RN Med Surg, Part Time

Site: Martha's Vineyard Hospital, Inc.

 

Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.

 

Job Summary

ED: The Registered Staff Nurse is a professional nurse who renders quality nursing care. Nursing care is based upon the assessed needs of the patient, is congruent with the prescribed therapy of the medical staff and is based on the Nursing Department's philosophy of nursing, and the Hospital's mission, vision and values. The Registered Staff Nurse will assess, plan, implement, and evaluate care for all patients. The Registered Staff Nurse is accountable for the delivery of quality patient care, utilizing the nursing process for all patients from birth through their adult life cycle. Professional certification in applicable nursing field(s) preferred. Must be available to work day, evening and/or night shift as well as rotation on weekends as assigned. Must be able to rotate to units as assigned. Must be willing to work additional shifts as assigned. Must be available to stay overnight should need arise during patient transports off island. May be exposed to the following hazards: temperature fluctuations, moderate noise levels, minimal dust, infectious diseases and other chemicals as customarily used in a hospital setting. Exposure to various hazards in handling patient transports. Must be available to work overtime as needed to complete all job duties. Must be available to work in the case of a Hospital declared emergency.

Med/Surg: The Registered Staff Nurse is a professional nurse who renders quality nursing care. Nursing care is based upon the assessed needs of the patient, is congruent with the prescribed therapy of the medical staff and is based on the Nursing Department's philosophy of nursing, and the Hospital's mission, vision, and values. The Registered Staff Nurse will assess, plan, implement, and evaluate care for all patients. The Registered Staff Nurse is accountable for the delivery of quality patient care, utilizing the nursing process for all patients from birth through their adult life cycle. Available to work day, evening and/or night shift as well as rotation on weekends as assigned. Must be able to rotate to units as assigned. Willing to work additional shifts as assigned. Availability to stay overnight should need arise during patient transports off island. May be exposed to the following hazards: temperature fluctuations, moderate noise levels, minimal dust, infectious diseases, and other chemicals as customarily used in a hospital setting. Exposure to various hazards in handling patient transports. Available to work overtime as needed to complete all job duties. Available to work in the case of a Hospital declared emergency.

NCMG: The RN is a licensed professional who supports medical providers in delivering of patient and family centered health care in an ambulatory care setting. The nurse reports to the Nurse Director and is responsible for working side by side with the providers, hospital leadership, and health care team to oversee the delivery of quality patient care through the daily operations of the office, which may include the supervision of the medical assistants (MA). Work hours will be determined by the Director of the practice and/or the Clinical Nurse Director and needs of the practice and will include some weekends. Overtime as necessary to complete assigned work. Must be available to work in the case of a declared Hospital emergency. May be required to attend meetings on or off the island.

Perioperative: The Perioperative Nurse assesses the patient preoperatively; plans care during the surgical intervention, implements those nursing actions and evaluate the outcomes. This position is responsible for perioperative nursing, coverage of Central Sterile Supply on an as needed basis, and scheduled outpatient procedures requiring assistance by the physician. National certification in areas of expertise (CNOR, CEN, CCRN, etc.) preferred. Must be available to stay overnight should need arise during patient transports off island. Must be able to rotate to other units, as assigned. Must be willing to work additional shifts, as assigned. Must be available to work in the case of a declared Hospital emergency.

Dialysis: Performs standard nursing practices as outlined by Dialysis Unit policies and procedures. Must be available to work day or evening shifts, as well as weekend rotations, as assigned. Must be available to stay overnight should need arise during patient transports off island. Must be able to rotate to other units, as assigned. Must be willing to work additional shifts, as assigned. Must be available to work in the case of a declared Hospital emergency. Must be tested on hire for color-blindness.

Infusion: The Chemotherapy/IV therapy Nurse functions as an experienced clinical Registered Nurse in coordinating patient care and collaborating with other care providers and health team members to provide high-quality care of patients needing outpatient infusion therapy. This nurse acts as a patient guide and advocate by assisting patients and families to seek information, ensuring informed consent regarding treatment decisions and promoting the maximal level of patient-desired independence. This nurse is accountable for delivering care to the patient within the framework of the nursing process. This is a clinical position assuming department wide responsibility. Must be available to work day, evening and/or night shift as well as rotation on weekends as assigned. Must be able to rotate to units as assigned. Must be willing to work additional/irregular shifts as on occasion to meet patient needs. May be exposed to the following hazards: temperature fluctuations, moderate noise levels, minimal dust, infectious diseases and other chemicals as customarily used in a hospital setting. Exposure to various hazards in handling patient transports. Must be available to work overtime as needed to complete all job duties. Must be available to work in the case of a Hospital declared emergency.

