RN Field Nurse - Hospital at Home (Full-time)

Beth Israel Lahey Health; Boston (MA); On-site; USD 50,971 - 130,872; Full time

Job summary

Beth Israel Lahey Health is seeking a Hospital at Home Staff RN to deliver inpatient-level care at patients\' homes. The role is field-based with some centralized nursing from Charlestown, and is fully on-site with field assignments within a 25-mile radius.

The RN will perform protocol-driven assessments, coordinate care, monitor biometrics, and support a multidisciplinary team in a safe, patient-centered environment. Eligibility includes MA RN license and BLS; 3 years RN experience preferred.

Qualifications

• Current Massachusetts RN license.
• BLS certification.
• Three years RN experience.

Responsibilities

• Provide protocol driven assessment, care coordination and interventions within Hospital at Home for diverse patient populations.
• Monitor biometric data and respond to protocol guidance from the Hospital at Home Command Center.
• Coordinate admissions and discharges with the care team and support services.
• Promote patient safety and professional nursing practice; participate in quality initiatives.
• Collaborate with multidisciplinary teams and mentor colleagues as needed.

Skills

Clinical knowledge

Patient safety

Teamwork

Communication

Flexibility

Education

Nursing Diploma or ASN

BSN preferred

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.

Reporting Directly to the Hospital at Home Director of Nursing, The Hospital at Home Staff RN is responsible for providing high-quality patient care to various patient populations within the framework of the BILH Hospital at Home program. The program provides inpatient-level care for patients in the comfort of their home. The Hospital at Home Staff RN is a Field Based Nurse with some virtual nursing in a centralized command center located in Charlestown. This is a fully on site position. Field assignments can be within a 25 mile radius of any BILH hospital.

Job Description

Essential Duties & Responsibilities including but not limited to:

• Utilizing monitoring, assessment, planning, intervention and critical thinking skills to care for acute care patient populations in the home
• Navigating patients and families across the continuum of care
• Monitoring and responding to biometric data per Hospital at Home Command Center protocols
• Conducting audio/visual patient care visits as directed by the care team and/or protocol
• Ensuring all interventions in the patient’s care plan are implemented efficiently with a patient centered approach
• Leveraging the resources and expertise of supplier partners to implement collaborative workflows, standards, policies, protocols, guidelines and documentation systems to support safe, reliable, high-quality, evidence-based care with clinical protocols as the foundation
• Adhering to the clinical protocols and be willing to obtain the necessary training to provide care within the context of the providing evidence-based care
• Promoting professional practice and a culture of safety; willingness to engage in process improvement efforts

Clinical Roles And Responsibilities

• Providing protocol driven assessment, care coordination and interventions as appropriate informed by Hospital at Home protocols for diverse patient populations with a focus on oncology, medicine and post- operative care
• Exhibiting sound clinical decision making and critical thinking skills
• Maintain and practice in accordance with nursing guidelines per state and hospital regulations
• Facilitating admissions to l Hospital at Home utilizing Hospital at Home guidelines
• Serving as a role model for professional nursing practice
• Utilizing nursing knowledge to identify, prevent and/or solve complex acute and/or recurring patient care problems
• Sharing expertise with the multidisciplinary team and serve as a resource to staff in area(s) of expertise
• Supporting research efforts to advance knowledge and promote evidence-based practice
• Preforming other duties and responsibilities as assigned by the Senior Director of Nursing

Quality And Safety Responsibilities

• Ensure compliance with reporting requirements for Sentinel Events and Serious Incidents
• Participate in quality and safety investigations and root cause analyses
• Take appropriate action to ensure patient safety as a result of any investigation; and
• Serve as a resource in quality improvement processes and technique

Organizational Requirements

• Maintains strict adherence to the Lahey Hospital and Medical Center Confidentiality Policy.
• Incorporates Lahey Hospital and Medical Center Guiding Principles, Mission Statement and Goals into daily activities.
• Complies with all Lahey Hospital and Medical Center Policies. Complies with behavioral expectations of the department and Lahey.
• Maintains courteous and effective interactions with colleagues and patients.
• Demonstrates an understanding of the job description, performance expectations, and competency assessment.
• Demonstrates a commitment toward meeting and exceeding the needs of our customers and consistently adheres to Customer Service standards.
• Participates in departmental and/or interdepartmental quality improvement activities.
• Participates in and successfully completes Mandatory Education.
• Performs all other duties as needed or directed to meet the needs of the department.

