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Bronson Methodist Hospital

Southwest Michigan health system

Registered Nurse - Emergency Department, Ed / ER

Full-Time
No salary listed
Mid
Bachelor's, Associate's
Kalamazoo, MI, USA
In Person
Medical, Clinical & VeterinaryNursing & Frontline Patient Care

About the job

Requirements
  • An Associate’s degree in Nursing is required.
  • A Bachelor’s degree in Nursing is preferred and must be obtained within eight years of hire.
  • An active Registered Nurse license in good standing for the State of Michigan is required.
  • Basic Life Support certification is required by completion of orientation.
  • Critical care, Advanced Life Support, or other certifications may be required for some registered nurses, depending on the unit.
  • Strong critical thinking and decision-making skills are required.
  • The nurse must be able to interpret clinical data and communicate effectively.
  • The nurse must be able to work in a fast-paced, high-acuity environment.
  • Employees providing direct patient care must demonstrate competencies specific to the population served.
  • The nurse must be able to read, interpret, and analyze data from computer systems and equipment to determine an appropriate plan of action.
  • The nurse must be able to communicate constantly verbally, in writing, and electronically.
  • The role involves frequent standing, walking, and patient handling, and requires the ability to lift up to 50 pounds.
  • The role involves sustained alertness and concentration while performing interactive, repetitive, or detailed work and operating a computer or display terminal for 40 to 70 percent of the time.
  • The role regularly involves lifting bulky or moderately heavy weights up to 50 pounds and occasionally assisting with heavier tasks or equivalent pushing, pulling, or handling.
  • Emergency Department nurses at Bronson South Haven must complete SALT triage, ESI triage, and NIH Stroke Scale training within 90 days of hire, and Advanced Cardiac Life Support, Pediatric Advanced Life Support, and Trauma Nursing Core Course certification within six months of hire; the Trauma Nursing Core Course requirement applies only to full-time and part-time nurses.
  • A current Michigan driver’s license and proof of insurance are required for Bronson At Home roles.
Responsibilities
  • Provide patient-centered care using the nursing process of assessment, planning, implementation, and evaluation.
  • Rapidly assess, triage, and prioritize patients based on acuity.
  • Monitor patient condition and respond quickly to changes.
  • Administer medications and treatments in accordance with clinical standards, approved nursing techniques, and policies.
  • Collaborate with physicians, patients, families, and interdisciplinary teams to support patient care and outcomes.
  • Delegate appropriate tasks within the scope of professional nursing practice and the abilities of patient care assistants and universal service assistants.
  • Provide appropriate physical care within the scope of professional nursing practice based on patient acuity and complexity.
  • Educate patients and families and support safe discharge planning.
  • Document and communicate the patient’s response to care, resource use, and anticipated needs during each tour of duty.
  • Collect comprehensive data pertinent to patients’ health or situation, assess physical and developmental needs, analyze assessment data, document nursing history and age-appropriate physical and emotional needs and strengths, and review vital signs to detect deviations from normal.
  • Analyze assessment data to identify patient problems, confirm problems with patients and families when appropriate, and document expected outcomes and plans of care using clinical pathways and outcome teaching records.
  • Identify expected outcomes for individualized plans of care using patient and family input and incorporating patient values and ethical and cultural considerations.
  • Coordinate discharge planning when outcomes are not achieved, using the available continuum of care.
  • Develop plans that prescribe interventions to attain expected outcomes, incorporating clinical pathways, patient input, and information from other healthcare team members as appropriate.
  • Implement appropriate interventions and evidence-based care, maintain awareness of patient comfort and safety, and initiate and coordinate patient education plans tailored to individual needs.
  • Organize and delegate patient care interventions, and evaluate the effectiveness of care provided by self and others.
  • Evaluate progress toward expected outcomes, assess intervention effectiveness and patient responses, and document those responses.
  • Participate in quality improvement activities and use their results to initiate changes in nursing practice.
  • Participate in ongoing educational activities, maintain professional competency records, and evaluate personal practice against professional standards, guidelines, statutes, rules, and regulations.
  • Provide age-appropriate care in a culturally and ethnically sensitive manner; participate in self-evaluation and systematic peer review as appropriate.
  • Share knowledge and skills with peers and colleagues and contribute to a supportive, healthy work environment.
  • Partner with multiple health disciplines to achieve positive outcomes for patients and families based on the plan of care.
  • Protect patient autonomy, dignity, confidentiality, and rights; provide relationship-centered care and serve as a patient advocate.
  • Use research to improve patient health and the practice environment, participate in research activities appropriate to education and role, and use evidence-based practice to inform policies, procedures, and standards of care.
  • Consider safety, effectiveness, cost, and impact on practice when planning and delivering nursing services; assign or delegate tasks based on patient needs and condition, potential harm, complexity, required problem-solving, predictability of outcomes, and patient interaction.
  • Help patients and families understand treatment and care options, costs, risks, and benefits.
  • Participate in nursing councils and hospital- and unit-based committees as appropriate, attend at least 50 percent of unit staff meetings, and contribute to a healthy professional work environment when representing Bronson.
  • For scrub RN assignments, interpret procedure cards, check case carts for supplies, arrange to acquire missing equipment or supplies, and anticipate physician needs based on operative procedures and preferences.
  • For scrub RN assignments, observe changes in patient condition and operative-field or surgical-team needs, take appropriate action, and update case information such as preference cards, equipment issues, back-ordered supplies, and recommended procedure changes.
  • For scrub RN assignments, ensure proper use and handling of equipment and instruments and serve as a resource to circulators unfamiliar with positioning devices, specialty equipment, or implants.
  • For scrub RN assignments, take rotational after-hours call and perform scrub duties across multiple services, including spinal fusions in neuro and orthopedic services for STII assignments.
  • For HDU assignments, meet additional on-call requirements beyond regularly scheduled hours.
  • For applicable Bronson Lakeview and South Haven roles, complete the annual Workday swing-bed computer-based learning module and understand documentation differences and care requirements for swing-bed patients.
  • Employees approved to work only in a swing-bed facility at Bronson Lakeview or South Haven may be expected to cover shifts at either hospital depending on patient acuity and staffing needs.

About the company

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Bronson Methodist Hospital

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Bronson Methodist Hospital is a nonprofit health system serving southwest Michigan. The system provides hospital, primary, specialty, emergency, outpatient, rehabilitation, and community health services through regional care locations. It serves patients, families, clinicians, referring providers, and communities throughout southwest Michigan. Its operating model centers on coordinated hospitals and practices supported by clinical programs, technology, facilities, supply chain, and administration. Teams work across nursing, physicians, allied health, rehabilitation, technology, facilities, administration, and patient access. Work depends on coordination among clinical, operational, technical, and support teams across its care settings and communities.

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