LDRP: This is a Registered Staff Nurse position with responsibility for reasonable and comprehensive care for all obstetrical patients. Accountable for the delivery of quality patient care, utilizing the nursing process for all patients. Must be available to work day, evening and/or night shift as well as rotation on weekends as assigned. Must be able to rotate to units as assigned. Must be willing to work additional shifts as assigned. Must be available to stay overnight should need arise during patient transports off island. May be exposed to the following hazards: temperature fluctuations, moderate noise levels, minimal dust, infectious diseases and other chemicals as customarily used in a hospital setting. Exposure to various hazards in handling patient transports. Must be available to work overtime as needed to complete all job duties. Must be available to work in the case of a Hospital declared emergency.

 

Essential Functions:

ED:

• Collects and documents all data pertinent to each patient’s actual and potential needs within twenty-four (24) hours of admission.

• Documents and reports significant findings of ongoing patient assessment.

• Formulates the patient plan of care based on age-specific needs and acceptable standards of practice.

• Communicates the patient plan of care (written/verbal) through shift reports and other established procedures.

• Formulates discharge plan (with guidance when needed) within twenty-four (24) hours of admission.

• Implements and documents teaching plan in the patient record

• Organizes own patient care and demonstrates ability to set priorities, providing most acutely needed care first and implementing physician and nursing orders within appropriate timeframes.

• Demonstrates proficiency in administering treatments, procedures, and equipment appropriate to the unit/department as demonstrated by the skills checklist.

• Administers safely and documents medications according to established procedures with no more than three (3) documented errors per year.

• Uses standard precautions as outlined in the Nursing Department Infection Control Manual.

• Demonstrates ability to prioritize patient/unit needs.

ED:

• Collects and documents all data pertinent to each patient’s actual and potential needs within twenty-four (24) hours of admission.

• Documents and reports significant findings of ongoing patient assessment.

• Formulates the patient plan of care based on age-specific needs and acceptable standards of practice.

• Communicates the patient plan of care (written/verbal) through shift reports and other established procedures.

• Formulates discharge plan (with guidance when needed) within twenty-four (24) hours of admission.

• Implements and documents teaching plan in the patient record

• Organizes own patient care and demonstrates ability to set priorities, providing most acutely needed care first and implementing physician and nursing orders within appropriate timeframes.

• Demonstrates proficiency in administering treatments, procedures, and equipment appropriate to the unit/department as demonstrated by the skills checklist.

• Administers safely and documents medications according to established procedures with no more than three (3) documented errors per year.

• Uses standard precautions as outlined in the Nursing Department Infection Control Manual.

• Demonstrates ability to prioritize patient/unit needs.

• Completes discharge screening tool upon admission, appropriate referrals to other care services, and implements individualized teaching plan based on actual discharge needs.

• Evaluates nursing interventions to changing patient situations as demonstrated by patient outcome.

• Prioritizes nursing interventions in complex and rapidly changing patient situations, as evidenced by the patient outcome and documentation in the record.

• Demonstrates competency in the following areas by physical demonstration, verbal or written exam (medical equipment, age specific assessment and intervention, procedures such as IV therapy, medication administration, initiation of telemetry, etc.), as may be required in the performance of job duties and responsibilities.

• Attends all mandatory Hospital/Nursing Department in-service training sessions and meetings.

• Actively participates in 75% of unit staff meetings, Nursing Steering Committee, patient care conferences, and/or one (1) project relevant to the unit per year.

• Maintains an environment that is committed to high standards of patient care and supportive of Nursing Department staff providing that care.

• Assumes responsibility and accountability for providing open communication, consensus decision-making, group goal setting and shared responsibility. 

• Assumes authority, responsibility and accountability for nursing practice. 

• Functions in a collaborative and collegial relationship with other health professionals and providers. 

• Demonstrates consideration toward patients, family members and other Hospital personnel by communicating in a professional manner, acknowledging and understanding their concerns and speaking to them in a manner which demonstrates concern, dignity and respect.

• Adheres to Hospital/Nursing Department policy and dresses in a manner that represents the nursing profession as a professional; maintains personal cleanliness of dress and hygiene, and wears identification badge at all times while working.

• Participates in disciplinary performance improvement and other activities designed for professional growth.

• Reviews and signs all in-service updates.

• Identifies own limitations in skills and knowledge as demonstrated by seeking guidance when needed from appropriate colleagues.

• Identifies and meets individual annual goals that are congruent with the Nursing Department’s long- and short-term goals.

• Participates in decision-making processes of unit/Nursing Department.

• Demonstrates leadership skills.

• Recognizes acute problems that occur in the unit and intervenes in a safe manner, in accordance with Nursing Department and Hospital procedure.

• Provides assistance to other staff members during orientation and as needed and requested.

• Participates in the development and implementation of Nursing Department goals and objectives by providing constructive feedback.

