Registered Nurse - Per Diem ICU

Registered Nurse

The registered nurse renders highly professional and technical nursing care to assigned patients. The registered nurse provides direct and indirect patient care using the nursing process (assessment, planning, implementation, and evaluation). Oversees other assigned team members and collaborates with a multidisciplinary team to provide population specific care in accordance with the BORN regulations and professional standards of care.

Specialty Area Additional Requirements:

• Adult GI: 2 years Critical Care/GI experience required, unless otherwise noted in job posting. ACLS required within first year of employment, CCGRN certification preferred.
• Assisted Reproductive Technologies Clinic (ARTC): As a dual practice, supporting BWH and MGH fertility practices, the ART nurse must have the ability to provide competent compassionate care and should demonstrate advanced knowledge of reproductive health and treatment options. BSN is required upon employment and the competitions of the ASRM RN certificate course within 1st year of employment. Minimum 1 year working in reproductive endocrinology practice is required.
• Cancer Center: Minimum one year experience administering chemotherapy single agent and multi drug regimen in the outpatient setting required. Thorough assessment skills and knowledge of Hematology/Oncology disease pathophysiology, acute and chronic side effects of treatment required. Knowledge and experience in medical oncology nursing required, unless otherwise noted in job posting. 3 years' experience in ambulatory oncology nursing strongly preferred. Oncology Nursing Certification (OCN) or obtained within first year of hire required.
• Cardiovascular Center: 2 years Critical Care experience required. Cardiac ICU, CCU, or Cardiac Surgery, Cath Lab experience preferred unless otherwise noted in job posting. Previous interventional radiology and/or electrophysiology experience required; proficiency in IV catheter insertion and IV sedation in an acute procedural setting preferred. BLS/ACLS certification required upon employment.
• Device Clinic: The Device Clinic RN performs a variety of patient care and technical duties in our outpatient Device Clinic, including interrogation and programming; trans-telephonic pace-maker follow-up; and follow-up of patients participating in research studies and clinical trials in cardiac pacing. 2 years device clinic experience with pace maker programming and clinic follow-up required. Basic Cardiac Life Support (BCLS), and Advanced Cardiac Life Support (ACLS) certifications required. HRS/NASP certification preferred.
• ED: 2 years ED experience required, unless otherwise noted in job posting. ACLS, PALS, and CPI certifications required within first year of employment. CEN or CCRN preferred.
• ICU: 2 years Critical Care experience required, unless otherwise noted in job posting. ACLS is required within first year of employment.
• Labor & Delivery/AETU: Experience with Fetal Monitoring is preferred. 2 years L&D experience required, unless otherwise noted in job posting. NRP required within the first year of employment.
• Maternal Fetal Medicine: Performs perinatal procedures for high risk pregnant population in the Maternal Fetal Medicine Practice at Newton-Wellesley Hospital. Assists in a standardized approach to Fetal Monitoring following the Nursing Standards of Fetal Monitoring Care. Minimum of two years of clinical experience in perinatal services is required. Minimum 1 year working in reproductive endocrinology practice is required. BSN in Nursing is required. BLS is required prior to hire. ACLS is preferred.
• Med/Surg: 1 year Med/Surg experience is required, unless otherwise noted in job posting. Telemetry experience is preferred as telemetry training is required within the first year of employment.
• Mother/Baby: Experience with Fetal Monitoring is preferred. 2 years Mother/baby experience required, unless otherwise noted in job posting. NRP required within first year of employment.
• OR: Completion of a Peri-operative Nursing Program preferred. 2 years OR experience required, unless otherwise noted in job posting. AORN certification preferred.
• PACU/Henderson: 2 years Critical Care/PACU experience required, unless otherwise noted in job posting. PACU: ACLS and PALS required within first year of employment. PACU/Henderson: CPAN/CAPA certification preferred.
• Pediatrics: 2 years Pediatrics experience required, unless otherwise noted in job posting. NRP required within first year of employment when cross trained for mother/baby.
• Pedi GI: 2 years Pedi GI experience required, unless otherwise noted in job posting. PALS required within first year of employment.
• Psychiatry: 2 years Psychiatry experience required, unless otherwise noted in job posting. CPI required within first month of employment.
• SCN: 2 years SCN experience required, unless otherwise noted in job posting. NRP required within first year of employment.
• STAT RN: The STAT Registered Nurse supports the care of unstable and critically ill patients throughout the Hospital when census and/or acuity dictate. 2 years Critical Care/Emergency nursing experience required, unless otherwise noted in job posting. ACLS, PALS and CPI required within first year of employment.
• Primary Care Triage RN: 2 years Triage, ER, Urgent Care, or Out Patient experience required, unless otherwise noted in job posting. Ambulatory Care Nursing Certification ANCC RN-BC preferred.

Does this position require Patient Care? Yes

Essential Functions:

-Adheres to the general hospital standards to promote a cooperative work environment by utilizing communication skills, interpersonal relationships, and team building.

-Follows departmental policies and procedures.

-Contributes to the overall quality of services.

-Assumes responsibility for keeping informed about changes.

-Makes independent decisions within the scope of nursing practice.

-Uses the nursing process and evidence based practice to ensure quality patient care is provided throughout the episode of care.

-Assesses the patient's physical, psychological, spiritual, cultural, and social needs.

-Provides competent and compassionate care specific to the unique needs of the individual patients and populations served.

-Individualizes care in consideration of the patient's age, developmental, or physical abilities (including obesity); spiritual, religious or cultural practices; economic status; literacy skills; communication skills; cognitive abilities; and gender or sexual orientation.

-Updates knowledge and skill of populations served to meet patient care needs.

-Applies knowledge of illness, injury, and disease in the assessment process and recognizing those symptoms that need immediate intervention.

-Individualizes a plan of care based on assessments and in collaboration with the patient/family/ significant other, as well as, appropriate resources and multidisciplinary team members.

-Engages patient/family/significant others as partners in caring.

-Updates plan of care and nursing documentation based on continuing assessments.

-Implements clinical and technical aspects of care and physicians' orders in compliance with standards of practice and standards of care.

-Evaluates the patient/family/significant other's responses to established goals and interventions and revises the plan of care based upon this evaluation.

-Demonstrates the ability to set priorities when planning and implementing patient care.

-Coordinates and collaborates with appropriate resources and multidisciplinary team members to facilitate a comprehensive discharge plan.

-Recognizes change in patient's physical and mental status and informs physician and /or another health care professional.

-Collaborates with Case Managers to anticipate discharge needs and address barriers.

-Identifies person primarily responsible for care at home and includes them in patient teaching and discharge planning.

-Creates and maintains a safe and therapeutic environment for patients, self, and co-workers.

-Uses two patient identifiers to match the correct patient with the correct care, treatment, or services.

-Demonstrates through practice principles of infection control and universal precautions, adherence to OSHA standards, Hazardous Material Guidelines, and isolation procedures.

-Safeguards the rights of patients and hospital personnel to privacy by judiciously protecting information of a confidential manner.

-Provides patient comfort and hygiene.

-Demonstrates proper use of equipment and supplies according to established procedures.

-Assesses the patient's need prior to application of restraints and utilizing alternative measures for restraints when appropriate.

-Demonstrates proper technique and calibration of equipment when performing point of care testing.

-Assures equipment is operational and safe or removed from service.

-Responds appropriately to emergency situations.

-Minimizes risk of injury by promoting fall precautions, use of call bell, side rails, and other safety practices.

-Treats patients and family in a non-judgmental respectful manner.

-Takes the initiative to advocate for the patient.

-Makes patient aware of his rights and