Registered Nurse - General Dermatology (Part Time)

Beth Israel Lahey Health•Boston, MA

2d•Onsite

About The Position

Utilizes the nursing process as the frame of reference for practice as a professional registered nurse and provides direct nursing care to patients and families. Triage all clinical calls routed via call center – contact patient, perform phone assessment and consult with MD and/or coordinate follow up as appropriate. Manage and triage all patient portal messages – consult with MD as appropriate. RN recalls – follow up calls to patients as requested by provider in effort to increase access for more urgent appointments but ensure that patients seen for acute issues (rashes, infections, medication issues etc.) are doing well or assess if additional follow up is needed. Medication refills – following color coded algorithm – for all red light meds assure office visits/labs are all up to date per protocol prior to queuing refill – obtain labs/schedule follow up as needed. Coordinate with pharmacy team for all medications requiring PA, including biologics and updating patients. Coordinate VNA services. Coordinate with Infusion pharmacy team arranging infusion services both on and off-site arranging for home infusion therapy as appropriate. Coordinate other collaborative specialty referrals (COP, GI, Rheum, ID, Endo). Contacting patients with biopsy, lab and culture results, education on diagnosis/treatment plan and follow up. Ongoing Management and updating of Digital/paper pathology log to ensure all skin cancers have either pending surgery date or have been treated. Injections – education on biologics, loading dose/maintenance dosing, side effects, provide patient with self-injection training and/or administering medication in clinic (Chesnut Hill/Needham only). Post-op follow up as needed – suture removals, wound checks, dressing changes as well provide ongoing wound care for chronic wounds, coordinate with provider as needed. Provides direct care to patients and makes necessary nursing judgments. Responsible for systematically assessing the health care needs of individuals or groups and for the formulation of a care plan, its implementation and evaluation. Demonstrates the ability for decision making by integrating theoretical knowledge with practical experience in caring for patients. Coordinates the care of patients and directs assistive personnel in order to provide safe, effective, efficient, equitable and timely, patient-centered care. Demonstrates awareness of environmental forces on health care of patients and their families. Demonstrates the ability to identify resources necessary to implement the plan of care. Works in a collegial and collaborative relationship with other health professionals to determine healthcare needs of patients and families. Develops relationships with patients and families that maintain and communicate trust and respect. Communicates effectively in the exchange of information. Demonstrate the ability to act as a patient advocate. Maintains annual mandatory education requirements, which include emergency skills and unit based competencies. Identifies needs for continued growth and development in conjunction with the unit based educator or clinical nurse specialist. Participates in activities that contribute to professional development of self. May participate in quality improvement activities. Demonstrates a commitment to patients, staff, and to Beth Israel Deaconess Medical Center. The individual nursing practice reflects the goals of the Medical Center. Demonstrates responsibility and accountability for own nursing practice and patient safety.

