Med/Surg/Tele Registered Nurse-DAYS

Baystate Health • Greenfield, MA

7d • Onsite

About The Position

Responsible for the provision of basic nursing care to assigned patients in accordance with current FMC Standards of Care. Administers and monitors therapeutic interventions proficiently. Demonstrates proficiency in applying the nursing process to assigned patients and families. Assumes accountability for the outcomes of nursing care. Collaborates with health team members, patients/families in the provision of care. Provides direct supervision to other health team members in the implementation of the patient care plan. Effectively delegates care to peers, Licensed Practical Nurses, Nursing Assistants, Orderlies and other direct care givers consistent with their level of education and expertise. Acts as an advocate for patients/families/significant others. Assumes accountability for own professional practice and for aspects of nursing care delegated to others. Practices within accepted ethical and legal parameters of nursing.

Requirements

• Diploma in Nursing
• Basic Life Support - American Heart Association
• Registered Nurse - State of Massachusetts
• Evidence of a commitment to professional growth through participation in continuing education

Nice To Haves

• Minimum of 1 year of nursing experience
• MHU - CPI within 30 days of hire
• Oncology - Oncology certification required within 2 years of hire
• Cardiopulmonary – ACLS required by end of orientation
• ICU and Med/Surg - ACLS required by end of orientation
• OB – NRP and ACLS required by the end of orientation
• Surgical Services - ACLS and PALS required by the end of orientation
• ED - ACLS, PALS, and CPI by the end of orientation

Responsibilities

• Provides age-appropriate care to patients, demonstrating knowledge of developmental stages and applying developmental theories and concepts.
• Performs comprehensive nursing assessments, uses professional judgment to obtain selective data, arrives at nursing diagnoses and discharge planning needs, and ensures completed admission profiles and health databases.
• Performs ongoing assessments of assigned patients, recognizing subtle changes in health status, recognizing changes requiring immediate intervention, anticipating predictable changes, determining observation frequency, and furnishing pertinent assessment data to physicians and health team members.
• Formulates detailed, realistic plans of care specific to each patient's identified needs, develops and updates plans with measurable goals, promptly initiates and updates plans of care, reassesses priorities, and makes appropriate changes with patient/family input.
• Analyzes the psycho-social impact of illness and hospitalization on individuals and families, collaborates and negotiates with patients and families for an agreed-upon plan of care, utilizes and communicates with physicians and interdisciplinary team members to establish goals, and incorporates psycho-social, spiritual, and cultural needs into the plan of care.
• Implements the individualized plan of care, demonstrates proficiency in clinical nursing skills, organizes assignments and prioritizes plans of care, delegates aspects of care to other personnel, initiates interventions to maintain a safe and therapeutic environment, anticipates outcomes of physician orders and nursing actions, responds to urgent and life-threatening situations with appropriate actions.
• Provides formal and informal teaching relevant to healthcare needs of patients utilizing available resources, ensures patients/families are informed concerning treatments, procedures, and hospital policies, documents each phase of the learning process, and considers patient/family's level of knowledge and readiness to learn.
• Effectively implements and revises the discharge plan, initiates interdisciplinary discharge plans at admission, completes appropriate discharge/transfer forms, and prepares patients/families for changes in the healthcare delivery system.
• Establishes a pattern of ongoing evaluation and modification of patient care interventions while demonstrating accountability and responsibility for professional nursing practice, evaluates and modifies patient plans of care on a continuing basis, observes patient responses to treatment, illnesses, and hospitalization, compares expected with actual outcomes, and documents present status and notes significant alterations.
• Accurately determines the effectiveness of nursing care, evaluates whether selected nursing interventions were appropriate to reach set goals, uses patient outcomes to evaluate effectiveness of nursing interventions, and continually re-evaluates strengths and weaknesses for accountability of nursing care.
• Accurately and concisely communicates pertinent patient information while maintaining confidentiality, documents patient care and responses promptly, clearly, and thoroughly, understands and utilizes professional hierarchy in problem-solving, communicates pertinent patient information concisely through shift-to-shift report and intra-hospital transfer, and maintains patient's right to privacy and confidentiality.
• Acts as an advocate for patient families, acts as a representative in communicating patient/family needs to physicians and other healthcare team members, understands and supports Franklin Medical Center's "Patients' Bill of Rights," intervenes in situations where patient integrity is threatened, and supports and encourages patient/family decisions maintaining respect for life and dignity.
• Assumes accountability for management of patient care and provides direct supervision to other health team members, demonstrates behaviors that promote effective management of patient care, develops and evaluates patient care assignments, promotes cost containment, provides constructive feedback regarding performance of peers, initiates incident reports when indicated, and orients to charge role and acts as alternate charge nurse.
• Demonstrates proficiency in applying the principles of teaching/learning to patient/family and with minimal assistance identifies own professional educational needs, assesses each patient/family's comprehensive learning needs, individualizes standardized teaching plans, participates in patient care conferences, and communicates critical information at change of shift report.
• Identifies own professional educational needs with minimal guidance, performs a realistic self-evaluation, orients to preceptor role, supports the growth and development of students and new personnel, attends continuing education programs, is a member of a unit-based committee, task force or change producing group, attends and participates in unit staff meetings, and demonstrates ability to develop a therapeutic relationship with patients, families, and other members of the health care team.
• Promotes active participation in quality assurance research activities of health team members within the realm of responsibility, demonstrates active participation in quality assurance/research activities, identifies patients and/or nursing problems that need to be systematically investigated, communicates with colleagues about quality assurance/research findings, participates in and ensures follow-through of research/quality assurance data collection, is able to state current Unit CQI initiatives, and communicates an attitude of positive customer-focused interactions.

Benefits

• The compensation range(s) in the table below represent the base salaries for all positions at a given grade across the health system. Typically, a new hire can expect to start somewhere in the lower part of the range. Actual salaries may vary by position and will be determined based on the candidate's relevant experience. No employee will be paid below the minimum of the range. Pay ranges are listed as hourly for non-exempt employees and based on assumed full time commitment for exempt employees.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree