolve issues. (25%) Interacts positively with patients and families in an ongoing way. Provides information to patients so they may fully utilize and benefit from our services. Other Responsibilities Demonstrates critical thinking and integration of theory to practice for Rehabilitation patients. Provides for the age specific needs of the population served according to department 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. Room patients during office visits and perform and record all vital signs on patient. Assess physical as well as social needs of the patient. Verify patient demographic information and maintain clinical documentation. Management of the patient with symptoms management, and will be available for care emergencies. Calls in prescriptions and teach the patient and family the reasons for the medications and side effects. Serve as a resource to technical, clerical and medical staff. Identifies preventative maintenance needs for any office equipment. Conducts performance review of clinical staff and conducts follow up as appropriate. All other duties as assigned. 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 BLS: Basic Life Support Within 1 month of hire or transfer RN: Registered Nurse Required Education Associate's degree is required Bachelor's degree in nursing at time of hire or transfer to position preferred. New requirement added in March 2020, incumbents with an Associate's degree in nursing have until 1/1/2025 to obtain a Bachelor's degree in nursing. Other Information Experience, Training And Skills Previous management experience including coaching, leading and mentoring employees. One (1) Year Of Supervisory Experience Preferred. 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. 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 healthcare system or similar setting 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.

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 Riecker Surgery Center 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.

5 days ago

Registered Nurse RN

Summary This position functions as a Registered Nurse (RN) providing direct care to patients on the Mental Health Unit using the nursing process. This includes ongoing assessment of the total patient. The RN provides interventions to treat the presenting symptoms and evaluates the effect of nursing interventions and patient's responses. This position functions as a team member and resource to others. The RN delegates, oversees and provides direction to Mental Health Counselors. The RN is responsible for meeting the needs of all types of psychiatric patients, including those with medical complications. Responsibilities (25%) * Provides high quality, evidence-based nursing care to patients using neurobiological and cognitive-behavioral frameworks and techniques. (25%) * Using the nursing process, completes assessments, provides interventions and evaluates patient outcomes according to the appropriate pathway guidelines. (20%) * Provides education to patients on illness, coping alternatives and relapse prevention. (15%) * Delegates, oversees and provides direction to Mental Health Counselor team members. (15%) * Takes initiative to provide appropriate activities for patients when needed (such as during evenings or weekends). OTHER DUTIES AND RESPONSIBILITIES: Communicates information accurately and effectively (verbal and written) to treatment team, to patient, to family, to other appropriate agencies. Demonstrates interest and pursues advancement of clinical skills (asks questions, seeks feedback, shares articles, attends continuing education opportunities, enrolls in classes). Monitors and manages the milieu in order to maintain a safe environment. Identifies and intervenes appropriately in any potential crisis. Possesses crisis intervention skills. Keeps updated on the use of nonphysical as well as physical management techniques and implements using sound judgment and according to established current policy. Conducts groups - provides individual education as appropriate. Maintains patient dignity and rights. Collaborates effectively with other departments and agencies on behalf of the patient. Documents according to policy. Monitors and documents changes in patient status. Participates in performance improvement projects. Completes admission assessments in an accurate, complete, and timely manner. Correctly completes basic nursing tasks such as obtaining vital signs, weight, I&O, specimen collection and assistance with personal care. Correctly assesses and utilizes seclusion and restraints and documents according to policy. Behaves in a courteous, professional manner at all times with patients, visitors, and co-workers. Conveys a positive attitude and works with others to constructively solve identified problems. Knowledgeable about mental health code and is a patient advocate. Knowledge and ability to work with probate courts and attorneys to resolve patient legal issues. Follows hospital policy and procedures. Has working knowledge of computers, phones, and the equipment on the unit. Responds to all disasters and codes promptly and correctly. Administers medications as ordered. Obtains and transcribes physician orders. Completes nursing assessments, performs ongoing assessments and communicates patient status and changes to physician and other team members as appropriate. Attends treatment team meetings. Provides nursing treatments, such as dressing changes, to all patients. Provides medication teaching. Completes nursing duties in accurate, timely, and thorough manner. Is a team leader when needed for decision-making regarding patient, family, or milieu issues. Certifications and Licensures BLS - Basic Life Support Required Equivalent Experience - Within 1 month of hire or transfer FINGERPRIN - Fingerprinting Required Equivalent Experience - ICHAT - iChat (annually on Hire Date) Required Equivalent Experience - RECIPIENT - Recipient Rights Required Equivalent Experience - Mandatory Recipient Rights training within 30 days of hire and annually. RN - Registered Nurse Required Equivalent Experience - TEAM ADVANCED - Techniques for Effective Aggression Mgt Required 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) Required Education Education: Associate degree Comments: Bachelor's degree in nursing preferred Other Information EXPERIENCE, TRAINING AND SKILLS: Good interpersonal skills, ability to take initiative, to work as a team, and to work with a variety of patients' needs. 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. Knowledge of psychiatric-mental health nursing as normally acquired through one or more years of experience in mental health nursing 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. Equivalent Experience And Other Comments (Education) Other Comments

