17 Nursing jobs in Hubbardston

Summary

The Registered Nurse provides direct care to patients using the nursing process. This includes ongoing assessment of the total patient. The RN provides interventions to treat the presenting symptoms and evaluates the effect of nursing interventions and patient's responses. The RN functions as a team leader/member and resource to others. The RN delegates, oversees and provides direction to support staff. Collaborates with interdisciplinary team to establish goals and outcomes for each patient. The RN is responsible for meeting the needs of all types of patients.

Responsibilities

(40%)* Regularly assesses patient's needs and provides skilled nursing services as prescribed by the physician authorized plan of care and accepted standards of evidence based nursing practice.

(30%)* Provides direct patient care including medication administration, treatments, education, call lights, assisting with transfers, responding to alarms, and other duties as appropriate

(20%)* Evaluates effectiveness of treatment plan and makes suggestions or participates in updating/revising the treatment plan in collaboration with other team members, utilizing current information to improve patient care.

(10%)* The RN is knowledgeable and compliant with all local, state and federal regulations and guidelines as well as hospital specific policies and procedures relating to care provided in the medical center.

OTHER DUTIES AND RESPONSIBILITIES

Demonstrates the MyMichigan Health mission, vision and values.

Behaves in a courteous, professional manner at all times with patients, visitors, and co-workers.

Demonstrates the ability to interpret information and reports pertinent data to the physician.

May be assigned educator or quality data abstraction duties on an as needed basis.

Educate patient/family according to assessed learning needs considering readiness, ability, preferences, and cultural / spiritual variables.

Demonstrates the ability to organize and prioritize the needs of groups of patients or an individual patient.

Demonstrates a general ability to manage assignments and perform routine duties on the unit.

Instructs other team members when appropriate, explaining goals and rationale for individualized care.

Demonstrates understanding of clinical pathways and utilizes appropriately. unit specific

Maintains a professional demeanor in all situations.

Documents in an accurate, clear, and concise way and includes pertinent clinical data.

Shares information and reports significant changes and/or abnormal findings to appropriate team members in a timely manner.

Participates in regulatory surveys.

Participates in the performance improvement activities.

Assists with orientation and ongoing competencies.

Provides a safe and secure environment for patient care.

Maintains knowledge with current trends and professional standards within a specialty .

Demonstrates understanding of role in emergency preparedness procedures.

Obtains prenatal history (prenatal L&D records) and antenatal care, gathering data and identifying risk factors. Performs physical assessment. Performs Leopold's maneuvers for fetal position. Assesses fetal heart rate and identifies maternal-fetal risk factors. Palpates uterus to assess frequency, length and quality of contractions. Distinguishes, reports and records normal and abnormal conditions. Identifies life-threatening/emergency situations. Formulates conclusions, making a diagnosis.

Decides when to do or not to do a vaginal examination on the laboring patient. Assesses and evaluates dilatation and effacement of the cervix and station of presenting part via sterile vaginal examination. Distinguishes true labor from false labor. Assesses and evaluates suspected rupture of membranes. Visualizes pooling of amniotic fluid. Uses nitrazine paper to prepare slide for fern test or collects amnisure specimens. Performs and/or assists with sterile speculum examinations.

Assesses and documents family interaction/support system. Identifies support person and desired birthing plan. Assesses effectiveness of patient's/family's current coping mechanisms. Evaluates level of childbirth preparation. Explains diet and activity orders during labor. Communicates and documents admission data with physician, nursing staff, family and appropriate personnel. Prioritizes and delivers care based on information obtained from maternal-fetal labor assessment of status and initial exam. Identifies those patients with high-risk conditions that may require consultation and/or transportation to a tertiary center.

Assesses patient during all stages of labor, obtaining vital signs, fetal heart rate and patterns, and amount, color, and odor of amniotic fluid, etc. Continuously updates nursing care plan. Identifies common analgesic drugs, contraindications, dosage parameters, and acceptable routes of administration. Identifies and promptly initiates appropriate nursing intervention for maternal and/or fetal side effects of medication and/or complications.

