Registered Nurse - Ambulatory OBGYN (36 hours, M-F)

Boston Medical Center (BMC) is more than a hospital. It´s a network of support and care that touches the lives of hundreds of thousands of people in need each year. It is the largest and busiest provider of trauma and emergency services in New England. Emphasizing community-based care, BMC is committed to providing consistently excellent and accessible health services to all—and is the largest safety-net hospital in New England. The hospital is also the primary teaching affiliate of the nationally ranked Boston University School of Medicine (BUSM) and a founding partner of Boston HealthNet – an integrated health care delivery systems that includes many community health centers. Join BMC today and help us achieve our Vision 2030 which is a long-term goal to make Boston the healthiest urban population in the world. Position: Staff Nurse Ambulatory Department: OBGYN (SEIU) Schedule: Full Time, 36 Hours, Monday-Friday POSITION SUMMARY: The registered nurse, adheres to the rules and regulations of the Massachusetts Board of Registration in Nursing. is primarily responsible for professional performance and direct patient care. The role encompasses nursing assessment, diagnosis, planning, intervention, evaluation, and coordination of care for patients and their families across the health care continuum. The registered nurse is accountable for clinical, educational, quality and fiscal patient care outcomes using the model of care designed by the nursing department and in accordance with established agency policies, procedures, protocols, guidelines and standards of practice. ESSENTIAL RESPONSIBILITIES / DUTIES: STANDARDS OF CARE Consistently and effectively utilizes all steps of the nursing process in the provision of timely, safe, efficient and appropriate patient/centered care. Assesses the patient and family in a systematic and ongoing manner for both overt and covert signs and symptoms in accordance with the standards of clinical nursing practice. Collects pertinent data using appropriate assessment techniques. Prioritizes data according to the patient’s immediate condition or needs. Involves the patient, family/significant others and appropriate health care providers in the collection of data when appropriate. Consistently uses clear, concise and effective written/oral communication and complies with departmental policies when sharing/documenting relevant patient care data. Identifies emergency/crisis situations, communicates such in a timely manner to appropriate health care team members, and responds appropriately when needed. Analyzes the assessment data to determine appropriate nursing diagnoses. Demonstrates use of critical thinking skills, derives and documents appropriate diagnoses from patient and family assessment data. Identifies expected outcomes individualized to the patient. Derives and documents realistic, appropriate clinical and educational patient-centered outcomes consistent with patient’s diagnoses, capabilities and expectations in accordance to the standards of clinical nursing practice. Develops outcomes as measurable goals which include a time estimate for attainment and provides direction for continuity of care. Mutually formulates outcomes with the patient, significant others and health care team when appropriate. Develops a plan of care that prescribes interventions to attain expected outcomes. Develops and documents an individualized plan of care that reflects the patient’s condition, prioritizes his/her needs, and provides for continuity of care. Develops the plan with the client, significant others and appropriate health care providers. Develops a plan reflective of current nursing practice standards, policies, procedures, protocols and guidelines. Plan reflects effective use of available resources and appropriate internal/external referrals in order to provide comprehensive care to patients and families. Implements interventions identified in the nursing and medical plan of care. Prioritizes patient care interventions based on fluctuating patient and unit needs. Demonstrates the knowledge and skills necessary to provide care appropriate to the age groups of patients regularly served. Consults appropriate resources when patients outside regularly served age populations are present. Effectively delegates appropriate patient care activities to co-workers with appropriate knowledge and skill level and ensures that co-workers have completed the delegated tasks in a timely manner. Provides for a safe, clean unit environment through use of appropriate risk management practices, e.g. labeling and removing broken/expired equipment/materials from service. Demonstrates safe technical competence based on patient needs, including but not limited to direct care skills, e.g., phlebotomy, IV insertion, etc., informatics, and equipment monitoring/utilization. Implements patient care interventions/treatments and administers medications in accordance with established practice standards, policies, and protocols. Educates patient and family regarding current illness, procedures, treatments, plan of care as well as health maintenance, promotion, and illness/injury prevention. In emergency/crisis situations, demonstrates effective decision making in accordance with standards of clinical nursing practice, re-prioritizes patient care needs, initiates appropriate response actions, and directs other team members to ensure a complete and coordinated response. Documents interventions according to