Nursing Jobs in Kingston, MA

PA/NP Critical Care

If you are an existing employee of South Shore Health then please apply through the internal career site. Requisition Number: R-20763 Facility: LOC0001 - 55 Fogg Road55 Fogg Road Weymouth, MA 02190 Department Name: SSH Critical Care APC PB Status: Full time Budgeted Hours: 36 Shift: Day (United States of America) Under the general guidance of the MD Chair of critical care and the Executive Director, APC program, the NP/PA will evaluate, diagnose and treat patients following written guidelines approved by the Department of Critical Care. Compensation Pay Range: $107,000.00 - $224,123.00 Work as part of a critical care team comprised of Intensivists/Internists and PA providers in a very active 24 bed combined medical/surgical/cardiac ICU. Responsibilities include assessment, diagnosis and treatment of critically ill patients under the supervision of the intensivist as well as communication with consultants, patients and families. Other duties include admission of patients from the ER, daily progress note documentation, billing, ventilator management, laboratory interpretation. Capability of performing central venous line placement and arterial lines. First responder to "Rapid Response" and codes. JOB REQUIREMENTS Minimum Education - Preferred Graduate of accredited Physician Assistant Program Minimum Work Experience Prefer two or more years of practice, preferably in critical care. Required Licenses / Registrations PA - Physician Assistant Required additional Knowledge, and Abilities Must possess current PA- Physician Assistant license. NCCPA certification & ACLS - Advanced Cardiac Life Support required. Pediatric Life Support (PALS) preferred. License, certification and required classes and skills will be monitored through the Medical Staff Services Department. Demonstrates history of proficiency in the delivery of critical care medicine to patients of all ages. Demonstrates history as a strong member of a Critical Care Team with successful completion of South Shore Hospital credentialing process. 1 - Performs evaluations, including: pertinent history and physical exam on patients assigned to Critical Care. Institute a plan of care based on findings. Inform the responsible Critical Care Physician of pertinent subjective and objective data and routine diagnostic and therapeutic measures initiated. a - Documents clinical findings and impressions on the patients record. b - Consults MD when necessary, prior to proceeding with care. c - Orders diagnostic tests. d - Prescribes required medications and treatments. e - Coordinates subspecialty referrals in consultation with the responsible Critical Care physician. f - Provides follow-up instructions for patient and/or family. 2 - Performs special procedures after orientation and documentation of competency. All procedures will be performed in accordance with approved protocols. a - Pelvic Exams b - Suturing 3 - Serves as clinical resource to nursing staff. a - Assists in the development of emergency nursing staff. b - Participates in Quality Monitoring activities. c - Assists in the development of treatment protocols. 4 - Evaluates patients in regard to discharge or admission in order to improve the flow of patients. Day/Night rotation: 7a-7p and 7p-7a 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), Physician Assistant - Board of Registration of Physician Assistants (Massachusetts)

Medical Assistant- Wound Center Per Diem

Beth Israel Lahey Health Plymouth, MA

$18.81 - $33 / hour

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Per Diem, Based on department needs Job Description: Duties/Responsibilities: Under the direction of the registered nurse and provider, delivers clinical assistance to patients within the Wound Healing and Hyperbaric Center. Reviews and prepares medical record and clinic rooms prior to clinic start, between patients and end of clinic day Maintains optimal flow of patients for efficiency of practice. Escorts patients into the exam area. Prepares patient for the physical exam. Takes and records routine vital signs, heights, weights. Obtains blood glucose. Reports any abnormal values to the nurse. Documents results in patients EMR. Responsible for undressing the wound area, cleansing the limb/ wound area, measuring and photographing the wound area. Documents results in patients EMR. Assists nursing staff and providers in the treatment rooms as directed. May be required to perform direct patient care, i.e., assist with physical care, cast removal, dressing, toileting, patient monitoring, specimen retrieval. Transports patients to other settings as directed. Assists in data entry. Orders, organizes, stores, and maintains par levels of medical supplies in clinic and exam areas. Provides coverage for unit coordinator: telephone, scheduling, insurance auth. and billing input. Obtains labels and sends patient specimens as ordered. Ensures accurate coding for visits and procedures performed Carries out other tasks as directed by the Clinical Leader, Nurse Practitioner or Director Maintain and adhere to all Beth Israel Deaconess Plymouth, OSHA, CLIA and government regulations. Performs all tasks in accordance with hospital policies and procedures. Creates and maintains an atmosphere of warmth, personal interest and positive emphasis, as well as a calm environment throughout the unit. It is understood that this is a summary of key job functions and does not include every detail of the job that may reasonably be required. Education/Experience Required: Knowledge of medical terminology required Ability to organize. Knowledge of computer programs, systems. Demonstrated communication skills, verbal and written at 12th grade level. Ability to type at 35 wpm. 1-2 years experience in a medical office preferred. Graduate of an accredited school of Medical Assistance required. Registration/Certification: Graduate of an accredited school of Medical Assistance required. Medical Assistant certification required. BLS from American Heart Association certification required. Pay Range: $18.81 - $33.00 This position is covered by a collective bargaining agreement. 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. The pay range for this position is established and governed by the terms of the applicable collective bargaining agreement. Employees hired into this position will receive compensation consistent with the terms of the applicable collective bargaining agreement. 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

