This position is responsible for the provision of nursing care, assessment including physical, psychosocial, development and environmental needs of patient and families, training, monitoring and reassessment of home infusion patients prior to and following hospital discharge and in ambulatory care areas. To provide initial and ongoing infusion nursing care needs to home care patients complying with applicable laws, regulations and policies. Triage problems as they arise with home infusion patients.
Characteristic Duties and Responsibilities:
Independently and completely performs focused assessment to provide most effective patient care for a given patient population.
Recognizes specialty data.
Prioritizes key nursing diagnoses to address physical and psychosocial/emotional areas.
Practice is driven by theory and experience.
Independently develops, implements, and evaluates plan of care that recognizes subtle changes in patient’s condition and adapts plan as needed.
Utilizes standard unit technology and uses advanced technology as appropriate.
Utilizes computer for basic functions as well as reference on patient conditions and treatment.
Accurately assesses patient’s/family’s readiness to learn, organizes and executes individualized teaching plan, evaluates patient’s understanding and modifies approach as necessary.
Seeks out additional patient education resources beyond unit.
Demonstrates ease in application of hospital policies and unit procedures and protocols.
Identifies and intervenes when there are concerns related to medication safety, providing feedback to staff members involved.
Anticipates and intervenes when there are concerns related to patient and staff safety.
Consults documentation to identify trends in patient status and enhance continuity of assessment and ongoing nursing care.
Individualizes communication based on assessment of the patients and families.
Incorporates patient/family in planning and implementing care.
Demonstrates empathy in interactions with patients/families.
Mobilizes appropriate resources in response to situations that have the potential to negatively impact patient/family outcomes.
Recognizes ethical issues and seeks assistance in addressing them.
Seeks to learn about and optimize the unique contribution inherent in the diversity and culture of each individual.
Recognizes and values professional collaborative communication and the positive effect on patient outcomes.
Identifies and utilizes collaborative resources.
Functions as an independent and supportive team member, provides assistance to others.
Demonstrates empathy and compassion in interactions with team members.
Approaches conflict situations in a constructive manner.
Facilitates continuity of care and nursing work flow through nurse to nurse delegation.
May act as a preceptor of new and present staff when applicable.
Utilizes own knowledge/skills to improve professional development environment on the unit.
Demonstrates an awareness of current literature in area of practice.
Participates in unit/area based research as appropriate.
Provides in-service training to home care agencies as needed
Patient and Family Centered Care
Actively engages the patient, patient representative (if any), and family by exhibiting respect and dignity, sharing information in a timely and unbiased manner, and welcoming and encouraging participation to achieve shared decision making.
Collaborates with other members of the team, including the patient, patient representative (if any), and family, to achieve the ideal patient care experience.
Other Related Duties:
Practices within the scope of license, certification, or registration.
Complies with all applicable continuing education requirements.
Complies with all University of Michigan, Michigan Medicine and departmental standards and expectations.
Supports the department’s commitment to continuous improvement activities and principles through positive and respectful contribution in all problem-solving and change processes at PAC Services.
Performs other duties as assigned.
The employee will be able to perform the assigned duties and responsibilities with or without reasonable accommodations: ability to work in a sedentary position for long periods of time, ability to communicate/ exchange information, fine motor coordination/dexterity necessary for keyboarding or typing, and may require reaching, bending, twisting, stooping, moving about, lifting of up to 30 pounds, etc., with or without the use of assistive/adaptive devices.
OCCUPATIONAL HAZARD INFORMATION:
Staff members may have routine exposure to all chemical inventory, inclusive of hazardous materials, housed at all work sites for PACs, including but not limited to: the office, hospital, clinics, vehicles and warehouse. Chemical inventory reference materials are available to all staff in the form of hard copy and on-line Material Safety Data Sheets.
Staff may carry out assignments in patient’s homes, hospitals, clinics and PACs offices. Staff may drive personal or University owned vehicle and walk on uneven surfaces to these various work site locations in all weather conditions on a regular basis.
Current license to practice as a Registered Nurse in the State of Michigan.
Home Infusion and or home care experience as a RN.
Direct care with all types of vascular access devices (i.e.: PICCs, midlines, implanted, tunneled
Two (2) years of recent clinical experience that demonstrates effective coordination of clinical care with a multidisciplinary team for the pediatric, adult and geriatric patients
Ability to demonstrate excellent problem solving, critical thinking and triage skills and to work independently in a multidisciplinary, fast paced environment as evidenced by interview, references and performance evaluation.
In-depth recent experience in patient education and training.
Excellent communication and customer service skills.
NOTE: In order to be considered for this position the applicant must have met or will have met all the required qualifications prior to the start date of employment.
RESUME REQUIRED (for both internal & external applicants): You must attach a complete and accurate resume to be fully considered for this position.
Experience teaching and developing patient education material/policies and procedures for home e infusion and equipment techniques.
Two (2) or more years adult and or pediatric medical/surgical nursing experience.
Certification in Infusion Therapy
Computer skills, i.e. Microsoft Word, Excel
Experience with MiChart
Peripheral IV insertion experience and phlebotomy experience
Michigan Medicine is one of the largest health care complexes in the world and has been the site of many groundbreaking medical and technological advancements since the opening of the U-M Medical School in 1850. Michigan medicine is comprised of over 26,000 employees and our vision is to attract, inspire, and develop outstanding people in medicine, sciences, and healthcare to become one of the world's most distinguished academic health systems. In some way, great or small, every person here helps to advance this world-class institution. Work at Michigan Medicine and become a victor for the greater good.
What Benefits can you Look Forward to?
Nursing at Michigan offers a competitive salary with excellent benefits!
Salary range for Registered Nurses- $67,815.44 - $107,275.37
Evening Shift Differential- $2.55 per hour
Night Shift Differential- $3.40 per hour
Weekend Differential- $1.75 per hour
Hours per week: 40hrs/week Shift/ Hours/Days: Hours 11 AM to 7:30 PM, but may vary. Occasional on-call and rotating Saturdays and Holidays
**Note: Role will require cross training to both the Hospital staff role (in-hospital setting) and in-home nursing (patient visits).
This position is covered under the collective bargaining agreement between the U-M and the Michigan Nurses Association and the U-M Professional Nurse Council union, which contains and settles all matters with respect to wages, benefits, hours and other terms and conditions of employment.
Under Michigan law, a criminal history check including fingerprinting is required as a condition of transfer or employment for this position.
Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society.
The University of Michigan is an equal opportunity/affirmative action employer.
Internal Number: 191521
About University of Michigan - Ann Arbor
A great university is made so by its faculty and staff, and Michigan is recognized as one of the best universities to work for in the country. The Michigan culture is known for engaging faculty and staff in all facets of the university to create a workplace that is vibrant and stimulating.For two consecutive years, the Chronicle of Higher Education has placed U-M in its "Great Colleges to Work For" survey. In particular, the university earns high marks for strong relations between faculty and administrators, a collaborative system of governance, strong pay and benefits, and a healthy work/life balance.