5 days ago

Registered Nurse RN

Summary This position functions as a Registered Nurse (RN) providing direct care to patients on the Mental Health Unit using the nursing process. This includes ongoing assessment of the total patient. The RN provides interventions to treat the presenting symptoms and evaluates the effect of nursing interventions and patient's responses. This position functions as a team member and resource to others. The RN delegates, oversees and provides direction to Mental Health Counselors. The RN is responsible for meeting the needs of all types of psychiatric patients, including those with medical complications. Responsibilities (25%) * Provides high quality, evidence-based nursing care to patients using neurobiological and cognitive-behavioral frameworks and techniques. (25%) * Using the nursing process, completes assessments, provides interventions and evaluates patient outcomes according to the appropriate pathway guidelines. (20%) * Provides education to patients on illness, coping alternatives and relapse prevention. (15%) * Delegates, oversees and provides direction to Mental Health Counselor team members. (15%) * Takes initiative to provide appropriate activities for patients when needed (such as during evenings or weekends). OTHER DUTIES AND RESPONSIBILITIES: Communicates information accurately and effectively (verbal and written) to treatment team, to patient, to family, to other appropriate agencies. Demonstrates interest and pursues advancement of clinical skills (asks questions, seeks feedback, shares articles, attends continuing education opportunities, enrolls in classes). Monitors and manages the milieu in order to maintain a safe environment. Identifies and intervenes appropriately in any potential crisis. Possesses crisis intervention skills. Keeps updated on the use of nonphysical as well as physical management techniques and implements using sound judgment and according to established current policy. Conducts groups - provides individual education as appropriate. Maintains patient dignity and rights. Collaborates effectively with other departments and agencies on behalf of the patient. Documents according to policy. Monitors and documents changes in patient status. Participates in performance improvement projects. Completes admission assessments in an accurate, complete, and timely manner. Correctly completes basic nursing tasks such as obtaining vital signs, weight, I&O, specimen collection and assistance with personal care. Correctly assesses and utilizes seclusion and restraints and documents according to policy. Behaves in a courteous, professional manner at all times with patients, visitors, and co-workers. Conveys a positive attitude and works with others to constructively solve identified problems. Knowledgeable about mental health code and is a patient advocate. Knowledge and ability to work with probate courts and attorneys to resolve patient legal issues. Follows hospital policy and procedures. Has working knowledge of computers, phones, and the equipment on the unit. Responds to all disasters and codes promptly and correctly. Administers medications as ordered. Obtains and transcribes physician orders. Completes nursing assessments, performs ongoing assessments and communicates patient status and changes to physician and other team members as appropriate. Attends treatment team meetings. Provides nursing treatments, such as dressing changes, to all patients. Provides medication teaching. Completes nursing duties in accurate, timely, and thorough manner. Is a team leader when needed for decision-making regarding patient, family, or milieu issues. Certifications and Licensures BLS - Basic Life Support Required Equivalent Experience - Within 1 month of hire or transfer FINGERPRIN - Fingerprinting Required Equivalent Experience - ICHAT - iChat (annually on Hire Date) Required Equivalent Experience - RECIPIENT - Recipient Rights Required Equivalent Experience - Mandatory Recipient Rights training within 30 days of hire and annually. RN - Registered Nurse Required Equivalent Experience - TEAM ADVANCED - Techniques for Effective Aggression Mgt Required 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) Required Education Education: Associate degree Comments: Bachelor's degree in nursing preferred Other Information EXPERIENCE, TRAINING AND SKILLS: Good interpersonal skills, ability to take initiative, to work as a team, and to work with a variety of patients' needs. 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. Knowledge of psychiatric-mental health nursing as normally acquired through one or more years of experience in mental health nursing 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.

Registered Nurse RN - PCU

Summary 14K sign on bonus for qualified candidates This position performs a variety of integrated functions, intuitively, using the nursing process while applying a broad nursing knowledge in a caring, concerned manner. Responsibilities (25%)* Assesses patient for physical, emotional, psych/social and family support. (25%)* Organizes and coordinates all aspects of patient care according to the patient’s real and/or perceived needs. (25%)* Evaluates patient progress by correlating patient information with nursing knowledge to determine if goals are being met according to the patient’s plan of care or clinical path. (25%)* Consults and collaborates with members of the health care team in planning and implementing total patient care for individuals. OTHER DUTIES AND RESPONSIBILITIES: Demonstrates proficiency (according to hospital and unit policy and procedure) in nursing skills to carry out the patient’s plan of care. Communicates interactions, both verbal and written, that clearly and positively accomplish desired patient care as a collaborative effort. Educates patients and families. Provides teaching, support and coordination of health care plans for patient and family through the acute phase of illness, as needed. Promotes clinical knowledge development including critical thinking skills and improves strategies for comparing clinical judgment through research and continuing education. In the performance of the regular job duties, it is appropriate for this job code to have access to the medication room and supply room for the purpose of stocking. Other duties as assigned. Certifications and Licensures Credential: ACLS: Advanced Cardiac Life Support Equivalent Experience: Within 12 months of hire or transfer Qualification Source: Essential: true Credential: DIMC: Dysrhythmia Interpretation Man 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: RN: Registered Nurse Equivalent Experience: Qualification Source: MI 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 12/31/2023 will have 24 months to complete this certification) Qualification Source: Essential: true Required Education Education: ASSOC Equivalent Experience: Bachelor's degree in nursing preferred. Education Specialization: NRG Essential: true Other Information EXPERIENCE, TRAINING AND SKILLS: Completion of orientation process as directed by the Progressive Care Unit (PCU) nurse manager and critical care educator. 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. PCCN 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. Equivalent Experience And Other Comments (Education) Education: ASSOC Equivalent Experience: Bachelor's degree in nursing preferred. Education Specialization: NRG Essential: true Other Comments #Indeed1RN

Registered Nurse RN

Summary On call requirements 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: ACLS: Advanced Cardiac Life Support Equivalent Experience: Within 12 months of hire or transfer Qualification Source Essential: true Credential: RN: Registered Nurse Equivalent Experience Qualification Source: MI 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 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.

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: ACLS: Advanced Cardiac Life Support Equivalent Experience: Within 12 months of hire or transfer Qualification Source Essential: true Credential: RN: Registered Nurse Equivalent Experience Qualification Source: MI 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 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. Other Comments On-Call requirements.

