RN Internal Medicine

Manages individualized, outcome oriented nursing care through the use of the nursing process. Provides care, treatment and services through the successful coordination and completion of a series of processes that include assessment, planning care, providing care, coordinating cross continuum care and assessing outcomes of interventions in accordance with system, departmental and ambulatory policies and procedures. This role provides clinically-based, risk reducing care and coordination that facilitates the delivery of cost-effective quality healthcare along the continuum. It directly interfaces with physicians, care managers, health care teams, patients and their caregivers to achieve desired patient outcomes. Excellent communication skills, both written and verbal, a commitment to coaching patients on health promoting behaviors, and an ability to listen and assimilate complex clinical information are required in the role. The ability to work autonomously and in teams is essential. Participation in quality improvement efforts, research and evaluation processes related to the management of patient care is integral to the role. ESSENTIAL FUNCTIONS 1 - Medication Administration Demonstrates knowledge of and follows SSH policies and procedures for administering and documenting medications. Completes medication reconciliation process following SSH policy and procedure. Demonstrates safe procedures for the safe administration of medication and vaccines. 2 - Plan of care/Documentation/Patient Family Centered Care/Patient Experience Develops, discusses, and communicates a prioritized problem and plan of care for each patient. Develops, evaluates and updates individualized plan for patient and documents outcomes. Initiates patient outreach, identifies and documents patient/family/significant other needs and makes appropriate interventions, evaluating outcomes of interventions. Continues assessment/reassessment and identifies care needs within established nursing practice. Documents all patient care following the department of nursing policy, department-based standards, disease processes (CHF, PNA vaccines) and nurse sensitive indicators (falls, safety risk, isolation, etc.) Assess/reassesses and documents patient's response to each intervention both pharmacological and non-pharmacological per South Shore Health and ambulatory policies and procedures. Works on behalf of patient /family. Seeks help to represent patient/family when they are unable to represent themselves. Raises ethical questions and concerns with clinical team. Seeks available resources to help formulate and understand ethical decisions. Actively communicates and collaborates with health team members: primary care, specialty care, and ancillary providers and departments. Facilitates care across the continuum to insure patient needs are met in the right setting and at the right time. 3 - Safety/Quality - Foster's a "Culture of Safety" through personal ownership and commitment to a safe environment. Verifies patient identification with two identifiers prior to the start of any procedure, including "time out", administration of care, medications, labeled specimen's and documents confirming the correct patient, procedure, site, equipment and consent. Complies with the current CDC hand hygiene guidelines through proper handwashing. Adheres to universal precautions, makes appropriate use of personal protective equipment at all times and appropriately disposes of hazardous materials. Maintains awareness of MSDS sheets and how to access. Ensures environment meets regulatory requirements at all times. Understands and is able to demonstrate individual roles and responsibilities in the event of ambulatory codes/emergency preparedness. 4 - Professional Development: Assumes overall responsibility for own professional development by incorporating evidenced-based practice, research, and performance improvement initiatives as a part of ongoing nursing practice. Obtains at least 5 contact hours per year in area of practice. Practices within the legal boundaries of MA Nurse Practice Act. Directs other licenses and non-licensed personnel as assigned. Displays the ability to accept and respond appropriately to feedback and recommendations for change. Demonstrates professional working relationships with colleagues from all disciplines to promote a positive/encouraging workplace. Critical Thinking: analyzes causes of problems, identifies and evaluates alternative solutions, and selects appropriate solution, Requisition Number: Facility: LOC0003 - 5 Tarkiln Road5 Tarklin Rd Kingston, MA 02364 Department Name: SMC Ambulatory Kingston Status: Full time Budgeted Hours: 36 Shift: Day/Eve Rotation (United States of America) Compensation Pay Range: $36.00 - $58.15 #J-18808-Ljbffr southshorehealth