Henry Ford Health System
Registered Nurse / Postpartum - PT Nights 7p-7:30a Weeknights & Every 3rd Weeken
Henry Ford Health System, Grand Blanc, Michigan, United States, 48480
Registered Nurse | Graduate Nurse
Sign On Bonus: $10,000
Department: Postpartum
Schedule: PT Nights 7p-7:30a Weeknights & Every 3rd Weekend 36-60 Hours
Hospital: Henry Ford Genesys Hospital
Location: Grand Blanc, Michigan
General Summary
Use independent professional judgment, analytical skills, and the nursing process to provide a full range of delegated, interdependent, and independent nursing services to patients.
Within the framework of the Seven Dimensions of Patient Care and Benner's Domains of Nursing Practice, demonstrate clinical competence; compassion and customer service orientation; focus on process and outcomes; and cost‑consciousness when assessing, planning, implementing, and evaluating nursing care provided to patients. The Seven Dimensions of Patient Care include coordinating the development of a multi‑disciplinary plan of care in accordance with Nursing Problem Care Sets (Core Outcomes and Core Intervention Sets) and/or clinical practice guidelines, age‑specific requirements and professional and regulatory requirements to ensure appropriate length of stay, use of resources, and achievement of quality outcomes.
Provide patient care that reflects a respect for patient’s rights, dignity, values, culture, preferences, and expressed needs. Assess patient/family needs for information and education across the continuum, plan and implement patient teaching using a variety of techniques, and evaluate the effectiveness of educational interventions. Help to alleviate patient fears and anxiety through skillful application of professional and interpersonal communication. Utilize a variety of pharmacologic and non‑pharmacologic approaches to ensure patient comfort and relief of pain. Involve patient, family, and significant others in development of the plan of care.
Collaborate with patient/family, hospital staff, and community agencies to develop discharge plans that prepare patients for continued care needs.
Maintain an orientation self‑evaluation (C) Competent (NT) Needs Training or Review. Standards of Performance: Seven Domains of Nursing Practice; Helping/Teaching & Coaching; Incorporate all elements of Signature Care in daily interactions with patient: introduce self and write name on whiteboard; discuss plan of care with patient/family; explain meds and treatments, provide teaching as appropriate; ask if patient needs anything else before leaving room; assess health status and determine care needs; perform ongoing reassessment as required; complete Admission Assessment and shift assessment as required.
Complete assessment for risk factors including fall, skin breakdown, VTE, and aspiration. Initiate appropriate initiatives such as SKINN Bundle, Fall Prevention Plan, SCD, etc. Complete medication reconciliation upon admission and changes in level of care. Establish, direct, coordinate and document plan of nursing care in conjunction with patient/family.
Initiate problems and outcomes list (plan‑of‑care) based on medical diagnosis and patient needs.
Monitor, document, and report patient response to interventions and progress toward outcomes.
Document nursing interventions (NIC) and progress toward outcomes (NOC); patient education; and evaluation every shift as required.
Educate patient regarding treatment plan, safety measures, medications, and self‑care as indicated. Document education activities on shift assessment flow sheet and plan of care (POC). Work with Case Manager to ensure appropriate referrals are initiated prior to discharge.
Review discharge plans/instructions with patient prior to discharge, including signs/symptoms to watch for after leaving the hospital. Ensure appropriate follow‑up is arranged.
Ensure that core measures discharge instructions are given to all CHF patients.
Document patient care according to established documentation guidelines.
Administration of therapeutic regimens: demonstrate knowledge and skill application of basic nursing procedures—dressing change, catheterization, NG tube insertion, suctioning.
Implement/complete medical interventions as ordered. Initiate standing orders appropriately. Assist with all patient care activities including activities of daily living and provide other services as required for patient comfort, safety, and well‑being.
Assess and initiate interventions to prevent or minimize patient skin breakdown.
Follow clinical practice guidelines and procedures as written.
Establish and maintain peripheral IV therapy.
