SUMMARY: Under the general supervision of the Nurse Manager (or designee), and within hospital and departmental policies and procedures, the professional registered nurse acts as a patient advocate in the application of the nursing process. All essential functions performed in this position reflect the age specific needs of the patients. Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another. In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate RESPONSIBILITIES: Recognizes and reports deviations from patient or established norms. Identifies deviations from established norms not related to chief patient’s complaints. Reports patient’s responses to treatment(s), and documents nursing interventions. Provides basic comfort and support according to patient needs. Fosters patient(s) and family participation in achieving optimum level of patient’s functioning and performing activities of daily living. Sets priorities in individual patient’s assignments. Seeks guidance and resources, when necessary, in management of patient care. Identifies and assesses emergency situations. Initiates appropriate response and intervention. Plans for potential needs during emergency situations. Defines nursing diagnosis and expected patient’s outcomes. May modify nursing plan of care based on diagnosis and/or outcomes. Documents on appropriate nursing assessment forms. Implements nursing interventions and evaluates based on patient’s outcomes. Modifies plan or care accordingly, including documentation. The Registered Nurse maintains knowledge of contemporary, professional nursing practice within the legal framework of the Rhode Island Nurse Practice Act. Attends training and retraining, as needed, to maintain current knowledge of hospital and patient’s care practices and procedures. Utilizes established protocols and collaborates with the health team to facilitate therapeutic interventions and attainment of desired patient outcomes. Participates in quality improvement processes and risk management activities. Attends unit-based, or hospital meetings to facilitate patient care management. Functions in a cooperative and productive manner in the work environment. Integrates complete physical assessment with nursing assessment, and records reviews in developing a comprehensive and individualized plan of care. Follows all documentation guidelines per policy and procedure. Maintains quality assurance, safety, environmental, and infection control in accordance with established hospital department policies, procedures, and objectives. Maintains safe environment for patients, visitors, and staff. Demonstrates self-direction in maintaining and advancing clinical and professional competency. Demonstrates knowledge and skills necessary to provide care to patients throughout the life span with consideration of aging processes, human development stages, and cultural patterns in each step of the care process Provides functional guidance and direction to LPNs, CNAs, and other licensed personnel, as required. May assume shift charge responsibility on an assigned unit. Responsibility includes maintaining an overview of unit activities and delegating work responsibilities with equitable assignments. Makes bed and patient assignments, and assigns primary patients to staff. MINIMUM QUALIFICATIONS: Licensure as Registered Nurse in the State of Rhode Island by the Rhode Island Board of Nursing or licensure as a Registered Nurse in accordance with the Nurse Licensure Compact agreement of the National Council of State Boards of Nursing. BASIC KNOWLEDGE: Graduate of a school of nursing, Baccalaureate in Nursing preferred, with current license to practice as a Registered Nurse in the State of Rhode Island. Conformity to the Code of Professional Nurses. Understanding of the provisions of the Nurse Practice Act of the state of Rhode Island. Demonstrates knowledge and skills necessary to provide care to patients throughout the life span with consideration of aging processes, human development stages and sensitivity to cultural diversity in each step of the care process. Certification in cardiopulmonary resuscitation upon hire. EXPERIENCE: Registered nurses should develop general proficiency as a staff nurse within three months of employment. For specialty units, general nursing experience, appropriate to the specialty, is preferred. WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS: Prolonged standing and walking. Exposed to all patient elements. May be required to lift/turn patients and equipment. Repeated bending, squatting, stooping. SUPERVISORY RESPONSIBILITY: None. Pay Range $35.70-$71.40 EEO Statement Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment. Location: The Miriam Hospital - 164 Summit Ave Providence, Rhode Island 02906 Work Type M-F-start time 630-9, end time 3-530 Work Shift Day Daily Hours 8 hours Driving Required No
Summary Under the general supervision of the Clinic Administrator or Physician, and according to established procedures, provides care to patients and families. Responsible and accountable for the care provided regardless of whether it is provided solely by said nurse or if by the nurse and others under his/her supervision. Implements and coordinates the steps of the nursing process, involves the patient in decision making relative to care and is responsible for making nursing care judgements and acting upon them. Collaborates with Physicians in the management of prescribed medical plan of care. Involves implementation of the physician prescribed regimen, evaluations of patient response to the regimen and communication to the Physician of changes in the patient’s status. Functions under protocol which extend responsibilities for medical management activities. Coordinates the patient plan of care with nurses, Physicians and other member s of the Health Team and agencies within the community, to provide an integrated and comprehensive approach to care delivery. Responsible for participating in educational, quality assurance and research activities. Additionally, the Registered Nurse acts as a consultant, sharing his/her clinical expertise and knowledge with other health care providers and members of the community. Performs clinical management functions specifically delegated by the Clinical Manager. The nurse participates in organizational planning and decision making which affects patient care and Ambulatory Service operations. The Registered Nurse also participates in related nursing, medical and hospital committee activities. Practices within the framework of the philosophy, objectives, policies procedures and standards of the Hospital and his/her specific Ambulatory Service. Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another. Responsibilities Responsible to the Clinical Manager, meets and maintains competence as defined by the clinical service experience and credential requirements, provides nursing care to patients. Implements and coordinates the steps of the nursing process assessment, diagnosis, goal setting, prescription, intervention and evaluation. Delegates, supervises and coordinates nursing care activities provided by personnel assigned to assist in the provision of nursing care, such as but not limited to Licensed Practical Nurses, Nurses Assistants, Orderlies, and Technicians. Implements the prescribed medical regimen, evaluates the patient response to the regimen and advises the physician of changes in the patient’s condition. Performs extended functions in accordance with written Rhode Island Hospital protocols and policies. Participates in clinic and departmental level collaborative activities such as but not limited to joint case presentations, grand rounds. Collaborates on a continuous basis with the patient, family, Physician, nurses and other health team members to integrate, evaluate and ensure continuity of the plan of care. Identifies with and makes referrals to health team resources within the hospital and the community and serves as a consultant to others. Provides, coordinates and documents teaching for patients and families related to management of the health problem, health promotion and rehabilitation. Seeks out and participates in activities leading to self-growth and professional development. Updates knowledge of professional, medical and technological developments and participates in the incorporation of these into clinical nursing practice. Participates in educational activities commensurate with learning needs and individual ability such as but not limited to conference, seminars and orientation of new staff. Works with facility members of affiliated nursing educational programs to integrate clinical proactive for students within the plan patient care management. Participates in clinic and departmental quality assurance activities such as but not limited to monitoring and evaluation of care, validation of nursing and ambulatory standards, policies and procedures. Participates in related clinical and operational research activities. Assumes charge position responsibilities for the clinic as delegated. Participates with the Ambulatory Clinical Manager in performance appraisals. Participates on committees and in other organizational activities involving professional practice and patient care standards. Minimum Qualifications Licensure as Registered Nurse in the State of Rhode Island by the Rhode Island Board of Nursing or licensure as a Registered Nurse in accordance with the Nurse Licensure Compact agreement of the National Council of State Boards of Nursing. Basic Knowledge Graduate of an accredited School of Nursing, Bachelor’s Degree in Nursing preferred. Must have current licensure to practice as a Registered Nurse in the State of Rhode Island. Demonstrated knowledge and skills necessary to provide care to patients with consideration of aging processes, human development stages and cultural patterns in each step of the care process. Demonstrated competence in administration of chemotherapy and biotherapy with and understanding of COG protocols. At least two years of experience in Pediatric Oncology, including the administration of chemotherapy and biotherapy, within the past five years is required. Active Pediatric Chemotherapy/Biotherapy Provider required. Related experience and credentials where indicated. Work Environment And Physical Requirements Exposed to ambulatory patient care environment which includes exposure to communicable diseases, however adherence to infection control policies and procedures minimizes chance of illness or injury. Independent Action Performs independently within the departments policies and practices. Refers specific complex problems to the supervisor when clarification of departmental policies and procedures and required. Supervisory Responsibility None Pay Range $35.56-$59.99 Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment. Location: 593 Eddy Street - Hasbro - N/A Providence, Rhode Island 02903 Work Type Monday - Saturday as scheduled Work Shift Day Driving Required No Union United Nurses And Allied Professional
Summary Under the direct supervision of the Clinical Manager implements, supervises and evaluates the nursing care of each patient using a nursing process and in accordance with established hospital and departmental policies and procedures. From admission to discharge, plans with consideration of the aging process throughout the life span, including all developmental stages as well as cultural patterns. Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another. Responsibilities Brown University Health employees are expected to embrace Brown University Health's mission of Delivering health with care and successfully role model Brown University Health's values of Compassion, Accountability, Respect, and Excellence as these guide our everyday actions with patients, customers and one another. Provides direct patient care to pediatric and adult patients with bleeding and clotting disorders in the outpatient setting, peri-operatively, and helps with inpatient coordination Collaborates with a multidisciplinary team of physicians, nurse practitioners, nurses, social worker, physical therapist, research assistant and practice manager to provide high quality, comprehensive care to bleeding disorder community. Provides telephone triage to patients and coordinates care accordingly involving the healthcare provider, referring to clinic or ED, help with prescription refills Evaluates effectiveness of patient care and identifies opportunities for improvement. Assesses and provides appropriate teaching based on patient and family needs, specifically educating new families on disease state, teaching patients/families to become independent with factor administration either via port-a-cath access or peripheral access. On occasion provides in-home teaching or assistance for IV medication administration. Provides education on bleeding disorders to the community including but not limited to: school visits, daycare visits, primary care offices, local community hospitals. Participates in unit-based quality improvement and research activities. Utilizes all available resources to provide quality, cost effective patient care. Assists in obtaining prior authorizations for bleeding disorder medications Meets and maintains clinical competencies measured by pre-determined credentialing standards, mandatory/safety education, and completion of Basic Life Support Identifies growth needs and participates in educational opportunities and professional organizations. Serves as a role model/preceptor to new graduate nurses and less experienced personnel. Minimum Qualifications Licensure as Registered Nurse in the State of Rhode Island by the Rhode Island Board of Nursing or licensure as a Registered Nurse in accordance with the Nurse Licensure Compact agreement of the National Council of State Boards of Nursing. Position Requirements Must be able to communicate is a professional manner both verbally and in written form. Personal appearance must reflect and support basic hygiene and neatness, position-appropriate dress, infection control and safety standards and project an overall professional image of Brown University Health (Appearance Standard Policy). Must have experience with IV placements, especially in peripheral access of pediatric patients and small babies, experience with port-a-caths and other central venous devices. Basic Knowledge Baccalaureate in Nursing preferred. Must have current licensure to practice as a Registered Nurse in the State of Rhode Island. Past Hematology Experience Preferred, Especially Bleeding Disorders Or Hemophilia. Demonstrates knowledge and skills necessary to provide care to patients throughout the life span, with consideration of aging processes, human development stages and cultural patterns in each step of the care process. Work Environment And Physical Requirements Visual and aural ability to monitor patient status. Exposed to patient care environment. Physical ability for extensive walking and standing; lifting, positioning, and pushing patients on stretchers. Supervisory Responsibilities None. Pay Range Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment. Location: Rhode Island Hospital - 593 Eddy Street Providence, Rhode Island 02903 Work Type Monday-Saturday Work Shift Day Driving Required No Union United Nurses And Allied Professional
Summary Under the general supervision of the Nurse Manager (or designee), and within hospital and departmental policies and procedures, the professional registered nurse acts as a patient advocate in the application of the nursing process. All essential functions performed in this position reflect the age specific needs of the patients. Responsibilities Recognizes and reports deviations from patient or established norms. Identifies deviations from established norms not related to chief patient’s complaints. Reports patient’s responses to treatment(s), and documents nursing interventions.Provides basic comfort and support according to patient needs. Fosters patient(s) and family participation in achieving optimum level of patient’s functioning and performing activities of daily living. Sets priorities in individual patient’s assignments. Seeks guidance and resources, when necessary, in management of patient care.Identifies and assesses emergency situations. Initiates appropriate response and intervention. Plans for potential needs during emergency situations.Defines nursing diagnosis and expected patient’s outcomes. May modify nursing plan of care based on diagnosis and/or outcomes. Documents on appropriate nursing assessment forms.Implements nursing interventions and evaluates based on patient’s outcomes. Modifies plan or care, accordingly, including documentation. The Registered Nurse maintains knowledge of contemporary, professional nursing practice within the legal framework of the Rhode Island Nurse Practice Act. Attends training and retraining, as needed, to maintain current knowledge of hospital and patient’s care practices and procedures.Utilizes established protocols and collaborates with the health team to facilitate therapeutic interventions and attainment of desired patient outcomes.Participates in quality improvement processes and risk management activities. Attends unit-based, or hospital meetings to facilitate patient care management.Functions in a cooperative and productive manner in the work environment.Integrates complete physical assessment with nursing assessment, and records reviews in developing a comprehensive and individualized plan of care. Follows all documentation guidelines per policy and procedure.Maintains quality assurance, safety, environmental, and infection control in accordance with established hospital department policies, procedures, and objectives. Maintains safe environment for patients, visitors, and staff.Demonstrates self-direction in maintaining and advancing clinical and professional competency.Demonstrates knowledge and skills necessary to provide care to patients throughout the life span with consideration of aging processes, human development stages, and cultural patterns in each step of the care process.Provides functional guidance and direction to LPNs, CNAs, and other licensed personnel, as required.May assume shift charge responsibility on an assigned unit. Responsibility includes maintaining an overview of unit activities and delegating work responsibilities with equitable assignments. Makes bed and patient assignments and assigns primary patients to staff. Minimum Qualifications Licensure as Registered