Primary Care Staff RN

South Shore Health Norwell, MA 02061, US

$36 - $58.15 / hour

If you are an existing employee of South Shore Health then please apply through the internal career site.

Requisition Number:

R-22065

Facility:

LOC0020 - 143 Longwater Norwell143 Longwater Drive Norwell, MA 02061

Department Name:

SMC Family Medicine PB

Status:

Full time

Budgeted Hours:

Shift:

Day (United States of America)

Manages individualized, outcome oriented nursing care through the use of the nursing process. Provides care, treatment and services through the successful coordination and completion of a series of processes that include assessment, planning care, providing care, coordinating cross continuum care and assessing outcomes of interventions in accordance with system, departmental and ambulatory policies and procedures.

This role provides clinically-based, risk reducing care and coordination that facilitates the delivery of cost-effective quality healthcare along the continuum. It directly interfaces with physicians, care managers, health care teams, patients and their caregivers to achieve desired patient outcomes. Excellent communication skills, both written and verbal, a commitment to coaching patients on health promoting behaviors, and an ability to listen and assimilate complex clinical information are required in the role. The ability to work autonomously and in teams is essential. Participation in quality improvement efforts, research and evaluation processes related to the management of patient care is integral to the role.

Compensation Pay Range:

$36.00 - $58.15

ESSENTIAL FUNCTIONS

1 - Medication Administration

a - *Demonstrates knowledge of and follows SSH policies and procedures for administering and documenting medications.

b - *Completes medication reconciliation process following SSH policy and procedure.

c - *Demonstrates safe procedures for the safe administration of medication and vaccines.

2 - Plan of care/Documentation/Patient Family Centered Care/Patient Experience
Develops, discusses, and communicates a prioritized problem and plan of care for each patient.

a - Develops, evaluates and updates individualized plan for patient and documents outcomes.

b – Initiates patient outreach, identifies and documents patient/family/significant other needs and makes appropriate interventions, evaluating outcomes of interventions.

c - Continues assessment/reassessment and identifies care needs within established nursing practice.

d - Documents all patient care following the department of nursing policy, department-based standards, disease processes (CHF, PNA vaccines) and nurse sensitive indicators (falls, safety risk, isolation, etc.)

e - Assess/reassesses and documents patient's response to each intervention both pharmacological and non-pharmacological per South Shore Health and ambulatory policies and procedures.

f - Works on behalf of patient /family. Seeks help to represent patient/family when they are unable to represent themselves.

g - Raises ethical questions and concerns with clinical team. Seeks available resources to help formulate and understand ethical decisions.

h - Actively communicates and collaborates with health team members: primary care, specialty care, and ancillary providers and departments.

i - Facilitates care across the continuum to insure patient needs are met in the right setting and at the right time.

3 - Safety/Quality - Foster's a "Culture of Safety" through personal ownership and commitment to a safe environment.

a - Verifies patient identification with two identifiers prior to the start of any procedure, including "time out", administration of care, medications, labeled specimen's and documents confirming the correct patient, procedure, site, equipment and consent.

b - *Complies with the current CDC hand hygiene guidelines through proper handwashing. Adheres to universal precautions, makes appropriate use of personal protective equipment at all times and appropriately disposes of hazardous materials. Maintains awareness of MSDS sheets and how to access.

c - Ensures environment meets regulatory requirements at all times.

d - Understands and is able to demonstrate individual roles and responsibilities in the event of ambulatory codes/emergency preparedness.

4 - Professional Development: Assumes overall responsibility for own professional development by incorporating evidenced-based practice, research, and performance improvement initiatives as a part of ongoing nursing practice.

a - Obtains at least 5 contact hours per year in area of practice.

b - Practices within the legal boundaries of MA Nurse Practice Act. Directs other licenses and non-licensed personnel as assigned.

c - Displays the ability to accept and respond appropriately to feedback and recommendations for change.

d - Demonstrates professional working relationships with colleagues from all disciplines to promote a positive/encouraging workplace.

e - Critical Thinking: analyzes causes of problems, identifies and evaluates alternative solutions, and selects appropriate solution, and communicates appropriately and effectively utilizing chain of command.

f - Accountable for being informed about changes in policy and procedure.

5 - Technology: Utilizes technological solutions to work processes and practices.

a – Accesses Outlook, Epic, HealthStream and Workday to review email, learning management and other resources as applicable to RN role.

b - Utilizes software applications required by health system, nursing and department standards.

c - Accountable to understand how to operate in downtime.

6 - Compliance

a - Works within legal, regulatory and ethical standards relevant to the position.

b - Complies with applicable policies and procedures.

c - Safeguards the privacy and security of patient information. The employee compiles will policies and procedures relating to SSH’s privacy and security programs.

d - Brings potential compliance issues through chain of command.

e - Complies with the mandatory education requirements of the compliance, privacy and security programs.

7 - Patient and Family Centered Care

a - Conveys respect for values, preferences, and expressed needs of the patient and family.

b - Recognizes the patient and family according to patient preferences, as important members of the health care team.

c - Collaborates with the patient and family according to patient preferences, in planning, implementing, and evaluating care.

d - Welcomes the presence and participation of family members at all times according to patient preferences.

8 - Age & Culture

a - Possesses and practices age and cultural knowledge and awareness.

b - Considers the individual needs of each person with whom they interact.

c - Interacts with sensitivity and inclusion in the delivery of care/services of diverse populations as needed.

d - Effectively utilizes resources to provide care/services - such as, interpreter services and on-line sources.

