Registered Nurse (Reg) - RN2- Antenatal

Mass General BrighamNewton, MA
$41 - $100Onsite

About The Position

Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.

Requirements

  • Registered Nurse [RN - State License] - Generic - HR Only required
  • Demonstrated clinical competence and experience as required by the specific job posting/specialty area.
  • Uses the nursing process and evidence based practice to ensure quality patient care is provided throughout the episode of care.
  • Creates and maintains a safe and therapeutic environment for patients, self, and co-workers.
  • Assures quality of nursing practice through participation in performance improvement activities.
  • Ensures complete, accurate, and timely written communication of patient information.
  • Provides safe, accurate, and timely medication and IV administration.
  • Coordinates and collaborates with other multidisciplinary team members to facilitate a comprehensive educational plan.
  • The RN works in a variety of patient care environments where there may be exposure to communicable diseases and hazardous materials such as chemotherapeutic agents, radioisotopes, and radiation.
  • Caring for patients also involves exposure to human waste and other unpleasant elements.
  • Other duties may include general cleaning with exposure to dirt, odors, cramped quarters, etc.
  • RN's may work with angry, agitated, and combative patients.

Nice To Haves

  • Bachelor's Degree Nursing preferred
  • 2 years Critical Care/GI experience required, unless otherwise noted in job posting.
  • CCGRN certification preferred.
  • BSN is required upon employment and the competitions of the ASRM RN certificate course within 1st year of employment.
  • Minimum 1 year working in reproductive endocrinology practice is required.
  • Minimum one year experience administering chemotherapy single agent and multi drug regimen in the outpatient setting required.
  • 3 years' experience in ambulatory oncology nursing strongly preferred.
  • Oncology Nursing Certification (OCN) or obtained within first year of hire required .
  • Oncology Nursing Society strongly preferred.
  • 2 years Critical Care experience required.
  • Cardiac ICU, CCU, or Cardiac Surgery, Cath Lab experience preferred unless otherwise noted in job posting.
  • Proficiency in IV catheter insertion and IV sedation in an acute procedural setting preferred.
  • 2 years device clinic experience with pace maker programming and clinic follow up required.
  • HRS/NASP certification preferred.
  • 2 years ED experience required, unless otherwise noted in job posting.
  • CEN or CCRN preferred.
  • 2 years Critical Care experience required, unless otherwise noted in job posting.
  • Experience with Fetal Monitoring is preferred.
  • 2 years L&D experience required, unless otherwise noted in job posting.
  • Minimum of two years of clinical experience in perinatal services is required.
  • Minimum 1 year working in reproductive endocrinology practice is required.
  • ACLS is preferred.
  • Experience with Fetal Monitoring is preferred.
  • 2 years Mother/baby experience required, unless otherwise noted in job posting.
  • Completion of a Peri-operative Nursing Program preferred.
  • 2 years OR experience required, unless otherwise noted in job posting.
  • AORN certification preferred.
  • 2 years Critical Care/PACU experience required, unless otherwise noted in job posting.
  • CPAN/CAPA certification preferred.
  • 2 years Pediatrics experience required, unless otherwise noted in job posting.
  • 2 years Pedi GI experience required, unless otherwise noted in job posting.
  • 2 years Psychiatry experience required, unless otherwise noted in job posting.
  • 2 years SCN experience required, unless otherwise noted in job posting.
  • 2 years Critical Care/Emergency nursing experience required, unless otherwise noted in job posting.
  • 2 years Triage, ER, Urgent Care, or Out Patient experience required, unless otherwise noted in job posting.
  • Ambulatory Care Nursing Certification ANCC RN-BC preferred.
  • Telemetry experience is preferred as telemetry training is required within the first year of employment.

