Outpatient Registered Nurse - RN

apartment Fresenius Medical Care location_onSouth Haven, MI

This is a float position PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations. · Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with other Registered Nurses. · Performs ongoing, systematic collection and analysis of patient data pre – during – post hemodialysis treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Team Leader, Charge Nurse, Supervisor or Physician as needed. · Assesses, collaborates, and documents patient/family’s basic learning needs to provide initial and ongoing education to patients and family. · Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients. · Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness. · Initiates or assists with emergency response measures. · Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. · Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. · Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team. · Ensures patient awareness related to transplant and treatment modality options. · Required to complete CAP requirements to advance. · Performs all other duties as assigned by Supervisor. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and 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. · The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. · This position requires frequent, prolonged periods of standing and the employee must be able to bend over. · The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. · The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. · May be exposed to infectious and contagious diseases/materials. · Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians. · The position may require travel to training sites or other facilities. · May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. SUPERVISION: Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge, after meeting all the following: · Successful completion of all FKC education and training requirements for new employees. · Must have a minimum of 9 months experience as a RN. · Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN. EDUCATION and LICENSURE: · Graduate of an accredited School of Nursing. · Current appropriate state licensure. · Current or successful completion of CPR BLS Certification. · Must meet the practice requirements in the state in which he or she is employed. EXPERIENCE AND REQUIRED SKILLS: · Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse. · Chronic/acute hemodialysis experience (preferred). Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. EOE, disability/veterans

Clinical Nurse Manager RN Required

apartment Healogics, LLC. location_onSouth Haven, MI

$71,370 - $91,530 / YEAR

The rewards at Healogics are immense, starting with the important work we do to change patients’ lives. We also understand that meaningful work is hard work, and we are committed to supporting and compensating our employees for the tremendous service they provide. Think you are a great fit? Learn more about this role here: Healogics is the largest provider of advanced wound care services in the United States, treating more than 300,000 chronic wound patients annually across over 600 sites. With an aging society, obesity and diabetes on the rise, and an uptick in surgical procedures, the number of patients with non-healing wounds that would benefit from expert care is dramatically increasing. As a result, the company is working to provide our differentiated, quality outcomes to as many patients that would benefit through our out-patient clinic partnerships The Clinical Coordinator (CC)/Clinical Nurse Manager (CNM) is responsible for the coordination of clinical activities of the Wound Care Center. This may include patient care assessment, patient care planning and implementation, and working on patient care quality improvement. This position works in collaboration with the Program Director and the Medical Director to meet the Center’s program objectives and help ensure optimal healing outcomes and patient satisfaction. All clinicians working in a Healogics Center must perform their job responsibilities according to all Healogics policies, Hospital policies, as well as to accrediting organizations, federal and state regulation, and to the Centers for Medicare and Medicaid Services (CMS) guidelines, as applicable. Essential Functions/Responsibilities: Proficient in all responsibilities related to Case Management. May be required to provide case management to a group of patients providing specific assessments according to protocols and procedures, clinical competence in procedural skills, treatments, and patient/caregiver education related to wound care management. Organizes and prioritizes clinical responsibilities, provides clinical oversight to clinical staff, such as Registered Nurses (RNs); Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs); Certified Medical Assistants (CMAs); Hyperbaric Oxygen Technicians, etc. Collaborates with other health care providers, key hospital personnel, Wound Care Center Providers, Program Director, and Medical Director regarding clinical and patient needs. Consistently looks at current processes and procedures, and identifies and implements areas of improvement, while complying with Health Insurance Portability and Accountability Act (HPAA), the Department of Health (DOH), as well as hospital and Healogics requirements Engages in staff development, providing general in services as well as individual instruction and orientation. Provides staff recognition through positive reinforcement and constructive feedback. Collaborates with Program Director in coordination of program objectives, from a budgetary and financial perspective If the program also provides Vein Care services, coordinates vein clinic and assists in providing care as needed after Healogics Vein Clinic training completed Collaborates with Program Director and Medical Director to achieve Wound Care Center quality indicators May function as a Documentation Assistant (scribe) in accordance with Healogics and hospital policies May perform hyperbaric safety director duties after completing the required Healogics hyperbaric safety director training. Following required hyperbaric training, may act as a chamber operator or an emergency chamber operator. Performs patient care based on Center staffing needs. Performs other duties as required. Required Education, Experience and Credentials: Current RN (Registered Nurse) license – to maintain throughout the duration of employment in the position Associate’s Degree in Nursing (ADN) minimum required. Bachelor of Science in Nursing (BSN) preferred. One year experience as an RN required. Two (2) or more years’ experience preferred. Prior supervisory experience preferred. Wound care certification preferred. Required Knowledge, Skills and Abilities: Current BLS (Basic Life Support) required Planning, organization, prioritization and time-management skills Strong interpersonal, oral and written communication skills, to include presentation skills Ability to work with others in a team environment and to communicate in laymen’s terms at all levels of the organization Ability to work on multiple projects at the same time Strong customer service skills and follow-up skills Strong analytical and quantitative skills Leadership skills Team-building and motivational skills Research and teaching skills Change management and demonstrated problem-solving skills Proficiency in Microsoft Suite (Excel, Word, Outlook, Power Point) preferred Working knowledge of systems/applications in hospital databases and web-based databases Physical Demands: Being in a stationary position for extended periods of time (4 hours or more) Viewing computer screen for extended periods of time (4 hours or more) Keying frequently on a computer for 4 hours or more Moving about Close, distance and peripheral vision Reading Communicating Writing Lifting/moving items up to 20 pounds Lifting/moving items up to 75 pounds with equipment assistance Pushing/pulling Bending/stooping Reaching/grasping/touching with hands Traveling distances (car, airplane, etc.) Work Environment: Normal office environment Primarily indoors environment Patient care environment Exposure to Hazards (blood borne pathogens, toxic chemicals, flammable explosive gases, etc) Exposure to mechanical equipment Proximity to moving objects #LI-MG1 The salary for this position generally ranges between $71,370.00-$91,530.00 Annually This range is an estimate, based on potential employee qualifications: education, experience, geography as well as operational needs and other considerations permitted by law. If you are a current employee, to submit a job application, you need to apply as an internal candidate in Workday via the “Jobs Hub”.

