REGISTERED NURSE - (Ambulatory Care Services, Dominos Farms Allergy Clinic)

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Mission Statement

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.

Responsibilities*

• Provide the delivery of culturally sensitive, age-specific team-based care models in delivering nursing care Allergy Clinic patients including adult and pediatric patient populations.
• Perform oral immunotherapy testing, oral food challenge testing, and food protein-induced enterocolitis syndrome (FPIES) testing. 
• Respond to allergic reactions, up to an including anaphylaxis, utilizing clinic protocols. 
• Perform phone triage, including assessment, screening, clinical advice, nurse visits (in person/ video visit), in-clinic hands on procedures, and other duties assigned.  
• Accurate and efficient documentation of nursing care. 
• Knowledge and appropriate use of internal and external resources, including UMH policies and protocols.
• Provide functional supervision to assistive personnel; collaborate with colleagues, other disciplines, and health care/community services to promote continuity of care for optimal patient outcomes.

?       Independently and completely performs focused assessment to provide best practice patient care for families and patients with allergy diagnoses including food sensitivities, food allergies, and other allergy diagnoses as appropriate.  

• Administer allergy injections, both building and maintenance dose schedules, according to Allergy Division protocols.

Expectations 

• Demonstrated critical thinking skills through use of the nursing process, excellent problem-solving skills, and demonstrated ability to set priorities.
• Demonstrated customer service, interpersonal communication skills, and the ability to build respectful relationships within and between units and individuals as indicated by interviews, references, and/or performance evaluations.
• Demonstrated accountability and dependability including a good attendance record with punctuality as indicated by interviews, references, and/or performance evaluations.
• Demonstrated adaptability to changing needs and priorities based on unit, department, and institutional goals/objectives as indicated by interviews, references, and/or performance evaluations.
•  Demonstrated knowledge and skills providing patient and family education and coaching related to chronic conditions including, but not limited to, allergies (food and seasonal), asthma, and other related chronic conditions as indicated by interviews, references, and/or performance evaluations.
• Proficiency with typing and electronic health record documentation.
• Ability to manage complex clinical issues utilizing assessment skills, protocols, and evidence-based interventions.
• Willingness to adapt to different populations pediatric and/or adult as patient demands. Orientation and training would be provided for new subspecialties within Allergy Clinic based on expansion of division.  

?       Recognizes Allergy Specialty information.  

• 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 the 
  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. 
• Anticipates, identifies, and intervenes when there are concerns related to patient safety, staff 
  safety and safe medication processes.  Consults documentation to identify trends in patient status 
  and enhance continuity of assessment and ongoing nursing care.
• Possesses clarity on one's own values and how they affect interactions, relationships and 
  boundary setting. 
• 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.

?       Acts as a resource for team members regarding allergy

?       Provides feedback to appropriate staff members.

?       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. 

?       Seeks to learn about and optimize the unique contribution inherent in the diversity and culture of each individual on the health care team. 

Readily able to delegate to UAP according to the 5 Rights of Delegation

?       Facilitates continuity of care and nursing workflow through nurse to nurse delegation                                                                                                                                         

Nursing Specific Info

Nursing at Michigan offers a competitive salary with excellent benefits! 

Hourly range for Registered Nurses $38.26-$59.35 / hour
? Evening Shift Differential-$3.00 / hour
? Night Shift Differential- $4.00 / hour
? Day Shift Weekend Differential- $2.90 / hour
? Evening Shift Weekend Differential- $5.90 / hour
? Night Shift Weekend Differential- $6.90 / hour
? Charge Nurse Differential- $1.00 / hour

The benefit package includes: 

• Excellent medical, dental and vision coverage
• 2:1 Match on retirement savings and immediate vesting
• Generous Paid Time Off Allowances
• Robust Tuition and Certification support programs
• Large offering of no cost CEs and professional development for advancement

Required Qualifications*

• Current licensure to practice nursing in the State of Michigan.
• Three (3) years in the last five (5) years of RN experience with adult and/or pediatric patients in an Ambulatory Care Clinic setting. 
• Proficiency with MiChart inbasket management and documentation of patient encounters in electronic health record, e.g., Epic.
• Experience with patient/family education.

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.

Desired Qualifications*

• RN experience responding to allergic reactions, including anaphylaxis.
• RN experience giving allergy injections
• RN experience with telehealth and phone triage nursing within the last year, including patient triage and providing education by telephone       
• RN experience administering oral food challenges and/or oral immunotherapy
• RN experience responding to allergic reactions, including anaphylaxis                                                          
• BSN  

Work Schedule

Hours/Week: 40 hours/week in-clinic. 

Shift/Hours/Days: Day Shift; Mon-Fri, some Saturdays may be required (nontraditional including further weekends/holidays commitment). Hours may be variable based on patient and volume needs, with flexibility required.

Location: Domino?s Farms Allergy Clinic with potential to work in other locations. 

 Note: All new employees will be expected to float to a designated unit(s) in times of low census. 

Union Affiliation

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.

Background Screening

Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings.  Background screenings are performed in compliance with the Fair Credit Report Act. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other U-M campuses.

Selection Process

Michigan Medicine seeks to recruit and retain a diverse workforce as a reflection of our commitment to serve the diverse people of Michigan and to maintain the excellence of the University. We welcome applications from anyone who would bring additional dimensions to the University’s research, teaching, and clinical mission, including women, members of minority groups, protected veterans, and individuals with disabilities. The Department of Nursing, like the University of Michigan as a whole, is committed to a policy of nondiscrimination and equal opportunity for all persons and will not discriminate against any individual because of race, color, national origin, age, marital status, sex, sexual orientation, gender identity, gender expression, disability, religion, height, weight, or veteran status.   

U-M EEO/AA Statement

The University of Michigan is an equal opportunity/affirmative action employer.