• When performing the role of Day Charge nurse, attends discharge planning meetings

• When performing in the role of Clinical Director, provides guidance to each nursing unit to coordinate, direct, and evaluate the activities of Nursing Department personnel.

• Serves, when directed, as the onsite nursing administrative authority.

• Maintains confidentiality of organizational and patient information in accordance with Hospital policy and applicable statutes.

Med/Surg:

• Collects and documents all data pertinent to each patient’s actual and potential needs on admission or within twenty-four (24) hours of admission.

• Documents and reports significant finding of ongoing patient assessment.

• Formulates the patient plan of care based on age-specific needs and acceptable standards of practice.

• Communicates the patient plan of care (written/verbal) through shift reports and other established procedures.

• Initiates discharge plan (with guidance when needed) within twenty-four (24) hours of admission.

• Implements and documents teaching plan in the patient record.

• Organizes own patient care and demonstrates ability to set priorities, providing most acutely needed care first and implementing physician and nursing orders within appropriate timeframes.

• Demonstrates proficiency in administering treatments, procedures, and equipment appropriate to the unit/department as demonstrated by the skills checklist.

• Administers safely and documents medications according to established procedures.

• Uses standard precautions as outlined in the Nursing Department Infection Control Manual.

• Demonstrates ability to prioritize patient/unit needs.

• Completes discharge screening tool upon admission, appropriate referrals to other care services, and implements individualized teaching plan based on actual discharge needs.

• Evaluates nursing interventions to changing patient situations as demonstrated by patient outcome.

• Prioritizes nursing interventions in complex and rapidly changing patient situations, as evidenced by the patient outcome and documentation in the record.

• Demonstrates competency in the following areas by physical demonstration, verbal, or written exam (medical equipment, age specific assessment and intervention, procedures such as IV therapy, medication administration, initiation of telemetry, etc.), as may be required in the performance of job duties and responsibilities.

• Attends mandatory Hospital/Nursing Department in-service training sessions and meetings.

• Actively participates in 75% of unit staff meetings, patient care conferences, and/or one (1) project relevant to the unit per year.

• Maintains an environment that is committed to high standards of patient care and supportive of Nursing Department staff providing that care.

• Assumes responsibility and accountability for providing open communication, consensus decision-making, group goal setting and shared responsibility. 

• Assumes authority, responsibility, and accountability for nursing practice. 

• Functions in a collaborative and collegial relationship with other health professionals and providers. 

• Demonstrates consideration toward patients, family members and other Hospital personnel by communicating in a professional manner, acknowledging, and understanding their concerns and speaking to them in a manner which demonstrates concern, dignity, and respect.

• Adheres to Hospital/Nursing Department policy and dresses in a manner that represents the nursing profession as a professional; maintains personal cleanliness of dress and hygiene, wears identification badge at all times while working.

• Participates in disciplinary performance improvement and other activities designed for professional growth.

• Reviews and signs all in-service updates.

• Identifies own limitations in skills and knowledge as demonstrated by seeking guidance when needed from appropriate colleagues.

• Identifies and meets individual annual goals.

• Participates in decision-making processes of unit/Nursing Department.

• Demonstrates leadership skills.

• Recognizes acute problems that occur in the unit and intervenes in a safe manner, in accordance with Nursing Department and Hospital procedure.

• Provides assistance to other staff members during orientation and as needed and requested.

• Participates in the development and implementation of Nursing Department goals and objectives by providing constructive feedback.

• When performing the role of Day Charge nurse, attends discharge planning meetings.

• Maintains confidentiality of organizational and patient information in accordance with Hospital policy and applicable statutes.

•Other duties as assigned

NCMG:

Responsible for handling calls from patients and/or patient representative who are seeking medical information and/or medical attention.  Facilitates scheduling of appointments as the patient’s condition requires, answer questions and provide health education to patients on the phone who have questions about their care.

Specific duties include:

• Participates in daily “morning huddle,” proactively identifying clinical care, concerns, and needs for patient’s/families scheduled for the day.

• Helps facilitate the processing of medication refills.

• Conducts patient call-backs/follow-up calls within a timely manner and documents the interaction within the EHR. 

• Supports the office team with obtaining required medical records/consults/test results.

• Completes medical and treatment pre-authorizations in a timely manner.

• Helps make referral to outside institutions if clinical expertise is needed.

• Assists the providers and other office staff with scheduling patients for required medical appointments, utilizing EMR, and other available scheduling systems.

•  Assists the provider as needed with EMR inbasket management.

• Administers immunizations within established practice guidelines.

• Completion of a pre-visit comprehensive assessment, intake, and history of new patients.

• Rooming patients and preparing the patient and room for the provider, to include the following:

   o Gathering of all appropriate supplies.

   o Opening the clinical record using the appropriate template.

   o Review and documentation of all relevant clinical information in each patient’s records, to include:

• Chief complaint/reason for visit/nursing assessment.

