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Registered Nurse - Endocrinology (Per Diem)

Endocrinology full time RN Per- Diem Boston Medical Center (BMC) is more than a hospital. It´s a network of support and care that touches the lives of hundreds of thousands of people in need each year. It is the largest and busiest provider of trauma and emergency services in New England. Emphasizing community-based care, BMC is committed to providing consistently excellent and accessible health services to all—and is the largest safety-net hospital in New England. The hospital is also the primary teaching affiliate of the nationally ranked Boston University School of Medicine (BUSM) and a founding partner of Boston HealthNet – an integrated health care delivery systems that includes many community health centers. Join BMC today and help us achieve our Vision 2030 which is a long-term goal to make Boston the healthiest urban population in the world. Position: Registered Nurse Department: Endo, Diabetes & Nutrition Clinic Schedule: Per-Diem, Days POSITION SUMMARY: The registered nurse, adheres to the rules and regulations of the Massachusetts Board of Registration in Nursing. is primarily responsible for professional performance and direct patient care. The role encompasses nursing assessment, diagnosis, planning, intervention, evaluation, and coordination of care for patients and their families across the health care continuum. The registered nurse is accountable for clinical, educational, quality and fiscal patient care outcomes using the model of care designed by the nursing department and in accordance with established agency policies, procedures, protocols, guidelines and standards of practice. ESSENTIAL RESPONSIBILITIES / DUTIES: STANDARDS OF CARE 1.0 Consistently and effectively utilizes all steps of the nursing process in the provision of timely, safe, efficient and appropriate patient/centered care. Assesses the patient and family in a systematic and ongoing manner for both overt and covert signs and symptoms in accordance with the standards of clinical nursing practice. Collects pertinent data using appropriate assessment techniques. Prioritizes data according to the patient’s immediate condition or needs. Involves the patient, family/significant others and appropriate health care providers in the collection of data when appropriate. Consistently uses clear, concise and effective written/oral communication and complies with departmental policies when sharing/documenting relevant patient care data. Identifies emergency/crisis situations, communicates such in a timely manner to appropriate health care team members, and responds appropriately when needed. 2.0 Analyzes the assessment data to determine appropriate nursing diagnoses. Demonstrates use of critical thinking skills, derives and documents appropriate diagnoses from patient and family assessment data. 3.0 Identifies expected outcomes individualized to the patient. Derives and documents realistic, appropriate clinical and educational patient-centered outcomes consistent with patient’s diagnoses, capabilities and expectations in accordance to the standards of clinical nursing practice. Develops outcomes as measurable goals which include a time estimate for attainment and provides direction for continuity of care. Mutually formulates outcomes with the patient, significant others and health care team when appropriate. 4.0 Develops a plan of care that prescribes interventions to attain expected outcomes. Develops and documents an individualized plan of care that reflects the patient’s condition, prioritizes his/her needs, and provides for continuity of care. Develops the plan with the client, significant others and appropriate health care providers. Develops a plan reflective of current nursing practice standards, policies, procedures, protocols and guidelines. Plan reflects effective use of available resources and appropriate internal/external referrals in order to provide comprehensive care to patients and families. 5.0 Implements interventions identified in the nursing and medical plan of care. Prioritizes patient care interventions based on fluctuating patient and unit needs. Demonstrates the knowledge and skills necessary to provide care appropriate to the age groups of patients regularly served. Consults appropriate resources when patients outside regularly served age populations are present. Effectively delegates appropriate patient care activities to co-workers with appropriate knowledge and skill level and ensures that co-workers have completed the delegated tasks in a timely manner. Provides for a safe, clean unit environment through use of appropriate risk management practices, e.g. labeling and removing broken/expired equipment/materials from service. Demonstrates safe technical competence based on patient needs, including but not limited to direct care skills, e.g., phlebotomy, IV insertion, etc., informatics, and equipment monitoring/utilization. Implements patient care interventions/treatments and administers medications in accordance with established practice standards, policies, and protocols. Educates patient and family regarding current illness, procedures, treatments, plan of care as well as health maintenance, promotion, and illness/injury prevention. In emergency/crisis situations, demonstrates effective decision making in accordance with standards of clinical nursing practice, re-prioritizes patient care needs, initiates appropriate response actions, and directs other team members to ensure a complete and coordinated response. Documents interventions according to departmental policy. 6.0 Evaluates the patient’s progress toward the attainment of clinical and educational outcomes. Conducts systematic and ongoing patient reassessments and evaluations. Evaluates the effectiveness of interventions in relation to desired outcomes and includes the patient, significant others and appropriate health care providers in the evaluation process as needed. Demonstrates use of critical thinking skills through the incorporation of ongoing assessment data in the revision of diagnoses, outcomes and the plan of care. Provides follow-up care in person via home visits and via telephone when needed and when appropriate. Documents patient’s response to interventions as well as revisions in diagnoses, outcomes and plan of care according to departmental policy. STANDARDS OF PROFESSIONAL PERFORMANCE 1.0 Systematically evaluates the quality, cost, and effectiveness of nursing practice. Participates/leads quality improvement and/or research activities as appropriate to the individual’s position, education, skills, and practice environment. Uses the results of patient satisfaction, quality improvement and/or research data to initiate changes in practice. Accounts for completing daily patient classification data and incident reports in a timely manner. Participates in cost containment initiatives and practices. When two or more practice options exist that achieve the same quality of expected patient outcome, evaluates factors related to safety, effectiveness and cost when selecting the appropriate option. 