Education

Minimum Qualifications:

• Nursing Diploma or ASN, BSN preferred

Licensure, Certification, Registration

• A current Massachusetts RN license
• BLS certification

Skills, Knowledge & Abilities

• Clinical knowledge
• Able to promote patient safety and a positive patient experience
• Flexible and comfortable with a changing and dynamic work environment and schedule across all shifts and days
• Team player who also works well independently
• Participates in ongoing learning and continuing education to care for a variety of patient populations
• Collaborate, advocate and mentor others with a professional, non-condescending manner
• Model collaborative, respectful team relationships with colleagues and customers; lead by example
• Strong interpersonal, inter-professional communication and collaboration capabilities
• Ability to analyze, interpret and problem solve quickly with well-articulated action planning
• Strong verbal/written communication and conflict resolution skills
• Strong empathy to deliver compassionate, patient centered care
• Demonstrates critical thinking, service excellence and good interpersonal communication skills
• Ability to read/comprehend written instructions
• Ability to follow verbal instructions
• Strong computer skills

Experience

• Three (3) years RN experience

Key Relationships

Position Purpose/Activities

Scope/Impact Statement

Work Schedule: Indicate either Yes or No as appropriate. Hours of work may be subject to change based upon the needs of the business/department.

On Call: No Shift Rotation: Yes Weekends: Yes

Essential Requirements & Attributes

Task or Function Performed Frequency

Describe

Sitting Frequently

Standing Occasionally

Walking Occasionally

Stooping (bending at waist) Occasionally

Twisting Occasionally

Crouching (bending at knees) Occasionally

Climbing Rarely

Pushing/Pulling Occasionally

Kneeling Occasionally

Reaching Occasionally

Bending Occasionally

Lifting Occasionally

Lifting & positioning patients – weight varies significantly Rarely

Driving Rarely

Fine finger movement Occasionally

Using keyboard Frequently

Telephone use Frequently

Object Handling Frequently

Viewing PC monitor Frequently

Working Conditions

Exposure Frequency

Identify Protective Equipment Required or Recommended

Bodily Fluids Rarely

Infectious disease hazards Rarely

Hazardous Materials Rarely

Auditory hazards Rarely

Dust, Fumes, Gas, or Radiation Rarely

Mechanical hazards Rarely

Temperature extremes Rarely

Weather extreme Rarely

Other

Sensory Requirements: In the column to the right, indicate with an X all requirements that apply to the job.

Visual Acuity Auditory

Close Paper work X Conversation X

Computer use X Monitoring Equipment X

Color vision/perception X Telephone X

Visual monotony X Background Noise X

Sensory Discrimination Communication

Hot/Cold X Written Communication X

Sharp/Dull X Oral Communication X

Motor Coordination Other (describe)

Equipment Moving X

Patient Care/Patient Contact Designation (check only one of the items listed below)

X_ Position has a direct impact upon health outcomes of the patient.

_ Position facilitates the process that may affect patient access to services.

_ No patient care/contact, and does not facilitate the patient care process or directly affect health outcomes.

This Job Description is intended to describe the general nature and level of work being performed by people assigned to this classification. It is not intended to be construed as an exhaustive list of all responsibilities, requirements, duties and skills required of personnel so classified. Additional duties and responsibilities that are specific to the Department or Unit are identified and maintained by the Manager as an Addendum to the Job Description.

Pay Range

$37.00 - $95.74

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, geography of 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