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apartment Summit Healthcare location_onShow Low, AZ, US

Registered nurses, regardless of specialty or work setting, utilize the Standards of Professional Nursing Practice and the listed competencies, in caring for the patients at Summit Healthcare. The nursing process, critical thinking and problem-solving skills are utilized to provide holistic care to individuals, families, groups, communities and populations across the life span.

Registered Nurse Seniors are high-performing employees who in addition to regular RN duties provide a specialty service or focus within a department or the organization. This specialty will require additional skills and experience than the RN position.

Essential Functions

Nursing standards of practice* as outlined below:

Standard 1: Assessment

- Provides initial and ongoing assessment and interpretation of patients within the framework of holistic professional nursing practice, and in accordance with the principles of patient and family centered care.

- Integrates knowledge from environmental factors into the assessment process.

- Assesses and interprets information and data regarding the patient’s culture and values system, lifestyle, and interest and ability to participate in their care, and other factors impacting successful treatment outcomes.

- Recognizes the impact of one’s own attitudes, beliefs and values on the assessment process.

- Identifies barriers to effective communication based on psychosocial, literacy, economic, cultural and religious considerations.

- Assesses and interprets patient’s ability (physical, social and psychological) to manage their health in order to transition their care or discharge. In collaboration with the patient or family identifies patient or family needs based on analysis of data.

- Identifies and communicates patient or family needs to the interdisciplinary health care team and other providers of care as appropriate through accurate documentation and vocal communication.

- Provides ongoing monitoring of patient’s and / or their family’s response to intervention; identifies deviations from expected outcomes and assesses change in patient status.

Standard 2: Diagnosis

- Identifies risks to the patient’s health and safety including risk from interpersonal, systematic, cultural or environmental lifestyle.

- Uses assessment data and clinical decision support tools to identify and communicate actual or potential diagnoses, problems, and issues.

- Corroborates the diagnoses with the patient, family, group or community.

- Prioritizes diagnoses based on mutually agreed goals to meet the healthcare needs of the patient, family, group or community.

- Documents diagnoses in a manner that facilitates the determination of the expected outcomes and plan.

Standard 3: Outcomes Identification

- Identifies expected outcomes for an individualized patient treatment plan, in collaboration with the interprofessional team,

- Creates culturally sensitive expected outcomes from assessment data in collaboration with the patient and their care partner that facilitate coordination of care.

- Documents expected outcomes as measurable goals.

- Evaluates the actual outcomes against the expected outcomes.

Standard 4: Planning

- Develops, coordinates and updates an individualized plan of care, based on evidence, in collaboration with the patient and their family, the interdisciplinary health care team and other providers of care promoting continuity of care across the continuum.

- Develops evidence-based strategies to address each of the identified diagnoses, problems, or issues including but not limited to the following: Promotion of health, prevention of illness or injury, healing, and supportive care.

- Prioritizes nursing interventions to achieve patient outcomes and goals.

- Modifies the plan according to the ongoing assessment of the patient’s response and other outcomes.

- Develops and coordinates a comprehensive discharge and education plan to meet the patient and their family’s needs, including health promotion, self-management, identifying and coordinating resources to promote continuity of care across the continuum.

Standard 5: Implementation

- Establishes and maintains a therapeutic relationship with patient or families.

- Identifies, initiates and coordinates therapeutic interventions consistent with the legislated scope of practice and level of competence.

- Implements prescribed interventions (e.g. diagnostic tests, medications) and performs independent nursing interventions (e.g. patient and family education).

- Ensures the implementation, coordination and ongoing evaluation of the patient care plan.

- Provides counseling that assists the patient in developing, improving, or regaining skills, social and community supports, promoting health and recovering from illness and disability.

- Consults with the interdisciplinary team and other care providers to discuss changes related to patient status, and modifies interventions.

- Provides information and instruction to assist patients and family members to understand health care practices and processes.

- Utilizes educational material to support patients understanding of their health care, health promotion, and or health maintenance, and the enhancement of their individual well-being.

- Ensures operation of equipment by completing preventive maintenance requirements; following manufacturer's instructions; troubleshooting malfunctions; calling for repairs; maintaining equipment inventories; evaluating new equipment and techniques.

- Maintains patient confidence and protects operations by keeping information confidential.

- Ensures care is coordinated and delivered within the confines of available human, material and fiscal resources of Summit Healthcare Association.

