RN, Patient Flow, Admissions & Discharge, 24hrs

Beth Israel Lahey Health•Winchester, MA

2d•$36 - $90

About The Position

The Patient Flow, Admissions & Discharge Registered Nurse is responsible for assessments and tasks that support smooth patient movement and care coordination. Under general supervision, the RN coordinates and completes admissions and discharges on designated patient care units according to hospital needs. The role supports safe, efficient, patient-centered transitions by completing admission assessments, medication reconciliation, patient and family education, and related unit-workload tasks. It helps reduce bedside nurses’ admission and discharge workload so they can focus on direct patient care, while supporting operational efficiency and patient flow. The RN completes admission and discharge documentation, coordinates discharge planning with nursing supervisors, providers, bedside nurses, and the interdisciplinary team, and ensures discharge instructions, prescriptions, follow-up information, and transportation plans are addressed. The position uses the nursing process to assess patients, develop and implement individualized plans of care—including discharge plans—and evaluate and revise those plans as appropriate. The RN administers ordered medications and treatments, participates in care conferences and performance improvement activities, and completes unit-specific competencies. Schedule and travel requirements are based on department needs. The role reports, in most cases, to a Director/ACNO, Nurse Manager, Nurse Coordinator, or Supervisor and does not supervise others.

Requirements

Graduate of a state-approved and/or accredited Registered Nurse program.
Current Massachusetts Registered Nurse license.
At least 1–2 years of clinical nursing experience.
Basic Life Support (BLS) certification.
Advanced Cardiac Life Support (ACLS) certification.
Ability to meet applicable competencies for the assigned nursing unit and patient population.
Ability to stand for long periods; reach and grasp objects; lift and push heavy objects; and position and transfer patients.
Ability to hear and communicate orally and in writing, proofread and check documents for accuracy, enter words and data into a computer, and distinguish color.
Physical and mental ability to perform the position’s duties; anticipated contact with blood, bodily fluids, potentially infectious materials, and potentially hazardous chemicals.
Must be vaccinated against influenza as a condition of employment.

Nice To Haves

Bachelor of Science in Nursing (BSN) is strongly encouraged.
Experience in medical-surgical nursing, transitions of care, and care coordination.
Ability to provide high-quality patient care while understanding the importance of effective throughput in delivering safe care.

Responsibilities

Coordinate and complete patient admissions and discharges on designated units according to hospital needs.
Assume primary responsibility for the admission and discharge process on high-volume receiving units and ensure timely, thorough patient onboarding.
Complete comprehensive admission assessments and required documentation.
Perform medication reconciliation and review discharge instructions.
Coordinate discharge planning with the nursing supervisor, providers, bedside nurses, and interdisciplinary team members.
Provide patients and families with education about medications, follow-up appointments, and discharge instructions.
Ensure discharge paperwork, prescriptions, and transportation plans are completed in a timely manner.
Facilitate efficient admissions and discharges to improve bed availability and patient throughput, and reduce transition-related workload.
Collaborate with unit staff to support safe transitions of care and streamline care coordination.
Assess patients through observation, interview, and review of clinical data; develop individualized plans of care, implement them, and evaluate or revise them as appropriate.
Direct licensed and unlicensed personnel in implementing plans of care.
Use evidence-based research to improve clinical outcomes.
Administer medications and perform treatments as ordered.
Participate in interdisciplinary patient care conferences and communicate with healthcare team members to resolve operational, patient satisfaction, and clinical initiative issues.
Complete preceptor and/or charge nurse competencies at the nurse manager’s discretion and complete unit-specific competencies.
Maintain current license, life support certification, and tuberculosis testing as required; comply with hospital policies and the Code of Business Conduct.
Participate in mandatory training, continuing education and in-services, staff meetings, performance improvement initiatives, and orientation of new staff, students, and/or volunteers.
Respond flexibly to unanticipated or changing patient and hospital needs.
Demonstrate Winchester Hospital’s WE CARE behaviors in interactions with patients, families, coworkers, physicians, and the community.