Temporary Registered Nurse, Periop Svc Float, 24-Hours, Days/Evenings, 8 hour shifts, Alternating weeknight, weekend, and holiday day

Overview You Matter Here! Heywood Healthcare values our employees! We offer competitive wages, great benefits and generous earned time off. Come work where you will matter! Hours: 24-Hours, Days/Evenings, 8 hour shifts, Alternating weeknight, weekend, and holiday day $37.26 - $76.63 Responsibilities Essential Functions Assesses (and reassesses), plans, implements, and evaluates nursing interventions/plans of care/patient goals. Provides patient care based on standards of care, standards of practice, protocols, and established policies and procedures. Respects each patient as an individual; provides care that fosters the patient’s sense of dignity and positive self-regard. Provides patient/family teaching based on identified learning needs, readiness to learn, and barriers to learning. Collaboratively plans and prepares patient/family for discharge incorporating support systems/resources as necessary. Appropriately delegates and supervises nursing interventions performed by others. Appropriately prioritizes patient care (e.g. seeks assistance as needed from appropriate resources, reassigns personnel as necessary, recognizes need for emergency intervention, etc.). Provides thorough, timely, and accurate documentation of all pertinent data, therapeutic interventions and patient responses according to established standards. Provides timely and thorough report on assigned patients to other health care team members to ensure integration of services and continuity of patient care. Promotes learning for colleagues and self (e.g. functions as preceptor, instructor, trainer, attends professional development programs, etc.). Proactively identifies risk to patient safety and identifies opportunities to reduce medical/health care errors (i.e. appropriate reporting of errors/incidents). Identifies ethical issues in care and develops plan to address. Safely administers medications and intravenous therapy, in accordance with physician’s orders, protocols, policies and procedures. Assesses patient pain level upon admission and as necessary, depending upon diagnosis utilizing the numerical pain scale. Reassesses effectiveness of pain control and notifies physicians as needed, as well as, documents assessment and patients’ response to medication. Responsible for obtaining supporting information and completing required documentation related to medication reconciliation for use by the Attending MD. Performs pre-admission testing on Surgical Day Care patients. Performs nursing assessment and coordinates and performs ancillary testing for patients undergoing day surgery including performing blood draws and EKG's. Reviews pre-operative orders and consults with the surgeon and/or anesthesiologist as necessary to assure appropriate tests are ordered per guidelines. Reviews test results, checks for abnormal results and communicates abnormalities to the surgeon, anesthesiologist and/or primary physician prior to surgery. Reviews preoperative chart for completeness verifying that all paperwork is present and complete preoperatively, such as consent form, H&P, and lab results. Provides emotional support to patients undergoing a change in body image and/or activity level due to surgery. Initiates and documents post-operative phone calls to SDC patients. Safely administers intravenous therapy to support the patients’ treatment plan. Initiates and administers IV's, without errors or complications, in accordance with physician orders and nursing policy and procedure. Observes and documents patients' response to intravenous therapy. Continuously monitors post operative patients to ensure safety while recovering from anesthesia. Monitors and observes patients during the recovery phase of general or regional anesthesia. Monitors for potential problems/complications immediately post operatively, giving special attention to oxygenation, ventilation, circulation and temperature. Supports the perioperative plan of care through implementation of the recovery plan of care for the patient. Demonstrates knowledge of dosage, action, use and side effects of medications commonly used during anesthesia. Checks patient dressing, is alert for signs of unusual bleeding and administers ice packs PRN. Provides communication to all team members to ensure continuum of patient care during the perioperative process. Provides a comprehensive patient summary to the staff accepting the patient in transfer or providing temporary coverage. Collaborates with surgeons, anesthesiologists and nursing staff to provide continuum of care during perioperative process. Safely administers blood and blood products to replace loss during surgery. Administers and monitors patients receiving blood and blood products as well as observes and documents patients' response to blood transfusions. Documents, accurately and thoroughly, blood administration according to nursing policy and procedure. Responsible for obtaining supporting information and completing required documentation related to medication reconciliation for use by the Attending MD. Statement of Other Duties: This document describes the major duties and responsibilities for this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described. Physical Requirements: Exerts 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Frequently reaches (extending hands and arms in any direction), handles (seizing, holding, grasping, turning, or working with hands), and feels (perceiving attributes of items such as size, shape, temperature, or texture by means of fingertips). Occasionally stoops (bending the body downward and forward by bending the spine at the waist), and kneels (bending the legs at knee to come to rest on knee or knees). Organizational Expectations Behavioral Attributes:The following behavioral attributes are required: achievement, motivation, concern for order, flexibility, initiative, self-confidence, customer service oriented, interpersonal effectiveness, teamwork, analytical thinking and information seeking. Qualifications Job Requirements Minimum Education Graduate of an accredited school of nursing Minimum Work Experience Minimum 1 year of Med/Surg, ICU, ED or peri-operative services experience. Minimum 6 months of recent PACU, SDC or radiology experience preferred. Minimum Licenses and Certifications Current RN license in MA Current AHA ACLS and PALS certifications are required. Required Skills Excellent communication, critical care and critical thinking skills are a must. Must take call per PACU rotation. Disclaimer We are committed to equitable and transparent compensation practices. The salary range for this position reflects our good-faith estimate of base pay at the time of posting. Final compensation will be determined based on a variety of factors, including relevant experience, skills, qualifications, and internal equity. We regularly review our compensation structures to ensure fairness and consistency across our organization.

