Registered Nurse / Electrophysiology Float / 40 Hours / Day Shift / 7:00am - 5:30pm

• Sign on Bonus: $10,000
• Department: Cardiology Admin Services
• Schedule: Full Time, 7:00am - 5:30pm, Monday - Friday
• Hospital: Henry Ford Health Genesys
• Location: Grand Blanc, Michigan

Uses 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, 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. Responsibilities: Seven Dimensions of Patient Care: Coordinates 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.| Provides patient care that reflects a respect for patient's 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. | Helps to alleviate patient fears and anxiety through skillfull application of professional and interpersonal communication.| Utilizes 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. Collaborates 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:| 1. Incorporates all elements of Signature Care in Daily interactions with patient:| ____ Introduces self and writes name on whiteboard| ____ Discusses plan of care with patient/family| ____ Explains meds and treatments, provide teaching as appropriate | ____ Asks if patient needs anything else before leaving room| 2. Assesses health status and determines care needs of the patient. Performs ongoing reassessment as required. | ____ Completes Admission Assessment and shift assessment as required.| ____ Completes assessment for Risk Factors; including fall, skin breakdown, VTE, and aspiration. Initiates appropriate initiatives as indicated ? SKINN Bundle, Fall Prevention Plan, SCD, etc.| ____ Completes Medication Reconciliation upon admission and change in level of care.| 3. Establishes, directs, coordinates and documents plan of nursing care in conjunction with patient/family.| ____ Initiates Problems and Outcomes list (plan-of-care) based on medical diagnosis and patient needs.| ____ 4. Monitors, documents, and reports patient response to interventions and progress toward outcomes.| ____ Documents nursing interventions (NIC) and progress toward outcomes (NOC); patient education; and evaluation every shift, as required.| ____ 5. Educates patient regarding treatment plan, safety measures, medications, and self-care as indicated. Documents education activities on shift assessment flowsheet and plan of care (POC).| ____ 6. Works with Case Manager to ensure appropriate referrals initiated prior to discharge.| ____ 7. Reviews discharge plans/instructions with patient prior to discharge, including signs/symptoms to watch for after leaving the hospital. Ensures appropriate follow-up arranged.| ____ 8. Ensures that ?core measures? Discharge Instructions are given to all CHF patients.| ____ 9. Documents patient care according to established documentation guidelines. | Administration of Therapeutic Regimens: | ____ 1. Demonstrates knowledge and skill application of basic nursing procedures - dressing change, catheterization, NG tube insertion, suctioning.| ____ 2. Implements/completes medical interventions as ordered.| ____ 3. Initiates standing orders appropriately.| ____ 4. Initiates 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.| ____ 5. Assesses and initiates interventions to prevent/minimize patient skin breakdown.| ____ 6. Follows clinical practice guidelines and procedures as written.| ____ 7. Establishes and maintains peripheral IV therapy.| ____ 8. Obtains body fluid specimens, per procedure. Obtains blood specimens if no phlebotomist assigned to area.| ____ 9. Performs blood capillary glucose monitoring.| ____ 10. Administers the following according to established policies and procedures:| ____ a. Medications| ____ b. IVs| ____ c. Blood products| ____ 11. Prepares patients for surgery or other invasive procedures according to established guidelines.| ____ 12. Performs or assists with procedures according to established standards of care and nursing practice.| ____ 13. Utilizes 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:| ____ 1. Regularly reviews work in progress to ensure that treatments, medications, and tests ordered are expeditiously carried out and documented.| ____ 2. Reviews patient medical record/reports and confers with physician regarding treatment plans. Routinely checks chart for new orders.| ____ 3. Monitors patient physiologic parameters including vital signs, lab work, I&O, blood glucose; recognizes and reports meaningful changes and intervenes appropriately. Documents interventions accordingly.| ____ 4. Monitors presence and intensity of patient?s pain on admission, after pain producing events, with each new report of pain, and routinely at regular intervals. 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.| ____ 5. Recognizes acute changes in respiratory status - dyspnea, cyanosis, tachypnea, respiratory depression, airway obstruction and responds appropriately with direct intervention and physician/SWAT notification.| ____ 6. Recognizes acute changes in neurologic status/decreased LOC and responds appropriately with direct intervention and physician/SWAT notification.| ____ 7. Recognizes acute changes in cardiac status - tachycardia, chest pain and responds appropriately with direct intervention and physician/SWAT notification.| ____ 8. Recognizes acute changes in urinary output and responds appropriately with direct action and physician notification. | ____ 9. Utilizes SBAR tool or other standardized approach to data collection and information sharing when notifying physician of patient changes/concerns.| ____ 10. Responds appropriately to life-threatening emergencies through initiation of CPR, assembly of emergency equipment, and immediate interventions (as allowable and indicated).| ____ 11. Performs emergency equipment checks.| ____ 12. Provides appropriate support/summons appropriate resources for families in crisis/grieving process.| Ensuring Quality of Health Care Practices:| Patient:| ____ 1. Communicates with other professionals/departments and physician staff to ensure appropriate progress of patients through the system.| ____ 2. Monitors individual patient length of stay (LOS); notifies case manager and nurse manager of potential LOS/discharge issues.| ___ 3. Identifies ethical issues related to patient care (including issues related to advanced directives) and initiates steps for resolution.| ____ 4. Demonstrates adherence to patient confidentiality requirements.| ____ 5. Communicates with patients and families cordially, diplomatically and respectfully.