Registered Nurse
Company: Pioneer Specialty Hospital
Location: Pontiac
Posted on: April 17, 2024
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Job Description:
*Job description**Title: *Registered Nurse *Department:
*Nursing*General summary*The Registered Staff Nurse is responsible
for the ongoing assessment, health and well-being of patients
assigned to their care. Utilizes critical thinking and decision
making skills to supervise nursing staff (Certified Nurse Aides,
Unit Clerks, Patient Care Technicians, Students, etc.) on his or
her shift. The Registered Staff Nurse provides medical/surgical and
emergency nursing care to patients by performing the following
duties in accordance with hospital approved policies and
procedures. The Registered Staff Nurse works under the direct
supervision of the Charge Nurse during their assigned shift. The
Registered Staff Nurse is also supervised by the Nursing Department
Leadership related to their scope of responsibility.*Duties and
responsibilities** Uphold Nursing "Code of Ethics" (ANA)* The
Registered Staff Nurse will provide general patient care by:a. The
Registered Staff Nurse will review the patient's chart becoming
familiar with the orders for the patient including but not limited
to medications, lab orders and results, radiology orders and
results, activity, diet, consultation orders etc. and utilize these
tools to provide initial and ongoing patient assessment and care
planning activities.b. Is knowledgeable regarding discharge plan
for patients.c. Assures basic patient care activities are completed
on all patients. This includes am care (bathing, linens changed,
fresh water, daily weights, etc.) or pm cares (face washed, teeth
brushed, back rub, etc.)d. Explains procedures, treatments to
patient to allay apprehension, verify understanding and gain
cooperation.e. Explains procedure, treatment and medication delays
to patients and families as soon as possible after notification of
delay.f. Serves as a patient advocate by clarifying and confirming
communications from hospital personnel.g. Follows all Universal
Precautions and Blood-borne Pathogen protocols as outlined by
hospital policy.h. Initiates Isolation precautions as appropriate
for safety of patient, staff and visitors.i. Assures needed
supplies are available in the various nursing areas.j. Provides for
the emotional/physical comfort and safety of patients through the
development, implementation, and revision of the nursing care
plan.k. Responds to life saving situations based upon nursing
standards, policies, procedures, and protocol.l. Provides
appropriate individualized teaching regarding medical/surgical
condition, treatment, pertinent lab/x-ray results, medications,
diet, pain management, and potential food, drug and herbal
interactions.m. Begins the shift by attending and receiving report
from the staff who have worked the proceeding shift. Asks questions
for clarification of the staff that have been caring for the
patient.3. The documentation of patient information will be
completed by:a. Documents patient assessment in patient chart.
Especially notes any changes in condition, vital signs, weight,
level of consciousness, etc.b. Reviews chart to verify Medication
orders, lab requests, radiology orders, consults, etc. are properly
transcribed and have actually been ordered.c. Verifies and notes
medical providers' orders.d. Completes and documents on new patient
admission information including signed consents, complete history,
complete admission assessment, completed health screenings, patient
belongings list, orientation to room and nursing floor routine.e.
Utilizes admission and daily assessment data to initiate and update
appropriate plan of care.f. Gives a patient report to the oncoming
shift that includes. Patient identifiers, diagnosis/surgical
procedure(s) and date. Pertinent treatments, mental status, diet,
activity, ability, abnormal assessment findings, skin issues, pain
management, safety issues, significant events and plan/goals.g.
Assures timely, accurate and complete documentation in patient
record.h. Insures that timely, accurate, and complete billable
supply charges are placed on patient charge sheet located in
patient room.4. Completes Medication Administration
responsibilities as demonstrated by:a. Review of Medication
Administration Record to plan assigned patient medication and
treatment administration times.b. Administers prescribed
medications and treatments in accordance with approved nursing
techniques.c. Observes patients for therapeutic and/or adverse
reactions to medications or treatment. Reports adverse reactions to
medical provider responsible for patient.d. Assures accurate
narcotic count and resolves discrepancy before leaving shift.e.
