Registered Nurse Per Diem

Registered Nurse (RN)The Registered Nurse (RN) will utilize the nursing process of assessment, planning, implementation, and evaluation to ensure quality-nursing care and to maximize the quality of life for the residents and patients. The RN is an integral member of the clinical support team, and collaborates with other multidisciplinary members to meet the clinical needs of the residents. The RN is an active supporter of the culture change initiatives, and serves as a role model and mentor to others.In addition, the RN will demonstrate a strong commitment to the philosophy and mission of Orchard Cove and recognize resident's dignity and choice in all aspects of daily life. They are an active participant in the activities, work, and social environment of the households, and strive to make every resident encounter into a positive and meaningful experience and opportunity, while ensuring the provision of safe and efficient quality care.Core competencies:Demonstrates empathy and compassion with all interactions with residents and with familiesArticulates importance of supporting independence and resident choice when caring for residentsDemonstrates strong communication skills and ability to foster teamworkArticulates commitment to excellence and high quality careArticulates the importance of accountability and personal ownership related to teamwork and resident careDemonstrates strong critical thinking skillsDemonstrates ability to coach and mentor others to achieve high quality carePosition responsibilities:Ensures all care delivered is within the scope and established standards of safe professional nursing practice and HSL core competenciesCollaborates with other members of the clinical support team (MD, NP, nurses, social worker, therapists, dietician) to meet the clinical needs of the resident and monitor outcomes of careAdheres to best practice recommendations and implements evidence based interventions to ensure optimum outcomes for residentsPractices in a primary nursing model and maintains accountability for a set of assigned residents/patientsCollaborates and participates in care planning activities and supports autonomy and individual choice wherever possibleEnsures adherence to the plan of care, revises as necessary, and ensures the plan accurately reflects an individualized approach to resident's needsDocuments appropriately in the electronic medical recordIdentifies and seeks out necessary resources as needed to ensure the provision of safe and effective careDelegates and supervises clinical care delivered by the licensed practical nurse and the nursing assistantAssumes accountability for his/her own learning needs and professional developmentDemonstrates critical thinking abilities in problem resolutionRole models professional behaviorActively participates in shared governance, committees, etcCollaborates in the development of new work processes and systemsServes as a resource and support to the elder assistants in the householdsIdentifies and responds to safety concerns on the household and neighborhoodMaintains compliance with policies, procedures, practice and regulatory mattersParticipates in the collection and monitoring of quality data to ensure high standards of careParticipates in performance improvement projectsParticipate and assist with activities (i.e. assist with serving meals)Serves as a coach and mentor to all staff, i.e. Nursing/Resident assistants and LPNsMay be assigned charge nurse responsibilities. Responsibilities may include:Giving shift report to on coming staffProvide clinical/supervisory oversight to assigned unit during shiftDelegate assignments to team assigned to shiftInitiate necessary reports including DPH, incident reports, concern resolutionsAssure completion of admission or discharges during shiftAttend rounds (wound, physician etc)Provides oversight of LPN assessments (as assigned) and co-signs nursing assessments and initial care plansThe above covers the most significant responsibilities of the position. It does not, however, exclude other duties, which would be in conformity with the level of the position. Completes special projects as assignedQualifications:Graduate of approved school of nursing required; BSN preferredCurrent Massachusetts license as an R.N. in good standingPrevious experience preferredUnderstand the philosophy and support the model of care at HRC requiredMust be professional, proactive, collaborative, conscientious and results-oriented individual. Must have an optimistic and positive demeanor, excellent oral and written communication skills, good intuition and able to adapt to changing priorities and display good, sound judgment with a sense of humorSuperb organizational skills. Must have solid analytical skills. Must be creative and proactive yet disciplined, discriminating and able to streamline work volume in order to maintain bottom line efforts in midst of multi-tasking and daily re-prioritizing. Must have ability to innovate, think strategically and conceptually, manage multiple projects simultaneously and handle even difficult situationsMust be motivated to learn and flexible to changeComputer literacy requiredExcellent English language skills, written and verbalPass Med test with 80% or greaterWorking conditions and physical demands:Contact with residents under a wide variety of circumstances, which may include exposure to unpleasant odors, sights, and soundsPush occupied wheel chairs on flat surfaces, and up/down ramp up to 50 lbsStanding, walking, and sittingLifting supplies and equipment up to 50 lbsSome reaching, stooping, squatting, bending, kneeling and crouchingRemote type:On-siteSalary range:$32.13 - $48.20