RN

Manager/Supervisor

Per Diem

House Manager (RN) - Bronson South Haven - PRN

apartment Bronson Healthcare location_onSouth Haven, MI

CURRENT BRONSON EMPLOYEES - Please apply using the career worklet in Workday. This career site is for external applicants only. Love Where You Work! Team Bronson is compassionate, resilient and strong. We are driven by Positivity which inspires us to be our best and to go above and beyond for our patients, for one another, and for our community. If you’re ready for a rewarding new career, join Team Bronson and be part of the experience. Location BSH Bronson South Haven Title House Manager (RN) - Bronson South Haven - PRN The House Manager is responsible for supporting the operations and patient care services of the organization. The House Manager utilizes effective leadership skills to support staff, solve problems, and make appropriate decisions. They provide immediate administrative and clinical leadership to unit staff and ancillary departments and coordinates hospital-wide activities as necessary to resolve problem situations as they arise and often in the absence of unit leaders. Works independently as well as with others. Employees providing direct patient care must demonstrate competencies specific to the population served. For South Haven only: As of Dec. 1, 2019, a BSN in required upon hire for this position. Any employee hired before this date is required to have an active nursing license and 3-5 years of progressively more responsible experience in the hospital l or elsewhere. Licensed as a Registered Nurse in good standing with the state of Michigan. *Bronson South Haven Hospital- BCLS required upon hire. Advanced Life Support within 6 months of hire. Hospital Incident Command courses IS-100.HCb, IS-200HCb, IS-200.HCa and IS-700.a, and NIH Stroke certification to be completed within 6 months of hire.* For Bronson Battle Creek - Part of the stroke team and ensures proper mixing and dosing of TPA Overall knowledge of disaster planning and certification in IS courses highly preferred. • Overall knowledge of disaster planning • Must be able to operate and perform basic computer programs associated with record keeping in the Department • Ability to read, interpret, and analyze data from various computer systems and equipment associated with the delivery patient care on the floors • Must be able to work as a team member and be able to communicate effectively with visitors, physicians, hospital personnel, and administrative staff; such dealings may often require the use of significant tact in order to handle sensitive matters Work which is constantly and exceptionally tiring mentally and/or visually. Conditions exist more than 90% of the work time. Involves considerable standing or walking, regular lifting of light-weight objects (i.e., 20 pounds or less) and assisting with heavier tasks such as assisting in lifting and moving patients. Minor straining or fatiguing positions must be assumed, and some fatiguing physical motions are required. • Coordinates and oversees hospital operations. Provides administrative direction. • Resolves crises and conflicts. Provides analysis, assessment and intervention for problems requiring immediate attention. Informs department managers and directors of problems and resolutions. • Investigates problems and complaints from patients, visitors, physicians and staff. Implements appropriate action and follow up. • Initial contact person for atypical events. Conducts initial assessment of event. Initiates appropriate action, ensuring stabilization of patient. Ensures notification of risk management, CSI and department manager and director. • Continually assesses hospital environment for safety concerns including patients, families, visitors and staff. Takes action as appropriate. • Attends all Safety Check-In Meetings Monday – Friday. Leads Safety Check-In Meetings on weekends and holidays. • Coordinates