25 Candidates jobs in Fowlerville

.Location: Okemos, MI (Local candidates preferred)
Employment Type: W2 Only
Work Arrangement: Hybrid

We are seeking a Salesforce Enterprise Architect to serve as a strategic leader and technical expert, responsible for aligning Salesforce platform initiatives with broader enterprise architecture goals. The role involves architecting scalable solutions, evaluating platform capabilities, guiding technology decisions, and delivering a comprehensive application technology roadmap. Ideal candidates will have extensive experience in Salesforce technologies, particularly in healthcare payer ecosystems, and demonstrate strong leadership and communication skills.

• Design, implement, and maintain scalable, high-performance solutions on the Salesforce platform in alignment with enterprise application strategies.

• Integrate Salesforce with other enterprise data sources while adhering to best practices and business requirements.

• Serve as a liaison between business and technology teams to translate strategic objectives into actionable Salesforce solutions.

• Develop and maintain enterprise architecture artifacts including solution blueprints, technology roadmaps, integration patterns, and data models.

• Lead the decision-making process around build-vs-buy for new capabilities, ensuring risk-aware architectural decisions.

• Promote architectural standards and governance practices across the enterprise.

• Provide technical oversight throughout the full software development lifecycle, resolving design and architectural challenges.

• Design and implement robust Salesforce DevOps frameworks including CI/CD pipelines using tools such as Jenkins, Azure DevOps, Copado, and Bitbucket.

• Drive adoption of automation and version control processes for efficient release management.

• Excellent verbal and written communication skills with strong interpersonal and analytical capabilities.

• Ability to function both independently and as part of a collaborative team.

• Strong understanding of software design patterns, n-tier architecture, data access architectures, and scripting/batch processes.

• Demonstrated experience with enterprise-scale application systems.

• Proven problem-solving skills and independent technical decision-making ability.

• Deep knowledge of current and emerging IT technologies.

Salesforce-Specific Qualifications

• Proven solution and technical design experience with Salesforce Health Cloud, Sales Cloud, and Service Cloud in a healthcare payer context.

• Expert knowledge of Salesforce data model, security architecture, Apex, LWC/Aura, and process automation tools (Flows, Triggers, etc.).

• Experience with integration tools and patterns, including Informatica PowerCenter , Informatica IICS , and Snowflake .

• In-depth understanding of Salesforce platform limitations, operational procedures, and best practices.

• Demonstrated experience with real-time and batch integrations in complex enterprise environments. Preferred Certifications and Experience

• Salesforce Certifications: Application Architect , System Architect , and/or Platform Developer II .

• Experience with compliance frameworks and security models: HIPAA , Salesforce Shield , FedRAMP , Salesforce Government Cloud .

• Familiarity with BPO services/OSP model licensing is a plus.

If you're a strategic thinker and a hands-on Salesforce expert ready to drive enterprise transformation, we’d love to hear from you!

• TopTech Talent is proud to be an equal opportunity workplace and is an affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, age, national origin, citizenship status, disability, protected veteran status, gender identity or any other factor protected by applicable federal, state, or local laws.

Company :

Highmark Health

Job Description :

JOB SUMMARY

CANDIDATE MUST BE US Citizen, OnShore (due to contractual/access requirements)

Seeking a skilled professional with hands-on experience in Informatica technologies. This role requires proficiency in Informatica IDMC, Informatica Saas MDM, Informatica CDI & CAI, Informatica REF360, and familiarity with on-premise Informatica tools such as IDQ, MDM, and PC.

Pittsburgh Location Requirement

If the candidate is within 50 miles of either the Pittsburgh or Camp Hill campuses then they are expected to be in the office on Tue/Wed/Thu - otherwise they will be fully remote.

This job takes the lead in providing more complex application development services typically as part of a project team or in an application support role. Developers analyze, design, code, test and implement more complex systematic solutions to meet customer requirements that adhere to Highmark IT standards and policies. Developers provide general support to maintain more complex applications that meet the service levels, system availability, performance and quality levels required by their customers. May mentor less experienced team members.

ESSENTIAL RESPONSIBILITIES

• Takes a lead role for analyzing, designing, coding, testing and implementing more complex application enhancements, as well as providing general production support, meeting defined scope, target dates and budgets with minimal or no defects.

• Utilizes and participates in the more complex full system development life cycle, per current Highmark SDLC standards.

• Takes a lead role in collaborating with customers, business analysts, partners, and IT team members to understand business requirements that drive the analysis and design of quality technical solutions. Concentrates on providing innovative solutions to more complex business needs.

• Takes a lead role in providing required technical support, including release implementations, on-call and 24x7 supports when necessary.

• Performs work in compliance with all Highmark and Highmark IT standards, policies and procedures.

• Actively takes a leading role and participates on project teams in various project roles, including, but not limited to, Developer, Technical Lead and Project Manager, based upon level of experience.

• Effectively communicates with team members, customers, partners and management, including assisting with or conducting more complex technical walkthroughs, reporting project status, enabling vendor solutions and providing accurate and concise documentation.

• Other duties as assigned or requested.

EDUCATION

Required

• Bachelor's degree in Information Technology, Computer Science or closely related field

Substitutions

• None

Preferred

• Master's degree in Information Technology, Computer Science or closely related field

EXPERIENCE

Required

• 5 years of experience as a developer

• Experience with Project Management tools

• Experience with databases

• Experience with multiple coding languages

Preferred

• Informatica IDMC

• Informatica Saas MDM

• Informatica CDI & CAI

• Informatica REF360

• OnPrem Informatica tooling (IDQ, MDM, PC)

LICENSES or CERTIFICATIONS

Required

• None

Preferred

• Certification such as JAVA Developer, DB2 Certification, Cognos Certification

SKILLS

• Problem solving, root cause analysis, and issue resolution

• Demonstrated leadership skills

• Experience in Healthcare or Health Insurance Industry

• Experience with technology platforms, application development tools, business processes, software development life cycle used by Highmark enterprise

Language (Other than English):

None

Travel Requirement:

0% - 25%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type

Office-based

Teaches / trains others regularly

Occasionally

Travel regularly from the office to various work sites or from site-to-site

Rarely

Works primarily out-of-the office selling products/services (sales employees)

Never

Physical work site required

Yes

Lifting: up to 10 pounds

Constantly

Lifting: 10 to 25 pounds

Occasionally

Lifting: 25 to 50 pounds

Rarely

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement : This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.

Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Pay Range Minimum:

$67,500.00

Pay Range Maximum:

$126,000.00

Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.

For accommodation requests, please contact HR Services Online at

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

Req ID: J265203

**Company :**
Highmark Health
**Job Description :**
**JOB SUMMARY**
***CANDIDATE MUST BE US Citizen,** OnShore **(due to contractual/access requirements)***
**Seeking a skilled professional with hands-on experience in Informatica technologies. This role requires proficiency in Informatica IDMC, Informatica Saas MDM, Informatica CDI & CAI, Informatica REF360, and familiarity with on-premise Informatica tools such as IDQ, MDM, and PC.**
**Pittsburgh Location Requirement**
**If the candidate is within 50 miles of either the Pittsburgh or Camp Hill campuses then they are expected to be in the office on Tue/Wed/Thu - otherwise they will be fully remote.**
This job takes the lead in providing more complex application development services typically as part of a project team or in an application support role. Developers analyze, design, code, test and implement more complex systematic solutions to meet customer requirements that adhere to Highmark IT standards and policies. Developers provide general support to maintain more complex applications that meet the service levels, system availability, performance and quality levels required by their customers. May mentor less experienced team members.
**ESSENTIAL RESPONSIBILITIES**
+ Takes a lead role for analyzing, designing, coding, testing and implementing more complex application enhancements, as well as providing general production support, meeting defined scope, target dates and budgets with minimal or no defects.
+ Utilizes and participates in the more complex full system development life cycle, per current Highmark SDLC standards.
+ Takes a lead role in collaborating with customers, business analysts, partners, and IT team members to understand business requirements that drive the analysis and design of quality technical solutions. Concentrates on providing innovative solutions to more complex business needs.
+ Takes a lead role in providing required technical support, including release implementations, on-call and 24x7 supports when necessary.
+ Performs work in compliance with all Highmark and Highmark IT standards, policies and procedures.
+ Actively takes a leading role and participates on project teams in various project roles, including, but not limited to, Developer, Technical Lead and Project Manager, based upon level of experience.
+ Effectively communicates with team members, customers, partners and management, including assisting with or conducting more complex technical walkthroughs, reporting project status, enabling vendor solutions and providing accurate and concise documentation.
+ Other duties as assigned or requested.
**EDUCATION**
**Required**
+ Bachelor's degree in Information Technology, Computer Science or closely related field
**Substitutions**
+ None
**Preferred**
+ Master's degree in Information Technology, Computer Science or closely related field
**EXPERIENCE**
**Required**
+ 5 years of experience as a developer
+ Experience with Project Management tools
+ Experience with databases
+ Experience with multiple coding languages
**Preferred**
+ Informatica IDMC
+ Informatica Saas MDM
+ Informatica CDI & CAI
+ Informatica REF360
+ OnPrem Informatica tooling (IDQ, MDM, PC)
**LICENSES or CERTIFICATIONS**
**Required**
+ None
**Preferred**
+ Certification such as JAVA Developer, DB2 Certification, Cognos Certification
**SKILLS**
+ Problem solving, root cause analysis, and issue resolution
+ Demonstrated leadership skills
+ Experience in Healthcare or Health Insurance Industry
+ Experience with technology platforms, application development tools, business processes, software development life cycle used by Highmark enterprise
**Language (Other than English):**
None
**Travel Requirement:**
0% - 25%
**PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS**
**Position Type**
Office-based
Teaches / trains others regularly
Occasionally
Travel regularly from the office to various work sites or from site-to-site
Rarely
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
Yes
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Occasionally
Lifting: 25 to 50 pounds
Rarely
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
**Pay Range Minimum:**
$67,500.00
**Pay Range Maximum:**
$126,000.00
_Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J265203