Sets up sterile delivery or operating instrument table using strict aseptic technique according to specific physician's request. Ensures presence and proper functioning of emergency/resuscitation equipment for mother and newborn and radiant warmer for infant if appropriate. Positions patient in desired delivery position, utilizing physiologic positioning. Performs perineum or abdominal scrub using sterile technique. Instructs coach/family in appropriate attire and hand washing technique per medical center protocol.

Notes and documents time of birth. Assesses Apgar scores at one and five minutes after birth. Assists with stabilization of at-risk neonate and performs cardiopulmonary resuscitation if indicated. Performs preliminary physical assessment for obvious physical abnormalities and notifies physician if abnormalities are noted. Correctly identifies newborn and mother, applying identification bracelets to both. Obtains necessary cord blood samples and sends them to the laboratory. Initiates newborn eye prophylaxis after initial bonding per Medical Center protocol. Assists in initial infant-parent-family bonding. Encourages immediate touch and eye contact as soon as possible after delivery. Answers patient-family questions about newborn. Assists with initial breastfeeding.

Notes and records delivery time of placenta. Notes and documents condition/ intactment of placenta and number of vessels in umbilical cord. Obtains cultures or specimen for laboratory analysis if indicated.

Assesses and documents maternal vital signs every 15 minutes for first hour, more frequently if the patient's condition warrants, and until stable per Medical Center protocol. Institutes uterine massage and applies perineal ice pack if indicated. Assesses for maternal discomfort and distended bladder and uses nursing intervention if needed. Encourages and promotes the bonding process. Explains post-delivery procedures and postpartum routine to patient and family. Prepares patient for transfer to postpartum status and/or gives discharge instructions to mother for self and infant care.

If indicated, administers and documents oxytocin for induction/augmentation of labor after a physician, nurse midwife or qualified intrapartum nurse examines the patient. Performs continuous electronic fetal monitoring and immediately discontinues oxytocin if there is maternal-fetal intolerance.

Develops a nursing plan of care based on appropriate data and rationale.

Monitors status of patient and fetus if antepartum. Monitors status of infant. Performs physical care, technical procedures and maintains a therapeutic environment. Intervenes in emergency situations.

Evaluates and initiates changes in plan of care based on changes in status of patient. Evaluates and initiates changes in plan of nursing care based on changes in status of infant. Collaborates with other healthcare providers in order to achieve optimal outcomes.

Performs neonatal resuscitation if needed.

All other duties as assigned.

Certifications and Licensures

Credential: RN: Registered Nurse

Equivalent Experience: A current license as a Registered Nurse in the State of Michigan.

Qualification Source: MI

Essential: true

Credential: NRP: Neonatal Resuscitation

Equivalent Experience: Within 12 months of hire or transfer

Qualification Source:

Essential: true

Credential: BLS: Basic Life Support

Equivalent Experience: Within 1 month of hire or transfer

Qualification Source: AHA

Essential: true

Credential: AWOHNN: Intermediate Fetal Monitoring

Equivalent Experience: Preferred within one year or hire or transfer.

Qualification Source:

Essential: false

Required Education

Education: Associates Degree

Equivalent Experience: BSN preferred.

Education Specialization: NRG

Essential: true

Other Information

EXPERIENCE, TRAINING AND SKILLS

Interpersonal skills needed to communicate successfully with individuals and groups and interact with people at all levels to communicate ideas and concepts in a clear and understandable manner.

This position must show knowledge, ability, and competence in treating unit specific patient populations .

MyMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft® Windows. An employee may be required to participate in further learning opportunities offered by MyMichigan Health.

Specialty certification preferred.

PHYSICAL/MENTAL REQUIREMENTS AND TYPICAL WORKING CONDITIONS:

Exposure to stressful situations, including those involving public contact, as well as, trauma, grief and death.

Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position.

Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description.

Overall vision and hearing is necessary with or without assisted device(s).

Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching.

