About The Position

The Staff Registered Nurse: Ambulatory provides individualized, high-quality patient care in accordance with the Lahey Clinic Professional Practice Model, the Massachusetts Nurse Practice Act, ANA standards and code of ethics, and Lahey Clinic’s core values. The nurse works under the general supervision of the Administrative Director, in collaboration with the Associate Chief of Ambulatory Nursing Practice, and coordinates care with physicians, other healthcare providers, ambulatory support staff, and other disciplines. The role is accountable for assessment, planning, implementation, and evaluation of patient care, and for coordinating care across the continuum. The nurse provides care that considers patients’ physical, psychosocial, cultural, educational, spiritual, safety, and age-related needs, and maintains current technical knowledge and skills. The position includes delegation and supervision in accordance with applicable Massachusetts regulations and ANA delegation principles. The delegating nurse remains ultimately responsible for appropriate assignments, teaching and supervising delegates, and delegation outcomes. A current Massachusetts RN license is required. The role is per diem at Lahey Clinic Peabody in General Internal Medicine. The listed base hourly pay range is $37.00–$95.37; actual compensation may vary based on factors including seniority, education, training, experience, certifications, location, responsibilities, and applicable additional pay practices. Beth Israel Lahey Health requires staff vaccination against influenza as a condition of employment.

Requirements

  • Graduate of a state-approved and/or accredited School of Nursing.
  • Current license to practice professional nursing from the Massachusetts Board of Registration.
  • BLS certification from the American Heart Association.
  • Acute care medical-surgical experience.
  • Demonstrated clinical skills and technical knowledge to provide care according to nursing policies, procedures, and clinic-specific competencies.
  • Excellent interpersonal and organizational skills.
  • Maintain current technical-procedure knowledge and comply with applicable regulatory and accrediting standards.

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 document health data.
  • Analyze and interpret recorded data and make informed judgments about patient problems and nursing care needs.
  • Develop culturally competent plans of care that identify patient problems, expected outcomes, and preventive measures while respecting patient and family values.
  • Deliver age-appropriate care and use listening skills and clinical judgment to assess caller signs and symptoms by telephone.
  • Evaluate the effectiveness of care and adapt the plan according to patient and family responses.
  • Provide appropriate physical care, including activities of daily living, positioning, transporting, treatments, and use or transport of equipment.
  • Monitor patients for acute changes and intervene appropriately; administer medications, including blood and blood products.
  • Establish professional relationships with patients, families, nurses, physicians, and colleagues, partnering with patients and families in care.
  • Educate patients and families about illness, treatment, and appropriate preventive measures.
  • Collaborate, cooperate, and communicate with healthcare providers to support quality and continuity of care.
  • Support Lahey Clinic community-based activities.
  • Adhere to unit policies, procedures, practice guidelines, and the ANA Code of Ethics; serve as a responsive team member, teacher, and patient advocate within the limits of the law.
  • Fulfill responsibilities for regulatory compliance and readiness; achieve and maintain ACLS certification when required by departmental standards.
  • Uphold quality nursing standards, pursue lifelong learning, and demonstrate evidence-based nursing practice.
  • Maintain confidentiality and comply with organizational policies, behavioral expectations, customer service standards, and mandatory education requirements.
  • Participate in departmental or interdepartmental quality improvement activities and perform other duties as needed or directed.
  • Develop appropriate patient care assignments and properly teach, direct, and supervise delegates; remain accountable for delegation outcomes.
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