RN Med Surg, Part Time

Job description

Site: Martha's Vineyard Hospital, Inc. Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Job Summary ED: The Registered Staff Nurse is a professional nurse who renders quality nursing care. Nursing care is based upon the assessed needs of the patient, is congruent with the prescribed therapy of the medical staff and is based on the Nursing Department's philosophy of nursing, and the Hospital's mission, vision and values. The Registered Staff Nurse will assess, plan, implement, and evaluate care for all patients. The Registered Staff Nurse is accountable for the delivery of quality patient care, utilizing the nursing process for all patients from birth through their adult life cycle. Professional certification in applicable nursing field(s) preferred. Must be available to work day, evening and/or night shift as well as rotation on weekends as assigned. Must be able to rotate to units as assigned. Must be willing to work additional shifts as assigned. Must be available to stay overnight should need arise during patient transports off island. May be exposed to the following hazards: temperature fluctuations, moderate noise levels, minimal dust, infectious diseases and other chemicals as customarily used in a hospital setting. Exposure to various hazards in handling patient transports. Must be available to work overtime as needed to complete all job duties. Must be available to work in the case of a Hospital declared emergency. Med/Surg: The Registered Staff Nurse is a professional nurse who renders quality nursing care. Nursing care is based upon the assessed needs of the patient, is congruent with the prescribed therapy of the medical staff and is based on the Nursing Department's philosophy of nursing, and the Hospital's mission, vision, and values. The Registered Staff Nurse will assess, plan, implement, and evaluate care for all patients. The Registered Staff Nurse is accountable for the delivery of quality patient care, utilizing the nursing process for all patients from birth through their adult life cycle. Available to work day, evening and/or night shift as well as rotation on weekends as assigned. Must be able to rotate to units as assigned. Willing to work additional shifts as assigned. Availability to stay overnight should need arise during patient transports off island. May be exposed to the following hazards: temperature fluctuations, moderate noise levels, minimal dust, infectious diseases, and other chemicals as customarily used in a hospital setting. Exposure to various hazards in handling patient transports. Available to work overtime as needed to complete all job duties. Available to work in the case of a Hospital declared emergency. NCMG: The RN is a licensed professional who supports medical providers in delivering of patient and family centered health care in an ambulatory care setting. The nurse reports to the Nurse Director and is responsible for working side by side with the providers, hospital leadership, and health care team to oversee the delivery of quality patient care through the daily operations of the office, which may include the supervision of the medical assistants (MA). Work hours will be determined by the Director of the practice and/or the Clinical Nurse Director and needs of the practice and will include some weekends. Overtime as necessary to complete assigned work. Must be available to work in the case of a declared Hospital emergency. May be required to attend meetings on or off the island. Perioperative: The Perioperative Nurse assesses the patient preoperatively; plans care during the surgical intervention, implements those nursing actions and evaluate the outcomes. This position is responsible for perioperative nursing, coverage of Central Sterile Supply on an as needed basis, and scheduled outpatient procedures requiring assistance by the physician. National certification in areas of expertise (CNOR, CEN, CCRN, etc.) preferred. Must be available to stay overnight should need arise during patient transports off island. Must be able to rotate to other units, as assigned. Must be willing to work additional shifts, as assigned. Must be available to work in the case of a declared Hospital emergency. Dialysis: Performs standard nursing practices as outlined by Dialysis Unit policies and procedures. Must be available to work day or evening shifts, as well as weekend rotations, as assigned. Must be available to stay overnight should need arise during patient transports off island. Must be able to rotate to other units, as assigned. Must be willing to work additional shifts, as assigned. Must be available to work in the case of a declared Hospital emergency. Must be tested on hire for color-blindness. Infusion: The Chemotherapy/IV therapy Nurse functions as an experienced clinical Registered Nurse in coordinating patient care and collaborating with other care providers and health team members to provide high-quality care of patients needing outpatient infusion therapy. This nurse acts as a patient guide and advocate by assisting patients and families to seek information, ensuring informed consent regarding treatment decisions and promoting the maximal level of patient-desired independence. This nurse is accountable for delivering care to the patient within the framework of the nursing process. This is a clinical position assuming department wide responsibility. Must be available to work day, evening and/or night shift as well as rotation on weekends as assigned. Must be able to rotate to units as assigned. Must be willing to work additional/irregular shifts as on occasion to meet patient needs. May be exposed to the following hazards: temperature fluctuations, moderate noise levels, minimal dust, infectious diseases and other chemicals as customarily used in a hospital setting. Exposure to various hazards in handling patient transports. Must be available to work overtime as needed to complete all job duties. Must be available to work in the case of a Hospital declared emergency. LDRP: This is a Registered Staff Nurse position with responsibility for reasonable