placement of all admissions and transfers. Communicates with Bronson First to coordinate all regional transfers. • Collaborates with physicians and Rapid Response to ensure optimal patient placement. • Monitors hospital capacity. Manages through-put to avoid delays in patient placement. Implements hospital surg plan as needed. Provides hospital wide communication regarding level of occupancy. Collaborates with ER physicians and ER charge nurse when hospital is at capacity. • Leads 0400/1600 Bed Planning Meetings. Works with staffing office to ensure appropriate placement of available staff. Assigns or reassigns staff as appropriate to maintain safe, competent levels of care in all areas, including placement of sitters. • Coordinates communication with outside organizations or their representatives, including other health care facilities, law enforcement agencies and the media. Relays appropriate information according to established policies. Involves public relations in all media calls. • Manages the initial response in the event of a disaster, crisis or emergency situation. Notifies incident commander. Coordinates all activities until incident commander arrives. Communicates with outside organizations or their representatives, including information regarding bed availability. • Ensures compliance with established policies and procedures, including Substance Abuse Policy. Ensures appropriate testing when reasonable suspicion for abuse exists. • Answers all calls for Employee Incident Hot Line after hours, on weekends and holidays. Provides initial triage and directs employee to ER as appropriate. Documents all calls on the Employee Injury & Illness Incident Report. Collaborates with ER physician to initiate prophylactic treatment of employees in the event of exposure to communicable diseases. • Identifies bed bugs in conjunction with EVS manager or designee. Coordinates notification of EVS management, facilities and Griffin Pest Control. Ensures room is properly sealed post discharge. • Conducts regular rounds on all hospital departments and units. Monitors unit activity, level of patient care and assists with problem resolution. Acts as mentor to staff and advocate to patients. • Oversees availability of supplies and equipment necessary for patient care. Provides direction during shortages. Provides direction during computer and monitoring downtime. For Bronson Lakeview Hospital and Bronson South Haven Hospital: The House Manager is responsible for completing the Word day CBL –“Swing beds”. This is an annual CBL that describes the difference in a swing bed patient versus an in-patient or observation patient. The House Manager will understand the documentation differences and the specific care required for each individual swing bed patient. Shift Variable Time Type Part time Scheduled Weekly Hours 10 Cost Center 1500 Nursing Administration (BSH) Agency Use Policy and Agency Submittal Disclaimer Bronson Healthcare Group and its affiliates (“Bronson”) strictly prohibit the acceptance of unsolicited resumes from individual recruiters or third-party recruiting agencies ("Recruiters") in response to job postings or word of mouth. Unsolicited resumes sent to any employee of Bronson by Recruiters, without both a valid written agreement with Bronson and a direct written request from the Bronson Talent Acquisition Department for a specific job position, will be considered the property of Bronson. Furthermore, no fees will be owed or paid to Recruiters who submit resumes for unsolicited candidates, even if those candidates are hired. This policy applies regardless of whether the Recruiter has a pre-existing agreement with Bronson. Only candidates submitted through a specific written agreement with the Bronson Talent Acquisition Department for a named position are eligible for fee consideration. Please take a moment to watch a brief video highlighting employment with Bronson!

