Observation Unit Med/Surg RN
Marquette, MI
GHR Healthcare - PH Division
3x12 hrs

Job Opportunity: RN - Med Surg (Observation Unit Nurse)

Location: Marquette, Michigan
Employment Type: Travel Contract
Contract Length: 13 weeks

Job Summary

The Observation Unit Nurse provides high-quality, patient-centered nursing care for individuals requiring short-term evaluation and treatment (typically 24–48 hours) to determine admission needs or safe discharge. This role involves rapid assessment, frequent reassessment, care coordination, and timely intervention for patients with diverse medical and surgical conditions in a fast-paced environment.

Key Responsibilities

• Perform timely and comprehensive initial assessments and frequent reassessments to monitor patient progress.
• Implement and adjust care plans based on provider orders, patient condition changes, and clinical judgment.
• Administer medications, treatments, IV therapies, and diagnostic preparation per protocol.
• Monitor vital signs, labs, and diagnostic results; promptly report changes and abnormal findings.
• Provide patient education on diagnosis, treatment plans, medications, and discharge instructions.
• Coordinate care with physicians, case management, and multidisciplinary teams to support timely disposition.
• Document assessments, interventions, and patient responses accurately in the electronic health record (Cerner).
• Facilitate efficient admission, transfer, and discharge workflows.
• Support safe and smooth transitions of care, including follow-up appointments and patient teaching.
• Respond to urgent situations and perform emergency interventions within scope of practice.
• Maintain compliance with infection control standards, patient safety protocols, hospital policies, and regulatory requirements.
• Participate in performance improvement activities to enhance patient experience, throughput, and clinical outcomes.

Unit Information

• Unit: Observation Unit
• Number of Beds: 10
• Patient Population: Adults only (>18 years)
• Patient Ratios: Approximately 1:5 (no defined ratios)
• Equipment: Cardiac monitor
• EHR System: Cerner
• Shift: 5 days/5 nights, 12-hour shifts
• Weekly Guaranteed Hours: 72 hours per pay period (0.9 FTE)
• Weekend/Holiday Work: Required
• Float Requirements: Yes, to Medical/Cardiac/Neuro-Ortho Units
• Trauma Level: 2

Required Qualifications

• Registered Nurse (RN) license in Michigan
• Minimum 2 years of experience in Med/Surg specialty (higher experience requirement applied)
• Required Certifications:

  • BLS (Basic Life Support)
  • ACLS (Advanced Cardiovascular Life Support)
  • NIH Stroke Scale Competency
  • Telemetry/ECG Competency
• Preferred Certifications (optional):

  • TNCC (Trauma Nursing Core Course)
  • ENPC (Emergency Nursing Pediatric Course)

Preferred Experience

• At least 1 year of medical/surgical nursing experience
• Telemetry experience preferred

Common Diagnoses/Treatments

• Chest pain
• Asthma exacerbation
• Transient ischemic attack (TIA)
• Abdominal pain
• Urinary issues
• Blood sugar issues
• Deep vein thrombosis (DVT)/Pulmonary embolism (PE)
• Cellulitis
• Post-procedural monitoring
• Minor trauma

Additional Notes

• Orientation is bi-weekly
• No mandated call requirements
• No guarantee on block scheduling
• Dress code: Galaxy blue scrubs

This position is ideal for RNs with solid med/surg experience who thrive in a fast-paced observation unit environment and are comfortable managing a diverse adult patient population requiring short-term evaluation and treatment.