and comprehensive care for all obstetrical patients. Accountable for the delivery of quality patient care, utilizing the nursing process for all patients. Must be available to work day, evening and/or night shift as well as rotation on weekends as assigned. Must be able to rotate to units as assigned. Must be willing to work additional shifts as assigned. Must be available to stay overnight should need arise during patient transports off island. May be exposed to the following hazards: temperature fluctuations, moderate noise levels, minimal dust, infectious diseases and other chemicals as customarily used in a hospital setting. Exposure to various hazards in handling patient transports. Must be available to work overtime as needed to complete all job duties. Must be available to work in the case of a Hospital declared emergency. Qualifications Essential Functions: ED: • Collects and documents all data pertinent to each patient’s actual and potential needs within twenty-four (24) hours of admission. • Documents and reports significant findings of ongoing patient assessment. • Formulates the patient plan of care based on age-specific needs and acceptable standards of practice. • Communicates the patient plan of care (written/verbal) through shift reports and other established procedures. • Formulates discharge plan (with guidance when needed) within twenty-four (24) hours of admission. • Implements and documents teaching plan in the patient record • Organizes own patient care and demonstrates ability to set priorities, providing most acutely needed care first and implementing physician and nursing orders within appropriate timeframes. • Demonstrates proficiency in administering treatments, procedures, and equipment appropriate to the unit/department as demonstrated by the skills checklist. • Administers safely and documents medications according to established procedures with no more than three (3) documented errors per year. • Uses standard precautions as outlined in the Nursing Department Infection Control Manual. • Demonstrates ability to prioritize patient/unit needs. ED: • Collects and documents all data pertinent to each patient’s actual and potential needs within twenty-four (24) hours of admission. • Documents and reports significant findings of ongoing patient assessment. • Formulates the patient plan of care based on age-specific needs and acceptable standards of practice. • Communicates the patient plan of care (written/verbal) through shift reports and other established procedures. • Formulates discharge plan (with guidance when needed) within twenty-four (24) hours of admission. • Implements and documents teaching plan in the patient record • Organizes own patient care and demonstrates ability to set priorities, providing most acutely needed care first and implementing physician and nursing orders within appropriate timeframes. • Demonstrates proficiency in administering treatments, procedures, and equipment appropriate to the unit/department as demonstrated by the skills checklist. • Administers safely and documents medications according to established procedures with no more than three (3) documented errors per year. • Uses standard precautions as outlined in the Nursing Department Infection Control Manual. • Demonstrates ability to prioritize patient/unit needs. • Completes discharge screening tool upon admission, appropriate referrals to other care services, and implements individualized teaching plan based on actual discharge needs. • Evaluates nursing interventions to changing patient situations as demonstrated by patient outcome. • Prioritizes nursing interventions in complex and rapidly changing patient situations, as evidenced by the patient outcome and documentation in the record. • Demonstrates competency in the following areas by physical demonstration, verbal or written exam (medical equipment, age specific assessment and intervention, procedures such as IV therapy, medication administration, initiation of telemetry, etc.), as may be required in the performance of job duties and responsibilities. • Attends all mandatory Hospital/Nursing Department in-service training sessions and meetings. • Actively participates in 75% of unit staff meetings, Nursing Steering Committee, patient care conferences, and/or one (1) project relevant to the unit per year. • Maintains an environment that is committed to high standards of patient care and supportive of Nursing Department staff providing that care. • Assumes responsibility and accountability for providing open communication, consensus decision-making, group goal setting and shared responsibility. • Assumes authority, responsibility and accountability for nursing practice. • Functions in a collaborative and collegial relationship with other health professionals and providers. • Demonstrates consideration toward patients, family members and other Hospital personnel by communicating in a professional manner, acknowledging and understanding their concerns and speaking to them in a manner which demonstrates concern, dignity and respect. • Adheres to Hospital/Nursing Department policy and dresses in a manner that represents the nursing profession as a professional; maintains personal cleanliness of dress and hygiene, and wears identification badge at all times while working. • Participates in disciplinary performance improvement and other activities designed for professional growth. • Reviews and signs all in-service updates. • Identifies own limitations in skills and knowledge as demonstrated by seeking guidance when needed from appropriate colleagues. • Identifies and meets individual annual goals that are congruent with the Nursing Department’s long- and short-term goals. • Participates in decision-making processes of unit/Nursing Department. • Demonstrates leadership skills. • Recognizes acute problems that occur in the unit and intervenes in a safe manner, in accordance with Nursing Department and Hospital procedure. • Provides assistance to other staff members during orientation and as needed and requested. • Participates in the development and implementation of Nursing