9 - Technology and Learning

a - Participates in continued learning and possess a willingness and ability to learn and utilize new technology and procedures that continue to develop in their role and throughout the organization.

b - Embraces technological advances that allow us to communicate information effectively and efficiently based on role.

UNIT / DEPARTMENT SPECIFIC JOB FUNCTIONS

1 - Demonstrates as part of daily work experience the Aspects of Caring including but not limited to accountability and respect to our patients and colleagues.

2 - Demonstrates professional working relationships with colleagues to promote a positive/encouraging workplace.

3 - Consistently advocates for, facilitates, and implements principles of positive patient experience including caring, kindness and service.

4- Communicates plan of care to patient and family. Goals are:

a. Keep the patient and family informed

b. Provide information to patient and family about condition / treatment

c. Include the patient/family in care plan decisions

d. Communicate to patients and families in terminology they can understand.

JOB REQUIREMENTS

Minimum Education - Preferred

Graduate of an accredited School of Nursing, BSN preferred

Minimum Work Experience

Previous Ambulatory Care RN experience preferred

Required Licenses / Registrations

RN - Registered Nurse

Required Classes/Skills -

BLS – Basic Life Support

Required additional Knowledge, and Abilities

Demonstrated proficiency in ambulatory care nursing, knowledge, and skills

Excellent verbal and written communication skills required.
Demonstrates flexibility via an ability to adapt to changing priorities and regulations.
Basic computer skills required.

Demonstrated skills in the areas of: communication (verbal and written), interdisciplinary collaboration, creative problem solving, and critical thinking.

Knowledge of health system and community resources preferred.

Mon - Fri Day, variable shifts, one weekend shift per month, one holiday per year, one flu clinic each fall

Responsibilities if Required:

Education if Required:

License/Registration/Certification Requirements:

ACLS (AHA) Advanced Cardiac Life Support Certification - American Heart Association (AHA) (Including courses offered through SSH), Basic Life Support (BLS) Certification - American Heart Association (AHA) (Including courses offered through SSH), INSTRUCTOR- Advanced Cardiac Life Support (ACLS) - American Heart Association (AHA) (Including courses offered through SSH), INSTRUCTOR- Basic Life Support (BLS) - American Heart Association (AHA) (Including courses offered through SSH), RN-Registered Nurse - Board of Registration in Nursing (Massachusetts)

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medical/surgical or Labor and Delivery/Post-Partum units. -Assists with care of unstable or critically ill, ICU-level patients in the ED, PACU, and medical surgical units as needed. -Assists in IV access and phlebotomy as needed. -Assists with patients in the Intensive Care Unit (ICU) when census/acuity exceeds core staffing and attempts to recruit additional resources have been unsuccessful. -Assists in the transport and supervision of patients requiring diagnostic testing off a patient unit. -All other clinical duties as assigned when there are no critical care support needs in house. -Works under the direct supervision of the Nursing Administrator and overall direction of the nurse manager of intensive care. Qualifications Education Other Certificate/Diploma Nursing required and Bachelor's Degree Nursing preferred Can this role accept experience in lieu of a degree? No Licenses and Credentials Registered Nurse [Massachusetts] - Required Experience Demonstrated clinical competence and experience as required by the specific job posting/specialty area. required Knowledge, Skills and Abilities - Uses the nursing process and evidence based practice to ensure quality patient care is provided throughout the episode of care. - Creates and maintains a safe and therapeutic environment for patients, self, and co-workers. - Assures quality of nursing practice through participation in performance improvement activities. - Ensures complete, accurate, and timely written communication of patient information. - Provides safe, accurate, and timely medication and IV administration. - Coordinates and collaborates with other multidisciplinary team members to facilitate a comprehensive educational plan. - Physical Environment: The RN works in a variety of patient care environments where there may be exposure to communicable diseases and hazardous materials such as chemotherapeutic agents, radioisotopes, and radiation. - Caring for patients also involves exposure to human waste and other unpleasant elements. - Other duties may include general cleaning with exposure to dirt, odors, cramped quarters, etc. - RN's may work with angry, agitated, and combative patients. Additional Job Details (if applicable) Physical Requirements Standing Frequently (34-66%) Walking Frequently (34-66%) Sitting Occasionally (3-33%) Lifting Frequently (34-66%) 35lbs+ (w/assisted device) Carrying Frequently (34-66%) 20lbs - 35lbs Pushing Occasionally (3-33%) Pulling Occasionally (3-33%) Climbing Rarely (Less than 2%) Balancing Frequently (34-66%) Stooping Occasionally (3-33%) Kneeling Occasionally (3-33%) Crouching Occasionally (3-33%) Crawling Rarely (Less than 2%) Reaching Frequently (34-66%) Gross Manipulation (Handling) Frequently (34-66%) Fine Manipulation (Fingering) Frequently (34-66%) Feeling Constantly (67-100%) Foot Use Rarely (Less than 2%) Vision - Far Constantly (67-100%) Vision - Near Constantly (67-100%) Talking Constantly (67-100%) Hearing Constantly (67-100%) Remote Type Onsite Work Location 2014 Washington Street Scheduled Weekly Hours 12 Employee Type Regular Work Shift Night (United States of America) Pay Range $41.38 - $100.00/Hourly Grade RN2600 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. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package. EEO Statement: 4100 Newton-Wellesley Hospital 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.