Ambulatory Nurse BWH

Mass General Brigham•Boston, MA

3d•$42 - $106•Onsite

About The Position

The Registered Nurse is a Massachusetts-registered professional nurse accountable for planning and providing patient care in accordance with the Nursing Department's Clinical Practice Manual. The nurse demonstrates initiative, knowledge, and clinical skills in caring for patients with complex needs and manages care through assessment, planning, implementation, and evaluation. 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. These positions are based in ambulatory clinics and involve 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 an appropriate setting or level of care, documenting interventions and individualized plans in an electronic medical record, educating patients and families, preliminarily interpreting data, providing home-care advice and follow-up, making timely and calm decisions during emergencies, and supporting continuity of care.

Requirements

Graduate of an approved school of nursing and current registration in Massachusetts.
A Bachelor of Science Degree in Nursing is required for newly licensed nurses.
At least 2 years of recent clinical nursing experience in an ambulatory clinic or practice setting, within the last 12 months; experience only in an ambulatory procedural area does not qualify.
At least 2 years of nursing experience with telephone triage, with telephone triage as the main responsibility of that experience.
Experience within the last 4 years with in-person triage and clinical assessment techniques for adult patients.
Comfort with all aspects of patient care both in person and by telephone.

Nice To Haves

Registered nursing experience delivering patient care in an ambulatory medical specialty area (not procedural) or Primary Care is strongly preferred.
Case Management experience is preferred.
Certification, or a desire to obtain certification, in Ambulatory Care or an ambulatory specialty area within 2 years is preferred.

Responsibilities

Assess, plan, implement, and evaluate care for assigned patients; set priorities according to patient acuity and maintain continuity through clear verbal and written communication.
Provide telephone triage, including assessing symptom severity, communicating urgent needs to the licensed independent practitioner, directing patients to an appropriate level of care, documenting interventions and plans, providing education and home-care advice, arranging follow-up, and making timely decisions in emergencies.
Document patient care clearly, completely, concisely, and in accordance with nursing documentation standards.
Develop patient and family care, education, and discharge plans using assessment information, healthcare-team input, appropriate referrals, and community resources; evaluate outcomes and revise plans as needed.
Participate in unit-based and organizational quality management and improvement programs, and help provide a safe environment for patients, staff, families, and visitors.
Administer medications and perform nursing procedures safely; use equipment safely and efficiently; recognize infection risks and use universal precautions.
Collaborate professionally with patients, families, colleagues, and other disciplines; develop and evaluate unit-specific standards of care; uphold the A.N.A. code of ethics and serve as a role model.
Participate in setting and reviewing unit goals and objectives, serving on committees, and sharing information with peers.
Take responsibility for professional learning, share knowledge with colleagues, participate in educational programs, and seek guidance for learning needs.
Use nursing research findings in practice and support nursing or medical research endeavors.
Use time and materials effectively, support cost-effective care, assess acuity for staffing and assignment decisions, and work within budgetary boundaries.
Participate in orientation and appropriate clinical evaluation of staff and students; assume responsibility for the unit when leadership personnel are absent; follow and help interpret policies; recommend policy changes through appropriate channels; and support unit operations through flexibility with assignments and schedules.
Work a weekend rotation as required by the MNA contract.