Ambulatory Nurse BWH

Mass General Brigham•Boston, MA

1d•Onsite

About The Position

The Registered Nurse is a Massachusetts-registered professional nurse responsible and accountable for planning and providing care to assigned patients in accordance with the Nursing Department’s Clinical Practice Manual and Standards of Care. The nurse demonstrates initiative, knowledge, and clinical skills in caring for patients with complex needs, and manages the assessment, planning, implementation, and evaluation of patient care. The role reports directly to a designated nurse manager or supervisor. Ambulatory nursing opportunities are anticipated in Allergy/Clinical Immunology, Cardiology, Endocrine/Weight Management, the Lung Center, Neurology, Transplant, and Primary Care. Work is based in ambulatory clinics and includes onsite schedules, in-person and online patient interactions, and frequent collaboration with physicians, physician assistants, and nurse practitioners. Each role includes telephone triage: assessing symptom severity, communicating urgent needs to the licensed independent practitioner, directing patients to the appropriate setting or level of care, documenting interventions and individualized care plans in an EMR, educating patients and families, interpreting data preliminarily, providing home-care advice and follow-up, making timely and calm decisions in emergencies, and ensuring continuity of care. The nurse organizes and prioritizes patient care; maintains clear communication; develops and evaluates care, education, and discharge plans; documents care and progress; and provides a safe environment. Duties also include safe medication administration and nursing procedures, infection prevention, collaboration with patients, families, and colleagues, participation in quality improvement and unit activities, professional education and development, support for research, economical use of time and materials, participation in staff orientation and evaluation as appropriate, and adherence to hospital and nursing policies. Weekend rotation is required under the MNA contract.

Requirements

Graduate of an approved school of nursing and current Massachusetts registration.
Bachelor of Science in Nursing required for newly licensed nurses.
At least 2 years of recent clinical nursing experience in an ambulatory clinic or practice setting; experience only in an ambulatory procedural area is insufficient.
At least 2 years of nursing experience with telephone triage, with telephone triage as the main responsibility.
Experience within the last 4 years with in-person triage and clinical assessment techniques for adult patients.
Experience in an ambulatory specialty area or primary care with RN patient-care delivery is strongly preferred.
Must be comfortable with all aspects of patient care in person and by telephone.
Able to work weekend rotation per the MNA contract.

Nice To Haves

Case management experience.
Certification, or desire to obtain certification, in Ambulatory Care or an ambulatory specialty area within 2 years.

Responsibilities

Assess, plan, implement, and evaluate care for assigned patients, setting priorities according to patient acuity.
Maintain continuity of care through clear and concise verbal and written communication.
Conduct telephone triage by assessing symptom severity, communicating urgent needs to the LIP, directing patients to appropriate care settings, documenting interventions and individualized plans in an EMR, providing education and home-care advice, arranging follow-up, and making timely decisions in emergencies.
Develop and document comprehensive care, patient and family education, and discharge plans using appropriate team members, resources, referrals, and community services.
Evaluate care-plan effectiveness, document progress toward goals, and revise plans as needed.
Provide a safe environment; administer medications and perform nursing procedures and equipment use safely and efficiently; and follow infection-prevention practices and universal precautions.
Collaborate professionally with patients, families, colleagues, and other disciplines.
Participate in unit-based and organizational quality improvement, committee work, goal setting, standards-of-care development, and dissemination of information to peers.
Pursue professional growth, share knowledge with colleagues, participate in educational programs, and seek guidance for learning needs.
Use nursing research findings in clinical practice and support nursing or medical research endeavors.
Use time and materials economically, provide suggestions supporting cost-effective care, assess acuity in staffing and assignment decisions, and work within budgetary boundaries.
Participate in orientation of new staff and students, provide input into staff clinical evaluations as appropriate, and assume unit responsibility in the absence of leadership personnel.
Adhere to hospital and nursing policies, recommend policy changes through appropriate channels, and support unit operations through flexibility with patient assignments and work schedules.
Work a weekend rotation as required by the MNA contract.