Obtain body fluid specimens, per procedure.
Obtains blood specimens if no phlebotomist assigned to area.
Perform blood capillary glucose monitoring.
Administer medication, IVs, and blood products according to established policies and procedures.
Prepare patients for surgery or other invasive procedures according to established guidelines.
Perform or assist with procedures according to established standards of care and nursing practice.
Utilize equipment based on manufacturer’s instructions and established nursing procedure. Correctly operate and troubleshoot IV pumps, PCA pumps, epidural pumps, feeding pumps, patient beds, as applicable.
Monitor patient responses and respond to changing patient situations.
Regularly review work in progress to ensure that treatments, medications, and tests ordered are expeditiously carried out and documented.
Review patient medical record and consult with physician regarding treatment plans. Routinely check chart for new orders.
Monitor patient physiological parameters including vital signs, lab work, I/O, blood glucose; recognize and report meaningful changes and intervene appropriately. Document interventions accordingly.
Monitor presence and intensity of patient pain on admission, after pain‑producing events, with each new report of pain, and routinely at regular intervals.
Inform patient about pain relief and pain relief measures; administer pain medication or alternative interventions as indicated; include pain management resources in the discharge plan/instructions.
Recognize acute changes in respiratory status—dyspnea, cyanosis, tachypnea, respiratory depression, airway obstruction—and respond appropriately with direct intervention and physician/SWAT notification.
Recognize acute changes in neurologic status/decreased LOC and respond appropriately with direct intervention and physician/SWAT notification.
Recognize acute changes in cardiac status—tachycardia, chest pain—and respond appropriately with direct intervention and physician/SWAT notification.
Recognize acute changes in urinary output and respond appropriately with direct action and physician notification. Utilize SBAR tool or other standardized approach to data collection and information sharing when notifying physician of patient changes/concerns.
Respond appropriately to life‑threatening emergencies through initiation of CPR, assembly of emergency equipment, and immediate interventions (as allowable and indicated).
Perform emergency equipment checks.
Provide appropriate support and summon appropriate resources for families in crisis/grieving process. Ensure quality of health care practices.
Communicate with other professionals/departments and physician staff to ensure appropriate progress of patients through the system.
Monitor individual patient length of stay (LOS); notify case manager and nurse manager of potential LOS/discharge issues.
Identify ethical issues related to patient care (including issues related to advanced directives) and initiate steps for resolution.
Demonstrate adherence to patient confidentiality requirements.
Communicate with patients and families cordially, diplomatically, and respectfully.
Act to resolve customer concerns/complaints immediately; report complaints that cannot be immediately resolved to Patient Care Director, Clinical Manager, or House Supervisor.
Promote a physically safe environment for the patient including use and documentation of restraints according to policy.
Utilize universal precautions for all patients.
Make cost‑effective use of supplies and resources.
Assist in evaluating new products, procedures, nursing practices.
Support organizational, nursing department, and unit strategic goals and activities; participate in department and unit based council/staff activities meetings.
Support and actively participate in Nursing Department and unit specific quality monitoring and quality improvement activities.
Participate in teaching/mentoring of student nurses and orientates.
Evaluate own performance utilizing input from peers, co‑workers, managers, physicians, customers, and develop a plan for continual improvement (does not include formal peer review).
Complete yearly safety and unit specific education requirements (GLI).
Organizational and work role: provide input on appropriate patient care assignments; take into consideration patient condition and knowledge/experience/workload of staff.
Provide direction and leadership to other staff by: clearly communicating expectations/responsibilities to team members; observing patients and work in progress periodically throughout the shift; communicating with team members about work to be completed/problems encountered; assisting team members with patient care activities as needed; assisting other teams as situation requires.
Use the 4 Ps (patient, pertinent issues, picture, plan) to give appropriate and pertinent information at change‑of‑shift and/or transfer.