Part-time

Registered Nurse RN- General Medical

Summary This position is able to assess, plan, implement and evaluate care for general medical/surgical patients. Employees who are in the casual position are required to pick up shifts as outlined in the Midland Nursing Casual Employee Policy. Responsibilities (30%) * 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. (30%) * Provides direct patient 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 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 Interacts positively with patients and families during severe stress situations. Monitors and initiates the need to institute safety measures to prevent patient injury. Other duties as assigned. Certifications and Licensures Credential: BLS: Basic Life Support Equivalent Experience: Within 3 months of hire or transfer into position. Qualification Source: AHA Essential: true Credential: DIMC: Dysrhythmia Interpretation Man Equivalent Experience: Employees hired after January 1, 2025, are required to take, and pass Telemetry Monitoring and management class (DIMC) within 12 months of hire or transfer. Qualification Source: Essential: true Credential: RN: Registered Nurse Equivalent Experience: Qualification Source: MI 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 12/31/2023 will have 24 months to complete this certification) Qualification Source: Essential: true Required Education Education: Associate's degree in nursing, bachelor's preferred. 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. 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. Equivalent Experience And Other Comments (Education) Other Comments #Indeed1RN

Registered Nurse RN

Summary This position has basic knowledge of neonatal care and is able to assess, plan, implement and evaluate care for maternity patients. Responsibilities (40%)* 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%)* 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 as requested. 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 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. Remain current on new developments by reading professional journals, and attending seminars. Demonstrates understanding of role in emergency preparedness procedures. Obtains prenatal history (prenatal Labor and Delivery (L&D) records) and antenatal care, gathering data and identifying risk factors. Performs physical assessment. Performs Loepold’s maneuvers for fetal position. Assesses fetal heart rate and identifies maternal-fetal risk factors. Palpates uterus to assess frequency, length and quality of contractions. Distinguishes, reports and records normal and abnormal conditions. Identifies life-threatening/emergency situations. Formulates conclusions, making a diagnosis. Decides when to do or not to do a vaginal examination on the laboring patient. Assesses and evaluates dilatation and effacement of the cervix and station of presenting part via sterile vaginal examination. Graphs labor process based on Friedman labor curve. Distinguishes true labor from false labor. Assesses and evaluates suspected rupture of membranes. Visualizes pooling of amniotic fluid. Uses nitrazine paper to prepare slide for fern test. Performs and/or assists with sterile speculum examinations. Assesses and documents family interaction/support system. Identifies support person and desired birthing plan. Assesses effectiveness of patient’s/family’s current coping mechanisms. Evaluates level of childbirth preparation. Explains diet and activity orders during labor. Communicates and documents admission data with physician, nursing staff, family and appropriate personnel. Prioritizes and delivers care based on information obtained from maternal-fetal labor assessment of status and initial exam. Identifies those patients with high-risk conditions that may require consultation and/or transportation to a tertiary center. Assesses patient during all stages of labor, obtaining vital signs, fetal heart rate and patterns, and amount, color, and odor of amniotic fluid, etc. Continuously updates nursing care plan. Identifies common analgesic drugs, contraindications, dosage parameters, and acceptable routes of administration. Identifies and promptly initiates appropriate nursing intervention for maternal and/or fetal side effects of medication and/or complications. Sets up sterile delivery or operating instrument table using strict aseptic technique according to specific physician’s request. Ensures presence and proper functioning of emergency/resuscitation equipment for mother and newborn and radiant warmer for infant if appropriate. Positions patient in desired delivery position, utilizing physiologic positioning. Performs perineum or abdominal scrub using sterile technique. Instructs coach/family in appropriate attire and hand washing technique per medical center protocol. Notes and documents time of birth. Assesses Apgar scores at one and five minutes after birth. Assists with stabilization of at-risk neonate and performs cardiopulmonary resuscitation if indicated. Performs preliminary physical assessment for obvious physical abnormalities and notifies physician if abnormalities are noted. Correctly identifies newborn and mother, applying identification bracelets to both. Obtains necessary cord blood samples and sends them to the laboratory. Initiates newborn eye prophylaxis after initial bonding per Medical Center protocol. Assists in initial infant-parent-family bonding. Encourages immediate touch and eye contact as soon as possible after delivery. Answers Patient-family Questions About Newborn. Assists with initial breastfeeding. Notes and records delivery time of placenta. Notes and documents condition/ intactment of placenta and number of vessels in umbilical cord. Obtains cultures or specimen for laboratory analysis if indicated. Assesses and documents maternal vital signs every 15 minutes for first hour, more frequently if the patient’s condition warrants, and until stable per Medical Center protocol. Institutes uterine massage and/or applies perineal ice pack if indicated. Assesses for maternal discomfort and distended bladder and uses nursing intervention if needed. Encourages and promotes the bonding process. Explains post-delivery procedures and postpartum routine to patient and family. Prepares patient for transfer to postpartum status and/or gives discharge instructions to mother for self and infant care. If indicated, administers and documents oxytocin for induction/augmentation of labor after a physician, nurse midwife or qualified intrapartum nurse examines the patient. Performs continuous electronic fetal monitoring and immediately discontinues oxytocin if there is maternal-fetal intolerance. Develops a nursing plan of care based on appropriate data and rationale. Monitors status of patient and fetus if antepartum. Monitors status of infant. Performs physical care, technical procedures and maintains a therapeutic environment. Intervenes in emergency situations. Evaluates and initiates changes in plan of care based on changes in status of patient. Evaluates and initiates changes in plan of nursing care based on changes in status of infant. Collaborates with other health care providers in order to achieve optimal outcomes. Performs neonatal resuscitation if needed. All 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: NRP: Neonatal Resuscitation Equivalent Experience: Within 12 months of hire or transfer 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 12/31/2023 will have 24 months to complete this certification) Qualification Source: Essential: true Required Education Education: ASSOC 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. 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. Equivalent Experience And Other Comments (Education) Education: ASSOC Equivalent Experience: Bachelor's degree in nursing preferred. Education Specialization: NRG Essential: true Other Comments Credential: BLS: Basic Life Support Equivalent Experience: Within 1 month of hire or transfer Qualification Source: AHA Essential: true Credential: RN: Registered Nurse Qualification Source: Essential: true

