Registered Nurse, Progressive Care/Cardiac Unit, 36hr Days

Beth Israel Lahey Health; Winchester (VA); On-site; USD 50,000 - 124,000; Full time

Job summary

Beth Israel Lahey Health’s Winchester Hospital is seeking an experienced Registered Nurse to provide direct patient care under the supervision of the Nurse Manager. You will perform assessments, administer therapies, document responses, and collaborate with the health care team to achieve outcomes.

The role requires Massachusetts RN licensure, with a BSN encouraged, and strong communication and computer skills. On-call, training, and professional development are expected components of the job.

Qualifications

• Graduate of a state-approved and/or accredited RN program required.
• BSN requirement strongly encouraged.
• Work experience in unit specific specialty preferred.
• Basic computer knowledge.
• Excellent communication and customer service skills required.

Responsibilities

• Assesses the patient using methods such as observation, interview, and review of clinical data.
• Develops individualized plan of care including discharge plan based on assessment and physician orders to achieve desired outcomes.
• Implements plan of care and directs licensed and unlicensed personnel to carry it out.
• Utilizes evidence-based research to improve clinical outcomes.
• Administers medications and performs treatments as ordered.
• Provides patient/family education to affect desired clinical outcomes.
• Observed rounds, reports pertinent data to team, and documents nursing process accurately.
• Participates in interdisciplinary patient care conferences and communicates with team to resolve issues.

Education

RN credential

Job description

When you join the growing BILH team, you’re not just taking a job, you’re making a difference in people’s lives.

Under the general supervision of the Nurse Manager, provides direct patient care in accordance with Winchester Hospital’s policies and procedures and the scope of practice for Registered Nurses in Massachusetts. Completes assessments, performs treatments, administers appropriate drug therapies, observes patient’s progress, records responses/reactions to interventions, and evaluates therapies for clinical outcomes and effectiveness. Works collaboratively with the patient, the patient’s family/significant others, and all members of the health care team to achieve the expected outcomes.

Job Description:

JOB FUNCTIONS

As part of the Patient Care Services team, this position:

• Exemplifies Winchester Hospital’s values and WE CARE behaviors. Commits to making every encounter with our patients, patients’ family, co-workers, physicians and other customers the best that it can be.
• Complies with all Winchester Hospital policies and the Code of Business Conduct. As required, maintains current license, life support certification, and tuberculosis testing. Takes responsibility for own safety as well as the safety of patients, patients’ family, co-workers, physicians, and other customers.
• Utilizes the nursing process to provide patient care:

a. Assesses the patient using methods such as observation, interview, and review of clinical data.
b. Develops individualized plan of care including discharge plan based on assessment and in conjunction with physician orders to achieve desired outcomes. Evaluates and changes care plan as appropriate.
c. Implements plan of care.
d. Directs licensed and unlicensed personnel to implement plan of care.
e. Utilizes the results of evidence-based research to improve clinical outcomes.

• Administers medications and performs treatments as ordered.
• Provides patient/family education to affect desired clinical outcomes.
• Observes and/or makes periodic rounds on assigned patients independently, with physicians, and other members of the health care team.
• Reports pertinent patient assessment data, plan of care and response to all appropriate members of the health care team.
• Documents nursing process and other pertinent patient/family information completely and accurately.
• Participates in interdisciplinary patient care conferences. Communicates with other healthcare team members to resolve operational problems, patient satisfaction and clinical initiative.
• Completes competency for preceptor and/or charge nurse role at the discretion of nurse manager.
• Completes competencies for unit specific responsibilities.
• Takes on-call as needed.
• Participates in the following:

• Mandatory training requirements as per unit/hospital policies
• Continuing education/in services to enhance knowledge
• Staff meetings
• Performance improvement initiatives
• Orientation of new staff, students and/or volunteers
• Participation in community activities is encouraged

QUALIFICATIONS:

• Graduate of a state-approved and/or accredited RN program required.
• BSN requirement strongly encouraged.
• Work experience in unit specific specialty preferred.
• Basic computer knowledge.
• Excellent communication and customer service skills required.

LICENSE, CERTIFICATION REQUIRED : Massachusetts Registered Nurse License.

LIFE SUPPORT CERTIFICATION REQUIRED

• All registered nurses need Basic Life Support certification as per our Life Support Certification and Renewal policy. Some departments require additional life support certification.
• A4 nurses also require Pediatric Advanced Life Support (PALS), and if they float onto L&D, SCN, MBU, NRP required.
• Labor & Delivery, Mother/Baby Unit and Special Care Nursery nurses also require Neonatal Resuscitation Program (NRP), and if they float onto A4, PALS is required.
• Maternal Child Health Float Pool require NRP and if float onto A4, PALS is required.
• A1, ICU, Radiology, Ambulatory Care Unit, Cardiac Rehab, Cardiology, Endoscopy, Pain Center, and Med/Surg Float Pool nurses also require Advanced Cardiac Life Support (ACLS)
• Emergency Department, Walk in Urgent Care Woburn, Day Surgery, Post Unit Anesthesia Care (PACU) at Ambulatory Surgery Center, and Post Anesthesia Care (PACU) Unit nurses also require both ACLS and PALS.