Participate in the creation and maintenance of a healthy work environment by: treating co‑workers with respect; communicating to co‑workers with respect; resolving conflicts and/or negative feelings promptly, privately, and appropriately; taking responsibility for personal actions, behaviors, and attitudes and not displacing anger or frustration onto co‑workers, patients, or families.
Communicate appropriate patient care issues/concerns to nurse manager.
Respond appropriately to changes in unit workloads, patient census, and/or staffing levels.
Interpersonal skills necessary for interaction with patients/families, other nursing staff members, physicians, and other hospital personnel; ability to concentrate and pay close attention to detail when planning and performing professional nursing care, resolving patient care problems, and dealing with patients and families, often during stressful situations.
Ability to walk or stand continuously and frequently lift and position patients.
Working conditions: normal patient care environment with moderate exposure to excessive noise, dust, temperature, etc.; frequent exposure to communicable diseases, hazardous substances, and moderately adverse working conditions due to performance of patient care activities.
Orientation requirements: this position, aside from the above requirements, will require approximately three (3) to nine (9) months on‑the‑job experience to acquire and effectively apply knowledge of unit and departmental policies, procedures, and standards for patient care and professional nursing practice.
The above is intended to describe the general nature and level of work performed by people assigned to this classification. It is not to be construed as an exhaustive statement of duties, responsibilities or qualifications for the people so classified, nor is it intended to limit or modify in any way the right of any supervisor to assign, direct, and control the work of employees under their supervision. The most recently dated job description on file in the Human Resources Department will be considered the official job description.
Education/Experience Requirements
Licensed Registered Nurse credentialed from the Michigan Board of Nursing obtained within 2 months (60 days) of hire date or job transfer date is required.
Certified BLS Provider specializing in Basic Life Support credentialed from the American Heart Association (AHA) obtained within 3 months (90 days) of hire date or job transfer date is required (or Certified Instructor).
Education: requires a graduate of an approved professional (RN) nursing program.
Additional Information
Organization: Henry Ford Health Genesys Hospital
Department: Mother Baby Unit 001
Shift: Night Job
Union Code: MIGRA Teamsters RN Local 332
#J-18808-Ljbffr
Sign On Bonus: $10,000
Department: Postpartum
Schedule: PT Nights 7p-7:30a Weeknights & Every 3rd Weekend 36-60 Hours
Hospital: Henry Ford Genesys Hospital
Location: Grand Blanc, Michigan
General Summary
Use independent professional judgment, analytical skills, and the nursing process to provide a full range of delegated, interdependent, and independent nursing services to patients.
Within the framework of the Seven Dimensions of Patient Care and Benner's Domains of Nursing Practice, demonstrate clinical competence; compassion and customer service orientation; focus on process and outcomes; and cost‑consciousness when assessing, planning, implementing, and evaluating nursing care provided to patients. The Seven Dimensions of Patient Care include coordinating the development of a multi‑disciplinary plan of care in accordance with Nursing Problem Care Sets (Core Outcomes and Core Intervention Sets) and/or clinical practice guidelines, age‑specific requirements and professional and regulatory requirements to ensure appropriate length of stay, use of resources, and achievement of quality outcomes.
Provide patient care that reflects a respect for patient’s rights, dignity, values, culture, preferences, and expressed needs. Assess patient/family needs for information and education across the continuum, plan and implement patient teaching using a variety of techniques, and evaluate the effectiveness of educational interventions. Help to alleviate patient fears and anxiety through skillful application of professional and interpersonal communication. Utilize a variety of pharmacologic and non‑pharmacologic approaches to ensure patient comfort and relief of pain. Involve patient, family, and significant others in development of the plan of care.
Collaborate with patient/family, hospital staff, and community agencies to develop discharge plans that prepare patients for continued care needs.