2.0 Acts in a professional manner relative to practice standards, statutes, and regulations. Practices in compliance with established practice standards, policies, procedures, protocols, guidelines, statutes and regulations (example: DPH, JCAHO, Fire Code, OSHA, and DEA). Functions without supervision in a manner appropriate for level of experience and education. Responsible for seeing things through to completion and for informing appropriate staff of outcomes. Offers, seeks out and acts upon constructive feedback regarding professional practice to improve daily practice and to achieve goals identified during performance appraisal. Takes appropriate steps to effectively resolve peer conflicts or investigate questionable activities. Discusses such with individuals involved and seeks assistance from nurse manager when appropriate. Maintains accurate annual professional development record. Demonstrates flexibility and ability to positively adapt to changing staffing/clinical/patient census needs including but not limited to offering assistance to others, adjusting patient assignments, floating to other areas/units, etc. Demonstrates reliability in regard to attendance and punctuality standards. Maintains a presentable appearance in accordance with dress code requirements including wearing a visible identification badge that identifies one’s self as a registered nurse. 3.0 The nurse acquires and maintains current knowledge in nursing practice. To maintain clinical competence in appropriate practice area, participates in ongoing educational activities to enhance clinical knowledge and update requisite skills. Independently identifies need for in-service/educational sessions and seeks experience to meet such needs and to maintain clinical skills. Completes the following mandatory requirements: annual BLS certification, institutional mandatory education, e.g., safety regulations, infection control standards, etc., and departmental/unit specific competencies. Actively participates on unit or departmental based task forces, councils, or committees. 4.0 The nurse contributes to the professional development of peers, colleagues, and others. Takes initiative to share knowledge and skills willingly with colleagues, students, and novice practitioners in a collegial manner. Provides peers with constructive feedback regarding their practice and professional skills. Acts as a resource for new employees, float staff, and other unit team members. Assists in the orientation and/or acts as preceptor for new employees and/or nursing students. 5.0 The nurse’s decisions and actions on behalf of patients are determined in an ethical manner. Delivers care in a manner that preserves/protects client autonomy, dignity, confidentiality, and rights. Acts as a patient advocate in order to facilitate meeting identified patient needs. Delivers care in a non-judgmental and nondiscriminatory manner that is sensitive to and demonstrates respect for patient diversity. Seeks available resources to help formulate ethical decisions. 6.0 The nurse collaborates with client, significant others and health care providers in delivering client care. Communicates and consults with client, significant others and members of the health care team regarding required patient care. Works cooperatively and constructively with all departments and health care team members to establish an environment that supports the process of collaboration. Participates as an integral member of the health team during family/staff meetings, formal/informal shift rounds/reports, and medical/grand rounds. Coordinates appropriate internal and external referrals to assist patients to gain access to services, pre-approvals, etc. Coordinates discharge activities including arranging for home/agency referrals when necessary. 7.0 Other duties Acts as a shift charge nurse when requested/needed and oriented to charge. Performs all other related duties as assigned. (The above statements in this job description are intended to depict the general nature and level of work assigned to the employee(s) in this job. The above is not intended to represent an exhaustive list of accountable duties and responsibilities required). JOB REQUIREMENTS EDUCATION: Graduate of a nursing degree program; BSN preferred. CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED : Licensed to practice professional nursing as a registered nurse in the Commonwealth of Massachusetts. Requires current basic life support (BLS) certification. Some units may require Advanced Cardiac Life support ( ACLS) certification. Additional certifications may be required for certain practice areas. KNOWLEDGE AND SKILLS: Current basic cardiac life support certification. Basic computer proficiency is inclusive of the ability to access, enter and interpret computerized data/information. Effective interpersonal skills to facilitate communication with various health care team members, patients, and families. Organizational skills to set priorities and efficiently complete assigned work. Multilingual skills (beyond that of English) in languages appropriate to the patient populations served by the medical center preferred. Relevant clinical experience and/or specialty, certification required for certain practice areas, e.g., enters total therapy, epidemiology, peri-operative areas. Analytical ability to solve clinical nursing issues and conduct quality improvement research utilization projects. Ability to effectively delegate appropriate patient care activities. Effective verbal and written communication skills appropriate to the patient populations served. Physical ability to meet the core job responsibilities following practice setting demands for the patient populations regularly served. Ability to effectively manage stress due to critical issues related to patient care, changing organizational climate, and personnel issues. Prefer 2-3 years endocrinology and diabetes experience, Triage experience preferred, IV infusion experience preferred NursingAmb Equal Opportunity Employer/Disabled/Veterans According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or “apps” job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment.