Standard 6: Evaluation

- Utilizes data obtained from the patient and their family and other health care providers to evaluate the plan of care including the patient’s responses to interventions and achievement of expected outcomes.

- Supervises and evaluates care provided by direct care assistive and support staff.

- Uses data and evidence based best practice to evaluate and revised planned nursing activities and interventions.

- Documents complete accurate and relevant data for every patient according to Association policies and guidelines.

In addition to the six standards above, Summit Healthcare also integrates the following standards:

Advocacy:

- Provides a supportive environment for communications and decision making by patients and their families.

- Advocates for and supports the principles of patient and family centered care, and patient rights and wellbeing.

- Assists patient and families, to become aware of issues relevant to their health care needs and provides information on resources and services within the health care system.

- Recognizes trends in health care needs within patient groups served, and involves the patient in planning mutually expected outcomes where possible and appropriate.

- Demonstrates knowledge and understanding of legislation dealing with patient rights and responsibilities in health care.

- Demonstrates knowledge of the roles, responsibilities and rights of other nurses and other health care professionals.

- Establishes a compassionate environment by providing emotional, psychological, and spiritual support to patients, friends, and families.

Professional Development and Accountability:

- Practices within professional, legal and ethical standards and is accountable for his or her own actions and decisions at all times.

- Demonstrates professionalism in attitude, dress and behavior.

- Contributes to positive team functioning and supporting one another.

- Develops cultural competence in order to provide culturally competent care.

- Actively participates in developing and evaluating professional goals and performance at regular intervals.

- Is a role model for the principles of continuous quality improvement by critical reflection of own practice, seeking meaningful feedback from peers, clients and supervisors.

- Accountable for reporting professional practice issues to the appropriate person, agency or professional body.

- Maintains a cooperative relationship among health care teams by communicating information; responding to requests; building rapport; participating in team problem-solving methods.

- Displays proper etiquette and mannerisms that reflect the SHINE Behavior Standards.

- Promotes the patient safety standards as a core value and part of the strategic plan of the organization.

Professional Leadership, Education and Research:

- Supports Summit’s philosophy, vision and mission.

- Participates in the development and revision of standards of care, policies and procedures.

- Participates in and supports organizational or professional committees and in activities related to professional practice, quality improvement and patient safety.

- Promotes a safe work environment by identifying and resolving potential risk issues.

- Demonstrates an awareness of organizational and unit needs by participating in the establishment of priorities, the management of resources, and in modifying the environment to meet changing needs.

- Functions as a change agent by thinking reflectively, questioning assumptions, assessing alternatives, and supporting change.

- Identifies and participates in problem or conflict resolution utilizing appropriate strategies, processes and procedures.

- Guides clinical learning experiences as a preceptor for students and staff as assigned and supports the orientation of new staff and students.

- Accepts responsibility for continuing competencies through ongoing professional development including participation in education programs, research and continuous quality programs.

*Nursing Scope and Standards of Practice, 3 Edition, American Nurses Association. Published by Nursesbooks.org, 2015.

Secondary Functions:

- Participates in departmental and association wide informational meetings and in-services, including staff meetings, association wide forums, and seminars.

- Reads department and association wide policies and procedures pertinent to the department.

Other Duties

Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice.

Abilities

- General nursing skills and knowledge of general office equipment (including the nurse call system, telephone system, fax machine, copy machine, computer, and commonly used hospital programs).

- Excellent computer, communication, critical thinking, problem solving, leadership, supervisory, interpersonal skills, basic math skills, and be able to exercise independent judgment skills when necessary.

- Knowledge of hospital equipment and programs, including all Hospital Information Systems and department specific equipment.

- Self-direction and self-motivation.

Must be able to read, write, speak, and understand English

Supervisory Responsibilities

None.

Physical Demands

Exerts up to 100 lbs. of force occasionally, and/or up to 50 lbs. of force frequently, and/or up to 20 lbs. of force constantly to move objects. The worker is exposed to contact with chemicals and infectious fluids, heavy lifting, constant standing, extensive close work, and extensive computer work.

