Registered Nurse RN- Specialty Surgery

Summary

The registered nurse will perform direct patient/resident care and delegation to patient care technicians in providing care and comfort to the patients. Knowledge and compliance with all local, state and federal regulations and guidelines relating to facility care will be maintained. This position has basic medical/surgical knowledge in order to care for general surgical and orthopedic surgical patients.

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. 

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.

 Inserts cantor tubes, nasogastric tubes, and feeding tubes per physician order, following proper procedure.

Inserts and provides care for IV's.

Provides routine care and instruction of Suprapubic (SP) catheters and surgical drains following physician order.

Provides proper care for drains and removal of same.

Removes sutures and skin clips, provides routine ostomy care and irrigates and packs wounds, following physician order, procedure and care plan.

Does accurate Central Venous Pressure (CVP) reading, according to physician order and following proper procedure.

Sets up, instructs and monitors use of PCA.

Obtains doppler pulses following proper procedure.

Provides routine care of gastrostomy/jejunostomy tubes according to procedure and physician orders.

Assists in heparin therapy protocol per procedures.

Applies basic traction, splints, braces, and Continuous Passive motion (CPM) machines following procedure and physician order.

Cuts and trims cast, removes wound drains following physician order and procedure.

Maintains total hip and total knee precaution measures and instructs patients.

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 into position.

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: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

Required Education

Education: ASSOC

Equivalent Experience:  Bachelor's degree preferred.

Education Specialization: NRG

Essential: true

Other Information

EXPERIENCE, TRAINING AND SKILLS:

Interpersonal skills needed to communicate successfully with individuals and group 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 are 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 preferred.

Education Specialization: NRG

Essential: true

Other Comments

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