Registered Nurse - Cardiac Surgery Clinic - PD

Job Profile Summary This role focuses on providing professional and nonprofessional nursing care services in accordance with physician orders. The position includes clinical nurse duties such as assessing, planning, implementing, and evaluating the care needs of a designated group of patients or providing nursing care and identified clinical support tasks within the scope of practice for the achievement of the patient’s plan of care as directed. The role is a professional individual contributor that may direct the work of other lower‑level professionals or manage processes and programs. Majority of time is spent overseeing the design, implementation, or delivery of processes, programs and policies using specialized knowledge and skills typically acquired through advanced education. A senior level position that requires advanced knowledge of the job area typically obtained through advanced education and work experience. Responsible for managing projects/processes, working independently with limited supervision, coaching and reviewing the work of lower‑level professionals, and resolving difficult and sometimes complex problems. Job Overview The professional registered nurse possesses and applies the skills and knowledge necessary for the delivery and management of patient care from admission through discharge. This includes knowledge of current trends in healthcare such as advances in technology, pharmacology, treatment modalities, quality, and patient safety. The nurse serves as a patient and family advocate while facilitating a cooperative and collaborative environment among all health care providers. Responsibilities include planning, delivery and management of patient/family‑centered care utilizing the nursing process and adhering to standards of nursing practice embedded in research, evidence‑based practice, and best practices. At Tufts Medical Center the nurse provides clinical excellence, fostering an environment central to the patient and family‑centered model of care. Minimum Qualifications Registered Nurse (RN) license. Basic Life Support (BLS) certification. Certifications (e.g., ACLS, PALS) relevant to the department and type of care being provided may be required. Preferred Qualifications Bachelor of Science in Nursing (BSN). Specialty Nursing certifications. Duties and 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 (e.g., language) to develop a care plan that enhances the health care experience. Plans and develops individualized outcomes‑based care plans incorporating the patient’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. Implements the plan safely and timely; documents implementation and any modifications, including changes or omissions; collaborates with nursing colleagues and others; utilizes evidence‑based interventions and treatments specific to the diagnosis or problem; provides health teaching as required; documents per hospital and regulatory requirements. Evaluates the effectiveness of the planned strategies in relation to patient responses and attainment of expected outcomes; updates the plan of care as dictated by patient response and/or if desired outcomes have not been achieved. Demonstrates and applies the skill and judgment 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. Performs procedures and treatments using nursing knowledge and judgment according to established unit/practice area guidelines and professional standards. Safely administers and assesses 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 improve patient outcomes (unit‑based, hospital‑wide, The 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. 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 internal and external customers with courtesy, respect and caring behavior; promoting a safe, clean, therapeutic environment; acknowledging cultural differences; and presenting oneself in a professional and calm manner. Participates in professional development and lifelong learning activities that assist in developing and maintaining continuing competence, enhancing professional practice, and supporting achievement of career goals, including maintaining current licensure and adhering to the Massachusetts Nurse Practice Act; pursuing educational opportunities to support clinical competency; seeking advanced certification; precepting and mentoring newly hired staff and nursing students; applying evidence‑based practice and research into daily activities; promoting leadership at the bedside; and supporting unit and organizational growth through a shared governance model. May assume charge nurse functions in collaboration with unit leadership. Facilitates communication by sharing job‑related information that supports a culture of respect and responsibility; assuming responsibility and ownership for professional conduct; attending and actively participating in staff meetings; and keeping current with unit and hospital information. 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. Regular exposure to risk of bloodborne diseases and other transmissible infections. Contact with patients under a wide variety of circumstances. Subject to varying and unpredictable situations. Handles emergency and crisis situations. Subjected to irregular hours. May have contact with hazardous materials. Skills & Abilities Possesses and applies the skills and knowledge necessary to provide care to patients throughout the life span, with consideration of aging processes, human development stages, and cultural patterns in each step of the care process. Ability to provide care for a designated group of patients according to unit guidelines and hospital policies, procedures and protocols. Has the skills and knowledge to provide care to the age groups of the population served, including knowledge of growth and development; ability to interpret age‑specific data and response to care; and provide age‑appropriate communication. Pay Range $37.18 - $47.41 #J-18808-Ljbffr Tufts Medicine