RN

Nurse Manager, Labor and Delivery

Emerson Hospital Concord, MA

The Nurse Manager, with the Director, Obstetrical Nursing, assumes 24-hour responsibility for management of Labor and Delivery and Perinatal Education units, and allocation of resources. Management includes provision of appropriate staffing and skill mix, and sufficient equipment and supplies to meet the nursing care needs of the patient population. This position has administrative and operational responsibilities and participates with the nursing team in care planning and delivery, utilizing the nursing process to provide appropriate comprehensive care, in accordance with the stated philosophy and objectives of the Nursing Service Department and the OB Department. Job Functions Requires flexibility and adaptability to ensure unit is staffed appropriately at all times. Assigns personnel, as necessary and in congruence with their skills to optimize patient care. Functions in the role of charge nurse when working clinically. Leading the “huddle” at the beginning of each shift and reviewing the shift operational plan of care with incoming staff Maintaining department schedule and time card management of assigned staff. In collaboration with the Director, clinical resource nurse and Nurse Educator, develops standards for care and updates and revises procedures and policies, as necessary. Oversees and maintains RN L&D Nursing, L&D scrub tech and UC Schedules With the Nurse Director of OB and Nurse Educator, develops and revises procedures and policies in accordance with best practices. Follows established hospital guidelines for developing and implementing new policies. In collaboration with the Director and Nurse Manager of Postpartum/SCN, evaluates staff performance based on developed standards. Utilizes hospital performance review tool to write and deliver assigned annual performance reviews. Participates in interview process for hiring of new staff Utilizes constructive conflict management strategies, just in time coaching and goal setting to optimize staff performance and engagement. Promotes professional development of staff. Participates in the development, monitoring and evaluation of clinical and patient satisfaction initiatives, standards of nursing practice and outcomes of patient care. Represents the organization in a professional manner in communication, attire and interaction with others. In collaboration with the Director and nurse educators, provides staff education on an ongoing basis. This includes new policies, Joint Commission standards, DPH requirements, new equipment/products and clinical software programs Establishes and maintains effective communication in all areas of responsibility. Participates in quality assurance and improvement initiatives and engages staff to participate in audit activities and action plan implementation. Orients or delegates responsibility for orientation of personnel and works with the nurse educator to assess successful acquisition of positional competence. Assumes responsibility with the Director, Obstetrical Nursing for optimal maintenance and utilization of supplies and equipment. Maintains and supports patients’ rights to care, privacy and respect. Provides and/or assists in direct patient care. Participates in hospital committees and programs, as appropriate. Serves as OB Dept Dayshift Charge RN on other duty days and partners with clinical resource nurses to support operations which include weekends and holidays Performs all duties listed in the RN job descriptions for labor and delivery, postpartum, and special care nursery. Maintains and supports patient’s rights to care, privacy and respect. Other duties as assigned from time to time.