We anticipate the application window for this opening will close on - 27 Oct 2025
At Medtronic you can begin a life-long career of exploration and innovation, while helping champion healthcare access and equity for all. You'll lead with purpose, breaking down barriers to innovation in a more connected, compassionate world.
**A Day in the Life**
**Careers That Change Lives**
**This posting is intended for candidates attending the 2025 National SHPE Convention in Philadelphia, PA** . The possibilities at the intersection of medicine and technology are endless, which means endless opportunities to make your mark on the world. Our interns do real work within experienced engineering teams to improve lives of millions. We are hiring for Engineering (Software, R&D, Operations, Quality) IT, Supply Chain and Finance interns for Summer 2026.
You have learned a lot to get here - we want you to keep growing. With our expanding portfolio of innovative products and services, Medtronic is the global leader in delivering healthcare solutions for over 70+ disease states in 150+ countries.
Our summer internships are full-time (40 hours/week), paid positions lasting 10-11 weeks. We offer competitive compensation, along with educational and social programming throughout the summer. For interns relocating more than 50 miles from home or school, we provide housing assistance and a relocation and transportation stipend.
At Medtronic, we bring bold ideas forward with speed and decisiveness to put patients first in everything we do. In-person exchanges are invaluable to our work. We're working a minimum of 4 days a week onsite as part of our commitment to fostering a culture of professional growth and cross-functional collaboration as we work together to engineer the extraordinary. 
The majority of our internship positions are based at our primary hubs in Minnesota, California, Colorado, and the Northeastern U.S. (Connecticut & Massachusetts). We also offer opportunities in other states, including Arizona, Florida, Michigan, Tennessee, Michigan and Texas. Candidate location preferences are strongly considered during the interview and offer process; however, flexibility increases the number of potential opportunities available. All interns must reside in the U.S. for the duration of the internship.
**Must Haves:**
To be considered for a Summer 2026 engineering internship, you must meet the following basic requirements. Your resume must clearly demonstrate how you meet each of these criteria to be considered for a position.
+ Working towards a bachelor's or master'sdegree in biomedical, electrical, mechanical, computer engineering or related engineering major, Management Info Systems, Computer Info Systems, Business Info Systems, Finance, Accounting or Supply Chain with an anticipated graduation date of Winter 2026, Spring 2027, Winter 2027 or Spring 2028
+ The ability to participate full time (40 hours/week) as part of our intern cohort from June 1 - August 14 (semester system programs) or June 15 - August 21 (quarter system programs)
+ Legally authorized to work in the U.S. on a full-time basis and do not require sponsorship in the future for an employment visa. The Medtronic Summer Internship Program does not provide work authorization sponsorship for summer intern positions. Individuals with temporary visas such as E, F-1, H-1, H-2, L, B, J or TN, or who need sponsorship for work authorization now or in the future, are not eligible for the Medtronic Summer Internship Program.
**Nice to Haves:**
+ A minimum 3.0 out of a 4.0 cumulative GPA
+ Flexibility in geographic location
+ Knowledge of one or more of the following technologies: C, C++, C#/.NET, SQL, Java, Python, Microsoft Access, Microsoft Visual Studio, CAD:SolidWorks/Autocad or equivalent, Minitab, MATLAB, Ardyubi/Raspberry Pi, LabVIEW
+ Prior work on projects in a team environment
+ Relevant academic project, internship, or lab experience
+ Technical writing skills
+ Experience with statistics, data analysis, or mechanical or electrical design
+ Strong written and verbal communication skills who is self-motivated, proactive, and willing to learn
**Physical Job Requirements**
The above statements are intended to describe the general nature and level of work being performed by employees assigned to this position, but they are not an exhaustive list of all the required responsibilities and skills of this position. 
The physical demands described within the Responsibilities section of this job description are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. For Office Roles: While performing the duties of this job, the employee is regularly required to be independently mobile. The employee is also required to interact with a computer, and communicate with peers and co-workers. Contact your manager or local HR to understand the Work Conditions and Physical requirements that may be specific to each role.
**Benefits & Compensation**
**Medtronic offers a competitive Salary and flexible Benefits Package**
A commitment to our employees lives at the core of our values. We recognize their contributions. They share in the success they help to create. We offer a wide range of benefits, resources, and competitive compensation plans designed to support you at every career and life stage.
Salary ranges for U.S (excl. PR) locations (USD):$55,120-$4,120
The base salary range is used nationally in the United States, excluding Puerto Rico. The Medtronic Internship Program offers an hourly rate of pay that falls within the range of 26.50 - 45.25 per hour. The hourly rate offered will be determined by the position and is subject to variation based on the number of years of school completed.
The following benefits and additional compensation are available to those regular employees who work 20+ hours per week: Health, Dental and vision insurance, Health Savings Account, Healthcare Flexible Spending Account, Life insurance, Long-term disability leave, Dependent daycare spending account, Tuition assistance/reimbursement, and Simple Steps (global well-being program).
The following benefits and additional compensation are available to all regular employees: Incentive plans, 401(k) plan plus employer contribution and match, Short-term disability, Paid time off, Paid holidays, Employee Stock Purchase Plan, Employee Assistance Program, Non-qualified Retirement Plan Supplement (subject to IRS earning minimums), and Capital Accumulation Plan (available to Vice Presidents and above, or subject to IRS earning minimums).
Regular employees are those who are not temporary, such as interns. Temporary employees are eligible for paid sick time, as required under applicable state law, and the Employee Stock Purchase Plan. Please note some of the above benefits may not apply to workers in Puerto Rico.
Further details are available at the link below:
Medtronic benefits and compensation plans ( Medtronic**
We lead global healthcare technology and boldly attack the most challenging health problems facing humanity by searching out and finding solutions.
Our Mission - to alleviate pain, restore health, and extend life - unites a global team of 95,000+ passionate people.
We are engineers at heart- putting ambitious ideas to work to generate real solutions for real people. From the R&D lab, to the factory floor, to the conference room, every one of us experiments, creates, builds, improves and solves. We have the talent, diverse perspectives, and guts to engineer the extraordinary.
Learn more about our business, mission, and our commitment to diversity here ( .
It is the policy of Medtronic to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Medtronic will provide reasonable accommodations for qualified individuals with disabilities.
If you are applying to perform work for Medtronic, Inc. ("Medtronic") in any position which will involve performing at least two (2) hours of work on average each week within the unincorporated areas of Los Angeles County, you can find here ( a list of all material job duties of the specific job position which Medtronic reasonably believes that criminal history may have a direct, adverse and negative relationship potentially resulting in the withdrawal of a conditional offer of employment. Medtronic will consider for employment qualified job applicants with arrest or conviction records in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
We lead global healthcare technology and boldly attack the most challenging health problems facing humanity by searching out and finding solutions.
Our Mission - to alleviate pain, restore health, and extend life - unites a global team of 95,000+ passionate people.
We are engineers at heart- putting ambitious ideas to work to generate real solutions for real people. From the R&D lab, to the factory floor, to the conference room, every one of us experiments, creates, builds, improves and solves. We have the talent, diverse perspectives, and guts to engineer the extraordinary.
**We change lives** . Each team member, each day, helps to improve and redefine how the world treats the most pressing health conditions, from heart disease to diabetes. Our industry leadership comes from the passion and ingenuity of our people. That's who we are. Working alongside one another, we use science, medicine, and a profound understanding of the human body to build extraordinary technologies that can transform lives.
**We build extraordinary solutions as one team** . With one Medtronic Mindset defining how we work. Speed and decisiveness run through our DNA. Diverse perspectives inspire our bold answers to any challenge that comes our way. And we deliver results the right way, breakthrough after patient breakthrough.
**This life-changing career is yours to engineer** . By bringing your ambitious ideas, unique perspective and contributions, you will.
+ **Build** a better future, amplifying your impact on the causes that matter to you and the world
+ **Grow** a career reflective of your passion and abilities
+ **Connect** to a dynamic and inclusive culture that welcomes the challenge of life-long learning
These commitments set our team apart from the rest:
**Experiences that put people first** . Respect for people is the hallmark of our humanity. It fuels our team to positively impact even a single life. And it means we put our people first at Medtronic as well, creating a culture of belonging and always pushing to get you the career-building resources you need.
**Life-transforming technologies** . No matter your role, you contribute to technologies that transform lives. What we build empowers patients to live life on their terms.
**Better outcomes for our world** . Here, it's about more than the bottom line. Our Mission to improve human welfare drives us. We advance healthcare, society, and equity with every design, inside and outside our walls.
**Insight-driven care** . Fresh viewpoints. Cutting-edge AI, data, and automation. You're shaping the future of healthcare technology and defining the next generation of breakthroughs in care
It is the policy of Medtronic to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Medtronic will provide reasonable accommodations for qualified individuals with disabilities.
For sales reps and other patient facing field employees, going into a healthcare setting is considered an essential function of the job and we expect our employees to comply with all credentialing requirements at the hospitals or clinics they support.
This employer participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here ( .
For updates on job applications, please go to the candidate login page and sign in to check your application status.
If you need assistance completing your application please email
To request removal of your personal information from our systems please email

JOB SUMMARY # Works under the supervision of the unit Supervisor/Manager/Director. A registered professional nurse is responsible for the delivery of patient care through the nursing process of assessment, planning, implementation, and evaluation. She/he is responsible for direction and guidance of patient teaching and activities of ancillary personnel while maintaining standards of professional nursing and the policies and operating instructions of Memorial Healthcare. Strives for superior performance by consistently providing a product of service to leadership and staff that is recognized as ultimately contributing to the patient and family experience. As a customer-focused Memorial Healthcare team member, he/she must be accessible, flexible, knowledgeable, and responsive. # PRIMARY JOB RESPONSIBILITIES # Assesses the physical, psychological, and social dimensions and the educational needs of the patient on admission and completes a written assessment within the time frame designated by the type of patient. Identifies patient needs and formulates a written care plan based on the assessment of the patient. Care plan is initiated within 24 hours of admission. Plan of care is implemented and documentation of effectiveness is reflected in the medical record. Revises/updates the plan as necessary or at least every 24 hours. Establishes a compassionate environment by providing emotional, psychological, and spiritual support to patients, friends, and families. Promotes patient#s independence by establishing patient care goals; teaching patient, friends, and family to understand condition, medications, and self-care skills; and answering questions. # Assures quality of care by adhering to therapeutic standards; measuring health outcomes against patient care goals and standards; making or recommending necessary adjustments; following hospital and nursing division#s philosophies and standards of care set by state board of nursing, state nurse practice act, and other governing agency regulations. Resolves patient problems and needs by utilizing multidisciplinary team strategies. Protects patients and other employees by adhering to infection-control policies and protocols, medication administration and storage procedures, and controlled substance regulations. Maintains continuity of care among nursing teams and physicians by documenting and communicating actions, irregularities, and continuing patient needs. Maintains a cooperative relationship among healthcare teams by communicating information; responding to requests; building rapport; and participating in team problem-solving methods. Utilizes leadership skills through delegation to, communicate with, and evaluate team members. Recognizes changes in status of the patient and provides appropriate intervention and documentation. Provides ongoing patient and family education based on daily assessment of disease process, care requirements, and expected recovery. Prioritizes care based on individual patient needs. Demonstrates strong focus on patient education. Initiates appropriate referrals as identified to meet the discharge needs of patients in collaboration with case management. Participates in inservice and/or continuing education to maintain and improve understanding of the present and future trends in healthcare, and participates in unit and hospital-wide committees to identify needs and assists in continuous performance improvement. Attends a minimum of eight monthly staff meetings annually. Communicates identified unit problems following appropriate chain of command (Coordinator, Manager, Director, Vice President), and actively participates in the problem- solving process. # Demonstrates job related aspects of patient safety to assure a safe environment, safe and effective use of equipment and technology, and decreased risk of potential adverse patient occurrences. Demonstrates knowledge of and supports hospital mission, vision, value statements, standards, policies and procedures, operating instructions, confidentiality statements, corporate compliance plan, customer service standards, and standards of behavior. Demonstrates the knowledge and skills necessary to provide care appropriate to the age of patients served on his/her assigned unit.# Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient#s status and interpret the appropriate information needed to identify each patient#s requirements relative to his/her age-specific needs, and to provide the care needed as described in the unit#s and division#s policies and procedures. Performs other duties as assigned. # JOB SPECIFICATIONS EDUCATION Have graduated from an accredited school of nursing. Active, un-expired RN license from the State of Michigan. # EXPERIENCE# Related experience preferred, not required.# Current certification in AHA-BLS for Healthcare Providers required or obtain within 2 weeks of hire. Departmental specific requirements as outlined in Attachment A. # ESSENTIAL PHYSICAL ABILITIES/MOTOR SKILLS # Able to travel independently throughout all Memorial Healthcare facilities. Standing/Walking: Standing and walking is required for the majority of time spent in the clinical area. Standing in one position is required while performing certain aspects of patient care. Sitting: Sit while charting or entering data into a computer. One may also sit while receiving/giving verbal reports at the start/end of one#s shift. Employees will intermittently sit throughout the day, depending on clinical assignment. Lifting: Regular lifting of medical supplies, medications, patient supplies, and patient charts, which weighing up to ten pounds is required. Also lifting CPR equipment and other medical equipment weighing up to 45 pounds is required. It is required to assist in lifting and transferring patients of varying weights and is expected to request assistance when lifting, ambulating, and repositioning patients. One must be able to support at least 75 pounds to reposition, transfer, and ambulate patients safely. Carrying: Frequent carrying of medical supplies and other items weighing up to 45 pounds is required, along with occasional carrying of certain medical equipment weighing up to 50 pounds. Pushing/Pulling: Pushing/pulling 70-100 pounds is required when administering patient therapy and care, as well as when pushing equipment such as oxygen tanks and monitors, and when transporting patients in wheelchairs, beds or gurneys. When administering CPR, enough force to compress the chest 1.5 to 2 inches, which requires 100 to 125 pounds of force. Full manual dexterity of both upper extremities is required. Climbing: No significant climbing is required; one may be required to climb a step stool. Bending: Bending is required when administering patient care. One must be able to bend to touch the floor to remove environmental hazards. Reaching: Reaching above one#s head is required when performing aspects of care such as hanging and adjusting IV bags. Squatting/Kneeling: Squatting or kneeling is required when operating medical equipment and performing aspects of patient care, such as CPR. Twisting: Twisting at the waist is required when bathing patients and performing other procedures. Hearing: One must have normal hearing (aids permitted) in order to perform physical assessments, including listening with a stethoscope for bowel, heart, and lung sounds. One must also be able to hear to detect subtle, yet critical information regarding patient conditions including alarms, and to communicate with physicians and other professionals involved in patient care. Visual Acuity: Vision is required within normal limits (glasses or contacts permitted) for monitoring equipment, reading medical data, preparing and administering medications and injections, and performing physical assessments of patients including subtle changes in color. Depth Perception: Required for fine tasks such as administering injections, sterile catheter insertions (urinary, IV), nasogastric tube insertions. Fine Motor Skills: One must have fine motor skills of all fingers and be able to grasp and control medical equipment, and to perform precise procedures such as sterile dressing changes. Ability to grasp objects such as a pen to prepare handwritten reports is also required. Tactile Sensation: One must be able to assess patients through palpation with fingers and hands, and must be able to distinguish between warm/cold and be able to feel vibrations. Smell: One must have normal sense of smell to detect odors indicating unsafe conditions or changing patient status. # ESSENTIAL TECHNICAL ABILITIES # Proficiency using computer applications, telephone and including technical equipment used by Memorial Healthcare. Ability to enter clinical documentation using electronic medical records (EMR) charting. # ESSENTIAL MENTAL ABILITIES # Ability to adapt and maintain focus in fast paced, quickly changing or stressful situations. Ability to read and interpret a variety of documents including, but not limited to policies, operating instructions, white papers, regulations, rules and laws. Complete a history and head-to-toe initial assessment of patient#s condition for multiple systems. Formulate a care plan based upon the assessment and to evaluate patients# reactions to the care plan. Understand doctor#s orders. Document assessment, interventions, and evaluation. Calculate medication dosages and IV rates. Function well under pressure. # ESSENTIAL SENSORY REQUIREMENTS # Able to see for the purpose of reading information received in formats including but not limited to paper, computer, reports, bulletins, updates, manuals. Able to see and hear for work-related purposes. Communicate receptively and expressively in English, both written and verbal, with diverse populations, including physicians, patients, families, community agencies, employees, and volunteers. Visually assess patient#s condition and to auscultate lung, heart, bowel sounds, etc. and palpate as needed for assessment or treatment. Accurately hear communication by phone or in person. Maintain self-control. # # # INTERPERSONAL SKILLS # Maintain confidentiality. Ability to interact with co-workers, hospital staff, administration, patients, physicians, the public and all internal and external customers in a professional and effective, courteous and tactful manner, at all times, physically, verbally and in all written and electronic communication. Required to remain calm when adversity is encountered. Open, honest, and tactful communication skills. Ability to work as a team member in all activities. Positive, cooperative and motivated attitude.