RN

Manager/Supervisor

Part-time

House Manager (RN) - Bronson South Haven - PRN

apartment Bronson Healthcare location_onSouth Haven, MI

CURRENT BRONSON EMPLOYEES - Please apply using the career worklet in Workday. This career site is for external applicants only. Love Where You Work! Team Bronson is compassionate, resilient and strong. We are driven by Positivity which inspires us to be our best and to go above and beyond for our patients, for one another, and for our community. If you’re ready for a rewarding new career, join Team Bronson and be part of the experience. Location BSH Bronson South Haven Title House Manager (RN) - Bronson South Haven - PRN The House Manager is responsible for supporting the operations and patient care services of the organization. The House Manager utilizes effective leadership skills to support staff, solve problems, and make appropriate decisions. They provide immediate administrative and clinical leadership to unit staff and ancillary departments and coordinates hospital-wide activities as necessary to resolve problem situations as they arise and often in the absence of unit leaders. Works independently as well as with others. Employees providing direct patient care must demonstrate competencies specific to the population served. For South Haven only: As of Dec. 1, 2019, a BSN in required upon hire for this position. Any employee hired before this date is required to have an active nursing license and 3-5 years of progressively more responsible experience in the hospital l or elsewhere. Licensed as a Registered Nurse in good standing with the state of Michigan. * Bronson South Haven Hospital- BCLS required upon hire. Advanced Life Support within 6 months of hire. Hospital Incident Command courses IS-100.HCb, IS-200HCb, IS-200.HCa and IS-700.a, and NIH Stroke certification to be completed within 6 months of hire.* For Bronson Battle Creek - Part of the stroke team and ensures proper mixing and dosing of TPA Overall knowledge of disaster planning and certification in IS courses highly preferred. • Overall knowledge of disaster planning • Must be able to operate and perform basic computer programs associated with record keeping in the Department • Ability to read, interpret, and analyze data from various computer systems and equipment associated with the delivery patient care on the floors • Must be able to work as a team member and be able to communicate effectively with visitors, physicians, hospital personnel, and administrative staff; such dealings may often require the use of significant tact in order to handle sensitive matters Work which is constantly and exceptionally tiring mentally and/or visually. Conditions exist more than 90% of the work time. Involves considerable standing or walking, regular lifting of light-weight objects (i.e., 20 pounds or less) and assisting with heavier tasks such as assisting in lifting and moving patients. Minor straining or fatiguing positions must be assumed, and some fatiguing physical motions are required. • Coordinates and oversees hospital operations. Provides administrative direction. • Resolves crises and conflicts. Provides analysis, assessment and intervention for problems requiring immediate attention. Informs department managers and directors of problems and resolutions. • Investigates problems and complaints from patients, visitors, physicians and staff. Implements appropriate action and follow up. • Initial contact person for atypical events. Conducts initial assessment of event. Initiates appropriate action, ensuring stabilization of patient. Ensures notification of risk management, CSI and department manager and director. • Continually assesses hospital environment for safety concerns including patients, families, visitors and staff. Takes action as appropriate. • Attends all Safety Check-In Meetings Monday – Friday. Leads Safety Check-In Meetings on weekends and holidays. • Coordinates