Registered Nurse, Infusion Services, Winchester, Per Diem

Beth Israel Lahey Health•Winchester, VA

5d•$37 - $96

About The Position

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Department Specific Job Responsibilities: ONCOLOGY INFUSION Safely administer a variety of chemotherapy/immunotherapy treatments, supportive care therapy and transfusions. Educate patient/family on self-care and reasons to call the office while receiving treatment. Safely place and care for peripheral IV access and central venous access devices. Evaluate and assess for tolerance to therapy, including laboratory values and physical symptoms. Collaborate with Radiation therapy, Nutrition, Social Work and Physical Therapy. Collaborate with both BIDMC Boston and BID Needham and Atrius Oncology in the care of patients. Department Specific Job Responsibilities: Determines the urgency and disposition for telephone triage requests and other patient calls requiring clinical expertise and decision making. Collects pertinent clinical data and applies nursing knowledge and evidence-based assessments to coordinate the delivery of care during telephone encounters, electronic communications and/or clinical visits. Facilitates the scheduling of urgent and/or routine appointments as needed. In collaboration with the healthcare team and PCP, participates in the coordination of care and on-going management of patients with stable chronic diseases by developing shared care plans, performing medication reconciliation, processing prescription renewals, performing symptom assessments, and coordinating VNA referrals. Collaborates with the LPN and the provider regarding ED visit follow-up and communicates with patients regarding symptom management and the coordination of additional services as needed. Promotes the health of patients through coordinated follow-up, supports improving health outcome efforts, education and self-management goals. Department Specific Job Responsibilities: Determines the urgency and disposition for telephone triage requests and other patient calls requiring clinical expertise and decision making. Collects pertinent clinical data and applies nursing knowledge and evidence-based assessments to coordinate the delivery of care during telephone encounters, electronic communications and/or clinical visits. Participates in the coordination of care & on-going management of patients by developing shared care plans, performing medication reconciliation, completion of prior authorizations, processing prescription renewals within three days, performing symptom assessments, coordinating referrals and assisting prescribers in tracking and meeting timeframes for annual labs and AIMS. Communicates with patients and families (as consent allows), as well as other relevant stakeholders (ex. clinicians inside and outside BIDMC system), regarding symptom management and the coordination of additional services as needed. Facilitates the scheduling of urgent and/or routine appointments as needed. Promotes the health of patients through coordinated follow-up, supports improving health outcome efforts, education and self-management goals. Participates in clinical service meetings and quality improvement initiatives as an active member of the behavioral health team. Department Specific Job Responsibilities: PODIATRY Supports very busy podiatry clinic, providing nursing level support to patients, while supervising and supporting the role of medical assistants. Gathers information for H&P. Performs initial review of medication lists in OMR, performs med reconciliation when appropriate. Performs and documents evaluations and assessments of patient. Assists in ordering labs, x-rays, and diagnostic procedures. Works in collaboration with providers, to provides patient education on relevant to podiatric issues and wound care, as well as other diabetic health and nutritional issues. Assists in development of patient/family educational materials. Participates in patient rounds and case conferences. Preparation and application, under supervision when appropriate, of casting, boots, gauze, and other dressings, and orthotics. (Examples include: offloading pad and dressing, Unna compression wraps, total contact cast (TCC)). Dispense and measure surgical shoes, braces, CAM boots (or similar devices). Wound management: Performs removal of dressings, bandage changes, and basic wound cleaning/management, and application of dressings, including use of topical solutions or ointments. Assists providers with prep and application of skin substitutes and other tissue products. Provide support for common, routine procedures such as nail procedures, wart removal, wound debridement after completion of competency training, and removal of sutures and staples. Job Description: The BIDMC Nursing Mission is to build on a legacy of nursing excellence by caring with compassion, advancing the art & science of nursing, and advocating for the health of patients, families, and communities. The Clinical Nurse II 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 in an office-based setting. Training, evaluation and competencies for this role are overseen by a Nurse Leader to the department.

Requirements

Graduate from an accredited Nursing Program required.
License Registered Nurse required.
American Heart Association - Basic Life Support Certification
1-3 years related work experience required.
Basic familiarity with computers.
Ability to navigate at a basic level within web-based applications.

Nice To Haves

Experience in a teaching hospital and Hematology/Oncology expertise
Chemo Certification preferred

Responsibilities

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