JOB SUMMARY

Works under the supervision of the unit Supervisor/Manager/Director. A registered professional nurse is responsible for the delivery of patient care through the nursing process of assessment, planning, implementation, and evaluation. She/he is responsible for direction and guidance of patient teaching and activities of ancillary personnel while maintaining standards of professional nursing and the policies and operating instructions of Memorial Healthcare. Strives for superior performance by consistently providing a product of service to leadership and staff that is recognized as ultimately contributing to the patient and family experience. As a customer-focused Memorial Healthcare team member, he/she must be accessible, flexible, knowledgeable, and responsive.

PRIMARY JOB RESPONSIBILITIES

* Assesses the physical, psychological, and social dimensions and the educational needs of the patient on admission and completes a written assessment within the time frame designated by the type of patient.
* Identifies patient needs and formulates a written care plan based on the assessment of the patient. Care plan is initiated within 24 hours of admission.
* Plan of care is implemented and documentation of effectiveness is reflected in the medical record. Revises/updates the plan as necessary or at least every 24 hours. Establishes a compassionate environment by providing emotional, psychological, and spiritual support to patients, friends, and families.
* Promotes patient's independence by establishing patient care goals; teaching patient, friends, and family to understand condition, medications, and self-care skills; and answering questions.
* Assures quality of care by adhering to therapeutic standards; measuring health outcomes against patient care goals and standards; making or recommending necessary adjustments; following hospital and nursing division's philosophies and standards of care set by state board of nursing, state nurse practice act, and other governing agency regulations.
* Resolves patient problems and needs by utilizing multidisciplinary team strategies.
* Protects patients and other employees by adhering to infection-control policies and protocols, medication administration and storage procedures, and controlled substance regulations.
* Maintains continuity of care among nursing teams and physicians by documenting and communicating actions, irregularities, and continuing patient needs.
* Maintains a cooperative relationship among healthcare teams by communicating information; responding to requests; building rapport; and participating in team problem-solving methods.
* Utilizes leadership skills through delegation to, communicate with, and evaluate team members.
* Recognizes changes in status of the patient and provides appropriate intervention and documentation.
* Provides ongoing patient and family education based on daily assessment of disease process, care requirements, and expected recovery.
* Prioritizes care based on individual patient needs.
* Demonstrates strong focus on patient education.
* Initiates appropriate referrals as identified to meet the discharge needs of patients in collaboration with case management.
* Participates in inservice and/or continuing education to maintain and improve understanding of the present and future trends in healthcare, and participates in unit and hospital-wide committees to identify needs and assists in continuous performance improvement. Attends a minimum of eight monthly staff meetings annually.
* Communicates identified unit problems following appropriate chain of command (Coordinator, Manager, Director, Vice President), and actively participates in the problem- solving process.
* Demonstrates job related aspects of patient safety to assure a safe environment, safe and effective use of equipment and technology, and decreased risk of potential adverse patient occurrences.
* Demonstrates knowledge of and supports hospital mission, vision, value statements, standards, policies and procedures, operating instructions, confidentiality statements, corporate compliance plan, customer service standards, and standards of behavior.
* Demonstrates the knowledge and skills necessary to provide care appropriate to the age of patients served on his/her assigned unit. Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the unit's and division's policies and procedures.
* Performs other duties as assigned.

JOB SPECIFICATIONS

EDUCATION

* Have graduated from an accredited school of nursing.
* Active, un-expired RN license from the State of Michigan.

EXPERIENCE

* Related experience preferred, not required.
* Current certification in AHA-BLS for Healthcare Providers required or obtain within 2 weeks of hire.
* Departmental specific requirements as outlined in Attachment A.

ESSENTIAL PHYSICAL ABILITIES/MOTOR SKILLS

* Able to travel independently throughout all Memorial Healthcare facilities.
* Standing/Walking: Standing and walking is required for the majority of time spent in the clinical area. Standing in one position is required while performing certain aspects of patient care.
* Sitting: Sit while charting or entering data into a computer. One may also sit while receiving/giving verbal reports at the start/end of one's shift. Employees will intermittently sit throughout the day, depending on clinical assignment.
* Lifting: Regular lifting of medical supplies, medications, patient supplies, and patient charts, which weighing up to ten pounds is required. Also lifting CPR equipment and other medical equipment weighing up to 45 pounds is required. It is required to assist in lifting and transferring patients of varying weights and is expected to request assistance when lifting, ambulating, and repositioning patients. One must be able to support at least 75 pounds to reposition, transfer, and ambulate patients safely.
* Carrying: Frequent carrying of medical supplies and other items weighing up to 45 pounds is required, along with occasional carrying of certain medical equipment weighing up to 50 pounds.
* Pushing/Pulling: Pushing/pulling 70-100 pounds is required when administering patient therapy and care, as well as when pushing equipment such as oxygen tanks and monitors, and when transporting patients in wheelchairs, beds or gurneys. When administering CPR, enough force to compress the chest 1.5 to 2 inches, which requires 100 to 125 pounds of force. Full manual dexterity of both upper extremities is required.
* Climbing: No significant climbing is required; one may be required to climb a step stool.
* Bending: Bending is required when administering patient care. One must be able to bend to touch the floor to remove environmental hazards.
* Reaching: Reaching above one's head is required when performing aspects of care such as hanging and adjusting IV bags.
* Squatting/Kneeling: Squatting or kneeling is required when operating medical equipment and performing aspects of patient care, such as CPR.
* Twisting: Twisting at the waist is required when bathing patients and performing other procedures.
* Hearing: One must have normal hearing (aids permitted) in order to perform physical assessments, including listening with a stethoscope for bowel, heart, and lung sounds. One must also be able to hear to detect subtle, yet critical information regarding patient conditions including alarms, and to communicate with physicians and other professionals involved in patient care.
* Visual Acuity: Vision is required within normal limits (glasses or contacts permitted) for monitoring equipment, reading medical data, preparing and administering medications and injections, and performing physical assessments of patients including subtle changes in color.
* Depth Perception: Required for fine tasks such as administering injections, sterile catheter insertions (urinary, IV), nasogastric tube insertions.
* Fine Motor Skills: One must have fine motor skills of all fingers and be able to grasp and control medical equipment, and to perform precise procedures such as sterile dressing changes. Ability to grasp objects such as a pen to prepare handwritten reports is also required.
* Tactile Sensation: One must be able to assess patients through palpation with fingers and hands, and must be able to distinguish between warm/cold and be able to feel vibrations.
* Smell: One must have normal sense of smell to detect odors indicating unsafe conditions or changing patient status.

ESSENTIAL TECHNICAL ABILITIES

* Proficiency using computer applications, telephone and including technical equipment used by Memorial Healthcare.
* Ability to enter clinical documentation using electronic medical records (EMR) charting.

ESSENTIAL MENTAL ABILITIES

* Ability to adapt and maintain focus in fast paced, quickly changing or stressful situations.
* Ability to read and interpret a variety of documents including, but not limited to policies, operating instructions, white papers, regulations, rules and laws.
* Complete a history and head-to-toe initial assessment of patient's condition for multiple systems.
* Formulate a care plan based upon the assessment and to evaluate patients' reactions to the care plan.
* Understand doctor's orders.
* Document assessment, interventions, and evaluation.
* Calculate medication dosages and IV rates.
* Function well under pressure.

ESSENTIAL SENSORY REQUIREMENTS

* Able to see for the purpose of reading information received in formats including but not limited to paper, computer, reports, bulletins, updates, manuals.
* Able to see and hear for work-related purposes.
* Communicate receptively and expressively in English, both written and verbal, with diverse populations, including physicians, patients, families, community agencies, employees, and volunteers.
* Visually assess patient's condition and to auscultate lung, heart, bowel sounds, etc. and palpate as needed for assessment or treatment.
* Accurately hear communication by phone or in person.
* Maintain self-control.

INTERPERSONAL SKILLS

* Maintain confidentiality.
* Ability to interact with co-workers, hospital staff, administration, patients, physicians, the public and all internal and external customers in a professional and effective, courteous and tactful manner, at all times, physically, verbally and in all written and electronic communication.
* Required to remain calm when adversity is encountered.
* Open, honest, and tactful communication skills.
* Ability to work as a team member in all activities.
* Positive, cooperative and motivated attitude.