Some exposure to blood borne pathogens and other potentially infectious material. Must follow MyMichigan Health bloodborne pathogen and TB testing as required.

Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake.

Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis.

Physical Demand Level: Medium. Must be able to occasionally (0-33% of the workday) lift or carry 21-50 lbs., frequently 34-66% of the workday 20 lbs. and or Walk/Stand/Push/Pull of Arm/Leg controls and constantly (67-100% or the workday) 10 lbs.

Other Comments

#Indeed1HP

L1-KH1

Medical Solutions is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Alma, Michigan.

• Specialty: ED - Emergency Department
• Discipline: RN
• Duration: 13 weeks
• 36 hours per week
• Shift: 12 hours, nights
• Employment Type: Travel

We’re seeking talented healthcare professionals whose adventure game is as strong as their clinical game. Those that want flexibility and high pay, we have the positions for you!

Some of the industry-leading benefits enjoyed by Medical Solutions travel nurses and travel allied healthcare professionals include:

• Day One Medical, Dental, and Vision with low premiums
• Day One 401(k) with Company Contribution
• Personalized Compensation Packages
• Paid, Private, Fully Furnished, Pet-Friendly Housing
• Dedicated Recruiter and 24/7 Customer Care Line
• Per Diem Allowance and Paid Travel
• Licensure and Certification Reimbursement
• Free Liability Coverage
• Voluntary Benefits: Critical Illness, Hospital Indemnity, Accident, and Pet Insurance
• Equal Employment Opportunity
• And More!

Estimated pay package based on bill rate at time job was posted. Bill rates can change frequently and without notice. Exact pay package may vary based on guaranteed hours, distance being traveled, and customizations available for travelers.

Medical Solutions Job ID #930764. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: ER (Emergency Room)

At Medical Solutions, we’re people who care, helping people who care. No matter how you look at it, there’s a whole lot of care going on in our world and that’s just the way we like it. What do we do? Medical Solutions is one of the nation’s largest providers of total workforce solutions in the healthcare industry, connecting nurses and allied health clinicians with hospitals and healthcare systems across the country and around the corner. Through our family of brands, we also serve a segment of clients outside of the healthcare space. And we’re the very best at what we do. You’ll love our culture that’s filled with heart and soul. As a company and employer, we’re sincerely and unabashedly us. We lead as humans first and believe the unique qualities of each team member make us better together. We share a purpose for helping others and the drive to make a difference. And we offer endless opportunities for personal and professional growth, throughout your career. At Medical Solutions, you’ll find a great place to work and a career home. We’ve received Best Places to Work awards, landed top industry awards, and received accolades for the impact we’ve made in business and within our community. But the only way to really get to know us, is to join us. We think you’ll fit right in.

Be sure to apply via Vivian Health to increase your chances of landing your perfect job. Just complete your Vivian Health profileonce, and get access to thousands of opportunities across the country. Then keep up to date with your job application process and conversations with our easy to use app.

• Weekly pay
• Holiday Pay
• Guaranteed Hours
• Continuing Education
• 401k retirement plan
• Pet insurance
• Company provided housing options
• Cancelation protection
• Wellness and fitness programs
• Mileage reimbursement
• Referral bonus
• Employee assistance programs
• Medical benefits
• Dental benefits
• Vision benefits
• Benefits start day 1
• License and certification reimbursement
• Life insurance
• Discount program

Vetted is seeking a RN - ED - Emergency Department for a travel job in Alma, Michigan. The job was posted about 2 months ago. The assignment starts on ASAP and is 13 weeks long with 8 hour shifts 5 days a week. You must live 60 miles away from the facility in order to get the travel rate. The contract pays $2,019 per week gross, with $,413 in wages and 606 in stipend. You'll need 2 years of experience, BLS and national and state certification and/or as required. Benefits include 1. Quick Payments Weekly pay through direct deposit 2. Health Generous medical and dental plans 3. Housing Stipend and per diem available 4. 401K Matching Sliding scale matched up to 4% Additional benefits include: - Licensure reimbursement - Best in the industry medical, dental, and vision - Weekly pay through direct deposit - Generous referral bonus program - 24/7 support - 401k with employer match - Guaranteed hours - Assistance with travel and planning - Employee discount program - Competitive bonuses