Registered Nurse, ICU, Temp, 36-hour, evening/night shifts, 7:00 pm - 7:30 am, 11:00 pm - 7:30 am

Heywood Healthcare Gardner, MA

$37.26 - $76.63 / hour

Overview You Matter Here! Heywood Healthcare values our employees! We offer competitive wages, great benefits and generous earned time off. Come work where you will matter! Hours: 36-hour, evening/night shifts, 7:00 pm - 7:30 am, 11:00 pm - 7:30 am, every other weekend and holiday $37.26 - $76.63 Under the supervision of the Nurse Manager, or designee, the Registered Nurse functions as a professional participant in the health care team who provides direct and indirect care to patients, families, and significant others utilizing the nursing process in accordance with the philosophy, goals, and objectives of Nursing Services. Responsibilities ESSENTIAL FUNCTIONS Assesses (and reassesses), plans, implements, and evaluates nursing interventions/plans of care/patient goals. Provides patient care based on standards of care, standards of practice, protocols, and established policies and procedures. Respects each patient as an individual; provides care that fosters the patient’s sense of dignity and positive self-regard. Provides patient/family teaching based on identified learning needs, readiness to learn, and barriers to learning. Collaboratively plans and prepares patient/family for discharge incorporating support systems/resources as necessary Appropriately delegates and supervises nursing interventions performed by others. Appropriately prioritizes patient care (e.g. seeks assistance as needed from appropriate resources, reassigns personnel as necessary, recognizes need for emergency intervention, etc.). Provides thorough, timely, and accurate documentation of all pertinent data, therapeutic interventions and patient responses according to established standards. Provides timely and thorough report on assigned patients to other health care team members to ensure integration of services and continuity of patient care. Promotes learning for colleagues and self (e.g. functions as preceptor, instructor, trainer, attends professional development programs, etc.). Proactively identifies risk to patient safety and identifies opportunities to reduce medical/health care errors (i.e. appropriate reporting of errors/incidents). Identifies ethical issues in care and develops plan to address. Safely administers medications and intravenous therapy in accordance with physician’s orders, protocols, policies and procedures. Assesses patient pain level upon admission and as necessary, depending upon diagnosis utilizing the numerical pain scale. Reassesses effectiveness of pain control and notifies physicians as needed, as well as, documents assessment and patients’ response to medication. Performs accurate and timely identification of cardiac arrhythmias. Performs accurate and timely interpretation of EKG configuration changes (i.e. PR interval, ST segment). Institutes, monitors, and documents thrombolytic and anticoagulation therapy standards and protocols. Demonstrates knowledge of mechanical ventilation (e.g. modes, settings, and adjuncts associated with mechanical ventilation. Demonstrates skills associated with initiation, maintenance, and care of the intubated patient including, suctioning, troubleshooting, and weaning. Accurately interprets arterial blood gases, pulse oximetry, and clinical features of impaired gas exchange and/or airway clearance. Demonstrates understanding hemodynamic monitoring procedures, sets up equipment, assists with arterial artery and central vein cannulation. Safely administers vasoactive medications demonstrating understanding of dosage, action, use, side effects, and titration parameters associated with maintenance of critical drips. Provides ongoing assessment and monitoring of the patient in the immediate post-operative phase according to established standards and protocols. Demonstrates appropriate interventions related to potential problems/complications during the recovery phase of general, regional, spinal, or conscious sedation. Responsible for obtaining supporting information and completing required documentation related to medication reconciliation for use by the Attending MD. Responsible for implementing components of the VAP bundle consistently and per protocol. Responsible for alerting the Nurse Manager/Director/Nursing Supervisor if there is a deviation from VAP bundle by Attending MD for case review and follow up as indication. Participates actively in daily multi-disciplinary rounds for planning, coordinating, implementing and evaluating patient care. Statement of Other Duties This document describes the major duties and responsibilities for this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described. FUNCTIONAL DEMANDS Physical Requirements:Exerts 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Frequently reaches (extending hands and arms in any direction), handles (seizing, holding, grasping, turning, or working with hands), and feels (perceiving attributes of items such as size, shape, temperature, or texture by means of fingertips). Occasionally stoops (bending the body downward and forward by bending the spine at the waist), and kneels (bending the legs at knee to come to rest on knee or knees). ORGANIZATIONAL EXPECTATIONS Behavioral Attributes:The following behavioral attributes are required: achievement motivation, concern for order, flexibility, initiative, self-confidence, customer service oriented, interpersonal effectiveness, teamwork, analytical thinking and information seeking. Qualifications JOB REQUIREMENTS Minimum Education• Graduate of accredited school of nursing• MOAB class required within 60 days of hire Minimum Work Experience• 1 yr med-surge experience preferred• Previous telemetry experience preferred• ICU experience preferred Minimum Licenses and Certifications Current MA Registered Nurses license ACLS upon hire OR must hold an active BLS card and obtain AHA ACLS within 60 days of hire CCRN preferred