JOB SUMMARY # Works under the supervision of the unit Supervisor/Manager/Director. A registered professional nurse is responsible for the delivery of patient care through the nursing process of assessment, planning, implementation, and evaluation. She/he is responsible for direction and guidance of patient teaching and activities of ancillary personnel while maintaining standards of professional nursing and the policies and operating instructions of Memorial Healthcare. Strives for superior performance by consistently providing a product of service to leadership and staff that is recognized as ultimately contributing to the patient and family experience. As a customer-focused Memorial Healthcare team member, he/she must be accessible, flexible, knowledgeable, and responsive. # PRIMARY JOB RESPONSIBILITIES # Assesses the physical, psychological, and social dimensions and the educational needs of the patient on admission and completes a written assessment within the time frame designated by the type of patient. Identifies patient needs and formulates a written care plan based on the assessment of the patient. Care plan is initiated within 24 hours of admission. Plan of care is implemented and documentation of effectiveness is reflected in the medical record. Revises/updates the plan as necessary or at least every 24 hours. Establishes a compassionate environment by providing emotional, psychological, and spiritual support to patients, friends, and families. Promotes patient#s independence by establishing patient care goals; teaching patient, friends, and family to understand condition, medications, and self-care skills; and answering questions. # Assures quality of care by adhering to therapeutic standards; measuring health outcomes against patient care goals and standards; making or recommending necessary adjustments; following hospital and nursing division#s philosophies and standards of care set by state board of nursing, state nurse practice act, and other governing agency regulations. Resolves patient problems and needs by utilizing multidisciplinary team strategies. Protects patients and other employees by adhering to infection-control policies and protocols, medication administration and storage procedures, and controlled substance regulations. Maintains continuity of care among nursing teams and physicians by documenting and communicating actions, irregularities, and continuing patient needs. Maintains a cooperative relationship among healthcare teams by communicating information; responding to requests; building rapport; and participating in team problem-solving methods. Utilizes leadership skills through delegation to, communicate with, and evaluate team members. Recognizes changes in status of the patient and provides appropriate intervention and documentation. Provides ongoing patient and family education based on daily assessment of disease process, care requirements, and expected recovery. Prioritizes care based on individual patient needs. Demonstrates strong focus on patient education. Initiates appropriate referrals as identified to meet the discharge needs of patients in collaboration with case management. Participates in inservice and/or continuing education to maintain and improve understanding of the present and future trends in healthcare, and participates in unit and hospital-wide committees to identify needs and assists in continuous performance improvement. Attends a minimum of eight monthly staff meetings annually. Communicates identified unit problems following appropriate chain of command (Coordinator, Manager, Director, Vice President), and actively participates in the problem- solving process. # Demonstrates job related aspects of patient safety to assure a safe environment, safe and effective use of equipment and technology, and decreased risk of potential adverse patient occurrences. Demonstrates knowledge of and supports hospital mission, vision, value statements, standards, policies and procedures, operating instructions, confidentiality statements, corporate compliance plan, customer service standards, and standards of behavior. Demonstrates the knowledge and skills necessary to provide care appropriate to the age of patients served on his/her assigned unit.# Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient#s status and interpret the appropriate information needed to identify each patient#s requirements relative to his/her age-specific needs, and to provide the care needed as described in the unit#s and division#s policies and procedures. Performs other duties as assigned. # JOB SPECIFICATIONS EDUCATION Have graduated from an accredited school of nursing. Active, un-expired RN license from the State of Michigan. # EXPERIENCE# Related experience preferred, not required.# Current certification in AHA-BLS for Healthcare Providers required or obtain within 2 weeks of hire. Departmental specific requirements as outlined in Attachment A. # ESSENTIAL PHYSICAL ABILITIES/MOTOR SKILLS # Able to travel independently throughout all Memorial Healthcare facilities. Standing/Walking: Standing and walking is required for the majority of time spent in the clinical area. Standing in one position is required while performing certain aspects of patient care. Sitting: Sit while charting or entering data into a computer. One may also sit while receiving/giving verbal reports at the start/end of one#s shift. Employees will intermittently sit throughout the day, depending on clinical assignment. Lifting: Regular lifting of medical supplies, medications, patient supplies, and patient charts, which weighing up to ten pounds is required. Also lifting CPR equipment and other medical equipment weighing up to 45 pounds is required. It is required to assist in lifting and transferring patients of varying weights and is expected to request assistance when lifting, ambulating, and repositioning patients. One must be able to support at least 75 pounds to reposition, transfer, and ambulate patients safely. Carrying: Frequent carrying of medical supplies and other items weighing up to 45 pounds is required, along with occasional carrying of certain medical equipment weighing up to 50 pounds. Pushing/Pulling: Pushing/pulling 70-100 pounds is required when administering patient therapy and care, as well as when pushing equipment such as oxygen tanks and monitors, and when transporting patients in wheelchairs, beds or gurneys. When administering CPR, enough force to compress the chest 1.5 to 2 inches, which requires 100 to 125 pounds of force. Full manual dexterity of both upper extremities is required. Climbing: No significant climbing is required; one may be required to climb a step stool. Bending: Bending is required when administering patient care. One must be able to bend to touch the floor to remove environmental hazards. Reaching: Reaching above one#s head is required when performing aspects of care such as hanging and adjusting IV bags. Squatting/Kneeling: Squatting or kneeling is required when operating medical equipment and performing aspects of patient care, such as CPR. Twisting: Twisting at the waist is required when bathing patients and performing other procedures. Hearing: One must have normal hearing (aids permitted) in order to perform physical assessments, including listening with a stethoscope for bowel, heart, and lung sounds. One must also be able to hear to detect subtle, yet critical information regarding patient conditions including alarms, and to communicate with physicians and other professionals involved in patient care. Visual Acuity: Vision is required within normal limits (glasses or contacts permitted) for monitoring equipment, reading medical data, preparing and administering medications and injections, and performing physical assessments of patients including subtle changes in color. Depth Perception: Required for fine tasks such as administering injections, sterile catheter insertions (urinary, IV), nasogastric tube insertions. Fine Motor Skills: One must have fine motor skills of all fingers and be able to grasp and control medical equipment, and to perform precise procedures such as sterile dressing changes. Ability to grasp objects such as a pen to prepare handwritten reports is also required. Tactile Sensation: One must be able to assess patients through palpation with fingers and hands, and must be able to distinguish between warm/cold and be able to feel vibrations. Smell: One must have normal sense of smell to detect odors indicating unsafe conditions or changing patient status. # ESSENTIAL TECHNICAL ABILITIES # Proficiency using computer applications, telephone and including technical equipment used by Memorial Healthcare. Ability to enter clinical documentation using electronic medical records (EMR) charting. # ESSENTIAL MENTAL ABILITIES # Ability to adapt and maintain focus in fast paced, quickly changing or stressful situations. Ability to read and interpret a variety of documents including, but not limited to policies, operating instructions, white papers, regulations, rules and laws. Complete a history and head-to-toe initial assessment of patient#s condition for multiple systems. Formulate a care plan based upon the assessment and to evaluate patients# reactions to the care plan. Understand doctor#s orders. Document assessment, interventions, and evaluation. Calculate medication dosages and IV rates. Function well under pressure. # ESSENTIAL SENSORY REQUIREMENTS # Able to see for the purpose of reading information received in formats including but not limited to paper, computer, reports, bulletins, updates, manuals. Able to see and hear for work-related purposes. Communicate receptively and expressively in English, both written and verbal, with diverse populations, including physicians, patients, families, community agencies, employees, and volunteers. Visually assess patient#s condition and to auscultate lung, heart, bowel sounds, etc. and palpate as needed for assessment or treatment. Accurately hear communication by phone or in person. Maintain self-control. # # # INTERPERSONAL SKILLS # Maintain confidentiality. Ability to interact with co-workers, hospital staff, administration, patients, physicians, the public and all internal and external customers in a professional and effective, courteous and tactful manner, at all times, physically, verbally and in all written and electronic communication. Required to remain calm when adversity is encountered. Open, honest, and tactful communication skills. Ability to work as a team member in all activities. Positive, cooperative and motivated attitude.

JOB SUMMARY

Works under the supervision of the unit Supervisor/Manager/Director. A registered professional nurse is responsible for the delivery of patient care through the nursing process of assessment, planning, implementation, and evaluation. She/he is responsible for direction and guidance of patient teaching and activities of ancillary personnel while maintaining standards of professional nursing and the policies and operating instructions of Memorial Healthcare. Strives for superior performance by consistently providing a product of service to leadership and staff that is recognized as ultimately contributing to the patient and family experience. As a customer-focused Memorial Healthcare team member, he/she must be accessible, flexible, knowledgeable, and responsive.

PRIMARY JOB RESPONSIBILITIES

* Assesses the physical, psychological, and social dimensions and the educational needs of the patient on admission and completes a written assessment within the time frame designated by the type of patient.
* Identifies patient needs and formulates a written care plan based on the assessment of the patient. Care plan is initiated within 24 hours of admission.
* Plan of care is implemented and documentation of effectiveness is reflected in the medical record. Revises/updates the plan as necessary or at least every 24 hours. Establishes a compassionate environment by providing emotional, psychological, and spiritual support to patients, friends, and families.
* Promotes patient's independence by establishing patient care goals; teaching patient, friends, and family to understand condition, medications, and self-care skills; and answering questions.
* Assures quality of care by adhering to therapeutic standards; measuring health outcomes against patient care goals and standards; making or recommending necessary adjustments; following hospital and nursing division's philosophies and standards of care set by state board of nursing, state nurse practice act, and other governing agency regulations.
* Resolves patient problems and needs by utilizing multidisciplinary team strategies.
* Protects patients and other employees by adhering to infection-control policies and protocols, medication administration and storage procedures, and controlled substance regulations.
* Maintains continuity of care among nursing teams and physicians by documenting and communicating actions, irregularities, and continuing patient needs.
* Maintains a cooperative relationship among healthcare teams by communicating information; responding to requests; building rapport; and participating in team problem-solving methods.
* Utilizes leadership skills through delegation to, communicate with, and evaluate team members.
* Recognizes changes in status of the patient and provides appropriate intervention and documentation.
* Provides ongoing patient and family education based on daily assessment of disease process, care requirements, and expected recovery.
* Prioritizes care based on individual patient needs.
* Demonstrates strong focus on patient education.
* Initiates appropriate referrals as identified to meet the discharge needs of patients in collaboration with case management.
* Participates in inservice and/or continuing education to maintain and improve understanding of the present and future trends in healthcare, and participates in unit and hospital-wide committees to identify needs and assists in continuous performance improvement. Attends a minimum of eight monthly staff meetings annually.
* Communicates identified unit problems following appropriate chain of command (Coordinator, Manager, Director, Vice President), and actively participates in the problem- solving process.
* Demonstrates job related aspects of patient safety to assure a safe environment, safe and effective use of equipment and technology, and decreased risk of potential adverse patient occurrences.
* Demonstrates knowledge of and supports hospital mission, vision, value statements, standards, policies and procedures, operating instructions, confidentiality statements, corporate compliance plan, customer service standards, and standards of behavior.
* Demonstrates the knowledge and skills necessary to provide care appropriate to the age of patients served on his/her assigned unit. Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the unit's and division's policies and procedures.
* Performs other duties as assigned.

JOB SPECIFICATIONS

EDUCATION

* Have graduated from an accredited school of nursing.
* Active, un-expired RN license from the State of Michigan.

EXPERIENCE

* Related experience preferred, not required.
* Current certification in AHA-BLS for Healthcare Providers required or obtain within 2 weeks of hire.
* Departmental specific requirements as outlined in Attachment A.

ESSENTIAL PHYSICAL ABILITIES/MOTOR SKILLS

* Able to travel independently throughout all Memorial Healthcare facilities.
* Standing/Walking: Standing and walking is required for the majority of time spent in the clinical area. Standing in one position is required while performing certain aspects of patient care.
* Sitting: Sit while charting or entering data into a computer. One may also sit while receiving/giving verbal reports at the start/end of one's shift. Employees will intermittently sit throughout the day, depending on clinical assignment.
* Lifting: Regular lifting of medical supplies, medications, patient supplies, and patient charts, which weighing up to ten pounds is required. Also lifting CPR equipment and other medical equipment weighing up to 45 pounds is required. It is required to assist in lifting and transferring patients of varying weights and is expected to request assistance when lifting, ambulating, and repositioning patients. One must be able to support at least 75 pounds to reposition, transfer, and ambulate patients safely.
* Carrying: Frequent carrying of medical supplies and other items weighing up to 45 pounds is required, along with occasional carrying of certain medical equipment weighing up to 50 pounds.
* Pushing/Pulling: Pushing/pulling 70-100 pounds is required when administering patient therapy and care, as well as when pushing equipment such as oxygen tanks and monitors, and when transporting patients in wheelchairs, beds or gurneys. When administering CPR, enough force to compress the chest 1.5 to 2 inches, which requires 100 to 125 pounds of force. Full manual dexterity of both upper extremities is required.
* Climbing: No significant climbing is required; one may be required to climb a step stool.
* Bending: Bending is required when administering patient care. One must be able to bend to touch the floor to remove environmental hazards.
* Reaching: Reaching above one's head is required when performing aspects of care such as hanging and adjusting IV bags.
* Squatting/Kneeling: Squatting or kneeling is required when operating medical equipment and performing aspects of patient care, such as CPR.
* Twisting: Twisting at the waist is required when bathing patients and performing other procedures.
* Hearing: One must have normal hearing (aids permitted) in order to perform physical assessments, including listening with a stethoscope for bowel, heart, and lung sounds. One must also be able to hear to detect subtle, yet critical information regarding patient conditions including alarms, and to communicate with physicians and other professionals involved in patient care.
* Visual Acuity: Vision is required within normal limits (glasses or contacts permitted) for monitoring equipment, reading medical data, preparing and administering medications and injections, and performing physical assessments of patients including subtle changes in color.
* Depth Perception: Required for fine tasks such as administering injections, sterile catheter insertions (urinary, IV), nasogastric tube insertions.
* Fine Motor Skills: One must have fine motor skills of all fingers and be able to grasp and control medical equipment, and to perform precise procedures such as sterile dressing changes. Ability to grasp objects such as a pen to prepare handwritten reports is also required.
* Tactile Sensation: One must be able to assess patients through palpation with fingers and hands, and must be able to distinguish between warm/cold and be able to feel vibrations.
* Smell: One must have normal sense of smell to detect odors indicating unsafe conditions or changing patient status.

ESSENTIAL TECHNICAL ABILITIES

* Proficiency using computer applications, telephone and including technical equipment used by Memorial Healthcare.
* Ability to enter clinical documentation using electronic medical records (EMR) charting.