• Current and past medications (medication reconciliation).

• Relevant patient, family, and social history (including smoking status).

• Health Maintenance status/requirements.

• Nursing care provided.

• Vaccine status and administration.

• Vital signs.

• Fall screening for patients >65.

• Review and document allergies.

• Ensure patient’s choice of pharmacy is noted.

• Completion of screening and evaluation forms (PEDS and Post-Partum Screenings).

• Review PROMS questionnaire.

• Confirm all appropriate patient consents for treatment/care (surgical procedures, Care in L&D, Sterilization, etc.) are obtained and help provide education, along with the provider if necessary.

• Ensures all required insurance/forms are reviewed and signed by the patient (Medicare physical and medication/vaccine waivers).

• Comprehensive teaching and education of patients and/or their families utilizing current, standardized teaching tools and handouts.

• Assists the provider with treatments/screenings.

• Completes medication/treatment pre-authorizations.

• Completion of all nurse visits, in a timely manner, to include:

   o Providing and recording appropriate assessment and treatment data.

   o Consults with provider, as required.

   o Completion of coding within the EHR in accordance with documented industry standards and Partners Policy.

• Sends/responds to clinical messages in a timely manner.

• Assists other nurses as needed.

• Keep rooms adequately stocked.

• Assist patients in and out of wheelchairs and other assistance as needed.

• Other duties as assigned.

• Telephone Triage

   o Responds to patient phone calls in a timely manner, collecting sufficient information related to the presenting problem and medical history.

   o Furnishes medical advice within the scope of the practice.

   o Facilitates the scheduling of appointments, based on necessity.

   o Accurately documents the encounter with the patient in the EMR.

   o Maintains work queue within the EMR.

Perioperative:

• Demonstrates expertise in operating room procedures and can function independently in the performance of other surgical procedures.

• Establishes and implements standards of practice that ensure safe, effective and efficient nursing skills.

• Is able to interpret and complies with JCAHO, OSHA, and other federal and state standards.

• As a perioperative nurse, assesses the patient preoperatively, plans care during the surgical intervention, implements those nursing actions and evaluate the outcomes. Ensures the patients record is complete with all necessary pre-operative information. Documents.

• Conducts a nursing assessment and develops a plan of care for all patients upon admission.

• Identifies and prioritizes activities that are necessary to meet patient needs.

• Evaluates the effectiveness of intraoperative measures taken, documents them and reassesses to take additional actions as needed.

• Communicates and collaborates with other members of the health care team.

• Maintains a procedural log as it pertains to the operating room and other units.

• Covers central supply responsibilities in times of illness/vacation and as needed.

• Ensures that appropriate supplies are available and replaced as used/needed.

• Uses proper aseptic and sterilization techniques.

• Assists in the orientation and supervision of other personnel who work in the perioperative setting.

• Highly recommend CNOR certification within two (2) years of assuming position.

• Oversees the operation of the operating room and central supply in the absence of the Perioperative Services manager.

• Maintains confidentiality of patient information in accordance with Hospital policy and applicable statutes and regulations.

Dialysis:

• Demonstrate understanding of the standards of care related to hemodialysis/ESRD nursing.

• Demonstrates proficiency in performing dialysis nursing by:

   o Assessing patient access for patency and/or complications

   o Performing cannulation efficiently and effectively

   o Assessing patient pre and post treatment

   o performing dialysis treatment per unit standard

   o monitoring for patient response to Rx

   o Assessing patient for discharge

   o Monitoring estimated dry weight appropriately

   o Handling complications efficiently and effectively

   o seeking guidance/advice from appropriate source when indicated

   o maintaining effective psycho-social skills with patients

• Collects and documents all data pertinent to each patient’s actual and potential needs.

• Documents and reports significant findings of ongoing patient assessment.

• Formulates the patient plan of care based on acceptable standards of practice.

• Communicates the patient plan of care (written/verbal) through established procedures.           

• Plans individualized patient care using nursing theory in collaboration with patient and other health care providers.

   o Attends Short- and Long-Term Care Plan conferences.

• Implements patient’s plan of care in collaboration with patient, family members and significant others.

• Communicates the initial plan of care and revision (written/verbal) through shift reports and other established procedures.

• Implements, consistently provides and documents patient education related to ESRD/dialysis plan of care in the patient record.

• Evaluates nursing interventions to changing patient situations as demonstrated by patient outcome, documentation in the patient record and revision of the plan of care.

• Prioritizes nursing interventions in complex and rapidly changing patient situations, as evidenced by the patient outcome and documentation in the record.

• Recognizes acute problems that occur in the unit and intervenes in a safe manner, in accordance with Nursing Department and Hospital procedure.

• Reports unusual occurrences to Clinical Coordinator/Clinical Nurse Manager and/or MD as appropriate.