Registered Nurse (RN) - Emergency Department

Emerson Hospital Concord, MA

Registered Nurse – Emergency Department (ED) About The Role Are you quick on your feet, calm under pressure, and ready to make a real difference when it matters most? Join our Emergency Department team as a Registered Nurse . In this fast-paced environment, every shift brings new challenges and opportunities to use your skills to deliver life-saving care. You’ll provide comprehensive, patient-centered nursing care while collaborating with an interdisciplinary team that thrives on teamwork and compassion. What You’ll Do Deliver safe, high-quality care to patients of all ages in the Emergency Department using the full nursing process. Assess, plan, implement, and evaluate individualized care plans for patients and families. Communicate effectively with physicians and healthcare partners to coordinate care. Provide patient and family education during moments that matter most. Supervise and delegate responsibilities to support staff while mentoring colleagues. Stay current with continuing education and emergency care competencies. Participate in department and hospital initiatives aimed at advancing patient care. Uphold patient rights to privacy, respect, and dignity in every interaction. What You Bring Graduate of an accredited nursing program. Current Massachusetts RN license. BLS certification required. ACLS within 6 months of hire. PALS or ENPC within 6 months of hire. CEN strongly encouraged. Previous ED experience preferred. Strong assessment, communication, and critical thinking skills. Comfort with computers and commitment to confidentiality. A collaborative spirit and excellent customer service skills. Why You’ll Love It Here Working in the ED means being on the front lines of patient care. You’ll join a supportive team that values quick thinking, compassionate action, and professional growth. Every shift brings opportunities to learn, lead, and make a difference from stabilizing critical cases to providing comfort to families in crisis. Bring your courage, compassion, and clinical expertise to our Emergency Department. Apply today and be the difference in every moment.

RN

Temporary

2 months ago

Per Diem Registered Nurse (RN)

