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 to Allergy Clinic patients including adult and pediatric patient population
• Perform oral immunotherapy testing, oral food challenge testing, and food protein-induced enterocolitis syndrome (FPIES) testing.  
• Respond to allergic reactions, including anaphylaxis, utilizing clinic protocols.  
• Perform phone triage, including assessment, screening, clinical advice, nurse visits (in person/telephone), 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 perform 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 according to Allergy Division protocols.

Expectations 

• Demonstrated ability of effective interpersonal, verbal, and written communication with internal and external customers indicated by interviews, references, and/or performance evaluations.
• Demonstrated adaptability to changing needs and priorities on clinic, department, and institutional goals/objectives indicated by interviews, references, and/or performance evaluations.
• Demonstrated accountability and dependability, e.g., completion of work, mandatories, goal setting within established timelines indicated by interviews, references, and/or performance evaluations.
• Excellent attendance record as evidenced by references and evaluations. 
• Demonstrated ability to prioritize and problem solve effectively and efficiently indicated by interviews, references, and/or performance evaluations.
• Demonstrated ability to seek constructive approaches to resolving workplace issues indicated by interviews, references, and/or performance evaluations.
• Demonstrated willingness to support and participate in change based on unit, department, and institutional goals and objectives 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 patients? condition and adapts plan as needed. 
• Utilizes standard unit technology and uses advanced technology as appropriate. 
• Utilizes computers 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.
• Seek 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                                                                                                                                         

Required Qualifications*

• Current licensure to practice nursing in the State of Michigan (RN)
• 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 records, e.g., Epic as indicated by interviews, references, and/or performance evaluations in past 3 out of 5 years of RN experience.
• Experience providing patient/family education in past 3 out of 5 years of RN experience.
• Demonstrated excellent verbal and written communication skills as evidenced by interviews, evaluations, and reference in past 3 out of 5 years of RN experience.
   

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*

• BSN 
• One year of RN experience giving allergy injections 
• One year of RN experience administering oral food challenges and/or oral immunotherapy 
• One year of RN experience responding to allergic reactions, including anaphylaxis 
• One year of RN experience with telehealth and phone triage nursing within the last three (3) years, including patient triage and providing education by telephone       
   

Nursing Specific Info

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.

Nursing at Michigan offers a competitive salary with excellent benefits!  

• Hourly range for Registered Nurses $41.78-$64.81/ 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

What Benefits can you Look Forward to?

• 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

Nursing Specific Info

Salary & Nursing Framework Level:
This UMPNC RN posting is posted as Nursing Framework LEVEL C.
Actual Nursing Framework LEVEL and salary will be determined at time of hire.
Nursing Framework levels range from Level A to Level F.

Required qualifications must be met by the candidate in order to be interviewed and considered for the position. 
Posting may be filled after the initial 5-day posting period. 
Applicants who have left the UMPNC bargaining unit must include on their resume dates of past employment including months and years of service along with effort. 
Positions less than 20 hours/week may be combined. 

If you have questions regarding this posting or would like assistance with nursing opportunities please contact Nurse Recruitment at (734) 936-5183.

Modes of Work

Positions that are eligible for hybrid or mobile/remote work mode are at the discretion of the hiring department. Work agreements are reviewed annually at a minimum and are subject to change at any time, and for any reason, throughout the course of employment. Learn more about the work modes.

Work Schedule

• Hours/Week: 36 hours/week in clinic.
• Shift/Hours/Days: Day Shift; Monday through Friday.  Some evenings and Saturdays may be required (nontraditional including further weekend/holiday 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 Allergy 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.

U-M EEO Statement

The University of Michigan is an Equal Opportunity Employer. We are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants, including protected veterans and individuals with disabilities.