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Graduate Nurse – Critical Care Residency

Traverse City, MI


Posted on February 8, 2019

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About Graduate Nurse – Critical Care Residency

Critical Care Residency Interviews: March 14, 15, 21, 22, 2019

Residency Begins: June 10, 2019

What does the program include?

Our program includes a combination of clinical and didactic training, a portion of which is approved for contact hours. New residents will participate in computer-based training, skills labs and simulations, EKG training, critical care/trauma case studies, and numerous clinical and critical-thinking experiences.

Residents will have the opportunity to strengthen their clinical skills, sharpen their nursing judgment, and organize care for diverse patient populations. They will work in multidisciplinary teams with the most up-to-date equipment and use Evidence-Based Practice. There will be opportunities to be part of current nursing research, and all residents will gain an appreciation for the special interaction between nursing, critically ill patients, and their families.


  1. Complete and submit an application. Deadline is March 1st, 2019.

  2. Submit your professional portfolio to Alyssa Breznau at [email protected] by March 1, 2019. PDF or Word document attachments are preferred. Your professional portfolio should include:

  3. Cover letter – Begin with “Dear Nurse Manager,” and introduce yourself and your goals.

  4. Resume – Include all education and experience, including dates. A list of clinical rotations is helpful when evaluating your experience in various areas of nursing practice.

  5. Unofficial transcript – This can usually be obtained through your school’s website. It is not necessary to pay for an official transcript through the university registrar.

  6. Clinical narrative – See the instructions below.

  7. Save your documents with the file names formatted in the following manner:

  8. Last Name, First Initial Cover Letter (e.g., Breznau, A Cover Letter)

  9. Last Name, First Initial Resume

  10. Last Name, First Initial Transcript

  11. Last Name, First Initial Narrative

  12. Complete the electronic reference process as instructed by Human Resources.


Graduation from a nationally accredited nursing educational program (ACEN or CCNE). Currently registered (or planning to register) to take the State board licensing exam. The expectation is that the State board licensing exam will be successfully completed within 90 days of start date. Failure to successfully pass the State board licensing exam will result in demotion to the Nurse Technician position.

Medication delivery and counting of narcotics or witnessing waste of narcotics may not be done until the RN licensure is obtained.

Experience in the clinical area in which application has been made is desirable.

Maintains Basic Life Support certification.


Works under the direction and supervision of a Registered Nurse. Accountable to the unit manager or designee of the assigned patient care unit; ultimately accountable for the practice of nursing to the Vice President, Patient Care Services. Works collaboratively and effectively with all members of the patient care team.


Cares for patients in the age category(s) checked below:

Neonatal (birth-1 mo) Young adult (18 yr-25 yrs)

Infant (1 mo-1 yr) Adult (26 yrs-54 yrs)

Early childhood (1 yr-5 yrs) Sr. Adult (55 yrs-64 yrs)

Late childhood (6 yrs-12 yrs) Geriatric (65 yrs & above)

Adolescence (13 yrs-17 yrs) All ages (birth & above)

No clinical contact with patients X_ Age of patients cared for is dependent

on the specific populations seen on the unit

Instructions for the Clinical Narrative

What is a clinical narrative?

A clinical narrative is a written statement of actual nursing practice. It is a story of how you provided care for a patient and family. This could be how you prepared a patient and/or family for something that changed their lifestyle when they return home, such as an amputation; or it could be how you helped a young couple prepare for the eventual death of their two-year-old with leukemia.

Your narrative is the story of a patient care situation that is meaningful to you. It is one that caused you to reflect on your practice, and may continue to influence your practice as you confront similar situations. It is a good example of how your care made a difference in the outcome of a particular patient/family. You might say that you have grown in your professional practice as a result of this experience; that the relationship and interventions you shared reinforced what you already believed.

What is the purpose of a clinical narrative?

Simply stated, the purpose of a clinical narrative is to articulate your nursing practice. The purpose is also to see the growth and development you have made over time. This narrative assists you in reflecting on your practice.

What should I write about my practice?

Often nurses are not aware of their contributions to the care of the patient and family. They may not see missed opportunities or ways a situation could have been handled differently.

Writing about your clinical practice helps you reflect on that practice and relate experience to patient care situations in the future. It also brings to light the skills you currently possess.

How do I begin to write this clinical narrative?

Think of your most recent group of patients (maybe a primary patient). What did you do that you remember? This can be a patient that you cared for yesterday, last week or within the past year. How did you interact with that patient? Your narrative does not have to be one that involved a life-threatening situation. Choose one that involves your relationship with a patient and family. What did you and the patient plan for his or her care? Why did you make the choices you did? Write as though you are trying to have someone understand your practice.

Should I write my narrative using the word “I”?

Yes. This must be a first person narrative. It is always difficult to write about ourselves, but to describe your practice you have to think in terms of yourself. You are the one who made the difference, so talk about it and use the word “I.”

What should I do after I select a patient to write about?

Sit down in a quiet place and write your story:

  1. Set the scene – let the reader visualize your patient and the situation. Write one or two opening paragraphs.

  2. Involve yourself early on in this scene.

  3. Tell what you did, what you thought about and why you made the choices you did. Write two or three sentences. The assessment should be ongoing, based on feedback during the intervention with the patient and family.

  4. As with any story, there is a beginning and an end. The reader should know what happened as a result of your intervention, and what this whole experience means to your practice or says to you about your practice.

As you proceed with the story, talk about your role with this patient, your assessment of the care that was needed, the care you gave (your intervention), how you involved the patient and family and the advocacy role you played with the patient. Include the reason(s) why you made the choices you did. What was your thought process? Talk about how you mobilized your resources or extended your intervention outside the hospital. As you write the narrative, you will realize how your care

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