Requirements

Graduate of an accredited Nursing Program required.
1-3 years related work experience required.
License Registered Nurse required.
American Heart Association – Basic Life support Certificate required.
Decision Making: Ability to make decisions that are guided by general instructions and practices requiring some interpretation. May make recommendations for solving problems of moderate complexity and importance.
Problem Solving: Ability to address problems that are varied, requiring analysis or interpretation of the situation using direct observation, knowledge and skills based on general precedents.
Independence of Action: Ability to follow precedents and procedures. May set priorities and organize work within general guidelines. Seeks assistance when confronted with difficult and/or unpredictable situations. Work progress is monitored by supervisor/manager.
Written Communications: Ability to communicate clearly and effectively in written English with internal and external customers.
Oral Communications: Ability to comprehend and converse in English to communicate effectively with medical center staff, patients, families and external customers.
Knowledge: Ability to demonstrate full working knowledge of standard concepts, practices, procedures and policies with the ability to use them in varied situations.
Team Work: Ability to act as a team leader for small projects or work groups, creating a collaborative and respectful team environment and improving workflows. Results may impact the operations of one or more departments.
Customer Service: Ability to provide a high level of customer service to patients, visitors, staff and external customers in a professional, service-oriented, respectful manner using skills in active listening and problem solving. Ability to remain calm in stressful situations.
Employees in this job must be competent to provide patient care to the following age groups: Neonatal:Birth to 6 months, Young adult: 16-30 years, Middle Age: 30 - 60 years, Elderly: 60 - over.
Work requires periods of close attention to work with out interruption. Concentrated effort of up to 4 hours without break may be required.
Work requires constant response to changing circumstances and using new information to adjust approach and to quickly respond to new needs.
Potential exposure to adverse environmental conditions o Daily: Protective equipment required(Respirator,earplugs,mask,gloves,eyewear etc), Potential exposure to infectious diseases and/or airborne pathogens, Potential exposure to infectious diseases and/or bloodborne pathogens.
Health Care Status: HCW1: Regular, day-to-day contact; both face-to-face and hands-on (having close contact within three feet for at least five minutes). Examples: physicians, clinical nurses, phlebotomist, medical assistants, PFT tech, and x-ray tech.- Health Care Worker Status may vary by department
Sensory Requirements: Close work (paperwork, visual examination), Color vision/perception, Visual monotony, Visual clarity > 20 feet, Visual clarity <3 feet, Hot/Cold, Sharp/Dull, Smell, Conversation, Monitoring Equipment, Telephone, Background Noise.
Medium work: Exerting up to 50 pounds of force occasionally and or up to 20 pounds of force frequently. Job is physical in nature and employee needs to stand and/or move around through the majority of their shift. This job requires constant walking, Endurance-working up to 3-4 hours without a break, frequent standing, bending neck, bending waist, twisting neck, twisting waist, maintain crouch for > 5 minutes, Repetition crouch(>2 times/minutes), Power Grasping using both hands, Fine Manipulation using both hands, Pushing/Pulling using both hands, Keyboard use, Reaching-above shoulder height, Reaching-below shoulder height, Lifting and carrying items weighing up to 50 lbs, Pull up and/or reposition patient weighing up to 100 pounds without assistance, Pull up and/or reposition patient weighing up to 250 pounds with assistance, Pushing items weighing up to 50 lbs, Push a wheelchair or wheeled bed containing a patient weighing up to 250 pounds, with assistance.

Nice To Haves

Baccalaureate degree in Nursing strongly preferred.

Responsibilities

Triage all clinical calls routed via call center – contact patient, perform phone assessment and consult with MD and/or coordinate follow up as appropriate
Manage and triage all patient portal messages – consult with MD as appropriate
RN recalls – follow up calls to patients as requested by provider in effort to increase access for more urgent appointments but ensure that patients seen for acute issues (rashes, infections, medication issues etc.) are doing well or assess if additional follow up is needed
Medication refills – following color coded algorithm – for all red light meds assure office visits/labs are all up to date per protocol prior to queuing refill – obtain labs/schedule follow up as need
Coordinate with pharmacy team for all medications requiring PA, including biologics and updating patients
Coordinate VNA services
Coordinate with Infusion pharmacy team arranging infusion services both on and off-site arranging for home infusion therapy as appropriate
Coordinate other collaborative specialty referrals (COP, GI, Rheum, ID, Endo)
Contacting patients with biopsy, lab and culture results, education on diagnosis/treatment plan and follow up
Ongoing Management and updating of Digital/paper pathology log to ensure all skin cancers have either pending surgery date or have been treated.
Injections – education on biologics, loading dose/maintenance dosing, side effects, provide patient with self- injection training and/or administering medication in clinic (Chesnut Hill/Needham only)
Post- op follow up as needed –suture removals, wound checks, dressing changes as well provide ongoing wound care for chronic wounds, coordinate with provider as needed
Provides direct care to patients and makes necessary nursing judgments.
Responsible for systematically assessing the health care needs of individuals or groups and for the formulation of a care plan, its implementation and evaluation.
Demonstrates the ability for decision making by integrating theoretical knowledge with practical experience in caring for patients.
Coordinates the care of patients and directs assistive personnel in order to provide safe, effective, efficient, equitable and timely, patient-centered care.
Demonstrates awareness of environmental forces on health care of patients and their families.
Demonstrates the ability to identify resources necessary to implement the plan of care.
Works in a collegial and collaborative relationship with other health professionals to determine healthcare needs of patients and families.
Develops relationships with patients and families that maintain and communicate trust and respect.
Communicates effectively in the exchange of information.
Demonstrate the ability to act as a patient advocate.
Maintains annual mandatory education requirements, which include emergency skills and unit based competencies.
Identifies needs for continued growth and development in conjunction with the unit based educator or clinical nurse specialist.
Participates in activities that contribute to professional development of self
May participate in quality improvement activities.
Demonstrates a commitment to patients, staff, and to Beth Israel Deaconess Medical Center.
The individual nursing practice reflects the goals of the Medical Center.
Demonstrates responsibility and accountability for own nursing practice and patient safety