Boston Health Care for the Homeless Program Boston, MA

Who We Are: Since 1985, BHCHP’s mission has been to ensure unconditionally equitable and dignified access to the highest quality health care for all individuals and families experiencing homelessness in greater Boston. Over 10,000 homeless individuals are cared for by Boston Health Care for the Homeless Program each year. We are committed to ensuring that every one of these individuals has access to comprehensive health care, from preventative dental care to cancer treatment. Our clinicians, case managers, and behavioral health professionals work in more than 30 locations to serve some of our community’s most vulnerable—and most resilient—citizens. From our earliest days as a program, we have always sought to do work that is transformational: recognizing our shared humanity; centering dignity, compassion, mutual respect and supporting the right of every individual to access the highest levels of health care and every staff member to reach their fullest potential. We continue to be committed to building bridges and breaking down barriers, including systemic racism which harms us all. We provide community-based health care services that are compassionate, dignified, and culturally appropriate, incorporating social determinants of health, with the goal of breaking down the physical and systemic barriers that our patients face. Job Summary: Hours: As needed, Shifts Will Vary: 7:00am – 3:30pm, 3:00pm – 11:30pm, and 11:00pm - 7:30am, 7:00am-7:00pm, 7:00pm-7:00am with some weekend and holiday coverage. Worksite will include the Barbara McInnis House located at 780 Albany Street, Boston, MA. Union: No Union Name: Non-union Patient Facing: Yes Boston Health Care for the Homeless Program is seeking a talented and compassionate per diem registered nurse. You will find challenging and satisfying work every day alongside people who share the same drive and compassion as you do. In this vital role as a registered nurse, you will provide nursing support for respite patients throughout the BHCHP program. This position is crucial to assure that clinically appropriate and timely decisions are made, and actions are taken around patient assessments, administering of medications, treatments and overall patient care. Responsibilities: Direct nursing care of patients on assigned team to ensure that all needs of the patients are met, in conformance with respite established policies and procedures, as well as Department of Health rules and regulations. Responsible for accurate assessments and documentation, reporting to appropriate personnel as indicated (i.e., on-call provider, nurse manager, Director of Nursing, etc.) Responsible for administering medications and treatments to all the patients assigned to his/her Team skillfully and correctly, documenting per policy; observe and report any adverse reactions. Responsible for updating and maintaining accurate treatment records, flow sheets and vaccine administration, documenting appropriately Participate actively in New Patients Rounds, Team Rounds, and all other Team meetings when appropriate Responsible for giving and receiving report at change of shift; checking narcotics and related drug supplies per policy; sign appropriate forms. Responsible for taking off orders accurately, per policy; responsible for assigning specific individual tasks to, and directing Respite Aides, and giving each a verbal report on patients' needs. Maintains a professional approach with confidentiality; maintains the standards of accurate and complete recording and reporting. Ensuring that the clinical record for each patient on his/her Team is current and accurate. Qualifications: Licensed as RN in the Commonwealth of Massachusetts Minimum of 2 years of experience preferred Valid CPR/BLS certification Experience with underserved population preferred Experience with EMR strongly preferred; strong medical assessment skills Bilingual Spanish & English candidates encouraged to apply Benefits: Compensation ranges from $49.00 - $55.00 per hour and is based on years of experience. Does this amazing opportunity interest you? Then we'd love to hear from you. As an equal opportunity employer, Boston Health Care for the Homeless Program is committed to providing employment opportunities to all qualified individuals and does not discriminate on the basis of race, color, ethnicity, religion, sex, gender, gender identity and expression, sexual orientation, national origin, disability, age, marital status, veteran status, pregnancy, parental status, genetic information or characteristics, or any other basis prohibited by applicable law. Covid-19 Vaccination: Proof of Covid-19 vaccination(s) is optional for employment. Candidates who are offered employment will be given details about how to demonstrate receipt of vaccination if they choose to. Please Note: Employment at Boston Health Care for the Homeless is at-will. Boston Health Care for the Homeless does not sponsor work authorization visas.

RN

Temporary

2 months ago

Temporary Registered Nurse, Watkins 2, 32-Hours, Evening, 3:00pm - 11:30pm, Every other weekend and holiday