Department goals and objectives by providing constructive feedback. • When performing the role of Day Charge nurse, attends discharge planning meetings • When performing in the role of Clinical Director, provides guidance to each nursing unit to coordinate, direct, and evaluate the activities of Nursing Department personnel. • Serves, when directed, as the onsite nursing administrative authority. • Maintains confidentiality of organizational and patient information in accordance with Hospital policy and applicable statutes. Med/Surg: • Collects and documents all data pertinent to each patient’s actual and potential needs on admission or within twenty-four (24) hours of admission. • Documents and reports significant finding of ongoing patient assessment. • Formulates the patient plan of care based on age-specific needs and acceptable standards of practice. • Communicates the patient plan of care (written/verbal) through shift reports and other established procedures. • Initiates discharge plan (with guidance when needed) within twenty-four (24) hours of admission. • Implements and documents teaching plan in the patient record. • Organizes own patient care and demonstrates ability to set priorities, providing most acutely needed care first and implementing physician and nursing orders within appropriate timeframes. • Demonstrates proficiency in administering treatments, procedures, and equipment appropriate to the unit/department as demonstrated by the skills checklist. • Administers safely and documents medications according to established procedures. • Uses standard precautions as outlined in the Nursing Department Infection Control Manual. • Demonstrates ability to prioritize patient/unit needs. • Completes discharge screening tool upon admission, appropriate referrals to other care services, and implements individualized teaching plan based on actual discharge needs. • Evaluates nursing interventions to changing patient situations as demonstrated by patient outcome. • Prioritizes nursing interventions in complex and rapidly changing patient situations, as evidenced by the patient outcome and documentation in the record. • Demonstrates competency in the following areas by physical demonstration, verbal, or written exam (medical equipment, age specific assessment and intervention, procedures such as IV therapy, medication administration, initiation of telemetry, etc.), as may be required in the performance of job duties and responsibilities. • Attends mandatory Hospital/Nursing Department in-service training sessions and meetings. • Actively participates in 75% of unit staff meetings, patient care conferences, and/or one (1) project relevant to the unit per year. • Maintains an environment that is committed to high standards of patient care and supportive of Nursing Department staff providing that care. • Assumes responsibility and accountability for providing open communication, consensus decision-making, group goal setting and shared responsibility. • Assumes authority, responsibility, and accountability for nursing practice. • Functions in a collaborative and collegial relationship with other health professionals and providers. • Demonstrates consideration toward patients, family members and other Hospital personnel by communicating in a professional manner, acknowledging, and understanding their concerns and speaking to them in a manner which demonstrates concern, dignity, and respect. • Adheres to Hospital/Nursing Department policy and dresses in a manner that represents the nursing profession as a professional; maintains personal cleanliness of dress and hygiene, wears identification badge at all times while working. • Participates in disciplinary performance improvement and other activities designed for professional growth. • Reviews and signs all in-service updates. • Identifies own limitations in skills and knowledge as demonstrated by seeking guidance when needed from appropriate colleagues. • Identifies and meets individual annual goals. • Participates in decision-making processes of unit/Nursing Department. • Demonstrates leadership skills. • Recognizes acute problems that occur in the unit and intervenes in a safe manner, in accordance with Nursing Department and Hospital procedure. • Provides assistance to other staff members during orientation and as needed and requested. • Participates in the development and implementation of Nursing Department goals and objectives by providing constructive feedback. • When performing the role of Day Charge nurse, attends discharge planning meetings. • Maintains confidentiality of organizational and patient information in accordance with Hospital policy and applicable statutes. •Other duties as assigned NCMG: Responsible for handling calls from patients and/or patient representative who are seeking medical information and/or medical attention. Facilitates scheduling of appointments as the patient’s condition requires, answer questions and provide health education to patients on the phone who have questions about their care. Specific duties include: • Participates in daily “morning huddle,” proactively identifying clinical care, concerns, and needs for patient’s/families scheduled for the day. • Helps facilitate the processing of medication refills. • Conducts patient call-backs/follow-up calls within a timely manner and documents the interaction within the EHR. • Supports the office team with obtaining required medical records/consults/test results. • Completes medical and treatment pre-authorizations in a timely manner. • Helps make referral to outside institutions if clinical expertise is needed. • Assists the providers and other office staff with scheduling patients for required medical appointments, utilizing EMR, and other available scheduling systems. • Assists the provider as needed with EMR inbasket management. • Administers immunizations within established practice guidelines. • Completion of a pre-visit comprehensive assessment, intake, and history of new patients. • Rooming patients and preparing the patient and room for the provider, to include the following: o Gathering of