Maintain an orientation self‑evaluation (C) Competent (NT) Needs Training or Review. Standards of Performance: Seven Domains of Nursing Practice; Helping/Teaching & Coaching; Incorporate all elements of Signature Care in daily interactions with patient: introduce self and write name on whiteboard; discuss plan of care with patient/family; explain meds and treatments, provide teaching as appropriate; ask if patient needs anything else before leaving room; assess health status and determine care needs; perform ongoing reassessment as required; complete Admission Assessment and shift assessment as required.
Complete assessment for risk factors including fall, skin breakdown, VTE, and aspiration. Initiate appropriate initiatives such as SKINN Bundle, Fall Prevention Plan, SCD, etc. Complete medication reconciliation upon admission and changes in level of care. Establish, direct, coordinate and document plan of nursing care in conjunction with patient/family.
Initiate problems and outcomes list (plan‑of‑care) based on medical diagnosis and patient needs.
Monitor, document, and report patient response to interventions and progress toward outcomes.
Document nursing interventions (NIC) and progress toward outcomes (NOC); patient education; and evaluation every shift as required.
Educate patient regarding treatment plan, safety measures, medications, and self‑care as indicated. Document education activities on shift assessment flow sheet and plan of care (POC). Work with Case Manager to ensure appropriate referrals are initiated prior to discharge.
Review discharge plans/instructions with patient prior to discharge, including signs/symptoms to watch for after leaving the hospital. Ensure appropriate follow‑up is arranged.
Ensure that core measures discharge instructions are given to all CHF patients.
Document patient care according to established documentation guidelines.
Administration of therapeutic regimens: demonstrate knowledge and skill application of basic nursing procedures—dressing change, catheterization, NG tube insertion, suctioning.
Implement/complete medical interventions as ordered. Initiate standing orders appropriately. Assist with all patient care activities including activities of daily living and provide other services as required for patient comfort, safety, and well‑being.
Assess and initiate interventions to prevent or minimize patient skin breakdown.
Follow clinical practice guidelines and procedures as written.
Establish and maintain peripheral IV therapy.
Obtain body fluid specimens, per procedure.
Obtains blood specimens if no phlebotomist assigned to area.
Perform blood capillary glucose monitoring.
Administer medication, IVs, and blood products according to established policies and procedures.
Prepare patients for surgery or other invasive procedures according to established guidelines.
Perform or assist with procedures according to established standards of care and nursing practice.
Utilize equipment based on manufacturer’s instructions and established nursing procedure. Correctly operate and troubleshoot IV pumps, PCA pumps, epidural pumps, feeding pumps, patient beds, as applicable.
Monitor patient responses and respond to changing patient situations.
Regularly review work in progress to ensure that treatments, medications, and tests ordered are expeditiously carried out and documented.
Review patient medical record and consult with physician regarding treatment plans. Routinely check chart for new orders.
Monitor patient physiological parameters including vital signs, lab work, I/O, blood glucose; recognize and report meaningful changes and intervene appropriately. Document interventions accordingly.
Monitor presence and intensity of patient pain on admission, after pain‑producing events, with each new report of pain, and routinely at regular intervals.
Inform patient about pain relief and pain relief measures; administer pain medication or alternative interventions as indicated; include pain management resources in the discharge plan/instructions.
Recognize acute changes in respiratory status—dyspnea, cyanosis, tachypnea, respiratory depression, airway obstruction—and respond appropriately with direct intervention and physician/SWAT notification.
Recognize acute changes in neurologic status/decreased LOC and respond appropriately with direct intervention and physician/SWAT notification.
Recognize acute changes in cardiac status—tachycardia, chest pain—and respond appropriately with direct intervention and physician/SWAT notification.
Recognize acute changes in urinary output and respond appropriately with direct action and physician notification. Utilize SBAR tool or other standardized approach to data collection and information sharing when notifying physician of patient changes/concerns.
Respond appropriately to life‑threatening emergencies through initiation of CPR, assembly of emergency equipment, and immediate interventions (as allowable and indicated).
Perform emergency equipment checks.
Provide appropriate support and summon appropriate resources for families in crisis/grieving process. Ensure quality of health care practices.