Heywood Healthcare Gardner, MA

Overview You Matter Here! Heywood Healthcare values our employees! We offer competitive wages, great benefits and generous earned time off. Come work where you will matter! Hours: 32-Hours, Evening, 3:00pm - 11:30pm, Every other weekend and holiday $37.26 - $76.63 Responsibilities Essential Functions Assesses (and reassesses), plans, implements, and evaluates nursing interventions/plans of care/patient goals. Provides patient care based on standards of care, standards of practice, protocols, and established policies and procedures. Respects each patient as an individual; provides care that fosters the patient’s sense of dignity and positive self-regard. Provides patient/family teaching based on identified learning needs, readiness to learn, and barriers to learning. Collaboratively plans and prepares patient/family for discharge incorporating support systems/resources as necessary. Appropriately delegates and supervises nursing interventions performed by others. Appropriately prioritizes patient care (e.g. seeks assistance as needed from appropriate resources, reassigns personnel as necessary, recognizes need for emergency intervention, etc.). Provides thorough, timely, and accurate documentation of all pertinent data, therapeutic interventions and patient responses according to established standards. Provides timely and thorough report on assigned patients to other health care team members to ensure integration of services and continuity of patient care. Promotes learning for colleagues and self (e.g. functions as preceptor, instructor, trainer, attends professional development programs, etc.). Proactively identifies risk to patient safety and identifies opportunities to reduce medical/health care errors (i.e. appropriate reporting of errors/incidents). Identifies ethical issues in care and develops plan to address. Safely administers medications and intravenous therapy in accordance with physician’s orders, protocols, policies and procedures. Assesses patient pain level upon admission and as necessary, depending upon diagnosis utilizing the numerical pain scale. Reassesses effectiveness of pain control and notifies physicians as needed, as well as, documents assessment and patients’ response to medication. Responsible for obtaining supporting information and completing required documentation related to medication reconciliation for use by the Attending provider. Interprets and documents patient cardiac rate, rhythm and configuration (PR ST segment) and initiates appropriate treatment plan based on provider orders. Provides ongoing assessment and teaching to the surgical patient/family, utilizing current standards and protocols. Recognizes normal and deviant progress patterns and reports problems or concerns to physician in a timely manner. Utilizes pain management devices and other techniques to ensure proper pain relief. Sets up, maintains and troubleshoots other equipment related to the surgical patient such as; traction/orthopedic equipment/devices, feeding pumps, chest tubes and drains, etc. Statement of Other Duties This document describes the major duties and responsibilities for this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described. Functional Demands Physical Requirements Exerts 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Frequently reaches (extending hands and arms in any direction), handles (seizing, holding, grasping, turning, or working with hands), and feels (perceiving attributes of items such as size, shape, temperature, or texture by means of fingertips). Occasionally stoops (bending the body downward and forward by bending the spine at the waist), and kneels (bending the legs at knee to come to rest on knee or knees). Organizational Expectations Behavioral Attributes The following behavioral attributes are required: achievement motivation, concern for order, flexibility, initiative, self-confidence, customer service oriented, interpersonal effectiveness, teamwork, analytical thinking and information seeking. Qualifications Job Requirements Minimum Education Graduate of an accredited school of nursing Minimum Work Experience 1 year Med/Surg experience preferred 1 year Telemetry experience preferred 1 yr Pediatrics experience preferred Minimum Licenses and Certifications Current MA RN license ACLS upon hire OR must hold an active BLS card and obtain AHA ACLS within 60 days of hire PALS preferred Required Skills Demonstrates mature professional behaviors, (i.e. tact, empathy and diplomacy) Promotes a positive working environment

RN

Temporary

4 months ago

Registered Nurse, Endoscopy, 24-Hours, 7:00am - 3:30pm, Temporary, Call as needed weekdays, Weekend call per rotation

