RN, Martha's Vineyard Hospital

Mass General Brigham; West Tisbury (MA); On-site; USD 54,000 - 130,000; Full time

Job summary

Mass General Brigham seeks a Registered Nurse to perform standard dialysis unit nursing, including cannulation, patient assessment, and treatment monitoring. The role requires flexibility for day/evening shifts, weekends, and occasional overnight stays for patient transports on Martha's Vineyard.

The successful candidate will document data, participate in plan-of-care conferences, and maintain infection control standards while supporting other units as needed.

Qualifications

• RN with valid state license required
• 1+ year of med/surgical experience required
• Critical care experience preferred
• ACLS certification preferred

Responsibilities

• Perform standard nursing practices in the dialysis unit.
• Assess patient access for patency or complications and cannulate.
• Monitor patient response to dialysis treatment and adjust care plan.
• Document data and plan of care for each patient.
• Communicate patient plan of care to team and family.
• Maintain machine sterility and infection control.
• Attend mandatory trainings and participate in department meetings.
• On-call, weekend rotations, and travel to other units as assigned.

Skills

Dialysis nursing

Cannulation

Patient assessment

Patient education

Communication

On-call flexibility

Color-blindness testing

Education

Associate's Degree in Nursing

Bachelor's Degree in Nursing (preferred)

Tools

Dialysis machines

Job description

Job Summary

Perform 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.

• 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.

Does this position require Patient Care (indirect/direct)? Yes

Qualifications

Education Associate's Degree Nursing required; Bachelor's Degree Nursing preferred Can this role accept experience in lieu of a degree? No Licenses and Credentials Registered Nurse [RN - State License] - Generic - HR Only required Experience More than 1 year of experience in a medical/surgical unit required Critical care experience preferred ACLS preferred

Knowledge, Skills and Abilities

• 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.

Additional Job Details (if applicable)

This position is full time, 36 hours/week.

Shift is from 5:30AM to 6:00PM.

Remote Type Onsite Work Location One Hospital Road Scheduled Weekly Hours 36 Employee Type Regular Work Shift 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.

EEO Statement

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

At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.

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