• Demonstrates proficiency in administering treatments, procedures and equipment appropriate to the unit/department as demonstrated by the skills checklist.

• Administers safely and documents medication regimen according to established procedures with no more than three (3) documented errors per year.  

• Uses standard precautions and appropriate personal protective equipment as outlined in the Nursing Department Infection Control Manual.

• Demonstrates competency in the following areas by physical demonstration, verbal or written exam (medical equipment, age specific assessment and intervention, procedures such as IV therapy, lab draws,  medication administration, etc.), as may be required in the performance of job duties and responsibilities.

• Participates in activities designed for professional growth in nursing as well as Nephrology.

• Attends all mandatory Hospital/Nursing Department in-service training sessions and meetings. 

• Participates in department meetings and conferences as required.

• Reviews and signs all in-service updates.

• Identifies own limitations in skills and knowledge as demonstrated by seeking guidance when needed from appropriate colleagues.

• Actively participates in own performance appraisal.

• Helps maintains performance and sterility of dialysis machines by performing:

   o Heat and bleach disinfection

   o Obtaining monthly cultures

   o Maintaining machine logs

• Maintains order by maintaining adequate stock of supplies and ensuring adequate forms for the clinical record, patient education, etc.

• Participates in department quality improvement activities.

• Provides assistance to other staff members when needed and requested.

• Participates in the orientation of new staff members.

• Assists in the scheduling of seasonal/transient patients and obtaining the necessary transfer paperwork.

• Maintains confidentiality of patient information in accordance with Hospital policy and applicable statutes and regulations.

Infusion (1/2):

Assessment: The IV Therapy Nurse systematically and continually collects data regarding the health status of the patient. This data is communicated in a timely manner with other members of the health care team as needed.

• Collects pertinent objective and subjective data in a timely manner, ongoing, systematic, and culturally competent manner.

• Collects data from multiple sources, including the patient, the family, the interdisciplinary cancer care team members, and the community using appropriate assessment techniques.

• Uses theoretical and evidence-based concepts in nursing to assess individual patient populations.

• Collects data in problem areas that may include but are not limited to health promotion, patient/family education, coping, comfort, nutrition, complementary and alternative medicine, protective mechanisms, mobility, gastrointestinal and urinary function, sexuality, cardiopulmonary function, oncology emergencies, end-stage renal disease, psychosocial issues and palliative and end-of-life care.

Diagnosis: The IV Therapy Nurse ensures that the assessment data is analyzed to determine nursing diagnosis.  This nurse is also recognized as the expert in outpatient infusion therapy and used as a resource and mentor to regular nursing staff.

• Determines nursing diagnoses and potential problem statements from assessment data.

• Formulates nursing diagnoses that conform to an accepted classification system.

• Develops individualized nursing diagnoses that are physically, psychosocially, spiritually, and culturally appropriate to the patient.

• Ensures nursing diagnoses reflect the patient’s actual or potential health problems.

• Validates nursing diagnoses with the patient, family, and interdisciplinary care team when possible.

Outcome Identification and Planning: The Nurse ensures that individualized expected outcomes are identified. The IV Therapy Nurse ensures that an individualized and holistic plan of care that prescribes interventions to attain expected outcomes.

• Initiates patient plan of care using assessment data upon admission based on age specific needs.

• Incorporates in the patient plan of care the:

   o Nursing diagnosis specific to the patient’s actual problems/needs.  

   o Nursing diagnosis which reflects complex etiology. 

   o Individual teaching plans using identified teaching needs.  

   o Nursing interventions consistent with nursing diagnosis and etiology.

   o Attainable goals with target dates.

• Documents nursing intervention and patient’s response by the end of the treatments according to established procedures.

• Implements discharge plans by:

   o Making appropriate referrals to other health care services.

   o Implementing individualized teaching plan based on actual discharge needs.

• Formulates the patient plan of care based on acceptable standards of practice.

• Communicates the patient plan of care (written/verbal) through established procedures.           

• Plans individualized patient care using nursing theory in collaboration with patient and other health care providers.

• Implements patient’s plan of care in collaboration with patient, family members and significant others.

• Communicates the initial plan of care and revision (written/verbal) through shift reports and other established procedures.

• Evaluates nursing interventions to changing patient situations as demonstrated by patient outcome, documentation in the patient record and revision of the plan of care.

• Prioritizes nursing interventions in complex and rapidly changing patient situations, as evidenced by the patient outcome and documentation in the record.

• Recognizes acute problems that occur in the unit and intervenes in a safe manner, in accordance with Nursing Department and Hospital procedure.

• Reports unusual occurrences to Clinical Nurse Leader/Director of Nursing, and/or MD as appropriate.

• Demonstrates proficiency in administering treatments, procedures and equipment appropriate to the unit/department as demonstrated by the skills checklist.