Oncology

Per Diem

6 months ago

Registered Nurse, 8 North, Oncology, Per Diem

UMass Memorial Health Worcester, MA

Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account . Exemption Status: Non-Exempt Schedule Details: Holidays - One Major Summer Holiday, Holidays - One Major Winter Holiday, Weekends - One Full Weekend a Month Scheduled Hours: 8 and 12 hours, Nights and Days Shift: 4 - Mixed Shift, 8 Hours (United States of America) Hours: 0 Cost Center: 10020 - 2147 Nursing 8 North This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. . Major Responsibilities: 1. Utilizes the Nursing Process for the delivery and management of patient’s care from Admission to Discharge, appropriate to the developmental age of the patient population. 2. Performs patient assessment/reassessment according to standard procedure. 3. Develops and coordinates individual plan of care including discharge planning. 4. Directs, supervises, coordinates and evaluate nursing care within assigned clinical setting. 5. Delegates appropriately to others in accordance with job description and competency level. II. Position Qualifications: License/Certification/Education: Required: 1. Current Massachusetts Nursing licensure and registration. 2. BLS is a requirement for every RN unless advance cardiac life support (ACLS) certification is current, in addition to any unit specific certifications and competencies. Preferred: 1. Bachelor of Science degree in Nursing highly preferred. Experience/Skills: Required: 1. Thorough knowledge of the discipline of Nursing. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We’re striving to make respect a part of everything we do at UMass Memorial Health – for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at talentacquisition@umassmemorial.org. We will make every effort to respond to your request for disability assistance as soon as possible.

