Bronson Methodist Hospital

Southwest Michigan health system

Registered Nurse - Trauma Emergency Department

Nursing & Frontline Patient CarePosted on Nov 13

Full-timeKalamazoo, MI, USANo salary listedIn-person

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 for nurses who do not hold a Bachelor of Science in Nursing or higher nursing degree.
A registered nurse license in good standing for the state of Michigan 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.
Emergency Department staff at Bronson South Haven must complete SALT triage, ESI Triage, and NIH Stroke Scale within 90 days of hire.
Emergency Department staff at Bronson South Haven must complete Advanced Cardiac Life Support, Pediatric Advanced Life Support, and Trauma Nursing Core Course within six months of hire; Trauma Nursing Core Course is required only for full-time and part-time nurses.
A current Michigan driver's license and proof of insurance are required for Bronson at Allegan 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 constantly verbally, in writing, and electronically.
The nurse must be able to perform sustained computer or CRT work requiring alertness and concentration for 40 to 70 percent of the time, regularly lift bulky or moderately heavy weights up to 50 pounds, and occasionally assist with heavier tasks or exert equivalent effort pushing, pulling, or handling materials, equipment, and other objects.
Virtual Registered Nurses must be able to project their voice so it can be easily heard by individuals with little to no hearing impairment via audio-visual technology, and speak English clearly.
Virtual Registered Nurses must be able to grip and use a computer keyboard and mouse.

Responsibilities

Manage patient care delivery throughout the patient's length of stay to achieve quality outcomes and timely discharge by assessing, planning, diagnosing, implementing, and evaluating care.
Coordinate care provided by other professionals and delegate selected acts, tasks, or functions 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.
Document and communicate each shift the patient's response to care, resource consumption, and anticipated needs.
Collect comprehensive data pertinent to patients' health or situations; 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 determine patient problems or issues, confirm problems with patients and families when appropriate, and document expected outcomes and the plan of care using clinical pathways and outcome teaching records.
Identify expected outcomes for individualized care plans using patient and family input and incorporating patient values, ethical considerations, and cultural considerations.
Coordinate discharge planning for outcomes not achieved using the available continuum of care.
Develop care plans prescribing interventions to attain expected outcomes, incorporate clinical pathways where appropriate, develop individualized interventions with patient input, and consider information from other healthcare team members.
Implement appropriate interventions, administer prescribed medication and treatment using approved nursing techniques and policies, use evidence-based interventions, and maintain awareness of patient comfort and safety needs.
Initiate patient education according to individual needs and coordinate implementation of the education plan.
Organize and delegate patient care interventions, and evaluate the effectiveness of care provided by self and others.
Evaluate the effectiveness of planned interventions and patient progress toward expected outcomes, and document patient responses.
Participate in quality improvement activities and use their results to initiate changes in nursing practice.
Participate in ongoing education related to nursing knowledge and professional issues, and maintain professional records evidencing competency and continued education.
Provide age-appropriate care in a culturally and ethnically sensitive manner; evaluate one's practice against professional standards and applicable rules and regulations; and participate in self-evaluation and systematic peer review as appropriate.
Share knowledge and skills with peers and colleagues, maintain compassionate and caring relationships, and contribute to a supportive and healthy work environment.
Collaborate with patients, families, and other health disciplines to achieve positive outcomes based on the plan of care.
Deliver care that preserves patient autonomy, dignity, confidentiality, and rights; provide relationship-centered care; and advocate for patients.
Use research to improve patient health and the practice environment, and participate in research activities appropriate to education level, including identifying clinical problems, collecting data, serving on research committees, sharing findings, conducting research, analyzing practice trends, and developing evidence-based policies, procedures, and standards.
Consider safety, effectiveness, cost, and impact on practice when planning and delivering nursing services; delegate tasks based on patient needs, condition, risk, complexity, required problem solving, predictability of outcomes, and patient interaction; and help patients and families understand treatment and care options, costs, risks, and benefits.
Provide leadership in the professional practice setting by participating in nursing councils and committees as appropriate, attending at least 50 percent of unit staff meetings, and supporting a healthy professional work environment when representing Bronson.
For scrub RN duties, interpret procedure cards, assess case carts for supplies before scheduled procedures, identify missing supplies and arrange to acquire them.
For scrub RN duties, anticipate physicians' needs based on operative procedures and physician preferences, and observe for changes in patient condition that indicate a problem.
For scrub RN duties, evaluate and update case information, including preference cards, broken or misplaced equipment, back-ordered supplies, and recommended procedure changes.
For scrub RN duties, use equipment and instruments properly and discourage improper use or handling by coworkers and physicians.
For scrub RN duties, monitor changing operative-field and surgical-team needs, anticipate potential needs, and take appropriate action.
For scrub RN duties, serve as a specialist and resource for circulators unfamiliar with positioning devices, specialty equipment, or implants.
For scrub RN duties, take rotational after-hours call and perform scrub duties across multiple services, including spinal fusions in neuro and orthopedic services for STII.
For the HDU department, meet additional on-call requirements beyond regular scheduled hours.
For Bronson Lakeview Hospital and Bronson South Haven Hospital, complete the annual Workday swing-bed computer-based learning module and understand the documentation differences and care required for swing-bed patients compared with inpatient or observation patients.
For approved employees working only in a swing-bed facility at Bronson Lakeview Hospital or Bronson South Haven Hospital, cover shifts at either hospital as needed based on patient acuity and staffing.
For virtual registered nurse duties, use technology to deliver patient care remotely and collaborate with bedside staff and the broader care team to support quality outcomes and timely discharge.
For virtual registered nurse duties, conduct admission screening, patient and family education, discharge planning, and medication dual acknowledgments through 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 and 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.