• The Nurse ensures that the plan of care is implemented to achieve the identified expected outcomes for the patient.

• Administers safely and documents medication regimen according to established protocols with no more than one documented error per year.      

• Uses standard precautions as outlined in the Departmental Infection Control Manual.

• Utilizes learning principles as demonstrated by the documentation of teaching outcomes.

Infusion (2/2):

Evaluation: The IV Therapy Nurse systematically and regularly evaluates the patient’s response to interventions to determine progress toward achievement of expected outcomes.

• Ensures that the patient/family and the members of the interdisciplinary care team participate collaboratively in the evaluation process when possible.

• Maintains a systematic and ongoing evaluation process.

• Collects evaluation data from all pertinent sources

• Compares actual findings to expected findings.

• Reviews and revises the nursing diagnoses, expected outcomes and plan of care based on the findings of the evaluation process.

• Uses evidence-based research in the evaluation of expected outcomes.

• Communicates the patient’s response with the interdisciplinary cancer care team and other agencies involved in the healthcare continuum.

• Documents the findings of the evaluation in the patient’s record.

Nursing Competency: Demonstrates competency in the following areas by physical demonstration, verbal or written exam: Equipment, Age Specific Assessment and Intervention, Procedures such as IV therapy,

Medication Administration, as listed on annual competency assessment form.

Professionalism:

• Attends all mandatory hospital/unit-based in-services.

• Actively participates in 75% of unit staff meetings, patient care conferences, and/or one project relevant to the unit per year.

• Maintain an environment that is committed to high standards of patient care and supportive of nursing personnel providing that care.

• Assumes responsibility and accountability in providing open communication, consensus decision-making, group goal setting and shared responsibility. 

• Authority, responsibility and accountability for nursing practice rest with the professional nurse.

• Function in a collaborative and collegial relationship with other health professionals and providers. 

• Demonstrates consideration toward patients, family and other hospital personnel by communicating in a professional manner, acknowledging and understanding their concerns and speaking to them in a manner which shows concern, dignity and respect.

• Adheres to hospital/department policy and dresses in a manner that represents the nursing profession as a professional; maintaining personal cleanliness of dress and hygiene, wearing ID badge.

Staff Development:

• Participates in performance improvement and in activities designed for professional growth.

• Reviews and signs all in-service updates.

• Identifies own deficits in knowledge and pursues venues to enhance learning.

• Uses credible, evidence-based educational resources.

• Identifies and meets individual goals annually which are congruent with the Nursing Departments long and short-term goals.

• Involved in decision making process by participating in committees one unit/department-based project.

Other:

• Maintains order of the department by maintaining adequate stock of supplies and ensuring adequate forms for the clinical record, patient education etc.

• Maintains equipment, participates in the recommendation and purchase of new equipment.

• Assists in the performance improvement plan by gathering data and recommending implementation of a plan of action.

LDRP:

• Collects and documents all data pertinent to each patient’s actual and potential needs within twenty-four (24) hours of admission.

• Documents and reports significant findings of ongoing patient assessment.

• Formulates the patient plan of care based on acceptable standards of practice.

• Communicates the patient plan of care (written/verbal) through shift reports and other established procedures.

• Plans individualized patient care using nursing theory in collaboration with patient and other health care providers.

• Initiates patient plan of care, using assessment data upon admission based on age-specific needs.

• Incorporates in the patient plan of care the:

   o Nursing diagnosis specific to the patient’s actual problems/needs.

   o Nursing Diagnosis which reflects complex etiology.

   o Individual teaching plans using identified teaching needs.

   o Nursing interventions consistent with nursing diagnosis and etiology.

• Implements patient’s plan of care in collaboration with patient, family members and significant others.

• Communicates the initial plan of care and revision (written/verbal) through shift reports and other established procedures.

• Formulates discharge plans within twenty-four (24) hours of admission and as part of the       revision process.

• Implements discharge plans by:

   o initiating and completing discharge screening tool upon admission,

   o completing appropriate referrals to other care services, 

   o implements individualized teaching plan based on actual discharge needs.

• Implements and documents teaching plan in the patient record.

• Evaluates outcome of patient care.

• Evaluates nursing interventions to changing patient situations as demonstrated by patient outcome, documentation in the patient record and revision of the plan of care.

• Prioritizes nursing interventions in complex and rapidly changing patient situations, as evidenced by the patient outcome and documentation in the record.

• Demonstrates proficiency in administering treatments, procedures and equipment appropriate to the unit/department as demonstrated by the skills checklist.

• Administers safely and documents medication regimen according to established procedures with no more than three (3) documented errors per year.  

• Uses standard precautions as outlined in the Nursing Department Infection Control Manual.

• Participates in performance improvement activities by evaluating standards of care and initiating revisions as necessary.

