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Bronson Methodist Hospital

Southwest Michigan health system

Registered Nurse - Observation Unit

Full-TimeUpdated on 10/24/2026
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; nurses who do not hold a BSN or higher must obtain one within eight years of hire.
  • A current Michigan Registered Nurse license in good standing is required.
  • Basic Life Support certification is required by completion of core orientation.
  • Critical care or Advanced Life Support and other certifications may be required for some registered nurses, depending on the unit.
  • For Bronson South Haven hires, a BSN must be obtained within eight years of hire.
  • For Bronson South Haven Emergency Department nurses, SALT triage, ESI triage, and NIH Stroke Scale must be completed within 90 days of hire; Advanced Cardiac Life Support, Pediatric Advanced Life Support, and Trauma Nursing Core Course (required only for full-time and part-time nurses) must be completed within six months of hire.
  • For Bronson South Haven Special Care Unit nurses, Pediatric Advanced Life Support certification must be obtained within six months of hire.
  • For nurses in Labor & Delivery and Mother/Baby/Antepartum at Bronson Methodist Hospital and Bronson Battle Creek, Electronic Fetal Monitoring Certification through PQF or NCC is required within six months of completing intermediate fetal monitoring.
  • A current Michigan driver's license and proof of insurance are required for Bronson Acute Care Hospital.
  • 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 continuously verbally, in writing, and electronically.
  • The work requires sustained alertness and concentration during interactive, repetitive, or detailed tasks, including operating a computer or CRT for 40 to 70 percent of the time.
  • The work regularly involves lifting bulky or moderately heavy weights up to 50 pounds and occasionally assisting with heavier tasks or equivalent pushing, pulling, or handling.
  • For virtual registered nurse work, the nurse must be able to project their voice so it can be heard by individuals with little to no hearing impairment via audio-visual technology, and speak understandable English.
  • For virtual registered nurse work, the nurse must be able to grip and use a computer keyboard and mouse.
Responsibilities
  • Manage patient care delivery throughout the stay to achieve quality outcomes and timely discharge, using assessment, planning, diagnosis, implementation, and evaluation.
  • Coordinate care provided by other professionals and delegate selected acts, tasks, or functions within professional nursing practice scope and the abilities of patient care assistants and universal service assistants.
  • Provide appropriate physical care within nursing practice scope according to patient acuity and care complexity.
  • Document and communicate the patient's response to care, resource consumption, and anticipated needs during each tour of duty.
  • Collect comprehensive data on patients' health or situations, assess physical and developmental needs, identify patient needs, 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 using patient and family input, values, and ethical and cultural considerations; coordinate discharge planning when outcomes are not achieved using available continuity-of-care resources.
  • Develop care plans prescribing interventions to attain expected outcomes, incorporating clinical pathways when appropriate, individualized interventions and patient input, and information from other healthcare team members.
  • Implement care plans using appropriate interventions, administer prescribed medication and treatment according to approved nursing techniques and policies, and use evidence-based interventions.
  • Maintain awareness of patient comfort and safety, initiate patient education plans tailored to individual needs, and coordinate their implementation.
  • Organize and delegate patient care interventions, and evaluate the effectiveness of care provided by self and others.
  • Evaluate progress toward expected outcomes and the effectiveness of interventions, and document patient responses.
  • Participate in quality improvement activities and use their results to initiate changes in nursing practice.
  • Maintain knowledge and competency reflecting current nursing practice through ongoing education and professional records documenting competency and educational activities.
  • Evaluate nursing practice against professional standards, guidelines, statutes, rules, and regulations; provide age-appropriate culturally and ethnically sensitive care; and participate in self-evaluation and peer review.
  • Share knowledge and skills with peers and colleagues and contribute to a supportive, healthy work environment.
  • Collaborate with patients, families, and other health disciplines to implement plans of care and improve patient outcomes.
  • Deliver care that preserves patient autonomy, dignity, confidentiality, and rights; provide relationship-centered care and serve as a patient advocate.
  • Integrate research findings into practice, participate in research activities appropriate to education level, analyze nursing-practice data and trends, and use evidence-based practice to develop patient-care policies, procedures, and standards.
  • Consider safety, effectiveness, cost, and impact when planning and delivering nursing services; assign or delegate tasks based on patient needs and condition, potential for harm, complexity, required problem solving, predictability of outcomes, and extent of patient interaction.
  • Help patients and families understand treatment and care options, costs, risks, and benefits.
  • Provide leadership in the professional practice setting, participate in nursing councils and hospital or unit committees as appropriate, attend at least 50 percent of unit staff meetings, and help maintain a healthy professional work environment when representing Bronson.
  • For scrub registered nurse duties, interpret procedure cards, assess case carts before scheduled procedures, identify missing supplies or equipment, and arrange to obtain them.
  • For scrub registered nurse duties, anticipate physicians' needs using knowledge of operative procedures and physician preferences, and observe for changes in patient condition indicating a problem.
  • For scrub registered nurse duties, evaluate and update case information, including preference cards, broken or misplaced equipment, back-ordered supplies, and recommended procedural changes.
  • For scrub registered nurse duties, use equipment and instruments properly and discourage improper handling by coworkers and physicians; anticipate changing operative-field and surgical-team needs and take appropriate action.
  • For scrub registered nurse duties, serve as a resource to circulators unfamiliar with positioning devices, specialty equipment, or implants; take rotational after-hours call; and perform scrub duties across multiple services, including spinal fusions in neuro and orthopedic services for STII nurses.
  • For the HDU department, fulfill additional on-call requirements beyond regular scheduled hours.
  • For Bronson Lakeview Hospital and Bronson South Haven Hospital, complete the annual Workday CBL on swing beds and understand documentation differences and care requirements for swing-bed patients compared with inpatient or observation patients.
  • For employees approved to work only in swing-bed facilities at Bronson South Haven Hospital or Bronson Lakeview Hospital, cover shifts at either hospital as needed based on patient acuity and staffing.
  • For virtual registered nurse duties, conduct admission screening, patient and family education, discharge planning, and medication dual acknowledgments using secure digital platforms.
  • For virtual registered nurse duties, complete diagnostic testing questionnaires and support patient safety initiatives.
  • For virtual registered nurse duties, mentor and support nursing staff and facilitate patient progression toward discharge using electronic health record tools such as checklists and clinical pathways.
  • For virtual registered nurse duties, analyze assessment data, identify patient problems, confirm issues with patients or families as appropriate, and document individualized care plans in collaboration with bedside registered nurses.
  • For virtual registered nurse duties, evaluate the quality and effectiveness of virtual nursing services and ensure compliance with professional standards and organizational policies.

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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