POPULATION SPECIFIC REQUIREMENTS:

• Positions assigned to Special Care Nursery provide patient care to Neonates and Infants.
• Positions assigned to Labor & Delivery and Mother/Baby Unit provide patient care to Neonatal, Adolescent (age 13 to 18) and Adult populations.
• Positions assigned to A3, B2, B3, Cardiac Rehab, Endoscopy and Pain Center provide care for Adult and Geriatric patients.
• Positions assigned to A1, C3, Intensive Care Unit, Breast Care Center, Cardiology, Oncology, Radiology, Hyperbaric Center and Wound Care Center provide patient care to Adolescent, Adult, and Geriatric populations.
• Positions assigned to Surgical Services’ Holding Area, and Ambulatory Care Unit provide patient care to Children, Adolescent, Adult, and Geriatric populations.
• Positions assigned to the Ambulatory Surgery Center, ACU, Preadmission Testing, Day Surgery, Operating Room, and PACU provide care for Infant, Children, Adolescent, Adult, and Geriatric patients.
• Positions assigned to A4, Emergency Department, Walk in Urgent Care, and IV Therapy provide patient care to all population groups.

OTHER JOB REQUIREMENTS:

• On-Call: Based on department needs.
• Schedule requirements: Based on department needs
• Travel requirements: Based on department needs.

REPORTING RELATIONSHIPS:

• Reports in most cases to the Director/ACNO, Nurse Manager, Nurse Coordinator or Supervisor.
• Not responsible for supervising the work of others.

PHYSICAL AND MENTAL REQUIREMENTS/CONDITIONS

The employee needs to have the physical and mental abilities to perform the duties of this position using the WE CARE behaviors.

It is anticipated that the employee will have contact with blood, bodily fluids or other potentially infectious materials while performing their job duties.

It is anticipated that employee will have contact with potentially hazardous chemicals while performing their job duties.

The list below is intended to describe the physical and sensory ability requirements of the position: however, those requirements may vary, sometimes considerably, based on meeting patient and operational needs.

In addition, the employee will need to have the ability to complete the following tasks:

• Ability to stand for long periods of time.
• Ability to reach and grasp objects, lift and push heavy objects, and position and transfer patients.
• Ability to hear and communicate orally and in writing.
• Ability to proofread and check documents for accuracy.
• Ability to enter words and data into a computer.
• Ability to distinguish color.

DEPARTMENT SPECIFIC JOB FUNCTIONS

The functions performed in the various nursing units may differ depending on the patient population. Registered Nurses are responsible to meet all applicable competencies.

Some units may perform additional duties such as:

Med/Surg Units

• Communicates with the Staffing Office and bed coordinator regarding census, acuity of patients, and staffing needs.

A1

• Cares for patients requiring telemetry and progressive care monitoring.

A3

• Cares for a variety of surgical patients, including but not limited to bariatric, orthopedic, general and vascular surgery.
• Cares for patients requiring telemetry monitoring, epidural analgesia and femoral nerve block infusions.

B2 Med/Surg

• Cares for medical patients, including but not limited to chronic conditions such as respiratory, COPD and patients requiring telemetry monitoring.

B3 Med/Surg/Oncology

• Administers chemotherapy.

C3

• Cares for patients requiring telemetry monitoring.

Emergency Department

• Cares for emergent adult and pediatric patients.
• Starts IV’s.
• Decontaminates hazmat patients who have been exposed to potentially hazardous materials.

Ambulatory Surgery Center

• Circulates and/or scrubs surgical procedures as described in the AORN guidelines.

Operating Room (OR)

• Circulates and/or scrubs surgical procedures as described in the AORN guidelines.

Holding Areas

• Starts IVs.
• In the absence of the manager, the Lead will assume the supervisory role and make decisions that will impact patient care and departmental operations to ensure continuity of patient care.
• Precepts and mentors staff so to expand their knowledge and competence in clinical issues, operations and processes.
• Provides performance feedback on staff directly to the staff member thus fostering a culture of continuous learning and improvement and to the manager as appropriate. Addresses patient and staff safety concerns promptly. Gives input into the performance evaluation process.
• In the absence of the Manager, approves payroll for clinical team.
• Assists the Nurse Manager in building and maintaining a staffing plan in the scheduling system that is fair, efficient and fiscally prudent.
• Administers blood transfusions.
• Administers chemotherapy.
• Triages patient calls based on protocols, educating patients and/or making appointments after assessing the urgency of the issue.

Pay Range:

$36.00 - $90.14

The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geographyof work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law.

As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.

More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients’ lives. Your skill and compassion can make us even stronger.

Equal Opportunity Employer/Veterans/Disabled