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Boston Medical Center•Boston, MA

About The Position

The Registered Nurse adheres to the rules and regulations of the Massachusetts Board of Registration in Nursing and is primarily responsible for professional performance and direct patient care. The role encompasses nursing assessment, diagnosis, planning, intervention, evaluation, and coordination of care for patients and their families across the health care continuum. The nurse is accountable for clinical, educational, quality, and fiscal patient care outcomes using the nursing department’s model of care and established agency policies, procedures, protocols, guidelines, and standards of practice. This position provides ambulatory OB/GYN nursing care. The nurse uses the nursing process to assess patients and families, identify needs and expected outcomes, develop and implement individualized plans of care, and evaluate progress. The role includes patient and family education, medication administration, technical nursing skills, documentation, care coordination, delegation, and responding to emergencies. Follow-up care may be provided in person, through home visits, or by telephone when appropriate.

Requirements

Graduate of an accredited school of nursing with an Associate’s degree or a Baccalaureate degree in nursing.
Current Massachusetts RN registration and licensure in good standing by the start date.
Current Basic Life Support (BLS) certification by the start date.
Advanced Cardiovascular Life Support (ACLS) certification before the start date.
Fetal Monitoring certification by the start date.
Current (within the last two years) outpatient or ambulatory OB/GYN experience.
Current (within the last two years) antenatal testing, NST, or fetal monitoring experience.
Basic computer proficiency, including the ability to access, enter, and interpret computerized data or information.
Interpersonal skills to communicate effectively with health care team members, patients, and families.
Organizational skills to set priorities and complete assigned work efficiently.
Analytical ability to address clinical nursing issues and conduct quality improvement or research utilization projects.
Ability to delegate appropriate patient care activities effectively.
Effective verbal and written communication skills appropriate to the patient populations served.
Physical ability to meet core job responsibilities in accordance with the demands of the practice setting and patient populations served.
Ability to manage stress related to critical patient care issues, organizational change, and personnel matters.
Candidates without a BSN must enroll in a baccalaureate program within one year of hire and complete the BSN by the end of the semester in which their four-year employment anniversary occurs.

Nice To Haves

Bachelor of Science in Nursing (BSN).
Epic documentation experience.
Experience in GYN procedures, GYN oncology, urogynecology, high-risk obstetrics, or infertility.
Labor and Delivery experience.
Multilingual skills beyond English in languages appropriate to the medical center’s patient populations.

Responsibilities

Use all steps of the nursing process to provide timely, safe, efficient, appropriate, patient-centered care.
Systematically and continuously assess patients and families, collect and prioritize relevant data, and involve patients, significant others, and health care providers when appropriate.
Communicate and document relevant patient care information clearly and effectively in accordance with departmental policies.
Identify emergency or crisis situations, promptly notify appropriate team members, and respond appropriately.
Analyze assessment data, apply critical thinking, and determine and document appropriate nursing diagnoses.
Establish individualized, measurable clinical and educational outcomes with appropriate time estimates and direction for continuity of care.
Develop and document individualized plans of care with patients, significant others, and appropriate health care providers, reflecting current standards and available resources.
Implement nursing and medical care plans, prioritize interventions as patient and unit needs change, and provide care appropriate to the ages of patients regularly served.
Delegate appropriate patient care activities to qualified co-workers and ensure delegated tasks are completed in a timely manner.
Maintain a safe, clean unit environment, including identifying and removing broken or expired equipment and materials from service.
Demonstrate safe technical competence, including direct care skills such as phlebotomy and IV insertion, informatics, and equipment monitoring and use.
Implement treatments and interventions and administer medications according to practice standards, policies, and protocols.
Educate patients and families about illness, procedures, treatments, plans of care, health maintenance, health promotion, and illness or injury prevention.
In emergencies, make effective decisions, reprioritize care, initiate appropriate responses, and direct team members to support a coordinated response.
Evaluate patient progress and the effectiveness of interventions through ongoing reassessment, involving patients, significant others, and appropriate providers as needed.
Revise diagnoses, outcomes, and plans of care based on ongoing assessment and document patient responses and revisions according to departmental policy.
Provide follow-up care in person, through home visits, or by telephone when needed and appropriate.