Registered Nurse, RN Adult Medicine Clinic, Per Diem

Baystate Health•Springfield, MA

About The Position

The Registered Nurse provides nursing care to patients in accordance with the Professional Practice Model, the Massachusetts Nurse Practice Act, ANA Standards of Practice, AAACN standards, the Code of Ethics, and Baystate Health’s core values. Under the direct supervision of the Clinical RN Manager or Supervisor, the nurse assesses patients, develops and implements plans of care, administers therapeutic interventions, and monitors patient responses. The nurse collaborates with patients, families, providers, and other health team members; delegates and supervises as appropriate; and advocates for patients and families. Practice is expected to remain within accepted ethical and legal parameters, applicable regulatory and accreditation standards, and the nurse’s current Massachusetts RN license. New clinicians apply developing knowledge and skills with mentoring from experienced RNs, while building toward comprehensive, goal-oriented care across the continuum. The position may include similar or related duties as assigned. Responsibilities include clinical decision-making and triage, evidence-based practice improvement, patient and family education and transition management, care coordination, communication, and leadership. The RN may mentor and precept staff, residents, students, and new nurses; support quality and safety practices; and contribute to protocols, education, and operational improvements.

Requirements

  • Current Massachusetts registered nurse license.
  • At least 10 months of experience as an RN, or completion of the Baystate RN residency program. Exceptions require approval by the Director of Ambulatory Nursing.
  • Baystate Health required competencies for the department.

Responsibilities

  • Assess complex patients and independently develop and implement plans of care during telephone triage and in-person visits.
  • Provide triage and patient care using assessment skills, point-of-care testing, and quality assurance checks.
  • Recognize patterns in behaviors or illnesses and recommend improvements to practice protocols, treatment plans, or programs.
  • Address difficult patient interactions and resolve conflicts professionally.
  • Mentor clinical staff, maintain staff competencies, provide education, and precept new graduate nurses or nurses new to the practice.
  • Recommend and participate in establishing and implementing evidence-based protocols, treatment plans, or programs.
  • Promote patient safety and use SRS reports to develop action plans.
  • Identify research opportunities and collaborate with clinical or practice staff to assess study viability.
  • Help develop education for patients and staff and recommend operational improvements.
  • Assess barriers to care, account for social and cultural differences, and develop solutions.
  • Support patient and family participation in clinical decision-making with the care team and providers.
  • Anticipate and address patient and family learning needs and resource or care needs during transitions to another facility or home.
  • Provide outreach and transition management across the continuum of care.
  • Coordinate patient- and family-focused care with the health care team and consult providers and other team members about care activities.
  • Serve as a resource to staff by providing clear, considered guidance and education.
  • Adapt communication to customer needs, manage difficult communications, listen attentively, and communicate respectfully and professionally.
  • Educate staff on equipment use, quality assurance standards, and infection control.
  • Assume appropriate leadership responsibilities and mentor residents and students.
  • Maintain current nursing knowledge and skills, comply with applicable regulations and standards, and maintain an active Massachusetts RN license.
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