Registered Nurse RN- Medical Oncology

Summary 14K for 2-year sign on bonus for qualified candidates The medical oncology unit will consist of patients with a cancer diagnosis, medical step-down patients, and general medical overflow. This position has basic knowledge of pathophysiology of cancer and is able to assess, plan, implement and evaluate care for patients on this unit. Employees who are in the casual position are required to pick up shifts as outlined in the Midland Nursing Casual Employee Policy. Responsibilities (30%)* 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. (30%)* Provides direct patient care, including nursing assessment, medication administration, treatments, call lights, assisting with transfers, responding to alarms, etc. (20%)* Evaluates effectiveness of treatment plan and patients' condition to make suggestions and participate in updating/revising the treatment plan in collaboration with other team members, utilizing current information and assessments 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 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 Administers cardiac drips and chemotherapy per provider orders. Assesses patient for signs or symptoms of complications of cancer or treatment protocols. Accurately uses central lines for drawing blood, administering chemotherapy, etc. Interacts positively with patients and families during severe stress situations. Demonstrates critical thinking and integration of theory to practice for medical patients, oncology patients, medical step-down, and telemetry patients. Participates in Transition of Care course for first 12 months after hire or transfer to position. Monitors and initiates the need to institute safety measures to prevent patient injury. 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: Within 3 months of hire or transfer. Qualification Source: AHA Essential: true Credential: DIMC: Dysrhythmia Interpretation Man Equivalent Experience: Employees hired after January 1, 2025, are required to take, and pass Telemetry Monitoring and management class (DIMC) within 12 months of hire or transfer. Qualification Source: Essential: true Credential: ACLS: Advanced Cardiac Life Support 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: AHA 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 12/31/2023 will have 24 months to complete this certification) Qualification Source: Essential: true Credential: ONS BIOCRT: ONS/ONCC Chemotherapy Bio Cert Equivalent Experience: Required within 12 months of hire or transfer into positions. Must be renewed every 24 months. Qualification Source: Essential: true Required Education Education: Associate's degree in nursing, bachelor's preferred. Other Information EXPERIENCE, TRAINING AND SKILLS: The following education outline is intended for new hires or transfers who are new to Oncology Nursing. Any new hire or transfer who has already received their ONS Chemo / Bio safe handling card and/or their OCN certification is exempt from completing Cancer Basics or Chemotherapy Fundamentals. Chemotherapy Education Pathway: Full time & Part time RN Pass ONS Cancer Basics course within 6 months. Pass ONS Chemotherapy/ Biotherapy Fundamentals of Administration course within 12 months. Maintain ONS Chemotherapy/ Biotherapy Fundamentals of Administration or ONS Chemotherapy and Biotherapy Certificate course (if applicable) per ONS recommendations. Additional components of demonstrating competency for all nurses administering antineoplastic agents include: Demonstration of safety and proficiency in the preparation, administration, handling, and disposal of antineoplastic agents as defined in the ONS Chemotherapy/ Biotherapy Fundamentals of Administration course and or the ONS Chemotherapy and Biotherapy Certificate course. Demonstration of compliance with policy for management of chemotherapy spills and extravasation. Demonstration of skill in compliance with the health system's policy for accessing, dressing, and flushing a variety of vascular access devices including Hohn, PICCs, Groshong, Hickman, and implanted medports. Demonstration of skills in the assessment, planning, implementation, and evaluation of the oncology patient and family's learning needs. 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. 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 #Indeed1RN

Registered Nurse RN- Medical Oncology

Bickford of Saginaw Township Midland, MI

Summary The medical oncology unit will consist of patients with a cancer diagnosis, medical step-down patients, and general medical overflow. This position has basic knowledge of pathophysiology of cancer and is able to assess, plan, implement and evaluate care for patients on this unit. Employees who are in the casual position are required to pick up shifts as outlined in the Midland Nursing Casual Employee Policy. Responsibilities (30%)* 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. (30%)* Provides direct patient care, including nursing assessment, medication administration, treatments, call lights, assisting with transfers, responding to alarms, etc. (20%)* Evaluates effectiveness of treatment plan and patients' condition to make suggestions and participate in updating/revising the treatment plan in collaboration with other team members, utilizing current information and assessments 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 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 Administers cardiac drips and chemotherapy per provider orders. Assesses patient for signs or symptoms of complications of cancer or treatment protocols. Accurately uses central lines for drawing blood, administering chemotherapy, etc. Interacts positively with patients and families during severe stress situations. Demonstrates critical thinking and integration of theory to practice for medical patients, oncology patients, medical step-down, and telemetry patients. Participates in Transition of Care course for first 12 months after hire or transfer to position. Monitors and initiates the need to institute safety measures to prevent patient injury. 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: Within 3 months of hire or transfer. Qualification Source: AHA Essential: true Credential: DIMC: Dysrhythmia Interpretation Man Equivalent Experience: Employees hired after January 1, 2025, are required to take, and pass Telemetry Monitoring and management class (DIMC) within 12 months of hire or transfer. Qualification Source: Essential: true Credential: ACLS: Advanced Cardiac Life Support 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: AHA 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 12/31/2023 will have 24 months to complete this certification) Qualification Source: Essential: true Credential: ONS BIOCRT: ONS/ONCC Chemotherapy Bio Cert Equivalent Experience: Required within 12 months of hire or transfer into positions. Must be renewed every 24 months. Qualification Source: Essential: true Required Education Education: Associate's degree in nursing, Bachelor's degree in nursing preferred. Other Information EXPERIENCE, TRAINING AND SKILLS: The following education outline is intended for new hires or transfers who are new to Oncology Nursing. Any new hire or transfer who has already received their ONS Chemo / Bio safe handling card and/or their OCN certification is exempt from completing Cancer Basics or Chemotherapy Fundamentals. Chemotherapy Education Pathway: Full time & Part time RN Pass ONS Cancer Basics course within 6 months. Pass ONS Chemotherapy/ Biotherapy Fundamentals of Administration course within 12 months. Maintain ONS Chemotherapy/ Biotherapy Fundamentals of Administration or ONS Chemotherapy and Biotherapy Certificate course (if applicable) per ONS recommendations. Additional components of demonstrating competency for all nurses administering antineoplastic agents include: Demonstration of safety and proficiency in the preparation, administration, handling, and disposal of antineoplastic agents as defined in the ONS Chemotherapy/ Biotherapy Fundamentals of Administration course and or the ONS Chemotherapy and Biotherapy Certificate course. Demonstration of compliance with policy for management of chemotherapy spills and extravasation. Demonstration of skill in compliance with the health system's policy for accessing, dressing, and flushing a variety of vascular access devices including Hohn, PICCs, Groshong, Hickman, and implanted medports. Demonstration of skills in the assessment, planning, implementation, and evaluation of the oncology patient and family's learning needs. 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. 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 #Indeed1RN