Required Education and Experience

All Departments:

- Current AZ RN license

- CPR Certification %

Department Specific Education and Experience

Emergency Department:

ACLS * / &

PALS * / &

NIHSS &

SECURE

TNCC, ATLS or ITLS or other trauma course (with approval) ** / &

ENPC ** (preferred)

Professional organization specialty certification +

Baccalaureate in nursing +

1+ years specific unit experience

Dialysis:

ACLS * / &

NIHSS &

Home Health:

Arizona Dept. of Public Safety class 1 fingerprint clearance card

Current driver’s license

Current auto insurance

Professional organization specialty certification +

Baccalaureate in nursing +

1+ years specific unit experience

ICU:

ACLS * / &

NIHSS &

Professional organization specialty certification +

Baccalaureate in nursing +

1+ years specific unit experience

Med/Surg 2

ACLS * / &

PALS + / &

NIHSS &

Professional organization specialty certification +

Baccalaureate in nursing +

1+ years specific unit experience

Med/Surg 3 and Med/Surg Telemetry

ACLS * / &

NIHSS &

Professional organization specialty certification +

Baccalaureate in nursing +

1+ years specific unit experience

OB:

PALS * / & (L&D only)

Department specific stroke education

STABLE ** / & +

AWHONN intermediate and/or advanced fetal monitoring ** / & (L&D only)

NRP * / &

Newborn Hearing Screening Certification

Professional organization specialty certification +

Baccalaureate in nursing +

1+ years specific unit experience

OR:

ACLS * / & +

PALS * / & +

Department specific stroke education

Professional organization specialty certification +

Baccalaureate in nursing +

1+ years specific unit experience

ASC/Preop/PACU:

ACLS * / & +

PALS * / & +

Department specific stroke education

SECURE (Floats only)

Professional organization specialty certification +

Baccalaureate in nursing +

1+ years specific unit experience

IV Therapy:

ACLS * / &

Professional organization specialty certification +

Baccalaureate in nursing +

1+ years specific unit experience

Imaging:

NIHSS &

Professional organization specialty certification +

Baccalaureate in nursing +

1+ years specific unit experience

Diagnostic Imaging:

ACLS * / & +

PALS * / & +

Professional organization specialty certification +

Baccalaureate in nursing +

1+ years specific unit experience

Oncology:

Chemotherapy/Biotherapy certification ** / &

Cath Lab:

ACLS * / &

NIHSS &

Professional organization specialty certification +

Baccalaureate in nursing +

1+ years specific unit experience

Occupational Health:

Breath Alcohol Testing (BAT) certification +

DOT drug screening certification +

Certified Occupational Hearing Conservationist (CAOHC) +

Professional Organization specialty certification +

Baccalaureate in nursing +

Cardiac Rehab:

ACLS * / &

Senior Behavioral Health:

NIHSS &

SECURE

Professional organization specialty certification +

Baccalaureate in nursing +

1+ years specific unit experience

* - Renewal may take up to 30 days after expiration of original certification.

** - Renewal make take up to 75 days after expiration of original certification.

& - Required within 6 months of employment, or at completion of orientation.

% - Certification required with 30 days of employment.

X – Required.

+ - Preferred.

OSHA Exposure Category:

Involves exposure to blood, body fluids, or tissues.

This is a safety sensitive position.