ESSENTIAL MENTAL ABILITIES

* Ability to adapt and maintain focus in fast paced, quickly changing or stressful situations.
* Ability to read and interpret a variety of documents including, but not limited to policies, operating instructions, white papers, regulations, rules and laws.
* Complete a history and head-to-toe initial assessment of patient's condition for multiple systems.
* Formulate a care plan based upon the assessment and to evaluate patients' reactions to the care plan.
* Understand doctor's orders.
* Document assessment, interventions, and evaluation.
* Calculate medication dosages and IV rates.
* Function well under pressure.

ESSENTIAL SENSORY REQUIREMENTS

* Able to see for the purpose of reading information received in formats including but not limited to paper, computer, reports, bulletins, updates, manuals.
* Able to see and hear for work-related purposes.
* Communicate receptively and expressively in English, both written and verbal, with diverse populations, including physicians, patients, families, community agencies, employees, and volunteers.
* Visually assess patient's condition and to auscultate lung, heart, bowel sounds, etc. and palpate as needed for assessment or treatment.
* Accurately hear communication by phone or in person.
* Maintain self-control.

INTERPERSONAL SKILLS

* Maintain confidentiality.
* Ability to interact with co-workers, hospital staff, administration, patients, physicians, the public and all internal and external customers in a professional and effective, courteous and tactful manner, at all times, physically, verbally and in all written and electronic communication.
* Required to remain calm when adversity is encountered.
* Open, honest, and tactful communication skills.
* Ability to work as a team member in all activities.
* Positive, cooperative and motivated attitude.

JOB SUMMARY # Works under the supervision of the unit Supervisor/Manager/Director. A registered professional nurse is responsible for the delivery of patient care through the nursing process of assessment, planning, implementation, and evaluation. She/he is responsible for direction and guidance of patient teaching and activities of ancillary personnel while maintaining standards of professional nursing and the policies and operating instructions of Memorial Healthcare. Strives for superior performance by consistently providing a product of service to leadership and staff that is recognized as ultimately contributing to the patient and family experience. As a customer-focused Memorial Healthcare team member, he/she must be accessible, flexible, knowledgeable, and responsive. # PRIMARY JOB RESPONSIBILITIES # Assesses the physical, psychological, and social dimensions and the educational needs of the patient on admission and completes a written assessment within the time frame designated by the type of patient. Identifies patient needs and formulates a written care plan based on the assessment of the patient. Care plan is initiated within 24 hours of admission. Plan of care is implemented and documentation of effectiveness is reflected in the medical record. Revises/updates the plan as necessary or at least every 24 hours. Establishes a compassionate environment by providing emotional, psychological, and spiritual support to patients, friends, and families. Promotes patient#s independence by establishing patient care goals; teaching patient, friends, and family to understand condition, medications, and self-care skills; and answering questions. # Assures quality of care by adhering to therapeutic standards; measuring health outcomes against patient care goals and standards; making or recommending necessary adjustments; following hospital and nursing division#s philosophies and standards of care set by state board of nursing, state nurse practice act, and other governing agency regulations. Resolves patient problems and needs by utilizing multidisciplinary team strategies. Protects patients and other employees by adhering to infection-control policies and protocols, medication administration and storage procedures, and controlled substance regulations. Maintains continuity of care among nursing teams and physicians by documenting and communicating actions, irregularities, and continuing patient needs. Maintains a cooperative relationship among healthcare teams by communicating information; responding to requests; building rapport; and participating in team problem-solving methods. Utilizes leadership skills through delegation to, communicate with, and evaluate team members. Recognizes changes in status of the patient and provides appropriate intervention and documentation. Provides ongoing patient and family education based on daily assessment of disease process, care requirements, and expected recovery. Prioritizes care based on individual patient needs. Demonstrates strong focus on patient education. Initiates appropriate referrals as identified to meet the discharge needs of patients in collaboration with case management. Participates in inservice and/or continuing education to maintain and improve understanding of the present and future trends in healthcare, and participates in unit and hospital-wide committees to identify needs and assists in continuous performance improvement. Attends a minimum of eight monthly staff meetings annually. Communicates identified unit problems following appropriate chain of command (Coordinator, Manager, Director, Vice President), and actively participates in the problem- solving process. # Demonstrates job related aspects of patient safety to assure a safe environment, safe and effective use of equipment and technology, and decreased risk of potential adverse patient occurrences. Demonstrates knowledge of and supports hospital mission, vision, value statements, standards, policies and procedures, operating instructions, confidentiality statements, corporate compliance plan, customer service standards, and standards of behavior. Demonstrates the knowledge and skills necessary to provide care appropriate to the age of patients served on his/her assigned unit.# Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient#s status and interpret the appropriate information needed to identify each patient#s requirements relative to his/her age-specific needs, and to provide the care needed as described in the unit#s and division#s policies and procedures. Performs other duties as assigned. # JOB SPECIFICATIONS EDUCATION Have graduated from an accredited school of nursing. Active, un-expired RN license from the State of Michigan. # EXPERIENCE# Related experience preferred, not required.# Current certification in AHA-BLS for Healthcare Providers required or obtain within 2 weeks of hire. Departmental specific requirements as outlined in Attachment A. # ESSENTIAL PHYSICAL ABILITIES/MOTOR SKILLS # Able to travel independently throughout all Memorial Healthcare facilities. Standing/Walking: Standing and walking is required for the majority of time spent in the clinical area. Standing in one position is required while performing certain aspects of patient care. Sitting: Sit while charting or entering data into a computer. One may also sit while receiving/giving verbal reports at the start/end of one#s shift. Employees will intermittently sit throughout the day, depending on clinical assignment. Lifting: Regular lifting of medical supplies, medications, patient supplies, and patient charts, which weighing up to ten pounds is required. Also lifting CPR equipment and other medical equipment weighing up to 45 pounds is required. It is required to assist in lifting and transferring patients of varying weights and is expected to request assistance when lifting, ambulating, and repositioning patients. One must be able to support at least 75 pounds to reposition, transfer, and ambulate patients safely. Carrying: Frequent carrying of medical supplies and other items weighing up to 45 pounds is required, along with occasional carrying of certain medical equipment weighing up to 50 pounds. Pushing/Pulling: Pushing/pulling 70-100 pounds is required when administering patient therapy and care, as well as when pushing equipment such as oxygen tanks and monitors, and when transporting patients in wheelchairs, beds or gurneys. When administering CPR, enough force to compress the chest 1.5 to 2 inches, which requires 100 to 125 pounds of force. Full manual dexterity of both upper extremities is required. Climbing: No significant climbing is required; one may be required to climb a step stool. Bending: Bending is required when administering patient care. One must be able to bend to touch the floor to remove environmental hazards. Reaching: Reaching above one#s head is required when performing aspects of care such as hanging and adjusting IV bags. Squatting/Kneeling: Squatting or kneeling is required when operating medical equipment and performing aspects of patient care, such as CPR. Twisting: Twisting at the waist is required when bathing patients and performing other procedures. Hearing: One must have normal hearing (aids permitted) in order to perform physical assessments, including listening with a stethoscope for bowel, heart, and lung sounds. One must also be able to hear to detect subtle, yet critical information regarding patient conditions including alarms, and to communicate with physicians and other professionals involved in patient care. Visual Acuity: Vision is required within normal limits (glasses or contacts permitted) for monitoring equipment, reading medical data, preparing and administering medications and injections, and performing physical assessments of patients including subtle changes in color. Depth Perception: Required for fine tasks such as administering injections, sterile catheter insertions (urinary, IV), nasogastric tube insertions. Fine Motor Skills: One must have fine motor skills of all fingers and be able to grasp and control medical equipment, and to perform precise procedures such as sterile dressing changes. Ability to grasp objects such as a pen to prepare handwritten reports is also required. Tactile Sensation: One must be able to assess patients through palpation with fingers and hands, and must be able to distinguish between warm/cold and be able to feel vibrations. Smell: One must have normal sense of smell to detect odors indicating unsafe conditions or changing patient status. # ESSENTIAL TECHNICAL ABILITIES # Proficiency using computer applications, telephone and including technical equipment used by Memorial Healthcare. Ability to enter clinical documentation using electronic medical records (EMR) charting. # ESSENTIAL MENTAL ABILITIES # Ability to adapt and maintain focus in fast paced, quickly changing or stressful situations. Ability to read and interpret a variety of documents including, but not limited to policies, operating instructions, white papers, regulations, rules and laws. Complete a history and head-to-toe initial assessment of patient#s condition for multiple systems. Formulate a care plan based upon the assessment and to evaluate patients# reactions to the care plan. Understand doctor#s orders. Document assessment, interventions, and evaluation. Calculate medication dosages and IV rates. Function well under pressure. # ESSENTIAL SENSORY REQUIREMENTS # Able to see for the purpose of reading information received in formats including but not limited to paper, computer, reports, bulletins, updates, manuals. Able to see and hear for work-related purposes. Communicate receptively and expressively in English, both written and verbal, with diverse populations, including physicians, patients, families, community agencies, employees, and volunteers. Visually assess patient#s condition and to auscultate lung, heart, bowel sounds, etc. and palpate as needed for assessment or treatment. Accurately hear communication by phone or in person. Maintain self-control. # # # INTERPERSONAL SKILLS # Maintain confidentiality. Ability to interact with co-workers, hospital staff, administration, patients, physicians, the public and all internal and external customers in a professional and effective, courteous and tactful manner, at all times, physically, verbally and in all written and electronic communication. Required to remain calm when adversity is encountered. Open, honest, and tactful communication skills. Ability to work as a team member in all activities. Positive, cooperative and motivated attitude

JOB SUMMARY

Works under the supervision of the unit Supervisor/Manager/Director. A registered professional nurse is responsible for the delivery of patient care through the nursing process of assessment, planning, implementation, and evaluation. She/he is responsible for direction and guidance of patient teaching and activities of ancillary personnel while maintaining standards of professional nursing and the policies and operating instructions of Memorial Healthcare. Strives for superior performance by consistently providing a product of service to leadership and staff that is recognized as ultimately contributing to the patient and family experience. As a customer-focused Memorial Healthcare team member, he/she must be accessible, flexible, knowledgeable, and responsive.

PRIMARY JOB RESPONSIBILITIES

* Assesses the physical, psychological, and social dimensions and the educational needs of the patient on admission and completes a written assessment within the time frame designated by the type of patient.
* Identifies patient needs and formulates a written care plan based on the assessment of the patient. Care plan is initiated within 24 hours of admission.
* Plan of care is implemented and documentation of effectiveness is reflected in the medical record. Revises/updates the plan as necessary or at least every 24 hours. Establishes a compassionate environment by providing emotional, psychological, and spiritual support to patients, friends, and families.
* Promotes patient's independence by establishing patient care goals; teaching patient, friends, and family to understand condition, medications, and self-care skills; and answering questions.
* Assures quality of care by adhering to therapeutic standards; measuring health outcomes against patient care goals and standards; making or recommending necessary adjustments; following hospital and nursing division's philosophies and standards of care set by state board of nursing, state nurse practice act, and other governing agency regulations.
* Resolves patient problems and needs by utilizing multidisciplinary team strategies.
* Protects patients and other employees by adhering to infection-control policies and protocols, medication administration and storage procedures, and controlled substance regulations.
* Maintains continuity of care among nursing teams and physicians by documenting and communicating actions, irregularities, and continuing patient needs.
* Maintains a cooperative relationship among healthcare teams by communicating information; responding to requests; building rapport; and participating in team problem-solving methods.
* Utilizes leadership skills through delegation to, communicate with, and evaluate team members.
* Recognizes changes in status of the patient and provides appropriate intervention and documentation.
* Provides ongoing patient and family education based on daily assessment of disease process, care requirements, and expected recovery.
* Prioritizes care based on individual patient needs.
* Demonstrates strong focus on patient education.
* Initiates appropriate referrals as identified to meet the discharge needs of patients in collaboration with case management.
* Participates in inservice and/or continuing education to maintain and improve understanding of the present and future trends in healthcare, and participates in unit and hospital-wide committees to identify needs and assists in continuous performance improvement. Attends a minimum of eight monthly staff meetings annually.
* Communicates identified unit problems following appropriate chain of command (Coordinator, Manager, Director, Vice President), and actively participates in the problem- solving process.
* Demonstrates job related aspects of patient safety to assure a safe environment, safe and effective use of equipment and technology, and decreased risk of potential adverse patient occurrences.
* Demonstrates knowledge of and supports hospital mission, vision, value statements, standards, policies and procedures, operating instructions, confidentiality statements, corporate compliance plan, customer service standards, and standards of behavior.
* Demonstrates the knowledge and skills necessary to provide care appropriate to the age of patients served on his/her assigned unit. Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the unit's and division's policies and procedures.
* Performs other duties as assigned.