Director of Nursing

Join our DYNAMIC team at Bickford Senior Living as a Health & Wellness Director! The HWD is the clinical leader who supports the clinical operations within the branch. This position works closely with the Director to ensure the branch is a thriving and vibrant environment for our residents! This position offers a full suite of benefits options that vary based on employment status. Some of the benefits include, but are not limited to: Full-time employees are eligible for all benefits (medical, dental, vision, and voluntary products) Part-time employees (29 or fewer hours per week) are eligible for Voluntary Life, Voluntary Short-Term Disability, Benefits start the 1 st of the month following 30 days of employment! *full-time employees* Benefits start on the 1st of the month following 30 days of employment Prescription savings plans All employees are eligible for 401(k) with employer match Pay available daily Bonus eligible Bonus eligible "There is no higher calling, no greater purpose than a caregiver. Somehow, we’ve come to believe that caregiving is just for some of us and not all. Yet, at our core, we are all made to love, connect, to extend ourselves in service to others. The question is… do we have the will to love, do what it takes, and risk ourselves in caring, even when the burden is great? In times of happiness and sadness, we are that caregiver” - www.bickfordseniorliving.com/caregivers-manifesto RESPONSIBILITIES & QUALIFICATIONS Responsibilities: Works with caregivers to ensure the principles of assisted living and Bickford’s culture are integrated into all aspects of resident care. Develop and participate in the on-call schedule to support clinical needs after hours. Maintain regulatory compliance. Communicate proactively and effectively with residents/families to enhance their engagement. Oversees and manages the process and employees who administer resident. medications ensuring medications are delivered to residents in accordance with their physician’s orders. Coordinate health care services with external care providers and physicians to ensure resident needs are met. Manages partnerships with local vendors to ensure quality external care providers are servicing the residents within the branch. Qualifications: RN license. Willing to take additional training or education, which specific states may require. CPR and First Aid certifications are required. Ability to handle multiple priorities. Possess written and verbal skills for effective communication. Competent in organizational and time management skills. Demonstrates good judgment, problem-solving, and decision-making skills. ABOUT BICKFORD SENIOR LIVING: Bickford Senior Living is a community of caregivers who are dedicated to doing whatever it takes to enrich our resident’s happiness. Founded in 1991 in Olathe, Kansas, by the Eby Family. Mary Bickford, the matriarch of the family, was the first resident of a Bickford Branch and our namesake. That location became the start of a tradition of caring that has extended to over 50 locations in 7 states. Although Bickford Senior Living has grown in size… we pride ourselves in the family environment that is the foundation on which Bickford has served thousands of residents and employees throughout the years. www.bickfordseniorliving.com/our-story At Bickford, you will… Make a Difference Every Day We are passionate about our mission — to champion quality of life for all seniors. We deliver high-quality care with a personal touch and encourage our residents to enjoy life to the fullest. Be Part of a Uniquely Supportive Community The care-focused environment we create for residents extends to our team members. We offer programs, rewards, and benefits to help you live your best. Ignite Your Potential We believe potential has no limits. We offer best-in-class leadership development programs designed to grow our leaders. We are committed to helping our team members achieve their career goals.

