RN Med-Surg Full-time
Site: Nantucket Cottage Hospital


 

Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.


 

100% onsite on the island of Nantucket. 36 hours per week, rotating shifts.


 

Job Summary

The Registered Staff Nurse is a professional nurse who renders quality nursing care. Nursing care is based upon the assessed needs of the patient, is congruent with the prescribed therapy of the medical staff and is based on the Nursing Department’s philosophy of nursing, and the Hospital’s mission, vision, and values. The Registered Staff Nurse will assess, plan, implement, and evaluate care for all patients. The Registered Staff Nurse is accountable for the delivery of quality patient care, utilizing the nursing process for all patients from birth through their adult life cycle.


 

Qualifications

Essential Job Duties and Responsibilities

  • Collects and documents all data pertinent to each patient’s actual and potential needs on admission or within twenty-four (24) hours of admission.
  • Documents and reports significant finding of ongoing patient assessment.
  • Formulates the patient plan of care based on age-specific needs and acceptable standards of practice.
  • Communicates the patient plan of care (written/verbal) through shift reports and other established procedures.     
  • Initiates discharge plan (with guidance when needed) within twenty-four (24) hours of admission.
  • Implements and documents teaching plan in the patient record.
  • Organizes own patient care and demonstrates ability to set priorities, providing most acutely needed care first and implementing physician and nursing orders within appropriate timeframes.
  • Demonstrates proficiency in administering treatments, procedures, and equipment appropriate to the unit/department as demonstrated by the skills checklist.
  • Administers safely and documents medications according to established procedures.
  • Uses standard precautions as outlined in the Nursing Department Infection Control Manual.
  • Demonstrates ability to prioritize patient/unit needs.
  • Completes discharge screening tool upon admission, appropriate referrals to other care services, and implements individualized teaching plan based on actual discharge needs.
  • Evaluates nursing interventions to changing patient situations as demonstrated by patient outcome.
  • Prioritizes nursing interventions in complex and rapidly changing patient situations, as evidenced by the patient outcome and documentation in the record.
  • 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, medication administration, initiation of telemetry, etc.), as may be required in the performance of job duties and responsibilities.
  • Attends mandatory Hospital/Nursing Department in-service training sessions and meetings.
  • Actively participates in 75% of unit staff meetings, patient care conferences, and/or one (1) project relevant to the unit per year.
  • Maintains an environment that is committed to high standards of patient care and supportive of Nursing Department staff providing that care.
  • Assumes responsibility and accountability for providing open communication, consensus decision-making, group goal setting and shared responsibility. 
  • Assumes authority, responsibility, and accountability for nursing practice. 
  • Functions in a collaborative and collegial relationship with other health professionals and providers. 
  • Demonstrates consideration toward patients, family members and other Hospital personnel by communicating in a professional manner, acknowledging, and understanding their concerns and speaking to them in a manner which demonstrates concern, dignity, and respect.
  • Adheres to Hospital/Nursing Department policy and dresses in a manner that represents the nursing profession as a professional; maintains personal cleanliness of dress and hygiene, wears identification badge at all times while working.
  • Participates in disciplinary performance improvement and other activities designed for professional growth.
  • Reviews and signs all in-service updates.
  • Identifies own limitations in skills and knowledge as demonstrated by seeking guidance when needed from appropriate colleagues.
  • Identifies and meets individual annual goals.
  • Participates in decision-making processes of unit/Nursing Department.
  • Demonstrates leadership skills.
  • Recognizes acute problems that occur in the unit and intervenes in a safe manner, in accordance with Nursing Department and Hospital procedure.
  • Provides assistance to other staff members during orientation and as needed and requested.
  • Participates in the development and implementation of Nursing Department goals and objectives by providing constructive feedback.
  • When performing the role of Day Charge nurse, attends discharge planning meetings.
  • Maintains confidentiality of organizational and patient information in accordance with Hospital policy and applicable statutes.
  • Other duties as assigned.

Essential Knowledge, Skills, and Abilities Required for the Position

Ability to:

  • Tactfully communicate with both internal and external customers.
  • Use a telephone, fax, copier, radio, and all other equipment associated with nursing practice.
  • Stand and walk 90% of the shift, frequent pushing, climbing, bending, reaching, stooping, squatting and helping lift objects and patients ranging from five (5) to three hundred (300) pounds.
  • Use hands, fingers, arms and wrists, hearing, smell, and verbal skills are required in order to perform job duties.
  • Utilize face shields/mask, gloves, protective clothing, safety glasses, and other protection associated with the care of patients.