JOB SPECIFICATIONS

EDUCATION

* Have graduated from an accredited school of nursing.
* Active, un-expired RN license from the State of Michigan.

EXPERIENCE

* Related experience preferred, not required.
* Current certification in AHA-BLS for Healthcare Providers required or obtain within 2 weeks of hire.
* Departmental specific requirements as outlined in Attachment A.

ESSENTIAL PHYSICAL ABILITIES/MOTOR SKILLS

* Able to travel independently throughout all Memorial Healthcare facilities.
* Standing/Walking: Standing and walking is required for the majority of time spent in the clinical area. Standing in one position is required while performing certain aspects of patient care.
* Sitting: Sit while charting or entering data into a computer. One may also sit while receiving/giving verbal reports at the start/end of one's shift. Employees will intermittently sit throughout the day, depending on clinical assignment.
* Lifting: Regular lifting of medical supplies, medications, patient supplies, and patient charts, which weighing up to ten pounds is required. Also lifting CPR equipment and other medical equipment weighing up to 45 pounds is required. It is required to assist in lifting and transferring patients of varying weights and is expected to request assistance when lifting, ambulating, and repositioning patients. One must be able to support at least 75 pounds to reposition, transfer, and ambulate patients safely.
* Carrying: Frequent carrying of medical supplies and other items weighing up to 45 pounds is required, along with occasional carrying of certain medical equipment weighing up to 50 pounds.
* Pushing/Pulling: Pushing/pulling 70-100 pounds is required when administering patient therapy and care, as well as when pushing equipment such as oxygen tanks and monitors, and when transporting patients in wheelchairs, beds or gurneys. When administering CPR, enough force to compress the chest 1.5 to 2 inches, which requires 100 to 125 pounds of force. Full manual dexterity of both upper extremities is required.
* Climbing: No significant climbing is required; one may be required to climb a step stool.
* Bending: Bending is required when administering patient care. One must be able to bend to touch the floor to remove environmental hazards.
* Reaching: Reaching above one's head is required when performing aspects of care such as hanging and adjusting IV bags.
* Squatting/Kneeling: Squatting or kneeling is required when operating medical equipment and performing aspects of patient care, such as CPR.
* Twisting: Twisting at the waist is required when bathing patients and performing other procedures.
* Hearing: One must have normal hearing (aids permitted) in order to perform physical assessments, including listening with a stethoscope for bowel, heart, and lung sounds. One must also be able to hear to detect subtle, yet critical information regarding patient conditions including alarms, and to communicate with physicians and other professionals involved in patient care.
* Visual Acuity: Vision is required within normal limits (glasses or contacts permitted) for monitoring equipment, reading medical data, preparing and administering medications and injections, and performing physical assessments of patients including subtle changes in color.
* Depth Perception: Required for fine tasks such as administering injections, sterile catheter insertions (urinary, IV), nasogastric tube insertions.
* Fine Motor Skills: One must have fine motor skills of all fingers and be able to grasp and control medical equipment, and to perform precise procedures such as sterile dressing changes. Ability to grasp objects such as a pen to prepare handwritten reports is also required.
* Tactile Sensation: One must be able to assess patients through palpation with fingers and hands, and must be able to distinguish between warm/cold and be able to feel vibrations.
* Smell: One must have normal sense of smell to detect odors indicating unsafe conditions or changing patient status.

ESSENTIAL TECHNICAL ABILITIES

* Proficiency using computer applications, telephone and including technical equipment used by Memorial Healthcare.
* Ability to enter clinical documentation using electronic medical records (EMR) charting.

ESSENTIAL MENTAL ABILITIES

* Ability to adapt and maintain focus in fast paced, quickly changing or stressful situations.
* Ability to read and interpret a variety of documents including, but not limited to policies, operating instructions, white papers, regulations, rules and laws.
* Complete a history and head-to-toe initial assessment of patient's condition for multiple systems.
* Formulate a care plan based upon the assessment and to evaluate patients' reactions to the care plan.
* Understand doctor's orders.
* Document assessment, interventions, and evaluation.
* Calculate medication dosages and IV rates.
* Function well under pressure.

ESSENTIAL SENSORY REQUIREMENTS

* Able to see for the purpose of reading information received in formats including but not limited to paper, computer, reports, bulletins, updates, manuals.
* Able to see and hear for work-related purposes.
* Communicate receptively and expressively in English, both written and verbal, with diverse populations, including physicians, patients, families, community agencies, employees, and volunteers.
* Visually assess patient's condition and to auscultate lung, heart, bowel sounds, etc. and palpate as needed for assessment or treatment.
* Accurately hear communication by phone or in person.
* Maintain self-control.

INTERPERSONAL SKILLS

* Maintain confidentiality.
* Ability to interact with co-workers, hospital staff, administration, patients, physicians, the public and all internal and external customers in a professional and effective, courteous and tactful manner, at all times, physically, verbally and in all written and electronic communication.
* Required to remain calm when adversity is encountered.
* Open, honest, and tactful communication skills.
* Ability to work as a team member in all activities.
* Positive, cooperative and motivated attitude

JOB SUMMARY # Works under the supervision of the unit Supervisor/Manager/Director. A registered professional nurse is responsible for the delivery of patient care through the nursing process of assessment, planning, implementation, and evaluation. She/he is responsible for direction and guidance of patient teaching and activities of ancillary personnel while maintaining standards of professional nursing and the policies and operating instructions of Memorial Healthcare. Strives for superior performance by consistently providing a product of service to leadership and staff that is recognized as ultimately contributing to the patient and family experience. As a customer-focused Memorial Healthcare team member, he/she must be accessible, flexible, knowledgeable, and responsive. # PRIMARY JOB RESPONSIBILITIES # Assesses the physical, psychological, and social dimensions and the educational needs of the patient on admission and completes a written assessment within the time frame designated by the type of patient. Identifies patient needs and formulates a written care plan based on the assessment of the patient. Care plan is initiated within 24 hours of admission. Plan of care is implemented and documentation of effectiveness is reflected in the medical record. Revises/updates the plan as necessary or at least every 24 hours. Establishes a compassionate environment by providing emotional, psychological, and spiritual support to patients, friends, and families. Promotes patient#s independence by establishing patient care goals; teaching patient, friends, and family to understand condition, medications, and self-care skills; and answering questions. # Assures quality of care by adhering to therapeutic standards; measuring health outcomes against patient care goals and standards; making or recommending necessary adjustments; following hospital and nursing division#s philosophies and standards of care set by state board of nursing, state nurse practice act, and other governing agency regulations. Resolves patient problems and needs by utilizing multidisciplinary team strategies. Protects patients and other employees by adhering to infection-control policies and protocols, medication administration and storage procedures, and controlled substance regulations. Maintains continuity of care among nursing teams and physicians by documenting and communicating actions, irregularities, and continuing patient needs. Maintains a cooperative relationship among healthcare teams by communicating information; responding to requests; building rapport; and participating in team problem-solving methods. Utilizes leadership skills through delegation to, communicate with, and evaluate team members. Recognizes changes in status of the patient and provides appropriate intervention and documentation. Provides ongoing patient and family education based on daily assessment of disease process, care requirements, and expected recovery. Prioritizes care based on individual patient needs. Demonstrates strong focus on patient education. Initiates appropriate referrals as identified to meet the discharge needs of patients in collaboration with case management. Participates in inservice and/or continuing education to maintain and improve understanding of the present and future trends in healthcare, and participates in unit and hospital-wide committees to identify needs and assists in continuous performance improvement. Attends a minimum of eight monthly staff meetings annually. Communicates identified unit problems following appropriate chain of command (Coordinator, Manager, Director, Vice President), and actively participates in the problem- solving process. # Demonstrates job related aspects of patient safety to assure a safe environment, safe and effective use of equipment and technology, and decreased risk of potential adverse patient occurrences. Demonstrates knowledge of and supports hospital mission, vision, value statements, standards, policies and procedures, operating instructions, confidentiality statements, corporate compliance plan, customer service standards, and standards of behavior. Demonstrates the knowledge and skills necessary to provide care appropriate to the age of patients served on his/her assigned unit.# Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient#s status and interpret the appropriate information needed to identify each patient#s requirements relative to his/her age-specific needs, and to provide the care needed as described in the unit#s and division#s policies and procedures. Performs other duties as assigned. # JOB SPECIFICATIONS EDUCATION Graduate from an accredited school of nursing or anticipated graduation within 4 months of hire date. RN license from Michigan or must successfully complete NCLEX within 6 months of graduation date. There is a maximum of three attempts to complete the NCLEX with the 6 month time frame. # EXPERIENCE# Related experience preferred, not required.# Current certification in AHA-BLS for Healthcare Providers required or obtain within 2 weeks of hire. Departmental specific requirements as outlined in Attachment A. # ESSENTIAL PHYSICAL ABILITIES/MOTOR SKILLS # Able to travel independently throughout all Memorial Healthcare facilities. Standing/Walking: Standing and walking is required for the majority of time spent in the clinical area. Standing in one position is required while performing certain aspects of patient care. Sitting: Sit while charting or entering data into a computer. One may also sit while receiving/giving verbal reports at the start/end of one#s shift. Employees will intermittently sit throughout the day, depending on clinical assignment. Lifting: Regular lifting of medical supplies, medications, patient supplies, and patient charts, which weighing up to ten pounds is required. Also lifting CPR equipment and other medical equipment weighing up to 45 pounds is required. It is required to assist in lifting and transferring patients of varying weights and is expected to request assistance when lifting, ambulating, and repositioning patients. One must be able to support at least 75 pounds to reposition, transfer, and ambulate patients safely. Carrying: Frequent carrying of medical supplies and other items weighing up to 45 pounds is required, along with occasional carrying of certain medical equipment weighing up to 50 pounds. Pushing/Pulling: Pushing/pulling 70-100 pounds is required when administering patient therapy and care, as well as when pushing equipment such as oxygen tanks and monitors, and when transporting patients in wheelchairs, beds or gurneys. When administering CPR, enough force to compress the chest 1.5 to 2 inches, which requires 100 to 125 pounds of force. Full manual dexterity of both upper extremities is required. Climbing: No significant climbing is required; one may be required to climb a step stool. Bending: Bending is required when administering patient care. One must be able to bend to touch the floor to remove environmental hazards. Reaching: Reaching above one#s head is required when performing aspects of care such as hanging and adjusting IV bags. Squatting/Kneeling: Squatting or kneeling is required when operating medical equipment and performing aspects of patient care, such as CPR. Twisting: Twisting at the waist is required when bathing patients and performing other procedures. Hearing: One must have normal hearing (aids permitted) in order to perform physical assessments, including listening with a stethoscope for bowel, heart, and lung sounds. One must also be able to hear to detect subtle, yet critical information regarding patient conditions including alarms, and to communicate with physicians and other professionals involved in patient care. Visual Acuity: Vision is required within normal limits (glasses or contacts permitted) for monitoring equipment, reading medical data, preparing and administering medications and injections, and performing physical assessments of patients including subtle changes in color. Depth Perception: Required for fine tasks such as administering injections, sterile catheter insertions (urinary, IV), nasogastric tube insertions. Fine Motor Skills: One must have fine motor skills of all fingers and be able to grasp and control medical equipment, and to perform precise procedures such as sterile dressing changes. Ability to grasp objects such as a pen to prepare handwritten reports is also required. Tactile Sensation: One must be able to assess patients through palpation with fingers and hands, and must be able to distinguish between warm/cold and be able to feel vibrations. Smell: One must have normal sense of smell to detect odors indicating unsafe conditions or changing patient status. # ESSENTIAL TECHNICAL ABILITIES # Proficiency using computer applications, telephone and including technical equipment used by Memorial Healthcare. Ability to enter clinical documentation using electronic medical records (EMR) charting. # ESSENTIAL MENTAL ABILITIES # Ability to adapt and maintain focus in fast paced, quickly changing or stressful situations. Ability to read and interpret a variety of documents including, but not limited to policies, operating instructions, white papers, regulations, rules and laws. Complete a history and head-to-toe initial assessment of patient#s condition for multiple systems. Formulate a care plan based upon the assessment and to evaluate patients# reactions to the care plan. Understand doctor#s orders. Document assessment, interventions, and evaluation. Calculate medication dosages and IV rates. Function well under pressure. # ESSENTIAL SENSORY REQUIREMENTS # Able to see for the purpose of reading information received in formats including but not limited to paper, computer, reports, bulletins, updates, manuals. Able to see and hear for work-related purposes. Communicate receptively and expressively in English, both written and verbal, with diverse populations, including physicians, patients, families, community agencies, employees, and volunteers. Visually assess patient#s condition and to auscultate lung, heart, bowel sounds, etc. and palpate as needed for assessment or treatment. Accurately hear communication by phone or in person. Maintain self-control. # INTERPERSONAL SKILLS # Maintain confidentiality. Ability to interact with co-workers, hospital staff, administration, patients, physicians, the public and all internal and external customers in a professional and effective, courteous and tactful manner, at all times, physically, verbally and in all written and electronic communication. Required to remain calm when adversity is encountered. Open, honest, and tactful communication skills. Ability to work as a team member in all activities. Positive, cooperative and motivated attitude. #

JOB SUMMARY

Works under the supervision of the unit Supervisor/Manager/Director. A registered professional nurse is responsible for the delivery of patient care through the nursing process of assessment, planning, implementation, and evaluation. She/he is responsible for direction and guidance of patient teaching and activities of ancillary personnel while maintaining standards of professional nursing and the policies and operating instructions of Memorial Healthcare. Strives for superior performance by consistently providing a product of service to leadership and staff that is recognized as ultimately contributing to the patient and family experience. As a customer-focused Memorial Healthcare team member, he/she must be accessible, flexible, knowledgeable, and responsive.