Vetted is seeking a RN - ED - Emergency Department for a travel job in Alma, Michigan. The job was posted about 2 months ago. The assignment starts on ASAP and is 13 weeks long with 13 hour shifts 3 days a week. You must live 60 miles away from the facility in order to get the travel rate. The contract pays $1,630 per week gross, with $,141 in wages and 489 in stipend. You'll need 2 years of experience, BLS and national and state certification and/or as required. Benefits include 1. Quick Payments Weekly pay through direct deposit 2. Health Generous medical and dental plans 3. Housing Stipend and per diem available 4. 401K Matching Sliding scale matched up to 4% Additional benefits include: - Licensure reimbursement - Best in the industry medical, dental, and vision - Weekly pay through direct deposit - Generous referral bonus program - 24/7 support - 401k with employer match - Guaranteed hours - Assistance with travel and planning - Employee discount program - Competitive bonuses

Positions Location: Ionia, MI

General Purpose of Job :

The Registered Nurse provides professional nursing care to patients in the Emergency Department. Accepts responsibility for the direction of co-workers in the implementation of the nursing care plan to maximize patient outcomes.

Essential Duties :

This job description is intended to cover the minimum essential duties assigned on a regular basis. Associates may be asked to perform additional duties as assigned by their leader. Leadership has the right to alter or modify the duties of the position.

• Independently implements the nursing process with patients/clients in the Emergency Department including carrying out physicians orders regarding diet, medication and treatment.
• Performs assessments, changes dressings, monitor and ensures patient safety and quality care through performance improvement activities that demonstrate positive outcomes.
• Reports on physiological and mental health status of patients/clients.
• Documents nursing interventions on medical records.
• Distributes and maintains records of controlled drugs and insures their security.
• Maintains records and makes reports.
• Makes decisions in routine cases.
• Responds to emergencies; maintains medications and supplies.
• Delegates, directs, and supervises implementation of care plan to LPN, PCT, CENA, or other health care workers.
• Supports the development of self and other associates through mentoring, preceptorship, and peer review.
• Accountable for professional development.
• Educates patients/families regarding treatment, nursing plans and related patient/client care issues
• Demonstrates knowledge and use of ED equipment and supplies to deliver the highest quality of patient care.
• May participate as a member of an interdisciplinary treatment team in the assessment, development, implementation and evaluation of patients/clients treatments or health/mental health care plans.

University of Michigan Health-Sparrow Ionia Emergency Department is a Level IV Trauma Center and LEED certified, state-of-the-art, 22-bed hospital opened in 2015. The new facility offers more services, updated technology and expanded healthcare for our patients. We partner with additional healthcare professionals throughout the UM Health-Sparrow Health System to provide exceptional care.

University of Michigan Health-Sparrow is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected Veteran status.

AdvisaCare is a fast-paced, established Home Health / Medicare Agency seeking FULL TIME Skilled Registered Nurses (RN) to provide care and service our patients in the Ionia County and surrounding areas with our Parent Agency located in Portage, MI.

The ideal candidates must be dynamic, energetic, organized and efficient professionals. If you believe each patient is as unique as the care they need - strive to offer the right care customized to each individual all while honoring his or her preferences, choices, abilities and specific needs - AND you want to do the Nursing tasks and skills you were trained to deliver, then this is the career for you!

Our Medicare Division is expanding and we desire your help!

OASIS Experienced Registered Nurse preferred ! LPN Skilled Visits also available, working under the RN!

With your Nursing Knowledge and Task Skills, every day is new and different. We make a real difference in the health and safety of our patients. Wound Care, including Wound Vacs, Drains, Tubes, All Ostomies, Traches, Catheters, Infusions and even LVADs. We will train you to bring your skills up to par as needed.