Registered Nurse - Post Anesthesia Care Unit

McLaren Health Care Mount Pleasant, MI

Department : Post Anesthesia Care Unit Daily Work Times: Variable Shift: Variable Scheduled Bi-Weekly Hours : 40 Position Summary: 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 recognizes that each patient is a unique individual and has the right to quality nursing care that ensures mutual goal setting between the Registered Nurse and the patient and that the Registered Nurse assures patient rights and privacy are protected.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 Heath 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. Essential Functions and Responsibilities: Exhibits core values in interactions with others. Pride in our organization and enthusiasm for our work. Respect and caring for our customers and each other. Integrity in our conduct and character. Unit Based Competencies – Perioperative Services Understand and implements Universal Protocol. Understand and implements protective measures to prevent skin or tissue injury due to thermal, chemical, mechanical, laser and/or radiation exposure. Understand and implements latex precautions as needed. Understands and implements specimen handling and disposition. Understands and implements aseptic technique. Understand and implements appropriate skin precautions. Monitors and evaluates response to thermo-regulation measures, including hypo and hyperthermia. Collaborates with other members of the healthcare team in fluid and electrolyte management, including Blood product therapy. Assesses pain and implements various methods of pain management. Demonstrates the ability to establish an environment of safety by ensuring continuity of care, i.e. hand off communication. Performs required counts including sharps, sponges and instruments. Understands and performs procedure-specific positioning of patients. Position Specific Expectations: Must complete a moderate sedations education basic course within six (6) months of date of transfer. Must have basic knowledge of surgical techniques and anatomy. May cross train to relieve in other areas of Perioperative Services. Must have the ability to maintain a positive working relationship. Must be able to follow verbal and written instructions. Must be able to read and comprehend schedules, patient charts, orders, etc. Must possess the ability to multitask in a hectic, changing atmosphere. Must have reasonable hearing and vision ability to hear pages, beepers and answer call lights. Must be able to wear personal protective equipment as required by Hospital policy and regulating agencies. Must be able to work in confined areas. Must meet requirements of specific units, as set forth in posting language. Ability to communicate with patients, doctors, employees and the general public. Ability to communicate effectively in person and on the telephone. Ability to maintain the confidentiality of records, documents, or discussions related to Hospital and departmental functions. Must take call as assigned if required. Attendance is an essential element of this position. Required: Education - Graduate of an approved registered nursing program. Must have a current Michigan Registered Nurse license. BLS Certification required. ALS Certified within three (3) months of date of transfer (Pre-Admission RNexcluded). PALS Certified within six (6) months of date of transfer (Pre-Admission and Circulator RNexcluded). Preferred: Pre-Admission RN and Circulation RN experience. Must complete a moderate sedation education basic course within six (6) months of date of transfer. Six months experience in an Intensive Care Unit, Coronary Care, Recovery Room, or Surgery within the last two years or meet the internal posting criteria. Additional Information Schedule: Part-time Requisition ID: 26003860 Daily Work Times: Variable Hours Per Pay Period: 40 On Call: Yes Weekends: Yes

Registered Nurse - Post Anesthesia Care Unit

McLaren Health Care Mount Pleasant, MI

Department : Post Anesthesia Care Unit Daily Work Times: Variable Shift: Variable Scheduled Bi-Weekly Hours : 80 Position Summary: 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 recognizes that each patient is a unique individual and has the right to quality nursing care that ensures mutual goal setting between the Registered Nurse and the patient and that the Registered Nurse assures patient rights and privacy are protected.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 Heath 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. Essential Functions and Responsibilities: Exhibits core values in interactions with others. Pride in our organization and enthusiasm for our work. Respect and caring for our customers and each other. Integrity in our conduct and character. Unit Based Competencies – Perioperative Services Understand and implements Universal Protocol. Understand and implements protective measures to prevent skin or tissue injury due to thermal, chemical, mechanical, laser and/or radiation exposure. Understand and implements latex precautions as needed. Understands and implements specimen handling and disposition. Understands and implements aseptic technique. Understand and implements appropriate skin precautions. Monitors and evaluates response to thermo-regulation measures, including hypo and hyperthermia. Collaborates with other members of the healthcare team in fluid and electrolyte management, including Blood product therapy. Assesses pain and implements various methods of pain management. Demonstrates the ability to establish an environment of safety by ensuring continuity of care, i.e. hand off communication. Performs required counts including sharps, sponges and instruments. Understands and performs procedure-specific positioning of patients. Position Specific Expectations: Must complete a moderate sedations education basic course within six (6) months of date of transfer. Must have basic knowledge of surgical techniques and anatomy. May cross train to relieve in other areas of Perioperative Services. Must have the ability to maintain a positive working relationship. Must be able to follow verbal and written instructions. Must be able to read and comprehend schedules, patient charts, orders, etc. Must possess the ability to multitask in a hectic, changing atmosphere. Must have reasonable hearing and vision ability to hear pages, beepers and answer call lights. Must be able to wear personal protective equipment as required by Hospital policy and regulating agencies. Must be able to work in confined areas. Must meet requirements of specific units, as set forth in posting language. Ability to communicate with patients, doctors, employees and the general public. Ability to communicate effectively in person and on the telephone. Ability to maintain the confidentiality of records, documents, or discussions related to Hospital and departmental functions. Must take call as assigned if required. Attendance is an essential element of this position. Required: Education - Graduate of an approved registered nursing program. Must have a current Michigan Registered Nurse license. BLS Certification required. ALS Certified within three (3) months of date of transfer (Pre-Admission RNexcluded). PALS Certified within six (6) months of date of transfer (Pre-Admission and Circulator RNexcluded). Preferred: Pre-Admission RN and Circulation RN experience. Must complete a moderate sedation education basic course within six (6) months of date of transfer. Six months experience in an Intensive Care Unit, Coronary Care, Recovery Room, or Surgery within the last two years or meet the internal posting criteria. Additional Information Schedule: Full-time Requisition ID: 26003859 Daily Work Times: Variable Hours Per Pay Period: 80 On Call: Yes Weekends: Yes

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: 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: RN: Registered Nurse Equivalent Experience: Knowledge of nursing technique as normally acquired through completion of at least an Associate's Degree in Nursing culminating in licensure in the State of Michigan. Knowledge of nursing skills as normally acquired through 2 years experience working in the medical center or similar setting. Qualification Source: MI Essential: true Credential: ENPC: Emerg Nurse Pediatric Course Equivalent Experience: Within 12 months of hire or transfer. 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 12/31/2023 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 Nursing 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 #Indeed1RN

