Registered Nurse, Urgent Care

Registered Nurse at Harvard University Health Services

Under the supervision of the Assistant Nurse Manager, the Registered Nurse at HUHS works collaboratively with the members of the health care team to support the delivery of care including health maintenance, episodic, acute and chronic care to the adolescent, adult, and older adult population of the University Community. The Registered Nurse utilizes evidence-based practice to drive clinical decisions related to individual and population health according to department guidelines, policies and procedures. The Registered Nurse also assists and provides coverage and support to other clinical areas at HUHS as needed.

Job-Specific Responsibilities

• Assesses and systemically collects any data related to patient health status and works in collaboration with the patient and the interdisciplinary team to develop the plan of care
• Incorporates appropriate standards of care for practice and patient outcomes
• Assumes responsibility and accountability for effectively managing nursing care of individual patients
• Documents nursing assessment, interventions, evaluations and outcomes to reflect comprehensive and integrated approach to patient care
• Provides care that is safe, ethical, patient and family-centered, culturally competent and evidence-based

There are common skills and responsibilities across the ambulatory setting (primary, specialty care, and urgent care). The skills and responsibilities that the RN at HUHS performs may include but are not limited to:

• Telephone Triage
• Manages secure message inboxes
• In-person triage
• Provides follow-up care and consultation
• Provide support to clinical staff based on clinic demands
• Reviews and acts on test results (labs, x-ray)
• Reviews and manages communications from interdisciplinary team Initiates and monitors intravenous (IV) infusions
• Assists or performs procedures (e.g., ECGs, dressing changes, subcutaneous or intra-muscular injections, etc.)
• Provides patient education
• Assists with medication management
• Provides support with Coumadin Management as needed
• Completes accurate and timely documentation in the electronic medical record
• Assists with management of urgent and emergent patient care situations
• Serves as a mentor and resource to others
• Assists with the coordination of care across the continuum of care
• Assists with the management of patients with multiple chronic health conditions, acute episodes of care, behavioral health challenges while promoting and supporting prevention and wellness
• May float to other clinics as needed
• Other duties as assigned

Professionalism

• Works independently within their scope of practice to achieve clinical outcomes
• Maintains a level of professional development through continuing education, quality improvement initiatives and sharing of knowledge
• Reflects understanding and strive to meet the Mission and Vision of Harvard University Health services
• Utilizes evidence and science to guide practice
• Completes and complies with HUHS training requirements including HIPAA, privacy and security
• Reports non-compliance incidents to manager and/or Compliance Officer

Age Specific Competencies

• Identifies age specific competencies for direct and indirect patient care
  • Adolescent (13 – 19 years)
  • Young Adult (20 – 40 years)
  • Middle Adult (41 – 65 years)
  • Older Adult (Over 65 years)

Working Conditions:

• May be required to work nights and weekends.

Physical Requirements:

• Lifting (approximately 20 to 30 pounds), bending, and other physical exertion.
• Ability to stand for extended periods.

Qualifications

Basic Qualifications:

• Graduate of accredited nursing program
• Minimum of 1 years relevant work experience

Additional Qualifications and Skills:

• Bachelor of Science degree in Nursing
• Knowledge of Microsoft Office Suite, intermediate Excel skills
• Knowledge of and previous experience working with an electronic medical record
• Ability to organize tasks, problem solve, and respond in times of multiple demands and urgent situations
• Minimum of two years' experience in a specialty clinic, or ambulatory setting with one year experience in triage.
• Previous Urgent Care or Emergency Department experience.

Certificates and Licenses:

• Registered Nurse license in Massachusetts