Nurse in the State of Rhode Island by the Rhode Island Board of Nursing or licensure as a Registered Nurse in accordance with the Nurse Licensure Compact agreement of the National Council of State Boards of Nursing. Basic Knowledge Graduate of an accredited school of nursing, associate’s degree in nursing required, Baccalaureate in nursing preferred.Current BLS Certification (American Heart Association)Conformity to the Code of Professional Nurses.Understanding of the provisions of the Nurse Practice Act of the state of Rhode Island.Demonstrates knowledge and skills necessary to provide care to patients throughout the life span with consideration of aging processes, human development stages and sensitivity to cultural diversity in each step of the care process. Experience Registered nurses should develop general proficiency as a staff nurse within three months of employment.For specialty unit, general nursing experience appropriate to the specialty, is preferred.WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS:Prolonged standing and walkingExposure to all patient elementsRepeated bending, squatting, lifting, and stoopingSUPERVISORY RESPONSIBILITY:None. Pay Range $35.70-$71.40 EEO Statement Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment. Location: Newport Hospital - 11 Friendship Street Newport, Rhode Island 02840 Work Type 7 pm-7:30 pm Three 12's every other weekend, every other holiday Work Shift Night Daily Hours 12 hours Driving Required No
Summary Under the general supervision of the Nurse Manager (or designee), and within hospital and departmental policies and procedures, the professional registered nurse acts as a patient advocate in the application of the nursing process. All essential functions performed in this position reflect the age specific needs of the patients. Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another. Responsibilities Recognizes and reports deviations from patient or established norms. Identifies deviations from established norms not related to chief patient’s complaints. Reports patient’s responses to treatment(s), and documents nursing interventions.Provides basic comfort and support according to patient needs. Fosters patient(s) and family participation in achieving optimum level of patient’s functioning and performing activities of daily living. Sets priorities in individual patient’s assignments. Seeks guidance and resources, when necessary, in management of patient care.Identifies and assesses emergency situations. Initiates appropriate response and intervention. Plans for potential needs during emergency situations.Defines nursing diagnosis and expected patient’s outcomes. May modify nursing plan of care based on diagnosis and/or outcomes. Documents on appropriate nursing assessment forms.Implements nursing interventions and evaluates based on patient’s outcomes. Modifies plan or care, accordingly, including documentation.The Registered Nurse maintains knowledge of contemporary, professional nursing practice within the legal framework of the Rhode Island Nurse Practice Act. Attends training and retraining, as needed, to maintain current knowledge of hospital and patient’s care practices and procedures.Utilizes established protocols and collaborates with the health team to facilitate therapeutic interventions and attainment of desired patient outcomes. Participates in quality improvement processes and risk management activities. Attends unit-based, or hospital meetings to facilitate patient care management.Functions in a cooperative and productive manner in the work environment.Integrates complete physical assessment with nursing assessment, and records reviews in developing a comprehensive and individualized plan of care.Follows all documentation guidelines per policy and procedure.Maintains quality assurance, safety, environmental, and infection control in accordance with established hospital department policies, procedures, and objectives. Maintains safe environment for patients, visitors, and staff.Demonstrates self-direction in maintaining and advancing clinical and professional competency.Demonstrates knowledge and skills necessary to provide care to patients throughout the life span with consideration of aging processes, human development stages, and cultural patterns in each step of the care process.Provides functional guidance and direction to LPNs, CNAs, and other licensed personnel, as required.May assume shift charge responsibility on an assigned unit. Responsibility includes maintaining an overview of unit activities and delegating work responsibilities with equitable assignments. Makes bed and patient assignments and assigns primary patients to staff. Minimum Qualifications Licensure as Registered Nurse in the State of Rhode Island by the Rhode Island Board of Nursing or licensure as a Registered Nurse in accordance with the Nurse Licensure Compact agreement of the National Council of State Boards of Nursing. Basic Knowledge Graduate of an accredited school of nursing, associate’s degree in nursing required, Baccalaureate in nursing preferred.Current BLS Certification (American Heart Association)Conformity to the Code of Professional Nurses.Understanding of the provisions of the Nurse Practice Act of the state of Rhode Island.Demonstrates knowledge and skills necessary to provide care to patients throughout the life span with consideration of aging processes, human development stages and sensitivity to cultural diversity in each step of the care process. Experience Registered nurses should develop general proficiency as a staff nurse within three months of employment.For specialty unit, general nursing experience appropriate to the specialty, is preferred.WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS:Prolonged standing and walkingExposure to all patient elementsRepeated bending, squatting, lifting, and stoopingSUPERVISORY RESPONSIBILITY:None. Pay Range $35.70-$71.40 EEO Statement Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment. Location: Newport Hospital - 11 Friendship Street Newport, Rhode Island 02840 Work Type 7pm-7:30 am Every other weekend, holiday Work Shift Night Daily Hours 12 hours Driving Required No