Satellite Clinic Nurse - Women's Care - 32 hrs - Braintree

Tufts Medicine Braintree, MA

Company Description Tufts Medical Center is recognized by the ANCC Magnet Recognition Program® for excellence in nursing. Magnet® recognition is the highest and most prestigious credential a health care organization can achieve for nursing excellence and quality patient care. Magnet® recognition signals to nurses that the organization is committed to nursing. The nurses at Tufts Medical Center are integral to everything we do. They are often the ones patients interact with first, and sometimes the ones they interact with the most. It’s a critically important role, so our nurses are well-supported, well-respected, and very well-appreciated! There’s an intensity and a pace to be embraced. You will have responsibility and accountability the minute you pull on the scrubs. You need to be the kind of person who gives everything you've got. Our patients deserve the best. Our nurses give it to them. Job Description The professional registered nurse possesses and applies the skills and knowledge necessary for the delivery and management of patient care from admission through discharge. The professional registered nurse is knowledgeable of current trends in healthcare including but not limited to advances in technology, pharmacology, treatment care modalities, quality and patient safety. The professional registered nurse serves as a patient and family advocate while facilitating a cooperative and collaborative environment among all health care providers. The professional registered nurse is responsible for the planning, delivery and management of patient/family centered care utilizing the nursing process and adhering to the standards of nursing practice embedded in research, evidence based practice and/or best practices. The professional registered nurse at Tufts Medical Center provides clinical excellence, which fosters and supports an environment central to our patient and family centered model of care. PRINCIPLE DUTIES AND RESPONSIBILITIES Nursing Process : Utilizes theoretical and evidence-based knowledge in partnering with patients and their families to assess, plan, implement and evaluate age appropriate care. Assess: Collaborates with patient, family/significant others and other disciplines to identify expected outcomes based on synthesis of data and diagnosis Identifies cultural needs (i.e. language, etc. ) to develop a care plan that enhances the health care experience Plan: Develops individualized outcomes-based care plans incorporating the patient and family's readiness and barrier to learning Orchestrates and validates a plan of care for each shift Initiates interdisciplinary patient/family meetings to facilitate communication regarding the plan of care Communicates and coordinates the patients discharge plan utilizing unit-based and community resources to ensure a seamless transition for the patient and their family The plan of care utilizes principles and concepts of project, organizational or systems management Implement: Implements the plan in a safe and timely manner Documents the implementation and any modifications, including changes or omissions, of the identified plan Collaborates with nursing colleagues and others to implement the plan Utilizes evidence-based interventions and treatments specific to the diagnosis or problem Provides and coordinates health teaching which is required by individuals, families and groups to maintain an optimal level of health Documents per hospital and regulatory requirements/policies, all aspects of care, including but not limited to, treatments/procedures performed and patient response Evaluate: Evaluates the effectiveness of the planned strategies in relation to patient responses and the attainment of expected outcomes and knowledge The nurse uses the evaluation process to update the plan of care as dictated by the patient response and/or if desired outcomes have not been achieved Professional Performance: Clinical Practice : The professional registered nurse demonstrates and applies the skill and judgement necessary to implement the nursing plan of care, nursing interventions and procedures necessary for the care of the patient and family based upon critical thinking skills and a spirit of inquiry. The plan of care is evidence based and utilizes research when appropriate Incorporates new knowledge and strategies to initiate change in nursing care practices Demonstrates the knowledge and skills necessary to provide age appropriate culturally and ethnically sensitive care to all patients and families Performs procedures and treatments using nursing knowledge and judgment, according to established unit/practice area guidelines and professional standards Safely administers and assesses the patient response to medication utilizing essential knowledge of pharmacology and Hospital and Department Standards of Care Maintains clinical competency with respect to technology and utilizes equipment in a safe manner Performs as an advocate and as an educator for patients and families Quality: The professional registered nurse provides high quality in an efficient and a safe manner. The professional nurse utilizes data trends to support and improve clinical practice. Participates in hospital and/or unit based patient safety and quality activities and uses principles to support and improve patient outcomes (unit-based, hospital-wide, The Joint Commission, NPSGs, NDNQI, Patient First and other local, state and federal patient safety initiatives Participates in performance improvement activities through data collection, analysis and evaluation Champion for quality, safety, regulatory, and patient-family satisfaction Collaboration: Facilitates cooperative and collaborative relationships among the various disciplines and departments to ensure effective quality patient care delivery Maintains a collaborative work relationship with peers and colleagues in order to create a positive and professional work environment Supports collaboration with nursing colleagues and other disciplines to implement plan of care by participation in nursing, physician, and case management reporting rounds Delegates responsibilities to others with an understanding of their roles, knowledge and capabilities Service Excellence: The professional nurse influences others by establishing a climate for optimal patient care, mutually supportive collegial relationships, and professional development. Treats both internal and external customers with courtesy, respect and caring behavior Promotes a safe, clean, therapeutic environment for patients, families and staff Acknowledges cultural differences that exist among staff and patients Identifies customer service needs on the unit Presents self in a professional and calm manner Provides responsible and efficient use of resources Professional Development: The professional registered nurse participates in lifelong learning activities that assist in developing and maintaining their continuing competence, enhance their professional practice and support achievement of their career goals. The professional registered nurse maintains current licensure and adheres to the Massachusetts Nurse Practice Act Assumes responsibility for participating in educational opportunities to support and meet clinical competency requirements Seeks out educational and professional resources Develops professionally as a self-directed, motivated learner May assume charge nurse functions in collaboration with unit leadership Seeks out advanced certification opportunities and ongoing education opportunities Precepts and mentors newly hired staff and nursing students Investigates available technology and resources to apply evidence based practice and research into daily professional activities Provides leadership at the bedside as a delegator, collaborator, facilitator, and communicator Promotes unit and organizational growth through a shared governance model Communication: The professional registered nurse seeks out and shares job related information that supports a culture of respect and responsibility. Assumes responsibility and ownership for professional conduct Accepts responsibility for positive and productive communication skills Attends and actively participates in staff meetings. Accepts responsibility for reading staff meeting minutes when not able to attend Accepts responsibility for reading emails to keep current with unit and hospital based information Qualifications JOB KNOWLEDGE AND SKILLS Possesses and applies the skills and knowledge 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. Ability to provide care for a designated group of patients according to unit guidelines and hospital policies, procedures and protocols. AGE SPECIFIC COMPETENCIES Has the skills and knowledge to provide care to the age groups of the population served including: Knowledge of growth and development Ability to interpret age specific data and response to care Provide age appropriate communication EDUCATION Bachelors Degree required, Bachelors Degree in Nursing strongly preferred. BLS Certification required EXPERIENCE Prior Ambulatory OB and/or GYN experience is required Certification in lactation or childbirth education is strongly preferred LICENSE Current Massachusetts Registered Nurse License PHYSICAL DEMANDS/WORKING CONDITIONS Prolonged, extensive, or considerable standing/walking Lifts, positions, pushes and/or transfer patients and equipment Considerable reaching, stooping, bending, kneeling, crouching Frequent exposure to hazardous chemicals, sick patients, bodily substances, noise and possible exposure to radiation, lasers, electric shock, etc. Regularly exposed to the risk of bloodborne diseases and other transmissible infections Contact with patients under wide variety of circumstances Subject to varying and unpredictable situations Handle emergency and crisis situations Subjected to irregular hours May have contact with hazardous materials At Tufts Medicine, we want every individual to feel valued for the skills and experience they bring. Our compensation philosophy is designed to offer fair, competitive pay that attracts, retains, and motivates highly talented individuals, while rewarding the important work you do every day. The base pay ranges reflect the minimum qualifications for the role. Individual offers are determined using a comprehensive approach that considers relevant experience, certifications, education, skills, and internal equity to ensure compensation is fair, consistent, and aligned with our business goals. Beyond base pay, Tufts Medicine provides a comprehensive Total Rewards package that supports your health, financial security, and career growth—one of the many ways we invest in you so you can thrive both at work and outside of it. Pay Range :