Getting to know your patients, doing one on one education with them and their caregivers, coordination with all of the members of the Home Health Team - it's a holistic and patient driven approach that we just don't see in facilities.

Requirements

• Current Michigan Registered Nurse (RN) or Licensed Practical Nurse (LPN)
• Minimum one (1) year of Home Health nursing experience preferred
• Demonstrated knowledge and skills to provide care to and communicate with all ages of the population
• Updated Tuberculin (TB) test and current CPR certification required
• Clear Criminal History/Drug Screen
• Compassionate and caring demeanor, with a professional presentation at all times
• Ability to travel within service area of AdvisaCare (approximately a 30 mile radius from your home)
• Critical thinking, task competence and the ability to think on your feet is needed.

Benefits

• Benefits AdvisaCare Can Offer YOU:
  
  • PTO / 401K Retirement Plan / Paid Holidays after 90 days
  • Medical Benefits for Full Time employees the 1st of the month following the 60th day
  • Excellent Pay / Mileage
  • Rewarding Work Environment
  • Paid General and Field Orientation
  • Advanced Skills Training offered (If you need it, we will teach you!
  "We will do what others will not do, so that one day we can do what others cannot do."

• Ensures that employees receive compliance training and education necessary to perform their job responsibilities in accordance with Company Code of Conduct.
• Ensures that documentation for all training is completed in accordance with state, federal and compliance requirements.
• Monitors employee performance and takes necessary action for compliance issues.
• Develops and conducts an orientation program for new, rehired and contract employees.
• Manages Employee Health program
• Provides hands-on clinical orientation and instruction to licensed and unlicensed personnel.
• Conducts or coordinates new employee job training, and CPR training.
• Assesses resident needs in relation to staff abilities and designs appropriate training programs.
• Working with the Director of Nursing (DNS), ensures clinical competency of nursing staff through observed skills evaluation, and conducts annual competency assessments for licensed nursing staff and Certified Nursing Assistants (CNAs).
• Assists in department budget preparation and contains expenditures within budget.
• Conducts and coordinates OSHA/Risk Management program with oversight of documentation requirements
• Ensures the educational curriculum in the center meets or exceeds state, federal and accreditation requirements.
• Plans and conducts state and federally required in-service programs.
• Conducts certification or training programs for Nursing Assistants.
• May be required to assume additional responsibilities for specific facility roles or programs, such as serving as the Infection Preventionist or assisting with data collection processes.
• Performs other tasks as assigned.
• Adheres to all Mission Points' Policies and Procedures.
• Conducts self in a manner consistent with Mission Points' Core Values at all times.
• Maintains a positive and respectful attitude with all work-related contacts.
• Consistently reports to work on time, prepared to perform the duties of the position.
• Meets productivity standards and performs duties as workload necessitates.
• Maintains the privacy of all patient information and company proprietary information.
• Treat residents, family members, visitors, and team members with respect and dignity.
• Able to safely perform the essential functions of the job with or without reasonable accommodation.
• Must maintain an active license or the required certification-if required in one's role.

• Graduate of accredited school of nursing, BS degree preferred.
• Licensed as an Registered Nurse required.
• Valid CPR teaching certificate, if applicable.
• Current with state Continuing Education (CE) Requirements.
• Three years of nursing experience, of which one year was in a long-term care environment.
• One year of experience as an instructor preferred.

• Knowledge of learning principles and training techniques.
• Skilled in developing and conducting training programs.
• Skilled in work assessment.
• Ability to communicate effectively with residents and their family members, and at all levels of the organization.
• Knowledge of state and federal requirements for accreditation and certification.
• Possesses basic computer skills
• Ability to work with a culturally diverse resident and employee population.

• Ability to travel as needed or assigned.

At Elara Caring, we have a unique opportunity to play a huge role in the growth of an entire home care industry. Here, each employee has the chance to make a real difference by carrying out our mission every day. Join our elite team of healthcare professionals, providing the Right Care, at the Right Time, in the Right Place.

