Registered Nurse, RN - OR, Operating Room

Position Title Registered Nurse, RN - Cardiovascular Operating Room (CVOR) Job Overview At Tufts Medical Center, the CVOR Registered Nurse provides professional nursing care during advanced cardiac procedures. As part of a highly specialized team, you collaborate with surgeons, anesthesia providers, perfusionists, and perioperative staff in a fast‑paced perioperative setting. Responsibilities Utilizes theoretical and evidence‑based knowledge in partnering with patients and their families to assess, plan, implement and evaluate age appropriate care. Assesses and collaborates with patient, family/significant others and other disciplines to identify expected outcomes based on synthesis of data and diagnosis; and identify cultural needs (i.e., language, etc.) to develop a care plan that enhances the health care experience. Plans and develops individualized outcomes‑based care plans incorporating the patient and family’s readiness and barriers 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 patient’s discharge plan utilizing unit‑based and community resources to ensure a seamless transition for the patient and their family; ensures the plan of care utilizes principles and concepts of project, organizational or systems management. 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. Evaluates the effectiveness of the planned strategies in relation to patient responses and the attainment of expected outcomes and knowledge; 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. 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. Acts as an advocate and educator for patients and families; provides high quality care in an efficient and safe manner; 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, 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. Champions quality, safety, regulatory, and patient‑family satisfaction. Facilitates cooperative and collaborative relationships among the various disciplines and departments to ensure effective quality patient care delivery and 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. Influences others to achieve Service Excellence by establishing a climate for optimal patient care, mutually supportive collegial relationships, and professional development; treating both internal and external customers with courtesy, respect and caring behavior; promoting a safe, clean, therapeutic environment for patients, families and staff; acknowledging cultural differences that exist among staff and patients; identifying customer service needs on the unit; presenting self in a professional and calm manner; providing responsible and efficient use of resources. Participates in professional development and lifelong learning activities that assist in developing and maintaining their continuing competence; maintaining current licensure and adheres to the Massachusetts Nurse Practice Act; assuming responsibility for participating in educational opportunities to support and meet clinical competency requirements; seeking out educational and professional resources; developing professionally as a self‑directed, motivated learner; seeking out advanced certification opportunities and ongoing education opportunities; precepting and mentoring newly hired staff and nursing students; investigating available technology and resources to apply evidence based practice and research into daily professional activities; promoting leadership at the bedside as a delegator, collaborator, facilitator, and communicator; promoting unit and organizational growth through a shared governance model. May assume charge nurse functions in collaboration with unit leadership. Facilitates communication by seeking and sharing job‑related information that supports a culture of respect and responsibility; assuming responsibility and ownership for professional conduct; accepting responsibility for positive and productive communication skills; attending and actively participating in staff meetings; accepting responsibility for reading emails to keep current with unit and hospital based information. Qualifications Registered Nurse (RN) license. Basic Life Support (BLS) certification. Certifications (i.e., ACLS, PALS) relevant to the department and type of care being provided may be required. Bachelor of Science in Nursing (BSN) will be considered a preferred qualification. Specialty Nursing certifications preferred. Physical Requirements Prolonged, extensive, or considerable standing/walking. Lifts, positions, pushes and/or transfers 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. Compensation Pay Range: $43.01 – $70.95 per hour. #J-18808-Ljbffr Tufts Medical Center, Inc.