Heywood Healthcare Gardner, MA

Overview You Matter Here! Heywood Healthcare values our employees! We offer competitive wages, great benefits and generous earned time off. Come work where you will matter! Hours: 24-Hours, 7:00am - 3:30pm, Temporary, Call as needed weekdays, Weekend call per rotation Hourly Rate: $37.26 - $76.63 Job Summary: Endoscopy RN is a valuable member of the Perioperative, Endoscopy, and Surgical team. Responsibilities of an Endoscopy RN include, but are not limited to checking patients in upon their arrival to Perioperative Services, initiating peripheral IV, completing medication reconciliation, providing teaching, assisting with positioning for procedure, administering and monitoring moderate sedation as needed per policy, assisting with endoscopic procedures, and specimen collection. Responsibilities ESSENTIAL FUNCTIONS Responds appropriately and immediately in emergency situations. Maintains a safe and healthy environment for patients, visitors, and/or staff to provide the highest level of physical comfort, and minimize risk and injury. Responds appropriately and immediately in emergency situations. Ensures compliance with regulations to maintain accreditation and licensure. Complies with the Hospital Attendance and Tardiness Policy. Completed all Hospital and Department Specific Mandatory requirements in the prior calendar year. Reports Incidents in a timely and effective manner. All employees with direct patient contact are responsible for actively engaging in the practice of, monitoring and enforcing compliance to hand hygiene. Assesses (and reassesses), plans, implements, and evaluates nursing interventions/plans of care/patient goals. Provides patient care based on standards of care, standards of practice, protocols, and established policies and procedures Respects each patient as an individual; provides care that fosters the patient’s sense of dignity and positive self-regard. Provides patient/family teaching based on identified learning needs, readiness to learn, and barriers to learning. Collaboratively plans and prepares patient/family for discharge incorporating support systems/resources as necessary. Appropriately delegates and supervises nursing interventions performed by others. Appropriately prioritizes patient care (e.g. seeks assistance as needed from appropriate resources, reassigns personnel as necessary, recognizes need for emergency intervention, etc.). Provides thorough, timely, and accurate documentation of all pertinent data, therapeutic interventions and patient responses according to established standards. Provides timely and thorough report on assigned patients to other health care team members to ensure integration of services and continuity of patient care. Promotes learning for colleagues and self (e.g. functions as preceptor, instructor, trainer, attends professional development programs, etc.). Proactively identifies risk to patient safety and identifies opportunities to reduce medical/health care errors (i.e. appropriate reporting of errors/incidents). Identifies ethical issues in care and develops plan to address. Promotes learning for colleagues and self (e.g. functions as preceptor, instructor, trainer, attends professional development programs, etc.). Safely administers medications and intravenous therapy in accordance with physician’s orders, protocols, policies and procedures. Assesses patient pain level upon admission and as necessary, depending upon diagnosis utilizing the numerical pain scale. Reassesses effectiveness of pain control and notifies physicians as needed, as well as, documents assessment and patients’ response to medication. Initiates and administers IV's in accordance with physician orders and nursing policy and procedure to support required treatment. Observes and documents patients' response to intravenous therapy. Safely administers and monitors patients receiving blood and blood products according to policy and procedure and observes and documents patients response to blood transfusions Assesses and reassesses patients undergoing endoscopy procedures and documents patient care in the Meditech NUR Module. Monitors and observes patients continuously during endoscopy procedures giving special attention to oxygenation, ventilation and heart rate and rhythm. Administers IV conscious sedation safely and in accordance with physician orders and nursing policy and procedure. Responsible for obtaining supporting information and completing required documentation related to medication reconciliation for use by the Attending MD. All employees with direct patient contact are responsible for actively engaging in the practice of, monitoring and enforcing compliance to hand hygiene. Float within perioperative services as needed. Statement of Other Duties This document describes the major duties and responsibilities for this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described. FUNCTIONAL DEMANDS Physical Requirements:Exerts 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Frequently reaches (extending hands and arms in any direction), handles (seizing, holding, grasping, turning, or working with hands), and feels (perceiving attributes of items such as size, shape, temperature, or texture by means of fingertips). Occasionally stoops (bending the body downward and forward by bending the spine at the waist), and kneels (bending the legs at knee to come to rest on knee or knees). ORGANIZATIONAL EXPECTATIONS Behavioral Attributes:The following behavioral attributes are required: achievement motivation, flexibility, concern for order, initiative, self-confidence, self control, customer service orientation, interpersonal effectiveness, teamwork and information seeking. Qualifications JOB REQUIREMENTS Minimum Education Graduate of an accredited school of nursing. Proficiency in peripheral IV insertion required. Minimum Licenses and Certifications Current RN license in MA. Current AHA ACLS Certification Minimum Work Experience Prior endoscopy experience strongly preferred. In the absence of endoscopy experience minimum other experience, such as 1 year of recent Med/Surg, ED, ICU, OR, peri-operative or OB will be considered. Required Skills Excellent communication, critical care and critical thinking skills are must.Willingness to cross train within peri-operative services preferred. Must be able to take call per departmental needs