Communicate with other professionals/departments and physician staff to ensure appropriate progress of patients through the system.
Monitor individual patient length of stay (LOS); notify case manager and nurse manager of potential LOS/discharge issues.
Identify ethical issues related to patient care (including issues related to advanced directives) and initiate steps for resolution.
Demonstrate adherence to patient confidentiality requirements.
Communicate with patients and families cordially, diplomatically, and respectfully.
Act to resolve customer concerns/complaints immediately; report complaints that cannot be immediately resolved to Patient Care Director, Clinical Manager, or House Supervisor.
Promote a physically safe environment for the patient including use and documentation of restraints according to policy.
Utilize universal precautions for all patients.
Make cost‑effective use of supplies and resources.
Assist in evaluating new products, procedures, nursing practices.
Support organizational, nursing department, and unit strategic goals and activities; participate in department and unit based council/staff activities meetings.
Support and actively participate in Nursing Department and unit specific quality monitoring and quality improvement activities.
Participate in teaching/mentoring of student nurses and orientates.
Evaluate own performance utilizing input from peers, co‑workers, managers, physicians, customers, and develop a plan for continual improvement (does not include formal peer review).
Complete yearly safety and unit specific education requirements (GLI).
Organizational and work role: provide input on appropriate patient care assignments; take into consideration patient condition and knowledge/experience/workload of staff.
Provide direction and leadership to other staff by: clearly communicating expectations/responsibilities to team members; observing patients and work in progress periodically throughout the shift; communicating with team members about work to be completed/problems encountered; assisting team members with patient care activities as needed; assisting other teams as situation requires.
Use the 4 Ps (patient, pertinent issues, picture, plan) to give appropriate and pertinent information at change‑of‑shift and/or transfer.
Participate in the creation and maintenance of a healthy work environment by: treating co‑workers with respect; communicating to co‑workers with respect; resolving conflicts and/or negative feelings promptly, privately, and appropriately; taking responsibility for personal actions, behaviors, and attitudes and not displacing anger or frustration onto co‑workers, patients, or families.
Communicate appropriate patient care issues/concerns to nurse manager.
Respond appropriately to changes in unit workloads, patient census, and/or staffing levels.
Interpersonal skills necessary for interaction with patients/families, other nursing staff members, physicians, and other hospital personnel; ability to concentrate and pay close attention to detail when planning and performing professional nursing care, resolving patient care problems, and dealing with patients and families, often during stressful situations.
Ability to walk or stand continuously and frequently lift and position patients.
Working conditions: normal patient care environment with moderate exposure to excessive noise, dust, temperature, etc.; frequent exposure to communicable diseases, hazardous substances, and moderately adverse working conditions due to performance of patient care activities.
Orientation requirements: this position, aside from the above requirements, will require approximately three (3) to nine (9) months on‑the‑job experience to acquire and effectively apply knowledge of unit and departmental policies, procedures, and standards for patient care and professional nursing practice.
The above is intended to describe the general nature and level of work performed by people assigned to this classification. It is not to be construed as an exhaustive statement of duties, responsibilities or qualifications for the people so classified, nor is it intended to limit or modify in any way the right of any supervisor to assign, direct, and control the work of employees under their supervision. The most recently dated job description on file in the Human Resources Department will be considered the official job description.
Education/Experience Requirements
Licensed Registered Nurse credentialed from the Michigan Board of Nursing obtained within 2 months (60 days) of hire date or job transfer date is required.
Certified BLS Provider specializing in Basic Life Support credentialed from the American Heart Association (AHA) obtained within 3 months (90 days) of hire date or job transfer date is required (or Certified Instructor).
Education: requires a graduate of an approved professional (RN) nursing program.
Additional Information
Organization: Henry Ford Health Genesys Hospital
Department: Mother Baby Unit 001
Shift: Night Job
Union Code: MIGRA Teamsters RN Local 332
#J-18808-Ljbffr