departmental policy. Evaluates the patient’s progress toward the attainment of clinical and educational outcomes. Conducts systematic and ongoing patient reassessments and evaluations. Evaluates the effectiveness of interventions in relation to desired outcomes and includes the patient, significant others and appropriate health care providers in the evaluation process as needed. Demonstrates use of critical thinking skills through the incorporation of ongoing assessment data in the revision of diagnoses, outcomes and the plan of care. Provides follow-up care in person via home visits and via telephone when needed and when appropriate. Documents patient’s response to interventions as well as revisions in diagnoses, outcomes and plan of care according to departmental policy. (The above statements in this job description are intended to depict the general nature and level of work assigned to the employee(s) in this job. The above is not intended to represent an exhaustive list of accountable duties and responsibilities required). JOB REQUIREMENTS EDUCATION: Graduate of a nursing degree program; BSN preferred. CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED: Licensed to practice professional nursing as a registered nurse in the Commonwealth of Massachusetts. Requires current basic life support (BLS) certification. Additional certifications may be required for certain practice areas. EXPERIENCE: Outpatient/Ambulatory OB/GYN, telephone triage experience required. Current (within last 2-3 years) experience required Antenatal Testing/NST/Fetal Monitoring experience/certification preferred. Labor & Delivery experience preferred. OR/PACU experience preferred. GYN Oncology, Uro Gynecology, High Risk Obstetrics and Infertility experience a plus. Epic documentation experience preferred. KNOWLEDGE AND SKILLS: Ambulatory OBGYN telephone triage experience required. Current basic cardiac life support certification. Basic computer proficiency inclusive of ability to access, enters, and interpret computerized data/information. Effective interpersonal skills to facilitate communication with various members of the health care team, patients, and families. Organizational skills to set priorities and efficiently complete assigned work. Multilingual skills (beyond that of English) in languages appropriate to the patient populations served by the medical center preferred. Relevant clinical experience and/or specialty, certification required for certain practice areas, e.g., enterstomal therapy, epidemiology, peri-operative areas. Analytical ability to solve clinical nursing issues and conduct quality improvement research utilization projects. Ability to effectively delegate appropriate patient care activities. Effective verbal and written communication skills appropriate to the patient populations served. Physical ability to meet the core job responsibilities in accordance with practice setting demands for the patient populations regularly served. Ability to effectively manage stress due to critical issues related to patient care, changing organizational climate and personnel issues. Compensation Range: $38.05- $75.33 This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, and licensure/certifications directly related to position requirements. In addition, BMCHS offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), contract increases, Flexible Spending Accounts, 403(b) savings matches, earned time cash out, paid time off, career advancement opportunities, and resources to support employee and family wellbeing. Equal Opportunity Employer/Disabled/Veterans According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or “apps” job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment. Working at Boston Medical Center is more than a job. It’s a chance to make a difference as part of our mission to provide exceptional and equitable care to all. As a nationally-recognized leader in health equity, nursing, initiatives to combat climate change, and many other areas, BMC is dedicated to improving the health of our community in Boston and beyond. BMC’s mission to provide exceptional care without exception extends to our employees, and we have been recognized as a top employer and best place to work. A strong sense of teamwork and support for our staff are the bedrock of BMC, as we know that we can only provide exceptional care to patients when our staff are cared for too. Boston Medical Center is an equal employment/affirmative action employer. We ensure equal employment opportunities for all, without regard to race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity and/or expression or any other non-job-related characteristic. If you need accommodation for any part of the application process because of a medical condition or disability, please send an e-mail to View email address on click.appcast.io or call View phone number on click.appcast.io to let us know the nature of your request. Boston Medical Center participates in the Electronic Employment Verification Program. As an E-Verify employer, prospective employees of BMC must complete a background check before beginning their employment at the hospital. BMC requires all staff to be vaccinated against COVID-19 and flu, as well as receive a booster dose of the COVID-19 vaccine. According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or “apps” job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment. To avoid becoming a victim of an employment offer scam, please follow these tips from the FTC: FTC Tips