Registered Nurse, RN - Medical 3 Step Down Unit

MelroseWakefield Healthcare, Inc.; United States; On-site; USD 78,000 - 143,000; Full time

Benefits offered by this job

Clinical Advancement Program

Competitive salaries & benefits

403(b) retirement plan with company?ch

Tuition reimbursement

Clinical mobility tracks

Free on-campus parking

Job summary

MelroseWakefield Healthcare, Inc. is seeking a Registered Nurse to provide professional nursing care on a 28-bed Telemetry Unit. The role emphasizes assessment, planning, and evaluation of patient care with emphasis on cardiac conditions and post-procedure care, under physician orders.

The RN will utilize nursing processes, enforce patient safety, and work within a collaborative healthcare team to achieve optimal patient outcomes.

Qualifications

• Massachusetts RN Licensure is required.
• Current Basic Life Support (BLS) Certification required.
• Department-specific certification(s) may be required depending on patient care area.
• Experience level will be determined by unit level (I–IV).

Responsibilities

• Participates in performance improvement initiatives.
• Incorporates evidence-based practice into clinical care.
• Performs accurate clinical assessments.
• Develops and implements patient care plans.
• Uses professional judgment to tailor care to patient needs.
• Manages patient assignments and collaborates with the team.
• Develops patient/family education plans.
• Supports informed decisions and advanced directives.
• Evaluates and revises care plans with patient health changes.
• Develops comprehensive discharge plans and referrals.
• Precepts and mentors new staff.
• Participates in professional development and departmental committees.

Skills

Communication with patients and team

Nursing process knowledge

Education

Massachusetts RN Licensure

BLS Certification

Department-specific certifications

Job description

Unit Summary

28 Bed Telemetry Unit. This unit cares primarily for cardiac patients in need of cardiac catheterizations, post STEMI/angioplasty, NSTEMI, post pacemaker insertion, CHF, Atrial Fibrillation, and other cardiac arrhythmias, along with hyper/hypotensive patients not meeting ICU admission criteria. Neurological, renal, GI and patients withdrawing from substance abuse are also placed on this floor. Patients can be on high flow oxygen, continuous bipap, with continuous oxygen saturation monitoring. Patients transferring out of ICU are often cared for on this floor as well. The nurse patient ratio is less than on the med/surg floors, allowing for patient to be more closely monitored. Hours: 36 hours/week, Night Shift, Every third weekend

Community RN Career Direct Care Pathway

The Community RN Career Direct Care Pathway placement is comprised of four levels based on a RN’s minimum experience, education, and qualifications. Level I - 0 – Less than 12 Months of RN Experience. Level II - 12 Months - Less than 3 Years of RN Experience. Level III - 3 Years - Less than 8 Years of RN Experience. Level IV - 8 Years of RN Experience.

Job Profile Summary

This role focuses on providing professional and nonprofessional nursing care services in accordance with physician orders. In addition, this role focuses on performing the following Clinical Nurse duties: Assesses, plans, implements, and evaluates the care needs of a designated group of patients or provides nursing care and identified clinical support tasks within the scope of practice for achievement of the patient’s plan of care as directed. Provides professional nursing care to patients. Requires a nursing license. A professional individual contributor role that may direct the work of other lower level professionals or manage processes and programs. The majority of time is spent overseeing the design, implementation or delivery of processes, programs and policies using specialized knowledge and skills typically acquired through advanced education.

Job Overview

The RN independently provides direct nursing care to patients and their families in accordance with established policies, procedures, and practices.

Minimum Qualifications

• 1. Massachusetts RN Licensure.
• 2. Current Basic Life Support (BLS) Certification.
• 3. Department Specific: Certification(s) relevant to the department and the type of patient care being provided may be required.
• 4. Experience based on level (I, II, III, or IV).

Preferred Qualifications

• 1. Bachelor of Science in Nursing (BSN).