Job Description:

Registered Nurse RN Home Health

At Elara Caring, we care where you are and believe the best place for your care is where you live. We know there's no place like home, and that's why our teams continue to provide high-quality care to more than 60,000 patients each day in their preferred home setting. Wherever our patients call home and wherever they are on their health journey, we care. Each team member has a part to play in this mission. This means you have countless ways to make a difference as a Registered Nurse Home Health. Being a part of something this great, starts by carrying out our mission every day through your true calling: developing an amazing team of compassionate and dedicated healthcare providers.

To continue to be an industry pioneer delivering unparalleled care, we need a Registered Nurse Home Health with commitment and compassion. Are you one of them? If so, apply today!

Why Join the Elara Caring mission?

• Work autonomy and flexible schedules

• 1:1 patient care

• Supportive and collaborative environment

• Competitive compensation package

• Tuition reimbursement for full-time staff and continuing education opportunities for all employees

• Comprehensive insurance plans for medical, dental, and vision benefits

• 401(K) with employer match

• Paid time off, paid holidays, family and pet bereavement

• Pet insurance

As a Registered Nurse Home Health, you'll contribute to our success in the following ways:

• Ensures that all activities performed align with the vision of Elara Caring's board of directors, executive team, and the leadership of the Home Health team.

• Add key accountabilities here.

• Maintains patient and staff privacy and confidentiality pursuant to HIPAA Privacy Final Rule.

• Assesses assigned case load of home health care patients and families to identify the physical, psychosocial, and environmental needs of patients as evidenced by documentation, clinical records, Interdisciplinary Team reports, after hours reports, and on-site evaluations.

• Assumes primary responsibility for caseload, including assessing, planning, coordinating, implementing, and evaluating the plan of treatment.

• Assesses patient needs and obtains data on physical, psychological, social, and spiritual factors that may influence patient/family/caregiver health status and incorporate that data into the plan of care.

• Makes the initial evaluation and re-evaluates the patient's nursing needs during each visit. Makes follow up visits according to patient, family, and facility needs.

• Communicates significant findings, problems, and changes in health condition, environment, or unsafe facility conditions to the Clinical Supervisor, physician, facility, and/or other personnel involved with patient care.

• Revises the plan of care in response to identified patient care issues and notifies the Clinical Supervisor, physician, facility, and other team members.

What is Required?

• Current, unrestricted state RN licensee

• 1+ year experience in a clinical care setting as a nurse

• Able and willing to travel within branch/office coverage area.

• Must have a dependable vehicle, valid driver's license, and current auto insurance in accordance with state laws.

• Must be able and willing to travel 50%

• Associates Degree or Bachelor's Degree in Nursing is preferred

• Previous Home Health or Hospice Experience is preferred

• Previous experience with HomeCare HomeBase is preferred

You will report to the Clinical Manager or Clinical Supervisor

This is not a comprehensive list of all job responsibilities and requirements; a full job description will be provided upon request. #LI-KZ1

We value the unique skills of veterans and military spouses. We encourage applications from military veterans and their families.

Elara Caring provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to sex (including pregnancy, childbirth or related medical conditions), race, color, age (40 and older), national origin, religion, disability, genetic information, marital status, sexual orientation, gender identity, gender reassignment, protected veteran status, or any other basis prohibited under applicable federal, state or local law.

Elara Caring participates in E-Verify and we will provide the Federal Government with your Form I-9 information to confirm that you are authorized to work in the United States. Employers like Elara Caring can only use E-Verify once you have accepted the job offer and completed the Form I-9.

At Elara Caring, pay and compensation are determined by a variety of factors, including education, job-related knowledge, skills, training, and experience. Our compensation structure reflects the cost of labor across different U.S. geographic markets, and may vary based on location.

This is not a comprehensive list of all job responsibilities and requirements; upon request, a job description can be provided.

If you are an individual with a disability and are unable or limited in your ability to use or access our career site as a result of your disability, you may request reasonable accommodations by reaching out to