• Demonstrates competency in the following areas by physical demonstration, verbal or written exam (medical equipment, age specific assessment and intervention, procedures such as IV therapy, medication administration, initiation of telemetry, etc.), as may be required in the performance of job duties and responsibilities.

• Participates in activities designed for professional growth.

• Attends all mandatory Hospital/Nursing Department in-service training sessions and meetings.

• Reviews and signs all in-service updates.

• Presents one (1) patient care conference and one (1) in-service training session relevant to the unit per year.

• Actively participates in 75% of staff meetings and Maternal Child Health Committee Meetings.

• Identifies own limitations in skills and knowledge as demonstrated by seeking guidance when needed from appropriate colleagues.

• Identifies and meets individual annual goals that are congruent with the Nursing Department’s long- and short-term goals. Participates in decision-making process in one committee or one department-based project.

• Actively participates in own performance appraisal.

• Demonstrates leadership skills.

• Organizes own patient care and demonstrates ability to set priorities, providing most acutely needed care first and implementing physician and nursing orders within appropriate timeframes.

• Recognizes acute problems that occur in the unit and intervenes in a safe manner, in accordance with Nursing Department and Hospital procedure.

• Provides assistance to other staff members when needed and requested.

• Reports significant findings of ongoing occurrences to the appropriate Nurse Manager or Physician.

• Participates in the development and implementation of unit and Nursing Department goals and objectives.

• Participates in the orientation of new staff members.

• Maintains order by maintaining adequate stock of supplies and ensuring adequate forms for the clinical record, patient education, etc.

• Maintains equipment, participates in the recommendation and purchase of new equipment.

• Assists in the performance improvement plan by gathering data and recommending implementation of a plan of action.

• Maintains confidentiality of patient information in accordance with Hospital policy and applicable statutes and regulations.

Performs other duties as assigned

Complies with all policies and standards

QUALIFICATIONS

Education

Associate's Degree Nursing required. Bachelor's Degree Nursing preferred.

No

Registered Nurse [RN - State License] - Generic - HR Only required

Work Experience

ED: 3 years of prior, related ED experience preferred.

ED: TNCC & NRP preferred.

ED: CPI/AVADE/MOAB training preferred.

Med/Surg, Infusion, LDRP: 1 year of prior, related medical/surgical experience preferred.

NCMG: minimum of 3 years of relevant clinical experience preferred.

Perioperative: at least 2 years of prior perioperative experience

Dialysis: more than 1 year of experience in a medical/surgical unit required.

Dialysis: critical care experience preferred.

Dialysis: ACLS preferred.

Infusion: Strong IV skills or certification

LDRP: at least 2 years of prior labor and delivery experience preferred.

Knowledge, Skills and Abilities

ED:

• Ability to coordinate and supervise the assignment of staff, makes assignments and checks for completion of job duties and responsibilities.

• Ability to tactfully communicate with both internal and external customers.

• Ability to use a telephone, fax, copier, and all other equipment associated with nursing practice.

• Ability to stand/walk 90% of the shift, frequent pushing, climbing, bending, reaching, stooping, squatting and helping lift objects and patients ranging from five (5) to three hundred (300) pounds.

• Ability to use hands, fingers, arms and wrists, hearing, smell, and verbal skills are required in order to perform job duties.

• Color vision is required for perceiving changes in skin color and using color-coded tubing lines

• Utilize face shields/mask, gloves, protective clothing, safety glasses, and other protection associated with the care of patients.

• BLS/CPR certification required within one week of hire. AHA & ARC accepted.

• ACLS and PALS certification required prior to completion of orientation or within 6 months of hire, whichever occurs first.

Med/Surg:

• Tactfully communicate with both internal and external customers.

• Use a telephone, fax, copier, radio, and all other equipment associated with nursing practice.

• Stand and walk 90% of the shift, frequent pushing, climbing, bending, reaching, stooping, squatting and helping lift objects and patients ranging from five (5) to three hundred (300) pounds.

• Use hands, fingers, arms and wrists, hearing, smell, and verbal skills are required in order to perform job duties.

• Utilize face shields/mask, gloves, protective clothing, safety glasses, and other protection associated with the care of patients.

•BLS/CPR certification required within one week of hire. AHA & ARC accepted.

• ACLS & PALS certification required prior to completion of orientation or within 6 months of hire, whichever occurs first.

• Professional certification in applicable nursing field(s) preferred. Completed training in IS-100, and any other mandated requirements for emergency management.

NCMG:

• Knowledge of basic nursing principles.

• Good computer skills, including knowledge of Microsoft Office, electronic medical record systems, and medical office practice applications.

• Effective analytical skills.

• Demonstrated strong and effective interpersonal and communication skills.

• Demonstrated leadership and management skills.

• Ability to tactfully communicate with both internal and external customers.

