About The Position

The Staff Registered Nurse: Ambulatory practices under the general supervision of the Administrative Director, in collaboration with the Associate Chief of Ambulatory Nursing Practice. The nurse practices within the Lahey Clinic Professional Practice Model, the Massachusetts Nurse Practice Act, ANA Standards of Practice, and the ANA Code of Ethics, while demonstrating Lahey Clinic’s core values and mission. The nurse-patient/family relationship, continuity of care, and accountability are central to individualized, high-quality patient care. The nurse collaborates with physicians, other healthcare providers, ambulatory support staff, and other disciplines to plan and coordinate care. The nurse provides care that accounts for patients’ physical, psychosocial, cultural, educational, spiritual, safety, and age-related needs. The role carries responsibility for the quality of nursing care provided to individuals and groups, including health maintenance, teaching, counseling, collaborative planning, and restoration of optimal functioning and comfort. The nurse is responsible for the plan of care and accountable for assessment, planning, implementation, and evaluation, and facilitates coordination of care across the continuum. The position includes clinical assessment and judgment, patient and family education, care coordination, delegation and supervision, and maintaining current nursing knowledge and technical skills. The nurse must comply with applicable regulatory and accrediting standards and hold a current Massachusetts registered nurse license. This is a per diem position in General Internal Medicine at Lahey Clinic Peabody. The posted base hourly pay range is $37.00–$95.37; actual compensation may vary based on factors such as education, experience, certifications, location, responsibilities, and applicable additional pay practices. Beth Israel Lahey Health requires staff to be vaccinated against influenza as a condition of employment.

Requirements

  • Graduate of a state-approved and/or accredited School of Nursing.
  • Current Massachusetts license to practice professional nursing.
  • Current American Heart Association BLS certification.
  • Acute-care medical-surgical experience.
  • Clinical skills and technical knowledge necessary to provide care according to nursing policies and procedures and clinic-specific competencies.
  • Excellent interpersonal and organizational skills.
  • Ability to meet the role’s nursing practice, assessment, planning, implementation, evaluation, delegation, and supervision responsibilities.

Nice To Haves

  • Bachelor of Science in Nursing (BSN) preferred.

Responsibilities

  • Organize and coordinate safe, high-quality care for assigned patients and families.
  • Conduct systematic patient and family assessments relevant to the practice setting and record health data.
  • Analyze and interpret recorded data and use clinical judgment to identify nursing problems and care needs.
  • Develop culturally competent plans of care that identify patient problems, expected outcomes, and preventive measures while respecting patients’ and families’ religious, spiritual, ethnic, and cultural values.
  • Deliver care appropriate to the patient’s age and needs.
  • Use listening skills and clinical judgment to assess the severity of callers’ signs and symptoms by telephone.
  • Evaluate the effectiveness of care and adapt the plan based on patient and family responses.
  • Provide appropriate physical care, including activities of daily living, positioning, transporting, and treatments; use and transport equipment; monitor for acute changes and intervene appropriately; and administer medications, including blood and blood products.
  • Establish professional relationships with patients, families, nurses, physicians, and colleagues, involving patients and families as partners in care.
  • Educate patients and families about illness, treatment, and appropriate preventive measures.
  • Support Lahey Clinic community-based activities and collaborate, cooperate, and communicate with healthcare providers to ensure quality and continuity of care.
  • Demonstrate professional behavior by following unit policies, setting-specific practice guidelines, and the ANA Code of Ethics; contribute as a responsive team member and teacher; support regulatory compliance and readiness; and advocate for patients within legal limits.
  • Achieve and maintain ACLS certification as required by departmental standards.
  • Uphold quality nursing standards, pursue lifelong learning, and use evidence-based nursing practice.
  • Maintain confidentiality and comply with Lahey Clinic policies, guiding principles, mission, goals, behavioral expectations, and customer-service standards.
  • Maintain courteous and effective interactions with colleagues and patients; understand job expectations and competency assessment requirements.
  • Participate in departmental or interdepartmental quality-improvement activities and complete mandatory education.
  • Perform other duties as needed or directed to meet departmental needs.
  • Maintain current nursing knowledge and technical skills, and comply with regulatory and accrediting requirements.
  • Delegate and supervise in accordance with Massachusetts regulations and ANA delegation principles, including developing appropriate assignments, teaching and directing delegates, supervising them, and retaining responsibility for delegation outcomes.
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