all appropriate supplies. o Opening the clinical record using the appropriate template. o Review and documentation of all relevant clinical information in each patient’s records, to include: • Chief complaint/reason for visit/nursing assessment. • Current and past medications (medication reconciliation). • Relevant patient, family, and social history (including smoking status). • Health Maintenance status/requirements. • Nursing care provided. • Vaccine status and administration. • Vital signs. • Fall screening for patients >65. • Review and document allergies. • Ensure patient’s choice of pharmacy is noted. • Completion of screening and evaluation forms (PEDS and Post-Partum Screenings). • Review PROMS questionnaire. • Confirm all appropriate patient consents for treatment/care (surgical procedures, Care in L&D, Sterilization, etc.) are obtained and help provide education, along with the provider if necessary. • Ensures all required insurance/forms are reviewed and signed by the patient (Medicare physical and medication/vaccine waivers). • Comprehensive teaching and education of patients and/or their families utilizing current, standardized teaching tools and handouts. • Assists the provider with treatments/screenings. • Completes medication/treatment pre-authorizations. • Completion of all nurse visits, in a timely manner, to include: o Providing and recording appropriate assessment and treatment data. o Consults with provider, as required. o Completion of coding within the EHR in accordance with documented industry standards and Partners Policy. • Sends/responds to clinical messages in a timely manner. • Assists other nurses as needed. • Keep rooms adequately stocked. • Assist patients in and out of wheelchairs and other assistance as needed. • Other duties as assigned. • Telephone Triage o Responds to patient phone calls in a timely manner, collecting sufficient information related to the presenting problem and medical history. o Furnishes medical advice within the scope of the practice. o Facilitates the scheduling of appointments, based on necessity. o Accurately documents the encounter with the patient in the EMR. o Maintains work queue within the EMR. Perioperative: • Demonstrates expertise in operating room procedures and can function independently in the performance of other surgical procedures. • Establishes and implements standards of practice that ensure safe, effective and efficient nursing skills. • Is able to interpret and complies with JCAHO, OSHA, and other federal and state standards. • As a perioperative nurse, assesses the patient preoperatively, plans care during the surgical intervention, implements those nursing actions and evaluate the outcomes. Ensures the patients record is complete with all necessary pre-operative information. Documents. • Conducts a nursing assessment and develops a plan of care for all patients upon admission. • Identifies and prioritizes activities that are necessary to meet patient needs. • Evaluates the effectiveness of intraoperative measures taken, documents them and reassesses to take additional actions as needed. • Communicates and collaborates with other members of the health care team. • Maintains a procedural log as it pertains to the operating room and other units. • Covers central supply responsibilities in times of illness/vacation and as needed. • Ensures that appropriate supplies are available and replaced as used/needed. • Uses proper aseptic and sterilization techniques. • Assists in the orientation and supervision of other personnel who work in the perioperative setting. • Highly recommend CNOR certification within two (2) years of assuming position. • Oversees the operation of the operating room and central supply in the absence of the Perioperative Services manager. • Maintains confidentiality of patient information in accordance with Hospital policy and applicable statutes and regulations. Dialysis: • Demonstrate understanding of the standards of care related to hemodialysis/ESRD nursing. • Demonstrates proficiency in performing dialysis nursing by: o Assessing patient access for patency and/or complications o Performing cannulation efficiently and effectively o Assessing patient pre and post treatment o performing dialysis treatment per unit standard o monitoring for patient response to Rx o Assessing patient for discharge o Monitoring estimated dry weight appropriately o Handling complications efficiently and effectively o seeking guidance/advice from appropriate source when indicated o maintaining effective psycho-social skills with patients • Collects and documents all data pertinent to each patient’s actual and potential needs. • Documents and reports significant findings of ongoing patient assessment. • Formulates the patient plan of care based on acceptable standards of practice. • Communicates the patient plan of care (written/verbal) through established procedures. • Plans individualized patient care using nursing theory in collaboration with patient and other health care providers. o Attends Short- and Long-Term Care Plan conferences. • Implements patient’s plan of care in collaboration with patient, family members and significant others. • Communicates the initial plan of care and revision (written/verbal) through shift reports and other established procedures. • Implements, consistently provides and documents patient education related to ESRD/dialysis plan of care in the patient record. • Evaluates nursing interventions to changing patient situations as demonstrated by patient outcome, documentation in the patient record and revision of the plan of care. • Prioritizes nursing interventions in complex and rapidly changing patient situations, as evidenced by the patient outcome and documentation in the record. • Recognizes acute problems that occur in the unit and intervenes in a safe manner, in accordance with Nursing Department and Hospital procedure. • Reports unusual occurrences to Clinical Coordinator/Clinical Nurse Manager and/or MD as appropriate. • Demonstrates proficiency in administering treatments, procedures and equipment appropriate to the unit/de