• Ability to use fingers and hands to operate all department-related equipment as described on the Department checklist.  Additionally, must use, (who has a beeper still?) telephone, calculator, fax, copier, scanner, and other related office equipment.

• Ability to frequently bend, using back and knees.

• Ability to stand and walk 40 sit 60 of the time.  Ability to frequently climb, bend, reach, stoop, squat, help lift objects from five to fifty pounds and move patients via wheelchair or stretcher. Ability to independently lift from five to twenty-five pounds.

• Ability to present themselves in a professional manner.

• Ability to develop a rapport with providers, clinical staff, patients, and families.

• Ability to work independently and cooperatively with managers, employees, vendors, contractors, and other agencies.

• Demonstrated ability to be flexible, highly organized and make independent decisions in response to operational issues within medical office environments.

• Knowledge of basic principles of practice/departmental management.

• BLS/CPR certification required within one week of hire. AHA & ARC accepted.

• Other certifications as needed to preform clinical tasks within the clinical setting as required.

Perioperative:

• Knowledge of current nursing standards of practice required.

• Must be able to demonstrate adequate technical skills and judgment to function unsupervised during on-call, other shifts, and weekend hours.

• Ability to tactfully communicate with both internal and external customers.

• Ability to handle stress and work in emergency situations. 

• Ability to assist patients on and off equipment.

• Ability to move quickly in the event of an emergency.

• Ability to stand and walk approximately ninety percent (90%) of shift, with frequent climbing,

bending, reaching, stooping, squatting, and helping to lift objects and/or patients ranging from five (5) to three hundred (300) or more pounds.

• Ability to use of fingers and hands to operate all department-related equipment as described on the Department checklist. Additionally, must use telephone, calculator, fax, computer and other related office equipment.

• BLS/CPR certification required within one week of hire. AHA & ARC accepted.

• ACLS and PALS certifications required prior to completion of orientation or within 6 months of hire, whichever occurs first.

Dialysis:

• Must be able to demonstrate adequate technical skills and judgment to function unsupervised during on-call, second shift, and weekend hours.

• Ability to tactfully communicate with both internal and external customers.

• Ability to handle stress and work in emergency situations.  Ability to use of fingers and hands to operate all department-related equipment as described on the Department checklist.  Additionally, must use beeper, telephone, calculator, fax, and other related office equipment.

• Ability to Stand and walk approximately ninety percent (90%) of shift, with frequent climbing, bending, reaching, stooping, squatting, and helping to lift objects and/or patients ranging from five (5) to three hundred (300) or more pounds.

• Ability to bend, twist, crouch, squat, pull, push, reach, and remain stationary for short period of times and perform repetitive motions.

• Ability to use hands, fingers, arms and wrists, hearing, smell, and verbal skills are required in order to perform job duties.

• Ability to differentiate colors.

• BLS/CPR certification required within one week of hire. AHA & ARC accepted.

Infusion:

• Current nursing standards of practice required.

• Previous demonstration of leadership skills and experience required.

• Ability to tactfully communicate with both internal and external customers.

• Ability to use a telephone, fax, copier, and all other equipment associated with nursing practice.

• Ability to stand/walk 90% of the shift, frequent pushing, climbing, bending, reaching, stooping, squatting and helping lift objects and patients ranging from five (5) to three hundred (300) pounds.

• Ability to use hands, fingers, arms and wrists, hearing, smell, and verbal skills are required in order to perform job duties.

• Utilize face shields/mask, gloves, protective clothing, safety glasses, and other protection associated with the care of patients.

• BLS/CPR certification required within one week of hire. AHA & ARC accepted.

• Current chemotherapy/biotherapy card required within 3 months of employment.

LDRP:

• Current nursing standards of practice required.

• Ability to coordinate and supervise the assignment of staff, makes assignments and checks for completion of job duties and responsibilities.

• Ability to tactfully communicate with both internal and external customers.

• Ability to use a telephone, fax, copier, computer, fetal monitor, and all other equipment associated with nursing practice.

• Ability to stand/walk 90% of the shift, frequent pushing, climbing, bending, reaching, stooping, squatting and helping lift objects and patients ranging from five (5) to three hundred (300) pounds.

• Ability to use hands, fingers, arms and wrists, hearing, smell, and verbal skills are required in order to perform job duties.

• Utilize face shields/mask, gloves, protective clothing, safety glasses, and other protection associated with the care of patients.

• BLS/CPR certification required within one week of hire. AHA & ARC accepted.

• ACLS preferred.

• NRP certification required upon hire.

• Breast feeding related certification required within one year of hire.

 

 

Onsite

 

One Hospital Road

 

24

 

Regular

 

Rotating (United States of America)

 

Pay Range

$39.18 - $94.48/Hourly

 

Grade

RN6400

 

At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.

 

1550 Martha's Vineyard Hospital, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.

 

Mass General Brigham Competency Framework