placement of all admissions and transfers. Communicates with Bronson First to coordinate all regional transfers. • Collaborates with physicians and Rapid Response to ensure optimal patient placement. • Monitors hospital capacity. Manages through-put to avoid delays in patient placement. Implements hospital surg plan as needed. Provides hospital wide communication regarding level of occupancy. Collaborates with ER physicians and ER charge nurse when hospital is at capacity. • Leads 0400/1600 Bed Planning Meetings. Works with staffing office to ensure appropriate placement of available staff. Assigns or reassigns staff as appropriate to maintain safe, competent levels of care in all areas, including placement of sitters. • Coordinates communication with outside organizations or their representatives, including other health care facilities, law enforcement agencies and the media. Relays appropriate information according to established policies. Involves public relations in all media calls. • Manages the initial response in the event of a disaster, crisis or emergency situation. Notifies incident commander. Coordinates all activities until incident commander arrives. Communicates with outside organizations or their representatives, including information regarding bed availability. • Ensures compliance with established policies and procedures, including Substance Abuse Policy. Ensures appropriate testing when reasonable suspicion for abuse exists. • Answers all calls for Employee Incident Hot Line after hours, on weekends and holidays. Provides initial triage and directs employee to ER as appropriate. Documents all calls on the Employee Injury & Illness Incident Report. Collaborates with ER physician to initiate prophylactic treatment of employees in the event of exposure to communicable diseases. • Identifies bed bugs in conjunction with EVS manager or designee. Coordinates notification of EVS management, facilities and Griffin Pest Control. Ensures room is properly sealed post discharge. • Conducts regular rounds on all hospital departments and units. Monitors unit activity, level of patient care and assists with problem resolution. Acts as mentor to staff and advocate to patients. • Oversees availability of supplies and equipment necessary for patient care. Provides direction during shortages. Provides direction during computer and monitoring downtime. For Bronson Lakeview Hospital and Bronson South Haven Hospital: The House Manager is responsible for completing the Word day CBL –“Swing beds”. This is an annual CBL that describes the difference in a swing bed patient versus an in-patient or observation patient. The House Manager will understand the documentation differences and the specific care required for each individual swing bed patient. Shift Variable Time Type Part time Scheduled Weekly Hours 10 Cost Center 1500 Nursing Administration (BSH) Agency Use Policy and Agency Submittal Disclaimer Bronson Healthcare Group and its affiliates (“Bronson”) strictly prohibit the acceptance of unsolicited resumes from individual recruiters or third-party recruiting agencies ("Recruiters") in response to job postings or word of mouth. Unsolicited resumes sent to any employee of Bronson by Recruiters, without both a valid written agreement with Bronson and a direct written request from the Bronson Talent Acquisition Department for a specific job position, will be considered the property of Bronson. Furthermore, no fees will be owed or paid to Recruiters who submit resumes for unsolicited candidates, even if those candidates are hired. This policy applies regardless of whether the Recruiter has a pre-existing agreement with Bronson. Only candidates submitted through a specific written agreement with the Bronson Talent Acquisition Department for a named position are eligible for fee consideration. Please take a moment to watch a brief video highlighting employment with Bronson!