Duties and Responsibilities

• 1. Participates in and maintains awareness of performance improvement initiates.
• 2. Conscientiously evaluates and integrates evidence-based practice and research into clinical practice.
• 3. Conducts and documents accurate clinical assessments.
• 4. Develops, implements, and evaluates the patient’s individualized plan of care.
• 5. Uses professional nursing judgment to individualize the plan of care based on assessment of the patient's needs.
• 6. Manages own patient assignment by delegating and effectively based on patient needs and skills of team members.
• 7. Develops a comprehensive educational plan for the patient and family, utilizing appropriate resources, and documents according to department standards.
• 8. Recognizes patient/family rights through support of their informed decisions and advanced directives.
• 9. Continually evaluates and revises the care plan according to changes in the patient’s health status.
• 10. Develops a comprehensive discharge plan utilizing appropriate resources and referrals including community resources.
• 11. Supports the development of new staff members and helps facilitate their transition into unit.
• 12. Guides the professional growth of department staff through precepting.
• 13. Participates in professional development by identifying learning needs and seeking appropriate education.
• 14. Participates in departmental committees as needed.

Physical Requirements

• 1. Occasional lifting of 30-35 lbs and turning patients.
• 2. Prolonged standing and walking.
• 3. Occasional twisting, bending, reaching, pushing/pulling, sitting, kneeling, and squatting.
• 4. Exposure to infectious disease and possible carcinogenic chemicals.
• 5. Exposure of blood-borne pathogens.
• 6. Requires fine manual dexterity to lift and maneuver patients.
• 7. Requires visual and aural acuity necessary to monitor patient care.

Skills & Abilities

• 1. Ability to effectively communicate with patients, families, physicians, and healthcare team.
• 2. Knowledge of and application of the nursing process.

What We Offer

• Clinical Advancement Program which provides advancement opportunities and financial rewards
• Competitive salaries & benefits
• 403(b) retirement plan with company match
• Tuition reimbursement
• Clinical mobility tracks
• Free on-campus parking

About MelroseWakefield Hospital

About MelroseWakefield Hospital: MelroseWakefield Hospital and Lawrence Memorial Hospital of Medford are two campuses with one community in mind: the people of north suburban Boston. MelroseWakefield Hospital and Lawrence Memorial Hospital are distinguished by the range of high-quality clinical care and services. Our teams welcome everyone with hospitality and humanity. We focus on reducing health disparities through 40+ local health programs across a system of hospitals, urgent care locations, outpatient services, and community physicians. Core to our values, MelroseWakefield Healthcare’s commitment to community is demonstrated by our many local health programs throughout our service area and participation in partnerships with community agencies and events, and education programs in more than 10 communities to support the wellness and health of our residents.

About Tufts Medicine

About Tufts Medicine A healthcare system that works Tufts Medicine is more than a health system — we’re a community that empowers people to live their best lives by reimagining healthcare, advancing knowledge and pioneering discovery. Every team member plays an integral role in realizing our vision of creating the most equitable and frictionless healthcare experience in the world. Here, you’ll join an enthusiastic community that champions your growth and receive generous benefits to support you and your family’s well‑being. Tufts Medicine is an equal opportunity employer. At Tufts Medicine, we want every individual to feel valued for the skills and experience they bring. Our compensation philosophy is designed to offer fair, competitive pay that attracts, retains, and motivates highly talented individuals, while rewarding the important work you do every day. The base pay ranges reflect the minimum qualifications for the role. Individual offers are determined using a comprehensive approach that considers relevant experience, certifications, education, skills, and internal equity to ensure compensation is fair, consistent, and aligned with our business goals. Beyond base pay, Tufts Medicine provides a comprehensive Total Rewards package that supports your health, financial security, and career growth—one of the many ways we invest in you so you can thrive both at work and outside of it. Pay Range: $37.50 - $68.47 based on full-time equivalent Tufts Medicine is a leading integrated health system bringing together the best of academic and community health care to deliver exceptional, connected and accessible care experiences to consumers across Massachusetts. Comprised of Tufts Medical Center, Lowell General Hospital, MelroseWakefield Healthcare, an expansive home care network and a large clinically integrated physician network, Tufts Medicine has more than 15,000 dedicated employees and caregivers. The health system came together in 2014 to leverage the experience of its member organizations and integrate their missions to together transform the ways that consumers engage with and experience their care.