Registered Nurse, Ambulatory OBGYN, 40 hours
$38 - $75 per hourBoston Medical Center
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..
Position: Registered Nurse
Department: Ambulatory OB/GYN
Schedule: Full Time
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 patients 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 patients diagnoses capabilities and expectations in accordance with 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 patients 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 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 equipmentmonitoring/utilization.
- Implements patient careinterventions/treatmentsand 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 patients 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 patients 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 an accredited school of nursing with anAssociatesdegree or Baccalaureate degree in nursing (BSN). BSN preferred. Candidates who do not have a BSN must enroll in a Baccalaureate program one year from date of hire and must complete their BSN by the end of the semester in which thefour-yearanniversary of employment at BMCoccurs.
CERTIFICATES LICENSES REGISTRATIONS REQUIRED:
- Registration and current RN licensure in the state of MA in good standing required by start date.
- Requires current basic life support (BLS) certification by start date.
- ACLS required prior to start date.
- Fetal Monitoring certification required by start date.
- Additional certifications may be required for certain practice areas.
EXPERIENCE:
- Must have current (within last 2 years) experience:
- Outpatient/AmbulatoryOB/GYN experience required.
- Antenatal Testing/NST/Fetal Monitoringexperiencerequired.
- Epic documentation experience preferred.
- GYN Procedure GYN Oncology Uro Gynecology High Risk Obstetrics and Infertility experience preferred.
- Labor & Delivery experience preferred.
- Relevant clinical experience and/or specialty certification required for certain practice areas.
KNOWLEDGE AND SKILLS:
- 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.
- 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.
- 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- $75.33This 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 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.
Required Experience:
IC
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