RN Registered Nurse - Labor & Delivery - PT Nights, 7pm-7:30am, every 3rd weekend

Registered Nurse | Graduate Nurse

Sign On Bonus: Up to $4,500

Department: Labor and Delivery

Schedule: Part-Time, 7pm-7:30am Weeknights & Every 3rd Weekend

Hospital: Henry Ford Health Genesys

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 Benners Domains of Nursing Practice, demonstrates 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.

Seven Dimensions of Patient Care

Coordinate 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 patients rights, dignity, values, culture, preferences, and expressed needs. Assesses patient/family needs for information and education across the continuum, plans and implements patient teaching using a variety of techniques and methods, and evaluates 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. Involves patient, family, significant others in development of plan of care.

Collaboration and Communication

Collaborate with patient/family, hospital staff, and community agencies to develop discharge plans that prepare patients for continued care needs.

Orientation

Self-Evaluation: (C) Competent (NT) Needs Training or Review.

• Standards of Performance:
• Seven Domains of Nursing Practice.
• Helping/Teaching & Coaching:

Daily Interactions with Patient

Incorporate all elements of Signature Care in Daily interactions with patient:

• Introduce self and writes 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 determines care needs of the patient.
• Performs ongoing reassessment as required.

Complete Assessment for Risk Factors

Initiate appropriate initiatives as indicated SKINN Bundle, Fall Prevention Plan, SCD, etc.

• Complete Medication Reconciliation upon admission and change in level of care.
• Establish, direct, coordinate and document plan of nursing care in conjunction with patient/family.

Initiate Problems and Outcomes List

Initiate Problems and Outcomes list (plan-of-care) based on medical diagnosis and patient needs.

Monitor and Document Patient Response

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

Educate patient regarding treatment plan, safety measures, medications, and self-care as indicated.

• Document education activities on shift assessment flowsheet and plan of care (POC).

Work with Case Manager

Work with Case Manager to ensure appropriate referrals initiated prior to discharge.

Review Discharge Plans

Review discharge plans/instructions with patient prior to discharge, including signs/symptoms to watch for after leaving the hospital.

Ensure Quality of Health Care Practices

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.

Initiate Patient Care Activities

Initiate and/or assists with all patient care activities including activities of daily living and provides other services as required for patient comfort, safety, and well-being.

Assess and Initiate Interventions

Assess and initiate interventions to prevent/minimize patient skin breakdown.

• Follow clinical practice guidelines and procedures as written.

Establish and Maintain Peripheral IV Therapy

Establish and maintain peripheral IV therapy.

• Obtain body fluid specimens, per procedure.

Obtain Blood Specimens

Obtain blood specimens if no phlebotomist assigned to area.

Perform Blood Capillary Glucose Monitoring

Perform blood capillary glucose monitoring.

Administer Medications

Administer the following according to established policies and procedures: - Medications. - IVs. - Blood products.

Prepare Patients for Surgery

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

Utilize equipment based on manufacturers instructions and established nursing procedure. Correctly operates and trouble shoots IV pumps, PCA pumps, epidural pumps, feeding pumps, patient beds, as applicable.

Monitoring Patient Responses/Responding to Changing Patient Situations

Regularly reviews work in progress to ensure that treatments, medications, and tests ordered are expeditiously carried out and documented.

• Review patient medical record/reports and confers with physician regarding treatment plans.

Routinely Check Chart

Routinely checks chart for new orders.

Monitor Patient Physiologic Parameters

Monitor patient physiologic parameters including vital signs, lab work, I&O, blood glucose; recognizes and reports meaningful changes and intervenes appropriately.

• Documents interventions accordingly.

Recognize and Respond to Pain

Informs patient about pain relief and pain relief measures; administers pain medication or alternative interventions as indicated; includes pain management resources in the discharge plan/instructions.

• Recognize acute changes in respiratory status - dyspnea, cyanosis, tachypnea, respiratory depression, airway obstruction and responds appropriately with direct intervention and physician/SWAT notification.

Recognize and Respond to Neurologic Status

Recognize acute changes in neurologic status/decreased LOC and responds appropriately with direct intervention and physician/SWAT notification.

Recognize and Respond to Cardiac Status

Recognize acute changes in cardiac status - tachycardia, chest pain and responds appropriately with direct intervention and physician/SWAT notification.

Recognize and Respond to Urinary Output

Recognize acute changes in urinary output and responds 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 to Life-Threatening Emergencies

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

Perform emergency equipment checks.

Provide Support to Families

Provide appropriate support/summons appropriate resources for families in crisis/grieving process.

Ensuring 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); notifies case manager and nurse manager of potential LOS/discharge issues.

Identify Ethical Issues

Identify ethical issues related to patient care (including issues related to advanced directives) and initiates steps for resolution.

• Demonstrate adherence to patient confidentiality requirements.

Communicate with Patients and Families

Communicate with patients and families cordially, diplomatically and respectfully.

Act to Resolve Customer Concerns

Act to resolve customer concerns/complaints immediately; reports complaints that cannot be immediately resolved to Patient Care Director, Clinical Manager, or House Supervisor.

Promote a Physically Safe Environment

Promote a physically safe environment for the patient including use and documentation of restraints according to policy.

Utilize Universal Precautions

Utilize universal precautions for all patients.

Make Cost-Effective Use of Supplies

Make cost effective use of supplies and resources.

Assist in Evaluating New Products

Assist in evaluating new products, procedures, nursing practices.

Support Organizational Goals

Support organizational, nursing department, and unit strategic goals and activities; participates in department and unit based council/staff activities meetings.

Teach and Mentor Student Nurses

Teach and mentor student nurses and orientates.

Evaluate Own Performance

Evaluate own performance utilizing input from peers, co-workers, managers, physicians, customers, and develops a plan for continual improvement.

• (Does not include formal peer review.).

Complete Safety and Education Requirements

Complete yearly safety and unit specific education requirements (GLI).

Organizational and Work Role

Provide Patient Care Assignments

Provide input on appropriate patient care assignments; taking into consideration patient condition and knowledge/experience/work load of staff.

Provide Direction and Leadership

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

Use the 4 Ps (patient, pertinent issues, picture, plan) to give appropriate and pertinent information at change-of-shift and/or transfer.

Create and Maintain a Healthy Work Environment

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.
• Communicating appropriate patient care issues/concerns to nurse manager.

Respond to Changes in Workload

Respond appropriately to changes in unit workloads, patient census, and/or staffing levels.

Interpersonal Skills

Interpersonal skills necessary in order