PRIMARY JOB RESPONSIBILITIES

* Assesses the physical, psychological, and social dimensions and the educational needs of the patient on admission and completes a written assessment within the time frame designated by the type of patient.
* Identifies patient needs and formulates a written care plan based on the assessment of the patient. Care plan is initiated within 24 hours of admission.
* Plan of care is implemented and documentation of effectiveness is reflected in the medical record. Revises/updates the plan as necessary or at least every 24 hours. Establishes a compassionate environment by providing emotional, psychological, and spiritual support to patients, friends, and families.
* Promotes patient's independence by establishing patient care goals; teaching patient, friends, and family to understand condition, medications, and self-care skills; and answering questions.
* Assures quality of care by adhering to therapeutic standards; measuring health outcomes against patient care goals and standards; making or recommending necessary adjustments; following hospital and nursing division's philosophies and standards of care set by state board of nursing, state nurse practice act, and other governing agency regulations.
* Resolves patient problems and needs by utilizing multidisciplinary team strategies.
* Protects patients and other employees by adhering to infection-control policies and protocols, medication administration and storage procedures, and controlled substance regulations.
* Maintains continuity of care among nursing teams and physicians by documenting and communicating actions, irregularities, and continuing patient needs.
* Maintains a cooperative relationship among healthcare teams by communicating information; responding to requests; building rapport; and participating in team problem-solving methods.
* Utilizes leadership skills through delegation to, communicate with, and evaluate team members.
* Recognizes changes in status of the patient and provides appropriate intervention and documentation.
* Provides ongoing patient and family education based on daily assessment of disease process, care requirements, and expected recovery.
* Prioritizes care based on individual patient needs.
* Demonstrates strong focus on patient education.
* Initiates appropriate referrals as identified to meet the discharge needs of patients in collaboration with case management.
* Participates in inservice and/or continuing education to maintain and improve understanding of the present and future trends in healthcare, and participates in unit and hospital-wide committees to identify needs and assists in continuous performance improvement. Attends a minimum of eight monthly staff meetings annually.
* Communicates identified unit problems following appropriate chain of command (Coordinator, Manager, Director, Vice President), and actively participates in the problem- solving process.
* Demonstrates job related aspects of patient safety to assure a safe environment, safe and effective use of equipment and technology, and decreased risk of potential adverse patient occurrences.
* Demonstrates knowledge of and supports hospital mission, vision, value statements, standards, policies and procedures, operating instructions, confidentiality statements, corporate compliance plan, customer service standards, and standards of behavior.
* Demonstrates the knowledge and skills necessary to provide care appropriate to the age of patients served on his/her assigned unit. Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the unit's and division's policies and procedures.
* Performs other duties as assigned.

JOB SPECIFICATIONS

EDUCATION

* Graduate from an accredited school of nursing or anticipated graduation within 4 months of hire date.
* RN license from Michigan or must successfully complete NCLEX within 6 months of graduation date. There is a maximum of three attempts to complete the NCLEX with the 6 month time frame.

EXPERIENCE

* Related experience preferred, not required.
* Current certification in AHA-BLS for Healthcare Providers required or obtain within 2 weeks of hire.
* Departmental specific requirements as outlined in Attachment A.

ESSENTIAL PHYSICAL ABILITIES/MOTOR SKILLS

* Able to travel independently throughout all Memorial Healthcare facilities.
* Standing/Walking: Standing and walking is required for the majority of time spent in the clinical area. Standing in one position is required while performing certain aspects of patient care.
* Sitting: Sit while charting or entering data into a computer. One may also sit while receiving/giving verbal reports at the start/end of one's shift. Employees will intermittently sit throughout the day, depending on clinical assignment.
* Lifting: Regular lifting of medical supplies, medications, patient supplies, and patient charts, which weighing up to ten pounds is required. Also lifting CPR equipment and other medical equipment weighing up to 45 pounds is required. It is required to assist in lifting and transferring patients of varying weights and is expected to request assistance when lifting, ambulating, and repositioning patients. One must be able to support at least 75 pounds to reposition, transfer, and ambulate patients safely.
* Carrying: Frequent carrying of medical supplies and other items weighing up to 45 pounds is required, along with occasional carrying of certain medical equipment weighing up to 50 pounds.
* Pushing/Pulling: Pushing/pulling 70-100 pounds is required when administering patient therapy and care, as well as when pushing equipment such as oxygen tanks and monitors, and when transporting patients in wheelchairs, beds or gurneys. When administering CPR, enough force to compress the chest 1.5 to 2 inches, which requires 100 to 125 pounds of force. Full manual dexterity of both upper extremities is required.
* Climbing: No significant climbing is required; one may be required to climb a step stool.
* Bending: Bending is required when administering patient care. One must be able to bend to touch the floor to remove environmental hazards.
* Reaching: Reaching above one's head is required when performing aspects of care such as hanging and adjusting IV bags.
* Squatting/Kneeling: Squatting or kneeling is required when operating medical equipment and performing aspects of patient care, such as CPR.
* Twisting: Twisting at the waist is required when bathing patients and performing other procedures.
* Hearing: One must have normal hearing (aids permitted) in order to perform physical assessments, including listening with a stethoscope for bowel, heart, and lung sounds. One must also be able to hear to detect subtle, yet critical information regarding patient conditions including alarms, and to communicate with physicians and other professionals involved in patient care.
* Visual Acuity: Vision is required within normal limits (glasses or contacts permitted) for monitoring equipment, reading medical data, preparing and administering medications and injections, and performing physical assessments of patients including subtle changes in color.
* Depth Perception: Required for fine tasks such as administering injections, sterile catheter insertions (urinary, IV), nasogastric tube insertions.
* Fine Motor Skills: One must have fine motor skills of all fingers and be able to grasp and control medical equipment, and to perform precise procedures such as sterile dressing changes. Ability to grasp objects such as a pen to prepare handwritten reports is also required.
* Tactile Sensation: One must be able to assess patients through palpation with fingers and hands, and must be able to distinguish between warm/cold and be able to feel vibrations.
* Smell: One must have normal sense of smell to detect odors indicating unsafe conditions or changing patient status.

ESSENTIAL TECHNICAL ABILITIES

* Proficiency using computer applications, telephone and including technical equipment used by Memorial Healthcare.
* Ability to enter clinical documentation using electronic medical records (EMR) charting.

ESSENTIAL MENTAL ABILITIES

* Ability to adapt and maintain focus in fast paced, quickly changing or stressful situations.
* Ability to read and interpret a variety of documents including, but not limited to policies, operating instructions, white papers, regulations, rules and laws.
* Complete a history and head-to-toe initial assessment of patient's condition for multiple systems.
* Formulate a care plan based upon the assessment and to evaluate patients' reactions to the care plan.
* Understand doctor's orders.
* Document assessment, interventions, and evaluation.
* Calculate medication dosages and IV rates.
* Function well under pressure.

ESSENTIAL SENSORY REQUIREMENTS

* Able to see for the purpose of reading information received in formats including but not limited to paper, computer, reports, bulletins, updates, manuals.
* Able to see and hear for work-related purposes.
* Communicate receptively and expressively in English, both written and verbal, with diverse populations, including physicians, patients, families, community agencies, employees, and volunteers.
* Visually assess patient's condition and to auscultate lung, heart, bowel sounds, etc. and palpate as needed for assessment or treatment.
* Accurately hear communication by phone or in person.
* Maintain self-control.

INTERPERSONAL SKILLS

* Maintain confidentiality.
* Ability to interact with co-workers, hospital staff, administration, patients, physicians, the public and all internal and external customers in a professional and effective, courteous and tactful manner, at all times, physically, verbally and in all written and electronic communication.
* Required to remain calm when adversity is encountered.
* Open, honest, and tactful communication skills.
* Ability to work as a team member in all activities.
* Positive, cooperative and motivated attitude.