Per Diem

7 months ago

Registered Nurse (RN)

IntelyCare Great Barrington, MA

$50 - $61 / hour

Make up to $61 an hour as a Registered Nurse (RN) in Great Barrington, MA (and the surrounding area), while working as a W2 employee with a completely flexible schedule. Yes, you read that correctly. You’ll have all the security, benefits and support of an employee while also working the shifts at any of our partnering facilities that best fit your life. The nurses who founded our company understood how difficult it can be to work a nursing professional’s schedule and still have time for a personal life. Their goal was to make it easy to enjoy the best of both worlds, creating a user- and mobile-friendly app where you can choose when you work — and when you don't. That means you can take a day off at any time without having to wait for an approval. Living in a picturesque city like Great Barrington, you shouldn't be deprived of enjoying all that your city has to offer. Take time off to spend a day touring landmark buildings like the Old Trinity Church or take the family skiing and tubing at Butternut Mountain. With IntelyCare, you can finally have a job that makes room for your life. Read more about IntelyCare below and consider joining our team today. Benefits RN hourly rate: $50 to $61 Rates that are up to 25% higher on average Weekly and daily pay options Opportunities for overtime and boosted rates for holidays Ability to quickly search for shifts in all states where you're authorized to practice Your choice of a wide range of shifts at any of our partner facilities — including weekday/weekend shifts, day/evening/overnight shifts, and more Medical, dental, and vision insurance (includes qualifying family members) Employer tax withholding Eligibility for 401k retirement plan Opportunities to upskill with a dedicated staff of quality assurance nursing professionals Undergraduate and graduate tuition discounts (up to 34%) at Excelsior University Workers' comp coverage and malpractice insurance (employer paid) All-in-one app to easily manage your shifts and workplace perks like free continuing education courses Want to know what it's like to work for IntelyCare — straight from the source? Here are some reviews from a few of our "IntelyPros" to give you a sense of what it's like to be a part of our team: "IntelyCare is 10/10! I have worked with them for a little over two years and I have never been disappointed. The customer service staff takes care of everything you need in a very timely manner." "IntelyCare works with us, not against us! I have been feeling the support from the moment I started. Everyone here is willing to help you achieve your goals, and for that to happen you don’t necessarily have to be a full-time employee." "Since I joined IntelyCare, I have been stress-free! I make my own schedule, I get to spend more time with my family, and make enough to cover my expenses." "I love IntelyCare because it is extremely convenient and reliable. This job alone has saved me from being in debt and is keeping a roof over my head…There are so many benefits from being an IntelyPro: a good retirement plan, health insurance, shift variety, and a team that actually cares about you. I love being an IntelyPro!" Job Responsibilities Providing resident-focused, high-quality care while working as a RN in post-acute facilities Developing individualized care plans for residents in coordination with the wider medical team Reviewing care options with clinicians, nursing staff, residents, and their family members Setting up and using medical equipment and devices as needed for effective care Administering medications and providing treatments to residents consistent with their care plan Measuring and monitoring resident vital signs and drawing fluids as needed for labs and testing Ensuring accurate documentation of relevant information such as interventions and responses, vital signs, and resident medical histories Training and supervising nursing professionals and support staff as needed, consistent with scope of practice limitations Supporting staff with incident investigations and reporting Being accountable to follow and adhere to resident care plans Delivering care consistent with all applicable laws, policies, and standards of care Qualifications and Skills Current Massachusetts state license to practice as a Registered Nurse (RN) Successful completion of an approved nursing program Minimum of 6 months of experience ( RN or related role) Advanced skills in multitasking, organization, and communication Ability to lift a minimum of 50 lbs Get the Flexibility You Need and the Support You Deserve As you compare Registered Nurse (RN) jobs in your area, consider joining a company that was created with professionals like you in mind. Get the work-life balance and peace of mind you deserve by joining the team ranked #1 in quality today. COVID-19 Considerations: COVID-19 vaccination requirements vary by state. We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Location: Great Barrington, Massachusetts 01230