Credentials and Experience Required

  • Graduate of an accredited nursing school required; bachelor’s degree in nursing preferred.
  • One (1) year of prior, related medical/surgical experience preferred.
  • Current, valid Massachusetts Registered Nurse (“RN) license required.
  • BLS/CPR certification required within one week of hire. AHA & ARC accepted.
  • ACLS & PALS certification required prior to completion of orientation or within 6 months of hire, whichever occurs first.
  • Professional certification in applicable nursing field(s) preferred.
  • Completed training in IS-100, and any other mandated requirements for emergency management.
  • Available to work day, evening and/or night shift as well as rotation on weekends as assigned. Must be able to rotate to units as assigned.
  • Willing to work additional shifts as assigned.
  • Availability to stay overnight should need arise during patient transports off island.
  • May be exposed to the following hazards: temperature fluctuations, moderate noise levels, minimal dust, infectious diseases, and other chemicals as customarily used in a hospital setting.  Exposure to various hazards in handling patient transports.
  • Available to work overtime as needed to complete all job duties.
  • Available to work in the case of a Hospital declared emergency.


 

Additional Job Details (if applicable)


 

Remote Type

Onsite


 

Work Location

57 Prospect Street


 

Scheduled Weekly Hours

36


 

Employee Type

Regular


 

Work Shift

Rotating (United States of America)


 

Pay Range

$37.69 - $89.59/Hourly


 

Grade

RN7MN1


 

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:

1575 Nantucket Cottage 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.

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The RN provides direction to licensed practical nurses and nursing aides regarding patient care and delegates when appropriate. The RN supports efforts to advance clinical knowledge and skills. The RN precepts new hire staff and students. The RN assists the staff and students to seek and complete the tasks required to complete their competency skills. The RN continues to enhance their knowledge in the nursing management and care of patient problems and conditions as required. The RN may continue to improve the patients experience, clinical outcomes and works to promote a healthy work environment. Nursing practices theory-based nursing that is evidenced based utilizing a Shared Governance model for decision-making. All RN staff who have direct responsibility for the care of stroke patients must have knowledge of: Stroke symptoms and warning signs Protocols and pathways used to identify, evaluate and management of stroke patients NIHSS Stroke Alert activation and protocol Stroke quality indicators Available stroke patient education materials and community resources ESSENTIAL FUNCTIONS Possess the knowledge of how to collect health data in a systematic and ongoing manner, prioritizing data collection as determined by the patient’s immediate condition or needs and involving the family. Analyzes the assessment data in determining diagnoses, and utilize the nursing diagnosis to develop, implement, evaluate and revise an appropriate patient plan of care that is family centered, developmentally and age-appropriate, and culturally relevant. Identifies expected outcomes individualized to the patient and their specific health problems. Develops plans of care that are individualized to the patient’s condition or needs, reflecting current nursing practice that is evidence-based, providing for continuity of care, and are family centered. Implements interventions in the plan of care. Initiates treatments, medications, emergency and resuscitative measures based on appropriate utilization of standing orders, policies and procedures. Provides nursing care to meet the physical, emotional, spiritual, and social-cultural needs of the patient and family utilizing a family-centered approach to care delivery. Evaluates the patient’s progress toward attainment of outcomes. Documents observations, nursing interventions, therapeutic measures, multi-systems monitoring data, and other data relevant to the patient’s care in a retrievable form. Provides ongoing evaluation of the quality and effectiveness of the care plan to ensure that they maintain and enhance patient outcomes that promote the delivery of cost-effective high-quality healthcare Evaluates one’s own nursing practice in relation to professional practice standards and relevant statutes and regulations of the system and department policies and maintains current knowledge in nursing practice. Systematically evaluates the quality and effectiveness of nursing practice. Integrates ethical principles in all aspects of practice. Enhances knowledge of culture and diversity needs for specific populations. Collaborates with others in the practice of nursing professional development at the institutional, local, regional and state levels. as colleagues. Interacts with and contributes to the professional development of peers and other health care providers through positive role-modeling, fostering peer relationships, and participating in preceptor and/or mentor programs thereby creating an environment for quality practice. Collaborates with members of the multidisciplinary team in assessing, planning, implementing and evaluating patient care delivery. Collaborates with the patient, family and other health care providers in providing patient care Develops and evaluates standards of care for patients that are evidence-based. Identifies changes that should be made in nursing practice using an evidence-based approach and facilitating the initiation of, adoption of, and adaptation to change. Participates in and uses evidence-based research to identify strategies for improving nursing practice, and patient outcomes. Designs, creates, and applies research by supporting the integration of research into practice fostering the use of systematic evaluative research with regard to clinical, educational, and managerial data. Considers factors related to safety, effectiveness, and cost in planning and delivering patient care by utilizing all resources effectively and efficiently. EDUCATION degree or Diploma in Nursing. All staff who have direct responsibility for the care of stroke patients, please refer to the addendum for stroke specific education requirements - PRIOR TO START All Diploma and ADN hires must Complete a BSN within 60 months of hire OR have 5 or more years of Registered Nurse experience (including direct patient care or indirect RN roles) at the time of hire. in nursing (BSN) EXPERIENCE 1 year RN experience for all Float Positions Required and >10 months med-surg or acute specialty setting Preferred LICENSES AND CERTIFICATIONS Registered Nurse (RN) - License State And/or Compact State Licensure as a registered nurse in the State of Arizona Upon Hire Required and Basic Life Support (BLS) - Certification Certification in BLS training course C, and unit specific certification as required by specialty area DOP. Required and National certification for unit specific patient population. Preferred