RN

Med-Surg

Part-time

Registered Nurse (RN) - General Care Unit (med/surg) - Bronson South Haven - PRN

apartment Bronson Healthcare location_onSouth Haven, MI

CURRENT BRONSON EMPLOYEES - Please apply using the career worklet in Workday. This career site is for external applicants only. Love Where You Work! Team Bronson is compassionate, resilient and strong. We are driven by Positivity which inspires us to be our best and to go above and beyond for our patients, for one another, and for our community. If you’re ready for a rewarding new career, join Team Bronson and be part of the experience. Location BSH Bronson South Haven Title Registered Nurse (RN) - General Care Unit (med/surg) - Bronson South Haven - PRN Under general supervision and in accordance with the policies, procedures and guidelines established within the organization, the unit, and the Michigan Public Health Code, the registered nurse manages the care delivery for patients in the organization throughout the length of stay to achieve quality outcomes and timely discharge by the following: utilizing the nursing process of assessment, planning, diagnosing, implementation and evaluation; coordinating the care provided by other professionals; delegating selected acts, tasks or functions that fall within the scope of professional nursing practice and the abilities of patient care assistants and universal service assistants; providing selected aspects of physical care within the scope of professional nursing practice as appropriate given the patient's level of acuity and complexity of care required; and documenting and communicating during each tour of duty the patient's response to care provided, consumption of resources and anticipated needs. Employees providing direct patient care must demonstrate competencies specific to the population served. Associate's degree in Nursing required Bachelor's degree in Nursing preferred, must obtain within 8 years of hire Licensed Registered Nurse in good standing for the State of Michigan As of December 29, 2013, any nurse hired by Bronson who does not hold a BSN (or higher nursing degree) will be given 8 years from date of hire date to obtain. If, after 8 years, the nurse has not met this requirement, employment will be terminated. BLS certification required by completion of core orientation Critical care or ALS is required for some RNs, unit specific RNs in Labor & Delivery and Mother/Baby/Antepartum at BMH & BBC Specific : The Electronic Fetal Monitoring Certification through PQF or NCC is required within 6 months of completing intermediate fetal monitoring • Ability to read, interpret, and analyze data from various computer systems and equipment in order to set an appropriate plan of action • Must be able to constantly communicate both verbally, in writing and electronically Work which produces high levels of mental/visual fatigue, e.g., interactive and repetitive or small detailed work requiring alertness and concentration for sustained periods of time, the operation of and full attention to a personal computer or CRT between 40 and 70 percent of the time. Involves regularly lifting of bulky or moderately heavy weights (i.e., up to 50 pounds), and occasionally assisting with heavier tasks or expending the equivalent effort in pushing, pulling, or otherwise handling material, equipment, and other objects. Standards of Practice: • The registered nurse collects comprehensive data pertinent to the patients’ health or the situation. o Assesses the patient’s physical and developmental needs o Analyzes assessment data to identify appropriate patient needs o Documents nursing history and age appropriate physical/emotional needs/strengths for assigned patients o Reviews vital signs to assess condition of patient and detect deviations from normal. • The registered nurse analyzes the assessment data to determine patient problems or issues o Uses the assessment data to identify patient problems o Confirms problems with patient and family when appropriate o Documents the expected outcomes and plan of care related to the problems through use of the clinical pathway and outcome teaching record • The registered nurse identified expected outcomes for a plan individualized to the patient o Utilizes the patient/family input when defining outcomes. Incorporates the patient values, ethical and cultural considerations. o Coordinates discharge planning for outcomes not achieved utilizing the continuum of care available. • The registered nurse develops a plan that prescribes interventions to attain expected outcomes. o Incorporates clinical pathways into the plan when appropriate o Develops individualized interventions with patient input when appropriate o Considers data from other members of the healthcare team when developing the plan of care • The registered nurse implements the identified plan. o Implements appropriate interventions. o Administers prescribed medication and treatment in accordance with approved nursing techniques and polices o Utilizes evidence-based interventions specific to the patients plan o Maintains awareness of comfort and safety needs of the patient. o Initiates a patient education plan according to the individualized needs of the patient, and coordinates the implementation of the plan. o Manages the care plan for patients by organizing and delegation patient care interventions to be implemented. Evaluates the effectiveness of care given by self and others. • The registered nurse evaluates progress toward attainment of the expected outcomes o Evaluates the effectiveness of the planned interventions and the patient response toward achievement of the expected outcomes. o Documents the patient response toward the expected outcomes. Standards of Professional Performance: • The registered nurse systematically evaluates the quality and effectiveness of nursing practice. o Participates in quality improvement activities o Uses the results of quality improvement activities to initiate changes in nursing practice. • The registered