RN Registered Nurse Neuro Cardiac Med Surg Per Diem Tier 3

Job Description Summary Manages individualized, outcome‑oriented nursing care through the use of the nursing process. Provides care, treatment and services through the successful coordination and completion of a series of processes that include assessment, planning, care, in accordance with departmental and hospital policies and procedures. Commits to working a minimum of 48 hours, with at least 24 hours worked during a night and/or weekend per 4‑week schedule. Also works 2 major holidays (1 summer and 1 winter). Responsibilities/Tasks Medication Administration Demonstrates knowledge of and follows SSH policies and procedures for administering, transcribing, and recording medications. Completes medication reconciliation process following SSH policy and procedure. Demonstrates proper procedure for the documentation of narcotic withdrawal, administration, verifies count, wastes per policy and resolves narcotic discrepancy. Plan of Care / Documentation / Patient Family Centered Care / Patient Experience Develops, discusses, and communicates a prioritized problem list/plan of care for each patient. Develops, evaluates, and updates individualized plan of care for patient and documents outcomes. Initiates admission assessment within 8 hours of admission, identifies and documents patient/family/significant other teaching needs upon admission and throughout hospitalization. Continues assessment/reassessment and identifies care needs within established nursing practice. Documents all patient care following the department of nursing policy, unit‑based standards, disease processes (CHF, PNA vaccines) and nurse‑sensitive indicators (falls, skin, CAUTI). Assesses/reassesses and documents patient’s level of comfort using the appropriate pain scale and the patient’s response to each intervention, both pharmacological and non‑pharmacological per South Shore Hospital policy. Works on behalf of patient/family. Seeks help to represent patient/family when they are unable to represent themselves. Raises ethical questions and concerns with the clinical team. Seeks available resources to help formulate and understand ethical decisions. Actively communicates plan of day via whiteboard, updating every shift. Facilitates discharge/transfer by goal of 12:00 pm, communicating barriers utilizing the chain of command. Safety / Quality – Foster a "Culture of Safety" through personal ownership and commitment to a safe environment Verifies patient identification with two identifiers prior to the start of any invasive procedure, including "time out", administration of care, medications, labeled specimen and documents confirming the correct patient, procedure, site, equipment and consent. Complies with the current CDC hand hygiene guidelines through proper handwashing; adheres to universal precautions, makes appropriate use of personal protective equipment at all times and properly disposes of hazardous materials. Ensures environment meets regulatory requirements at all times. Understands and demonstrates individual roles and responsibilities in the event of hospital codes/emergency preparedness. Professional Development Assumes overall responsibility for own professional development by incorporating evidence‑based practice, research, and performance‑improvement initiatives as part of ongoing nursing practice. Obtains at least 5 contact hours per year in area of practice. Practices within the legal boundaries of the MA Nurse Practice Act; directs other licenses and non‑licensed personnel as assigned. Displays ability to accept and respond appropriately to feedback and recommendations for change. Demonstrates professional working relationships with colleagues from all disciplines to promote a positive/encouraging workplace. Critical thinking: analyzes causes of problems, identifies and evaluates alternative solutions, selects appropriate solution, and communicates appropriately and effectively utilizing chain of command. Accountable for being informed about changes in hospital policy and procedure. Technology Utilizes technological solutions to work processes and practices. Access Lotus Notes to review email, learning management, and other resources as applicable to RN role. Utilizes software applications required by department and unit standards. Accountable to understand how to operate during downtime. Compliance Works within legal, regulatory and ethical standards relevant to the position. Complies with applicable policies and procedures. Safeguards the privacy and security of patient information; compiles policies and procedures relating to SSH’s privacy and security programs. Brings potential compliance issues to manager, supervisor, director or VP. Complies with mandatory education requirements of the compliance, privacy and security programs. Patient and Family Centered Care Conveys respect for values, preferences, and expressed needs of the patient and family. Recognizes the patient and family, according to patient preferences, as important members of the health‑care team. Collaborates with patient and family according to patient preferences in planning, implementing, and evaluating care. Welcomes presence and participation of family members at all times according to patient preferences, regardless of rounds, shift change, or other unit events. Age & Culture Possesses age and cultural knowledge and awareness. Considers individual needs of each person with whom they interact. Interacts with sensitivity in delivering care/services to diverse populations as needed. Effectively utilizes resources to provide care/services, such as interpreter services and online sources. Minimum Education – Preferred Graduate of an accredited School of Nursing. Minimum Work Experience Previous Acute Care RN experience preferred. Required Licenses/Certifications RN – Registered Nurse Depending on department: Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS), Emergency Response Training Certification, Neonatal Resuscitation Program (NRP), Pediatric Advanced Life Support (PALS), Trauma Nurse Core Course (TNCC), Trauma Care After Resuscitation (TCAR) may be required. #J-18808-Ljbffr South Shore Health