Wastes narcotics immediately or as soon as possible with a second
nurse to prevent diversion activity.5. The patient will be assessed
by:a. A visual assessment on each assigned patient will be
performed within a minimum of one hour after receipt of report and
a complete physical assessment will be performed on each assigned
patient within a minimum of two hours after receipt of report
during an assigned shift.b. Document any assessed changes in
patient condition. Notify the Charge RN and medical provider of
changes in patient condition as necessary. (Including vital signs,
weights etc. that may have been performed by ancillary staff.)c.
Assess patient's room for safety issues or needed equipment.d.
Creates, initiates, reviews and modifies Nursing Plan of Care
including patient and family education plan.e. Monitors the patient
for any changes in condition. Maintains awareness of comfort and
safety needs of patient. Reports any significant changes in
patients' condition during the shift to the Charge RN and Medical
Provider.7. The Registered Nurse will provide clinical expertise to
the remainder of the staff by:a. Shares knowledge with other staff
and students as appropriate. Assists with the orientation and
education of staff and students.b. Demonstrates ability to use
critical thinking skills by assessing situation and knowing how
decision making will impact patient, family, staff and others
involved in patient care. This includes assessing how decisions
will impact oncoming shift.c. Participates in multi-disciplinary
team.*Educational requirements** Graduate of an accredited School
of Nursing and current licensure in Michigan as Registered Nurse.*
Maintain a valid Michigan license at all times.* Complete
preliminary 24-36 hours of orientation to include patient
confidentiality requirements, and program policies and procedures.*
Current Registered Nurse License* Current
ACLS/BLS*Experience*Associate's or Bachelor's Degree in Nursing and
one (1) year of experience OR equivalent combination of education
and experience.*Specific requirements** Language Skills: Ability to
read, analyze, interpret and evaluate information presented in
research reports, professional publications, referral documents and
similar materials. Ability to write clearly and cohesively and to
present information effectively both orally and in writing.*
Reasoning Ability: Ability to define problems, collect data,
establish facts and draw valid conclusions from a wide variety of
data and deal with several abstract and concrete variables.*
Physical Demands: Job requires regular sitting, standing, walking,
stooping, bending, kneeling, crouching, reaching, pushing, pulling,
twisting, writing, and carrying charts, food, trays, etc. While
performing the duties of this job, the employee is regularly
required to: sit; use hands to finger, handle or feel objects,
implements or office equipment; talk and hear; stand and walk,
reach with hands and arms; stoop or kneel. Employee must
occasionally lift up to 50 pounds and be able to assist an adult
weighing 100-200 pounds. Specific vision abilities required by this
job include close, distance and color vision and the ability to
adjust focus. Employee may be required to move chairs, beds, and
medical equipment, move patients in bed (with or without
assistance) and to change bed linens, help clients from floor to
chair or bed, and assist with bathing.* Work Environment: The work
environment characteristics described here are representative of
those an employee encounters while performing the essential
functions of this job. Reasonable accommodations may be made to
enable individuals with disabilities to perform the essential
functions. While performing the duties of this job, the employee is
occasionally exposed to moving mechanical parts, risk of electrical
shock, exposure to infectious diseases, and transmission of
airborne disease. The noise level in the work environment is
usually moderate.* Job offer is contingent upon results of
pre-employment drug screen and compliance with Annual Influenza
vaccination and TB test requirements unless documentation of
medically contraindications are provided. Pioneer Specialty
Hospital is a drug-free workplace, and all employees are subject to
random, as well as for cause, drug screening. Employees must show
no evidence of misuse of alcohol or other drugs while employed.Job
Type: Full-timePay: $35.00 - $50.00 per hourBenefits:* Dental
insurance* Health insurance* Paid time off* Vision insuranceMedical
specialties:* Critical & Intensive Care* Medical-Surgical*
TelemetryPhysical setting:* Acute careStandard shift:* Day
shiftWeekly schedule:* 3x12* Rotating weekendsEducation:* Associate
(Preferred)Experience:* Nursing: 1 year
(Preferred)License/Certification:* BLS Certification (Required)* RN
(Required)Work Location: In person
Keywords: Pioneer Specialty Hospital, Waterford , Registered Nurse, Healthcare , Pontiac, Michigan
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