nurse attains knowledge and competency that reflects current nursing practice. o Participates in ongoing educational activities related to appropriate knowledge and professional issues. o Maintains professional records that provide evidence of competency and continued ongoing educational activities. • The registered nurse evaluates one’s own nursing practice in relation to professional practice standards and guidelines, relevant statues, rules and regulations. o Provides age appropriate care in a culturally and ethnically sensitive manner. o Participates in self-evaluation, identifying areas of strengths as well as areas benefiting from professional development. o Participates in systematic peer review as appropriate. • The registered nurse interacts with and contributes to the professional development of peers and colleagues. o Shares knowledge and skills with peers and colleagues o Maintains compassionate and caring relationships with peers and colleagues o Contributes to a supportive and healthy work environment. • The registered nurse collaborates with patient, family, and others in the conduct of nursing practice. o Partners with the multiple health disciplines to effect change and generate positive outcomes for the patient and family, based on the plan of care. • The registered nurse integrates ethical provisions in all areas of practice. o Delivers care in a manner that preserves and protects patient autonomy, dignity, confidentiality and rights. o Demonstrates a commitment to connecting with self and others through relationship centered care giving. o Serves as a patient advocate • The registered nurse integrates research finding into practice. o Uses research to improve the health of patients and the practice environment. o Participates in the various levels of research based on their level of education. Such activities may include: identifying clinical problems, participating in data collection, participating in the research committee, sharing research activities/finding with others, conducting research, analyzing data and trends of nursing practice to develop changes in nursing practice and utilizes evidence based practice in the development of policies, procedures and standards of practice in patient care. • The registered nurse considers factors related to safety, effectiveness, cost and impact on practice in the planning and delivery of nursing services. o Assigns or delegates tasks based on the needs and condition of the patient, potential for harm, complexity of the nursing activity, required problem solving and innovation, predictability of outcome, extent of patient interaction o Assists the patient and family in becoming informed consumers about the options, costs, risks and benefits of treatments and care. • The registered nurse provides leadership in the professional practice setting and the profession. o Participated in nursing councils, hospital and unit based committees as appropriate. o Attends at least 50% of unit staff meetings o Works to create and maintain professional, healthy work environment when representing Bronson in all settings (local, regional or nationally) • Responsibilities related to the Scrub RN o Interprets procedure card, assesses case cart for supplies prior to the scheduled procedure time. Identifies missing equipment and/or supplies and makes arrangements to acquire those supplies. o Applies knowledge of operative procedure and physician preferences by anticipating physicians' needs. o Observant of overt changes in patient's condition that indicates a problem has emerged. o Evaluates and updates case information, i.e., preference cards, broken or misplaced equipment, back-ordered supplies, and recommended changes in procedure. o Remains aware of the proper use of equipment and instruments, and discourages improper use and handling by co-workers & physicians. o Is observant of the changing needs of the operative field and the surgical team, anticipates potential needs, and takes appropriate actions. o Acts as the specialist and resource for circulators who may be unfamiliar with positioning devices, specialty equipment, and/or implants needed. o Assigned and responsible for after-hour call on a rotational basis. o Ability to perform scrub duties in multiple services; ie: neuro and ortho STII able to perform spinal fusions in bother services. For Bronson Lakeview Hospital and Bronson South Haven Hospital: The RN is responsible for completing the Word day CBL –“Swing beds”. This is an annual CBL that describes the difference in a swing bed patient versus an in-patient or observation patient. The RN will understand the documentation differences and the specific care required for each individual swing bed patient. For HDU Department Only: Additional on call requirements above and beyond regular scheduled hours Shift Variable Time Type Part time Scheduled Weekly Hours 10 Cost Center 6400 General Care Unit (BSH) Agency Use Policy and Agency Submittal Disclaimer Bronson Healthcare Group and its affiliates (“Bronson”) strictly prohibit the acceptance of unsolicited resumes from individual recruiters or third-party recruiting agencies ("Recruiters") in response to job postings or word of mouth. Unsolicited resumes sent to any employee of Bronson by Recruiters, without both a valid written agreement with Bronson and a direct written request from the Bronson Talent Acquisition Department for a specific job position, will be considered the property of Bronson. Furthermore, no fees will be owed or paid to Recruiters who submit resumes for unsolicited candidates, even if those candidates are hired. This policy applies regardless of whether the Recruiter has a pre-existing agreement with Bronson. Only candidates submitted through a specific written agreement with the Bronson Talent Acquisition Department for a named position are eligible for fee consideration. Please take a moment to watch a brief video highlighting employment with Bronson!

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