Desired Qualifications

A Bachelor's degree in Nursing is preferred and must be obtained within eight years of hire for nurses who do not hold a Bachelor of Science in Nursing or higher nursing degree.
For Labor and Delivery, Mother/Baby, and Antepartum registered nurses at Bronson Methodist Hospital and Bronson Battle Creek, the Fetal Monitoring Credential is required within six months of completing the AWHONN intermediate fetal monitoring course; alternatively, National Certification Corporation Electronic Fetal Monitoring board certification is preferred but not required.

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

Kalamazoo-601 John St.-Bronson Methodist Hospital South Campus (South Pavilion)

Title

Registered Nurse ( RN ) - Trauma Emergency Department ( ED ) - Bronson Methodist Hospital - Full-time 12D (0700-1900)

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 as well as other certifications may be required for some RNs, unit specific

Bronson South Haven Specific- Effective July 1, 2017 all new hires are expected to successfully obtain their BSN within 8 years of hire date.

Bronson South Haven Specific:

Emergency Department: SALT triage, ESI Triage, and NIH Stroke Scale to be completed within 90 days of hire date. Advanced Cardiac Life Support, Pediatric Advanced Life Support, and Trauma Nursing Core Course (TNCC only required for FT and part -time nurses) within 6 months of hire date. Special Care Unit: All nurses in department will need to have Pediatric Advance Life Support certification within 6 months of hire.

RNs in Labor & Delivery and Mother/Baby/Antepartum at BMH & BBC Specific:

The Fetal Monitoring Credential (FMC) is required within 6 months of completing the AWHONN intermediate fetal monitoring course; completion of the National Certification Corporation (NCC) Electronic Fetal Monitoring (C-EFM) board certification is alternatively preferred, though not required.

Current driver's license in the state of Michigan and proof of insurance required for BAH

• 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 HDU Department Only: Additional on call requirements above and beyond regular scheduled hours

For Bronson Lakeview Hospital and Bronson South Haven Hospital:

The RN is responsible for completing the Workday 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.

Bronson South Haven Hospital and Bronson Lakeview Hospital employees who are approved to work in a Swing Bed Facility only: Employees may be expected to cover shifts at Bronson Lakeview Hospital and/or Bronson South Haven Hospital depending on patient acuity and staffing needs.

Virtual Registered Nurse (VRN) Role: The virtual registered nurse leverages technology to deliver patient care remotely, collaborating with bedside staff and the broader care team to ensure quality outcomes and timely discharge. Core responsibilities include, but not limited to:

Conducting admission screening, patient/family education, discharge planning, and medication dual acknowledgments via secure digital platforms.
Completing diagnostic testing questionnaires and supporting patient safety initiatives.
Mentoring and supporting nursing staff and facilitating patient progression toward discharge using electronic health record (EHR) tools such as checklists and clinical pathways.
Analyzing assessment data to identify patient problems, confirming issues with patients/families as appropriate, and documenting individualized care plans in collaboration with bedside RNs.
Systematically evaluating the quality and effectiveness of virtual nursing services, ensuring compliance with professional standards and organizational policies.
Ability to project voice at volume that can easily be heard by individuals with little to no hearing impairment via audio-visual technology; speech in English is easy to understand
Ability to grip and use computer keyboard and mouse

Shift

12 Hour Day Shift

Time Type

Full time

Scheduled Weekly Hours

Cost Center

4300 Trauma Emergency Center (BMH)

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.

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About the Company

Bronson Methodist Hospital

Southwest Michigan health system

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.

Company size: Not listed
Company stage: Not listed
Total funding: Not listed
Headquarters: Not listed
Founded: Not listed

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