Registered Nurse RN- SICU

Summary 14K sign on bonus for qualified candidates This position performs a variety of integrated pre and post-operative critical care functions, intuitively, using the nursing process while applying a broad nursing knowledge in a caring, concerned manner. Responsibilities (25%)* Assesses patient for physical, emotional, psych/social and family support. (25%)* Organizes and coordinates all aspects of patient care according to the patients real and/or perceived needs. (25%)* Evaluates patient progress by correlating patient information with nursing knowledge to determine if goals are being met according to the patients plan of care or clinical path. (25%)* Consults and collaborates with members of the healthcare team in planning and implementing total patient care for individuals. OTHER DUTIES AND RESPONSIBILITIES: Provides for the age specific needs of the population served according to department standards and policies/procedures as evidenced by observation, documentation and peer feedback for the following: Adolescent - 13 to 17 years Adult - 18 to 64 years Later Adult - 65 years and older Demonstrates proficiency (according to hospital and unit policy and procedure) in nursing skills to carry out the patients plan of care. Communicates interactions, both verbal and written, that clearly and positively accomplish desired patient care as a collaborative effort. Educates patients and families. Provides teaching, support and coordination of healthcare plans for patient and family through the acute phase of illness, as needed. Promotes clinical knowledge development including critical thinking skills and improves strategies for comparing clinical judgment through research and continuing education. Other duties as assigned. Certifications and Licensures 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: RN: Registered Nurse Equivalent Experience: Qualification Source: MI 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 12/31/2023 will have 24 months to complete this certification) Qualification Source: Essential: true Required Education Education: ASSOC Equivalent Experience: Bachelor's degree in nursing preferred. Education Specialization: NRG Essential: true Other Information EXPERIENCE, TRAINING AND SKILLS: Completion of orientation process as described in the Critical Care Competency Policy, and as outlined for the care of the post-operative cardiothoracic surgery patient and general surgery patient requiring critical care nursing skills. Open-heart trained within one year of hire and with manager approval. 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. 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: ASSOC Equivalent Experience: Bachelor's degree in nursing preferred. Education Specialization: NRG Essential: true Other Comments #Indeed1RN

Supervisor Nursing RN

Summary Under general direction of nursing leadership, the Clinical Supervisor RN position is responsible for serving as a clinical resource, unit expert for staff, and is responsible for patient care. This position links nursing leadership with nursing care through the application of organizational and nursing service policies, procedures, and care delivery model. The Clinical Supervisor RN uses the Code of Ethics for Nurses with Interpretive Statements to guide leadership and practice. The Clinical Supervisor RN attains knowledge and competence reflective of current nursing practice; promotes innovation and futuristic thinking by incorporating evidence based practice and research findings. Responsibilities (40%)* Assesses and assures the competency of staff while functioning as a liaison to facilitate staff completion and maintaining of their unit competencies. Acts as a resource and role model for clinical practice, develops and maintains excellent collaborative relationships and channels of communication with members of the nursing care teams, including essential service leadership. Helps in development and delivery of process improvement strategies, and assist in promotion of teamwork and care delivery in times of need. Focuses on developing and enhancing clinical knowledge, technical skills, clinical decision-making, and professional practice standards for nursing staff. (20%)* Complete focused rounding for all patients, with nursing staff, within 24 hours of admission and as needed. Participates in direct patient care when appropriate, ensuring that best practices are in place, and standards of care are being followed. Promotes and performs multidisciplinary rounding. (20%)* Collaborates effectively with physicians, nurses, and other health care providers to assist in the best care delivery, efficiency and planning of patients. Makes recommendation as appropriate for progression of total plan of care to achieve desired outcome in a timely and cost effective manner. Continuously promotes the most excellent patient experience possible and when appropriate works with Director, Manager, and nursing staff to correct deficiencies. (10%)* Serves as a clinical resource person for staff, patients, and families. Identifies and assists in providing patient and family education. Participates in Unit Practice Council, assisting with unit cohesiveness, teamwork, and positive morale. Routinely audits nursing care clinical documentation and care delivery for regulatory compliance as well as ensuring adherence to quality and safety related initiatives. Promotes at all times the MyMichigan Health Culture of Safety and is committed to a Zero Harm environment. (10 %) * Provides up-to-date patient status report to manager/shift administrator as needed. Creates and maintains open line of communication to nurse manager and shift administrator. Fosters a dyad relationship with manager and communication demonstrates a symbiotic relationship. Demonstrates ability to accept and delegate responsibility, make sound judgments and accurately assess when to refer issues to the Nurse Manager. Other Duties And Responsibilities Demonstrates knowledge of and experience with current best practices in the area of specialty care for the designated unit. Completes all training expected of staff and demonstrates clinical expertise in Behavioral Health. Identifies needs, assists in development and implementation of programs in corporation with Department of Education for orientation, staff development and continuing education for staff. Maintains Process Improvement programs for patient care. Acts on recommendations of audit committees and physicians. Assists in the development of standards of care. Initiates and participates in development of nursing standards, policies, and procedures. Assists in the instruction and supervision of nursing care given by staff. Provides manager with input for Job Performance Reviews (JPR�s), if requested. Sets realistic short- and long-range performance goals and evaluates progress. Takes responsibility for continued professional development and advancement of clinical practice. Assures compliance with all policies, procedures, regulations, standards and laws such as but not limited to Joint Commission, Centers for Medicare and Medicaid Services (CMS) and Michigan Department of Public Health (MDPH). Assists with court hearings, deferrals, and filing legal paperwork, when needed. Flexible with schedule to meet the needs of the unit. All other duties as assigned. Certifications and Licensures Credential: BLS: Basic Life Support Equivalent Experience: Within 3 months of hire or transfer Qualification Source: AHA Credential: RN: Registered Nurse Credential: ICHAT: iChat(annually on Hire Date) 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) Required Education Education: Associates Degree Equivalent Experience: Bachelor's degree in nursing at time of hire or transfer to position preferred. New requirement added in March 2020, incumbents with an associate's degree in nursing have until 1/1/2025 to obtain a bachelor's degree in nursing. Other Information Experience, Training And Skills Knowledge of nursing practices and procedures as normally acquired through 3 years’ experience working in a Medical Center or similar setting. Knowledge of nursing leadership as normally acquired through working 1 year in a Medical Center or similar setting with involvement in supervision, charge nurse, project implementation, professional development program, shared governance leadership role, or equivalent. 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.

