Nights)

Boston Medical Center•Boston, MA

11h

About The Position

The Registered Nurse in Ambulatory OB/GYN is responsible for professional nursing performance and direct patient care. The role includes nursing assessment, diagnosis, planning, intervention, evaluation, and coordination of care for patients and families across the health care continuum. The nurse is accountable for clinical, educational, quality, and fiscal patient-care outcomes, following the nursing department’s model of care and established agency policies, procedures, protocols, guidelines, and standards of practice. The nurse uses the nursing process to provide timely, safe, efficient, patient-centered care; develops and documents individualized diagnoses, measurable outcomes, and plans of care; implements and evaluates nursing interventions; educates patients and families; and coordinates care with appropriate health care providers. The nurse also responds to emergencies, delegates appropriate activities, maintains a safe care environment, documents care, and provides follow-up in person or by telephone when appropriate. This position is scheduled for 27 hours, with days, evenings, and nights indicated. The compensation range is $38.05–$75.33. The employer notes that base-pay offers consider factors such as education, experience, and relevant licensure or certifications.

Requirements

Graduate of an accredited school of nursing with an Associate’s degree or 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.
Fetal Monitoring certification by completion of orientation.
OB/GYN experience required.
Basic computer proficiency, including the ability to access, enter, and interpret computerized data and information.
Effective interpersonal, verbal, and written communication skills appropriate to patients, families, and health care team members.
Organizational skills to set priorities and efficiently complete assigned work.
Analytical ability to address clinical nursing issues and conduct quality-improvement or research-utilization projects.
Ability to delegate appropriate patient-care activities effectively.
Physical ability to meet core job responsibilities in accordance with practice-setting demands.
Ability to manage stress related to critical patient-care issues, organizational changes, and personnel issues.
Relevant clinical experience or specialty certification may be required for certain practice areas.

Nice To Haves

BSN preferred.
Antenatal Testing/NST/Fetal Monitoring experience preferred.
Epic documentation experience preferred.
Experience in GYN procedures, GYN oncology, urogynecology, high-risk obstetrics, or infertility preferred.
Labor & Delivery experience preferred.
Multilingual skills beyond English in languages appropriate to the medical center’s patient populations preferred.

Responsibilities

Use all steps of the nursing process to provide timely, safe, efficient, and appropriate patient-centered care.
Assess patients and families systematically and on an ongoing basis, collect and prioritize pertinent data, and involve patients, families, and health care providers as appropriate.
Communicate and document relevant patient-care information clearly and in accordance with departmental policies.
Identify and communicate emergency or crisis situations promptly and respond appropriately.
Analyze assessment data and document appropriate nursing diagnoses using critical thinking.
Identify and document individualized, measurable clinical and educational outcomes, including time estimates, in collaboration with patients and the care team as appropriate.
Develop and document individualized plans of care that reflect patient needs, current practice standards, continuity of care, resource use, and appropriate referrals.
Implement and prioritize interventions in the nursing and medical plans of care according to changing patient and unit needs.
Provide age-appropriate care and consult resources when patients outside regularly served age groups are present.
Delegate appropriate patient-care activities 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 in direct care skills, informatics, and equipment monitoring or utilization, including skills such as phlebotomy and IV insertion.
Implement treatments and administer medications according to practice standards, policies, and protocols.
Educate patients and families about illness, procedures, treatments, the plan of care, health maintenance, health promotion, and illness or injury prevention.
In emergencies, make decisions, reprioritize care, initiate appropriate responses, and direct team members to support a coordinated response.
Evaluate patient progress and intervention effectiveness through ongoing reassessment, and revise diagnoses, outcomes, and plans of care as needed.
Provide follow-up care in person, through home visits, or by telephone when needed and appropriate.
Document interventions, patient responses, and revisions to diagnoses, outcomes, and plans of care according to departmental policy.