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In some way, great or small, every person here helps to advance this world-class institution. Work at Michigan Medicine and become a victor for the greater good. What Benefits can you Look Forward to? Nursing at Michigan offers a competitive salary with excellent benefits! Hourly range for Registered Nurses $41.78-$64.81/ hour Evening Shift Differential-$3.00 / hour Night Shift Differential- $4.00 / hour Day Shift Weekend Differential- $2.90 / hour Evening Shift Weekend Differential- $5.90 / hour Night Shift Weekend Differential- $6.90 / hour Charge Nurse Differential- $1.00 / hour The Benefit Package Includes Excellent medical, dental and vision coverage 2:1 Match on retirement savings and immediate vesting Generous Paid Time Off Allowances Robust Tuition and Certification support programs Large offering of no cost CEs and professional development for advancement Responsibilities* Organize and manage multiple interventions simultaneously. Problem solve collaboratively with team members and other stakeholders. Perform phone triage, including assessment, screening, clinical advice, nurse visits (in-person/video), in-clinic procedures, and other assigned duties. Deliver culturally sensitive, age-specific care using team-based nursing models. Document nursing care accurately and efficiently. Utilize internal and external resources appropriately. Provide functional supervision to assistive personnel and collaborate with colleagues, other disciplines, and health/community services to promote continuity of care. Other duties as assigned.. Manage patient triage, clinical follow-ups, and support face-to-face and remote clinic workflows. Educate patients and families, develop individualized teaching plans, and adapt approaches to readiness and understanding. Uphold hospital protocols, participate in quality improvement, and collaborate to improve patient outcomes. Demonstrate strong critical thinking, organization, communication, and technological proficiency. Additional responsibilities as required by departmental needs. Communicate empathetically and collaboratively, involving patients/families in care planning. Maintain supportive, constructive relationships with team members; address conflicts constructively, and delegate tasks appropriately. Expectations Demonstrate critical thinking by effectively using the nursing process, setting priorities, and solving problems. Exhibit excellent customer service, interpersonal communication skills, and the ability to build respectful relationships across units and with individuals. Display accountability and dependability, including maintaining a strong attendance record and punctuality. Adapt to changing needs and priorities based on unit, department, and institutional goals. Provide patient and family education and coaching Demonstrate proficiency with typing and electronic health record (EHR) documentation. Manage complex clinical issues utilizing assessment skills, protocols, and evidence-based interventions. Nursing Specific Info Salary & Nursing Framework Level This UMPNC RN posting is posted as Nursing Framework LEVEL C. Actual Nursing Framework LEVEL and salary will be determined at time of hire. Nursing Framework levels range from Level A to Level F. Required qualifications must be met by the candidate in order to be interviewed and considered for the position. Posting may be filled after the initial 5-day posting period. Applicants who have left the UMPNC bargaining unit must include on their resume dates of past employment including months and years of service along with effort. Positions less than 20 hours/week may be combined. If you have questions regarding this posting or would like assistance with nursing opportunities please contact Nurse Recruitment at (734) 936-5183. Required Qualifications* Current RN Licensure to practice nursing in the State of Michigan Minimum of three years of recent (within the past 5 years) clinical pediatric experience as a RN including experience caring for pediatric surgical patients. NOTE: In order to be considered for this position the applicant must have met or will have met all the required qualifications prior to the start date of employment. RESUME REQUIRED (for Both Internal & External Applicants) You must attach a complete and accurate resume to be fully considered for this position. Desired Qualifications* RN experience with Phone Triage in an ambulatory care setting BSN Certification in Ambulatory Nursing Work Schedule Hours/Week: 20 hrs, 0.5 FTE Days: Day shift. Day shift, Monday through Friday, with possibility for evenings, weekends and holidays based on clinic needs. Flexibility is required. Location: C.S. Mott Children's Hospital, Ambulatory Care Services, Pediatric Craniofacial/Plastics Clinic Note: All new employees will be expected to float to a designated unit(s) in times of low census. Modes of Work Positions that are eligible for hybrid or mobile/remote work mode are at the discretion of the hiring department. Work agreements are reviewed annually at a minimum and are subject to change at any time, and for any reason, throughout the course of employment. Learn more about the work modes. Union Affiliation This position is covered under the collective bargaining agreement between the U-M and the Michigan Nurses Association and the U-M Professional Nurse Council union, which contains and settles all matters with respect to wages, benefits, hours and other terms and conditions of employment. Background Screening Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other U-M campuses. U-M EEO Statement The University of Michigan is an equal employment opportunity employer.

ICU

Pediatric

Part-time

REGISTERED NURSE(Mott Childrens Hospital-10W, Pediatric Cardio Thoracic Intensive Care Unit)

apartment Michigan Medicine location_onAnn Arbor, MI

$41.78 - $64.81 / hour

Mission Statement Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society. Responsibilities* The Pediatric Cardio-thoracic Intensive Care Unit (PCTU) is a 20 bed tertiary care center receiving patients from state, regional, national and international referrals. PCTU specializes in the medical and surgical care of infants, children, adolescents and adults with congenital and acquired heart disease. Our goal is the provision of exemplary nursing care embracing a philosophy of family centered care empowering families to participate in the decision making and care of their children. The Pediatric Cardio-thoracic Intensive Care Unit nurse cares for patients in a technology intensive environment including ECMO, CRRT and VAD's. They are required to perform complex physiologic patient assessments in a high intensity environment for high acuity patients with rapidly changing status. Our patients undergo the most progressive surgical and catheterization interventions. Our nursing staff practice in close partnership with the cardiologists, cardiothoracic surgeons and fellows providing individual support and education to families and patients throughout their intensive care unit admission. PCTU will be expanding by 9 beds in the spring of 2027 Nursing Specific Info Michigan Medicine is one of the largest health care complexes in the world and has been the site of many groundbreaking medical and technological advancements since the opening of the U-M Medical School in 1850. Michigan medicine is comprised of over 26,000 employees and our vision is to attract, inspire, and develop outstanding people in medicine, sciences, and healthcare to become one of the world's most distinguished academic health systems. In some way, great or small, every person here helps to advance this world-class institution. Work at Michigan Medicine and become a victor for the greater good. What Benefits can you Look Forward to? Nursing at Michigan offers a competitive salary with excellent benefits! Hourly range for Registered Nurses $41.78-$64.81/ hour Evening Shift Differential-$3.00 / hour Night Shift Differential- $4.00 / hour Day Shift Weekend Differential- $2.90 / hour Evening Shift Weekend Differential- $5.90 / hour Night Shift Weekend Differential- $6.90 / hour Charge Nurse Differential- $1.00 / hour The Benefit Package Includes Excellent medical, dental and vision coverage 2:1 Match on retirement savings and immediate vesting Generous Paid Time Off Allowances Robust Tuition and Certification support programs Large offering of no cost CEs and professional development for advancement Nursing Specific Info Salary & Nursing Framework Level This UMPNC RN posting is posted as Nursing Framework LEVEL C. Actual Nursing Framework LEVEL and salary will be determined at time of hire. Nursing Framework levels range from Level A to Level F. Required qualifications must be met by the candidate in order to be interviewed and considered for the position. Posting may be filled after the initial 5-day posting period. Applicants who have left the UMPNC bargaining unit must include on their resume dates of past employment including months and years of service along with effort. Positions less than 20 hours/week may be combined. If you have questions regarding this posting or would like assistance with nursing opportunities please contact Nurse Recruitment at (734) 936-5183. Required Qualifications* Current Michigan Registered Nurse License. 12-24 months of current PICU, NICU or Childrens or adult ED RN experience PALS certification is required (or within six (6) months of date of hire) or MUST be completed prior to end of probationary period . In order to be considered for this position the applicant must have met or will have met all the required qualifications prior to the start date of employment. RESUME REQUIRED (for Both Internal & External Applicants) You must attach a complete and accurate resume to be fully considered for this position. Desired Qualifications* Knowledge of, and experience with, the congenital heart patient population BSN preferred. PALS or ACLS.Demonstrated excellent communication and problem solving skills. Demonstrated strong collaborative skills. Demonstrated skill with and knowledge of the principals of Patient and Family Centered Care. Work Schedule Hours per week: 36 Shift/Hours/Days: Night shift, 12 hour shifts; Monday through Friday and rotating weekends Location: Mott Children's Hospital-Pediatric Cardio-Thoracic Unit (PCTU) with the potential to work in other like units in Mott until unit expansion occurs Note: All new employees will be expected to float to a designated unit(s) in times of low census. Modes of Work Positions that are eligible for hybrid or mobile/remote work mode are at the discretion of the hiring department. Work agreements are reviewed annually at a minimum and are subject to change at any time, and for any reason, throughout the course of employment. Learn more about the work modes. Additional Information At the University of Michigan, C.S. Mott Children’s Hospital Congenital Heart Center (CHC), our multidisciplinary team inclusive of patients and families is committed to advancing excellence in medicine and serving humanity through the practice of our core values: Transparency, Accountability, Mutual Respect, and Positive Intent. Each team member is expected to understand and demonstrate that in every interaction we represent our entire organization in the care we provide and in the partnerships we build with patients, families, and each respective team member. The CHC is dedicated to working with our patients and families to deliver the safest and highest quality of health care. Applicants are expected to review the following PowerPoint presentation which provides an overview of the Congenital Heart Center’s philosophy and culture. http://umhealth.me/joinchcteam Union Affiliation This position is covered under the collective bargaining agreement between the U-M and the Michigan Nurses Association and the U-M Professional Nurse Council union, which contains and settles all matters with respect to wages, benefits, hours and other terms and conditions of employment. Background Screening Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other U-M campuses. U-M EEO Statement The University of Michigan is an equal employment opportunity employer.