Registered Nurse RN

Summary The major goal of the nurse is to provide quality nursing care to patients throughout Imaging Services. Provides direct patient care by providing pre/post and intra-procedural care for minimally invasive procedures in: Diagnostic Radiology, CT Scanning, Ultrasound, Nuclear Medicine, MRI, Mammography, and respiratory department. This position performs a variety of integrated functions, intuitively, using the nursing process of assessing and identifying needs, planning care, implementing appropriate intervention, documenting, and evaluating outcome while applying a broad nursing knowledge in a caring, concerned manner. Responsibilities (30%)* Assesses and monitors patient condition and initiates appropriate nursing intervention to include physical, emotional, psychosocial and family support. (30%)* Plans patient care to include organization and coordination of all aspects according to the patients perceived need and implements the patients plan of care to include demonstration of proficiency (according to hospital policy and procedure) in nursing skills. (20%)* Evaluates the patient progress by correlating patient information with nursing knowledge to determine if goals are being met according to the patients plan of care. (20%)* Instructs patient and family regarding treatment and outcome and assists when needed with proper procurement of consent forms and incident reports and communicates interactions, both verbal and written, that clearly and positively accomplish desired patient care as a collaborative effort. Other Duties And Responsibilities Functions as a patient advocate and provides patient care to inpatients and outpatients by meeting the physical and emotional needs of patient and family. Assists with contrast reactions and intervenes when a patient develops problems or in emergency situations. Assists radiologists, cardiologists, and pulmonologists with procedures and treatments that require professional nursing skills. Administers medication (as needed), and monitors controlled substances as required by regulatory agencies. Complies with policies and procedures as well as other regulatory agencies. Functions as an assistant using sterile technique during procedures. Demonstrates skills in using special equipment such as monitors, infusion pumps, pacemakers, oxygen equipment, and respirators. Assists with research projects and performs follow up procedures. Assists in development of educational programs for imaging staff including patient care, safety, and infection control. Provides educational programs regarding the Imaging nurses role continuity of patient care, and topics related to radiology. Assists with orientation of other nurses. Demonstrates professional development by promoting clinical knowledge development, improving strategies for comparing clinical judgment through the development and implementation of research projects and continuing education. Acts as a resource person for nursing, medical and Imaging Services staff and a liaison between Imaging and nursing units. Documents patient status and care given while utilizing verbal and written communication with physicians, radiologists, technologists, and nursing units regarding patient status, treatment and outcome. Assists with the provision of nursing care for critically ill patients transferred to the department. Areas of nurse functions include: Imaging Services, MRI, respiratory department, and Center for Womens Health. 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 ACLS - Advanced Cardiac Life Support Required Equivalent Experience - Within 12 months of hire or transfer BLS - Basic Life Support Required Equivalent Experience - Within 1 month of hire or transfer PALS - Ped Advance Life Support Preferred Equivalent Experience - within one year of part time or full time employment. RN - Registered Nurse Required Equivalent Experience - Required Education Associates Degree Equivalent Experience: Minimum of 3 years critical care experience preferred. PALS certification preferred. Has general knowledge of all areas of nursing care. Bachelor Degree preferred. Other Information Experience, Training And Skills Works effectively with a variety of professional and ancillary personnel. Mandatory tuberculosis (TB) testing must be done annually. Mandatory Occupational Safety and Health Administration (OSHA) training must also be completed annually according to the Exposure Control Plan. 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

Registered Nurse RN- PCU

Summary 14K for 2 years sign on bonus for qualified candidates This position performs a variety of integrated functions, intuitively, using the nursing process while applying a broad nursing knowledge in a caring, concerned manner. Responsibilities (25%)* Assesses patient for physical, emotional, psych/social and family support. (25%)* Organizes and coordinates all aspects of patient care according to the patient’s real and/or perceived needs. (25%)* Evaluates patient progress by correlating patient information with nursing knowledge to determine if goals are being met according to the patient’s plan of care or clinical path. (25%)* Consults and collaborates with members of the health care team in planning and implementing total patient care for individuals. OTHER DUTIES AND RESPONSIBILITIES: Demonstrates proficiency (according to hospital and unit policy and procedure) in nursing skills to carry out the patient’s plan of care. Communicates interactions, both verbal and written, that clearly and positively accomplish desired patient care as a collaborative effort. Educates patients and families. Provides teaching, support and coordination of health care plans for patient and family through the acute phase of illness, as needed. Promotes clinical knowledge development including critical thinking skills and improves strategies for comparing clinical judgment through research and continuing education. In the performance of the regular job duties, it is appropriate for this job code to have access to the medication room and supply room for the purpose of stocking. Other duties as assigned. Certifications and Licensures Credential: ACLS: Advanced Cardiac Life Support Equivalent Experience: Within 12 months of hire or transfer Qualification Source: Essential: true Credential: DIMC: Dysrhythmia Interpretation Man 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: RN: Registered Nurse Equivalent Experience: Qualification Source: MI 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 12/31/2023 will have 24 months to complete this certification) Qualification Source: Essential: true Required Education Education: ASSOC Equivalent Experience: Bachelor's degree in nursing preferred. Education Specialization: NRG Essential: true Other Information EXPERIENCE, TRAINING AND SKILLS: Completion of orientation process as directed by the Progressive Care Unit (PCU) nurse manager and critical care educator. 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. PCCN 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. Equivalent Experience And Other Comments (Education) Education: ASSOC Equivalent Experience: Bachelor's degree in nursing preferred. Education Specialization: NRG Essential: true Other Comments #Indeed1RN

Registered Nurse RN- Observation