JOB SUMMARY # Works under the supervision of the unit Supervisor/Manager/Director. A registered professional nurse is responsible for the delivery of patient care through the nursing process of assessment, planning, implementation, and evaluation. She/he is responsible for direction and guidance of patient teaching and activities of ancillary personnel while maintaining standards of professional nursing and the policies and operating instructions of Memorial Healthcare. Strives for superior performance by consistently providing a product of service to leadership and staff that is recognized as ultimately contributing to the patient and family experience. As a customer-focused Memorial Healthcare team member, he/she must be accessible, flexible, knowledgeable, and responsive. # PRIMARY JOB RESPONSIBILITIES # Assesses the physical, psychological, and social dimensions and the educational needs of the patient on admission and completes a written assessment within the time frame designated by the type of patient. Identifies patient needs and formulates a written care plan based on the assessment of the patient. Care plan is initiated within 24 hours of admission. Plan of care is implemented and documentation of effectiveness is reflected in the medical record. Revises/updates the plan as necessary or at least every 24 hours. Establishes a compassionate environment by providing emotional, psychological, and spiritual support to patients, friends, and families. Promotes patient#s independence by establishing patient care goals; teaching patient, friends, and family to understand condition, medications, and self-care skills; and answering questions. # Assures quality of care by adhering to therapeutic standards; measuring health outcomes against patient care goals and standards; making or recommending necessary adjustments; following hospital and nursing division#s philosophies and standards of care set by state board of nursing, state nurse practice act, and other governing agency regulations. Resolves patient problems and needs by utilizing multidisciplinary team strategies. Protects patients and other employees by adhering to infection-control policies and protocols, medication administration and storage procedures, and controlled substance regulations. Maintains continuity of care among nursing teams and physicians by documenting and communicating actions, irregularities, and continuing patient needs. Maintains a cooperative relationship among healthcare teams by communicating information; responding to requests; building rapport; and participating in team problem-solving methods. Utilizes leadership skills through delegation to, communicate with, and evaluate team members. Recognizes changes in status of the patient and provides appropriate intervention and documentation. Provides ongoing patient and family education based on daily assessment of disease process, care requirements, and expected recovery. Prioritizes care based on individual patient needs. Demonstrates strong focus on patient education. Initiates appropriate referrals as identified to meet the discharge needs of patients in collaboration with case management. Participates in inservice and/or continuing education to maintain and improve understanding of the present and future trends in healthcare, and participates in unit and hospital-wide committees to identify needs and assists in continuous performance improvement. Attends a minimum of eight monthly staff meetings annually. Communicates identified unit problems following appropriate chain of command (Coordinator, Manager, Director, Vice President), and actively participates in the problem- solving process. # Demonstrates job related aspects of patient safety to assure a safe environment, safe and effective use of equipment and technology, and decreased risk of potential adverse patient occurrences. Demonstrates knowledge of and supports hospital mission, vision, value statements, standards, policies and procedures, operating instructions, confidentiality statements, corporate compliance plan, customer service standards, and standards of behavior. Demonstrates the knowledge and skills necessary to provide care appropriate to the age of patients served on his/her assigned unit.# Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient#s status and interpret the appropriate information needed to identify each patient#s requirements relative to his/her age-specific needs, and to provide the care needed as described in the unit#s and division#s policies and procedures. Performs other duties as assigned. # JOB SPECIFICATIONS EDUCATION Have graduated from an accredited school of nursing. Active, un-expired RN license from the State of Michigan. # EXPERIENCE# Related experience preferred, not required.# Current certification in AHA-BLS for Healthcare Providers required or obtain within 2 weeks of hire. Departmental specific requirements as outlined in Attachment A. # ESSENTIAL PHYSICAL ABILITIES/MOTOR SKILLS # Able to travel independently throughout all Memorial Healthcare facilities. Standing/Walking: Standing and walking is required for the majority of time spent in the clinical area. Standing in one position is required while performing certain aspects of patient care. Sitting: Sit while charting or entering data into a computer. One may also sit while receiving/giving verbal reports at the start/end of one#s shift. Employees will intermittently sit throughout the day, depending on clinical assignment. Lifting: Regular lifting of medical supplies, medications, patient supplies, and patient charts, which weighing up to ten pounds is required. Also lifting CPR equipment and other medical equipment weighing up to 45 pounds is required. It is required to assist in lifting and transferring patients of varying weights and is expected to request assistance when lifting, ambulating, and repositioning patients. One must be able to support at least 75 pounds to reposition, transfer, and ambulate patients safely. Carrying: Frequent carrying of medical supplies and other items weighing up to 45 pounds is required, along with occasional carrying of certain medical equipment weighing up to 50 pounds. Pushing/Pulling: Pushing/pulling 70-100 pounds is required when administering patient therapy and care, as well as when pushing equipment such as oxygen tanks and monitors, and when transporting patients in wheelchairs, beds or gurneys. When administering CPR, enough force to compress the chest 1.5 to 2 inches, which requires 100 to 125 pounds of force. Full manual dexterity of both upper extremities is required. Climbing: No significant climbing is required; one may be required to climb a step stool. Bending: Bending is required when administering patient care. One must be able to bend to touch the floor to remove environmental hazards. Reaching: Reaching above one#s head is required when performing aspects of care such as hanging and adjusting IV bags. Squatting/Kneeling: Squatting or kneeling is required when operating medical equipment and performing aspects of patient care, such as CPR. Twisting: Twisting at the waist is required when bathing patients and performing other procedures. Hearing: One must have normal hearing (aids permitted) in order to perform physical assessments, including listening with a stethoscope for bowel, heart, and lung sounds. One must also be able to hear to detect subtle, yet critical information regarding patient conditions including alarms, and to communicate with physicians and other professionals involved in patient care. Visual Acuity: Vision is required within normal limits (glasses or contacts permitted) for monitoring equipment, reading medical data, preparing and administering medications and injections, and performing physical assessments of patients including subtle changes in color. Depth Perception: Required for fine tasks such as administering injections, sterile catheter insertions (urinary, IV), nasogastric tube insertions. Fine Motor Skills: One must have fine motor skills of all fingers and be able to grasp and control medical equipment, and to perform precise procedures such as sterile dressing changes. Ability to grasp objects such as a pen to prepare handwritten reports is also required. Tactile Sensation: One must be able to assess patients through palpation with fingers and hands, and must be able to distinguish between warm/cold and be able to feel vibrations. Smell: One must have normal sense of smell to detect odors indicating unsafe conditions or changing patient status. # ESSENTIAL TECHNICAL ABILITIES # Proficiency using computer applications, telephone and including technical equipment used by Memorial Healthcare. Ability to enter clinical documentation using electronic medical records (EMR) charting. # ESSENTIAL MENTAL ABILITIES # Ability to adapt and maintain focus in fast paced, quickly changing or stressful situations. Ability to read and interpret a variety of documents including, but not limited to policies, operating instructions, white papers, regulations, rules and laws. Complete a history and head-to-toe initial assessment of patient#s condition for multiple systems. Formulate a care plan based upon the assessment and to evaluate patients# reactions to the care plan. Understand doctor#s orders. Document assessment, interventions, and evaluation. Calculate medication dosages and IV rates. Function well under pressure. # ESSENTIAL SENSORY REQUIREMENTS # Able to see for the purpose of reading information received in formats including but not limited to paper, computer, reports, bulletins, updates, manuals. Able to see and hear for work-related purposes. Communicate receptively and expressively in English, both written and verbal, with diverse populations, including physicians, patients, families, community agencies, employees, and volunteers. Visually assess patient#s condition and to auscultate lung, heart, bowel sounds, etc. and palpate as needed for assessment or treatment. Accurately hear communication by phone or in person. Maintain self-control. # # # INTERPERSONAL SKILLS # Maintain confidentiality. Ability to interact with co-workers, hospital staff, administration, patients, physicians, the public and all internal and external customers in a professional and effective, courteous and tactful manner, at all times, physically, verbally and in all written and electronic communication. Required to remain calm when adversity is encountered. Open, honest, and tactful communication skills. Ability to work as a team member in all activities. Positive, cooperative and motivated attitude

JOB SUMMARY

Works under the supervision of the unit Supervisor/Manager/Director. A registered professional nurse is responsible for the delivery of patient care through the nursing process of assessment, planning, implementation, and evaluation. She/he is responsible for direction and guidance of patient teaching and activities of ancillary personnel while maintaining standards of professional nursing and the policies and operating instructions of Memorial Healthcare. Strives for superior performance by consistently providing a product of service to leadership and staff that is recognized as ultimately contributing to the patient and family experience. As a customer-focused Memorial Healthcare team member, he/she must be accessible, flexible, knowledgeable, and responsive.

PRIMARY JOB RESPONSIBILITIES

* Assesses the physical, psychological, and social dimensions and the educational needs of the patient on admission and completes a written assessment within the time frame designated by the type of patient.
* Identifies patient needs and formulates a written care plan based on the assessment of the patient. Care plan is initiated within 24 hours of admission.
* Plan of care is implemented and documentation of effectiveness is reflected in the medical record. Revises/updates the plan as necessary or at least every 24 hours. Establishes a compassionate environment by providing emotional, psychological, and spiritual support to patients, friends, and families.
* Promotes patient's independence by establishing patient care goals; teaching patient, friends, and family to understand condition, medications, and self-care skills; and answering questions.
* Assures quality of care by adhering to therapeutic standards; measuring health outcomes against patient care goals and standards; making or recommending necessary adjustments; following hospital and nursing division's philosophies and standards of care set by state board of nursing, state nurse practice act, and other governing agency regulations.
* Resolves patient problems and needs by utilizing multidisciplinary team strategies.
* Protects patients and other employees by adhering to infection-control policies and protocols, medication administration and storage procedures, and controlled substance regulations.
* Maintains continuity of care among nursing teams and physicians by documenting and communicating actions, irregularities, and continuing patient needs.
* Maintains a cooperative relationship among healthcare teams by communicating information; responding to requests; building rapport; and participating in team problem-solving methods.
* Utilizes leadership skills through delegation to, communicate with, and evaluate team members.
* Recognizes changes in status of the patient and provides appropriate intervention and documentation.
* Provides ongoing patient and family education based on daily assessment of disease process, care requirements, and expected recovery.
* Prioritizes care based on individual patient needs.
* Demonstrates strong focus on patient education.
* Initiates appropriate referrals as identified to meet the discharge needs of patients in collaboration with case management.
* Participates in inservice and/or continuing education to maintain and improve understanding of the present and future trends in healthcare, and participates in unit and hospital-wide committees to identify needs and assists in continuous performance improvement. Attends a minimum of eight monthly staff meetings annually.
* Communicates identified unit problems following appropriate chain of command (Coordinator, Manager, Director, Vice President), and actively participates in the problem- solving process.
* Demonstrates job related aspects of patient safety to assure a safe environment, safe and effective use of equipment and technology, and decreased risk of potential adverse patient occurrences.
* Demonstrates knowledge of and supports hospital mission, vision, value statements, standards, policies and procedures, operating instructions, confidentiality statements, corporate compliance plan, customer service standards, and standards of behavior.
* Demonstrates the knowledge and skills necessary to provide care appropriate to the age of patients served on his/her assigned unit. Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the unit's and division's policies and procedures.
* Performs other duties as assigned.

JOB SPECIFICATIONS

EDUCATION

* Have graduated from an accredited school of nursing.
* Active, un-expired RN license from the State of Michigan.

EXPERIENCE

* Related experience preferred, not required.
* Current certification in AHA-BLS for Healthcare Providers required or obtain within 2 weeks of hire.
* Departmental specific requirements as outlined in Attachment A.

ESSENTIAL PHYSICAL ABILITIES/MOTOR SKILLS

* Able to travel independently throughout all Memorial Healthcare facilities.
* Standing/Walking: Standing and walking is required for the majority of time spent in the clinical area. Standing in one position is required while performing certain aspects of patient care.
* Sitting: Sit while charting or entering data into a computer. One may also sit while receiving/giving verbal reports at the start/end of one's shift. Employees will intermittently sit throughout the day, depending on clinical assignment.
* Lifting: Regular lifting of medical supplies, medications, patient supplies, and patient charts, which weighing up to ten pounds is required. Also lifting CPR equipment and other medical equipment weighing up to 45 pounds is required. It is required to assist in lifting and transferring patients of varying weights and is expected to request assistance when lifting, ambulating, and repositioning patients. One must be able to support at least 75 pounds to reposition, transfer, and ambulate patients safely.
* Carrying: Frequent carrying of medical supplies and other items weighing up to 45 pounds is required, along with occasional carrying of certain medical equipment weighing up to 50 pounds.
* Pushing/Pulling: Pushing/pulling 70-100 pounds is required when administering patient therapy and care, as well as when pushing equipment such as oxygen tanks and monitors, and when transporting patients in wheelchairs, beds or gurneys. When administering CPR, enough force to compress the chest 1.5 to 2 inches, which requires 100 to 125 pounds of force. Full manual dexterity of both upper extremities is required.
* Climbing: No significant climbing is required; one may be required to climb a step stool.
* Bending: Bending is required when administering patient care. One must be able to bend to touch the floor to remove environmental hazards.
* Reaching: Reaching above one's head is required when performing aspects of care such as hanging and adjusting IV bags.
* Squatting/Kneeling: Squatting or kneeling is required when operating medical equipment and performing aspects of patient care, such as CPR.
* Twisting: Twisting at the waist is required when bathing patients and performing other procedures.
* Hearing: One must have normal hearing (aids permitted) in order to perform physical assessments, including listening with a stethoscope for bowel, heart, and lung sounds. One must also be able to hear to detect subtle, yet critical information regarding patient conditions including alarms, and to communicate with physicians and other professionals involved in patient care.
* Visual Acuity: Vision is required within normal limits (glasses or contacts permitted) for monitoring equipment, reading medical data, preparing and administering medications and injections, and performing physical assessments of patients including subtle changes in color.
* Depth Perception: Required for fine tasks such as administering injections, sterile catheter insertions (urinary, IV), nasogastric tube insertions.
* Fine Motor Skills: One must have fine motor skills of all fingers and be able to grasp and control medical equipment, and to perform precise procedures such as sterile dressing changes. Ability to grasp objects such as a pen to prepare handwritten reports is also required.
* Tactile Sensation: One must be able to assess patients through palpation with fingers and hands, and must be able to distinguish between warm/cold and be able to feel vibrations.
* Smell: One must have normal sense of smell to detect odors indicating unsafe conditions or changing patient status.

ESSENTIAL TECHNICAL ABILITIES

* Proficiency using computer applications, telephone and including technical equipment used by Memorial Healthcare.
* Ability to enter clinical documentation using electronic medical records (EMR) charting.

ESSENTIAL MENTAL ABILITIES

* Ability to adapt and maintain focus in fast paced, quickly changing or stressful situations.
* Ability to read and interpret a variety of documents including, but not limited to policies, operating instructions, white papers, regulations, rules and laws.
* Complete a history and head-to-toe initial assessment of patient's condition for multiple systems.
* Formulate a care plan based upon the assessment and to evaluate patients' reactions to the care plan.
* Understand doctor's orders.
* Document assessment, interventions, and evaluation.
* Calculate medication dosages and IV rates.
* Function well under pressure.

ESSENTIAL SENSORY REQUIREMENTS

* Able to see for the purpose of reading information received in formats including but not limited to paper, computer, reports, bulletins, updates, manuals.
* Able to see and hear for work-related purposes.
* Communicate receptively and expressively in English, both written and verbal, with diverse populations, including physicians, patients, families, community agencies, employees, and volunteers.
* Visually assess patient's condition and to auscultate lung, heart, bowel sounds, etc. and palpate as needed for assessment or treatment.
* Accurately hear communication by phone or in person.
* Maintain self-control.

INTERPERSONAL SKILLS

* Maintain confidentiality.
* Ability to interact with co-workers, hospital staff, administration, patients, physicians, the public and all internal and external customers in a professional and effective, courteous and tactful manner, at all times, physically, verbally and in all written and electronic communication.
* Required to remain calm when adversity is encountered.
* Open, honest, and tactful communication skills.
* Ability to work as a team member in all activities.
* Positive, cooperative and motivated attitude