Responsibilities

  • Renders highly professional and technical nursing care to assigned patients.
  • Provides direct and indirect patient care using the nursing process (assessment, planning, implementation, and evaluation).
  • Oversees other assigned team members and collaborates with a multidisciplinary team to provide population specific care in accordance with the BORN regulations and professional standards of care.
  • Adheres to the general hospital standards to promote a cooperative work environment by utilizing communication skills, interpersonal relationships, and team building.
  • Follows departmental policies and procedures.
  • Contributes to the overall quality of services.
  • Assumes responsibility for keeping informed about changes.
  • Makes independent decisions within the scope of nursing practice.
  • Uses the nursing process and evidence based practice to ensure quality patient care is provided throughout the episode of care.
  • Assesses the patient’s physical, psychological, spiritual, cultural, and social needs.
  • Provides competent and compassionate care specific to the unique needs of the individual patients and populations served.
  • Individualizes care in consideration of the patient’s age, developmental, or physical abilities (including obesity); spiritual, religious or cultural practices; economic status; literacy skills; communication skills; cognitive abilities; and gender or sexual orientation.
  • Updates knowledge and skill of populations served to meet patient care needs.
  • Applies knowledge of illness, injury, and disease in the assessment process and recognizing those symptoms that need immediate intervention.
  • Individualizes a plan of care based on assessments and in collaboration with the patient/family/ significant other, as well as, appropriate resources and multidisciplinary team members.
  • Engages patient/family/significant others as partners in caring.
  • Updates plan of care and nursing documentation based on continuing assessments.
  • Implements clinical and technical aspects of care and physicians’ orders in compliance with standards of practice and standards of care.
  • Evaluates the patient/family/significant other’s responses to established goals and interventions and revises the plan of care based upon this evaluation.
  • Demonstrates the ability to set priorities when planning and implementing patient care.
  • Coordinates and collaborates with appropriate resources and multidisciplinary team members to facilitate a comprehensive discharge plan.
  • Recognizes change in patient’s physical and mental status and informs physician and /or another health care professional.
  • Collaborates with Case Managers to anticipate discharge needs and address barriers.
  • Identifies person primarily responsible for care at home and includes them in patient teaching and discharge planning.
  • Creates and maintains a safe and therapeutic environment for patients, self, and co-workers.
  • Uses two patient identifiers to match the correct patient with the correct care, treatment, or services.
  • Demonstrates through practice principles of infection control and universal precautions, adherence to OSHA standards, Hazardous Material Guidelines, and isolation procedures.
  • Safeguards the rights of patients and hospital personnel to privacy by judiciously protecting information of a confidential manner.
  • Provides patient comfort and hygiene.
  • Demonstrates proper use of equipment and supplies according to established procedures.
  • Assesses the patient’s need prior to application of restraints and utilizing alternative measures for restraints when appropriate.
  • Demonstrates proper technique and calibration of equipment when performing point of care testing.
  • Assures equipment is operational and safe or removed from service.
  • Responds appropriately to emergency situations.
  • Minimizes risk of injury by promoting fall precautions, use of call bell, side rails, and other safety practices.
  • Treats patients and family in a non-judgmental respectful manner.
  • Takes the initiative to advocate for the patient.
  • Makes patient aware of his rights and responsibilities.
  • Provides emotional, psychological, and spiritual support to patient and family needs.
  • Assures quality of nursing practice through participation in performance improvement activities.
  • Incorporates performance improvement recommendations into daily practice.
  • Controls patient care cost through: Efficient management of supplies and services.
  • Suggestions of new approaches to cost containment.
  • Participates in performance improvement activities by evaluating outcomes of patient care and making recommendations for appropriate revisions to the individualized plan of care.
  • Ensures complete, accurate, and timely written communication of patient information.
  • Completes consistently all parts of the documentation system per hospital/unit policies.
  • Ensures appropriate documentation on or in patient’s discharge instructions.
  • Documents patient’s progress or lack of progress in a chronologically accurate and organized format.
  • Provides safe, accurate, and timely medication and IV administration.
  • Consistently uses the “5 rights” when administering medication to patients.
  • Scans patient, medication, and self barcodes where applicable.
  • Demonstrates knowledge of drug action and appropriate nursing interventions for adverse drug reactions.
  • Verifies or rectifies patient medication record per unit protocols.
  • Demonstrates critical assessment of correct drug, appropriate dose, and correct pump settings when caring for patients with continuous large volume infusion, PCA, or Epidural.
  • Demonstrates/verbalizing appropriate recognition, reporting of medication variances and problems with the medication process.
  • Verifies and analyzes appropriateness of medication/IV fluid orders.
  • Ensures correct infusion rates when administering medications using the infusion pump.
  • Coordinates and collaborates with other multidisciplinary team members to facilitate a comprehensive educational plan.
  • Assesses the need for patient/family/significant other education.
  • Formulates and implements an educational plan that is based on assessed needs and takes into consideration learning barriers and spiritual/religious cultural needs.
  • Documents education in the patient record.
  • Evaluates outcomes of education plan, monitors learning process, elicits feedback from patient/family/significant other, and modifies instruction based on evaluation process.
  • Takes personal responsibility for own performance and professional growth and development.
  • Initiates and facilitates changes to improve quality of nursing care on the unit.
  • Demonstrates the ability to accept responsibility and be accountable for the care given to assigned patients.
  • Demonstrates the ability to work well with co-workers and to collaborate with other members of the health care team.
  • Accepts and learns from constructive criticism.
  • Is self-directed in maintaining clinical competence, mandatory training, and other regulatory requirements.
  • Performs duties of charge nurse, as needed, competently.
  • Acts as a resource and professional role model for peers and students.
  • Assists in orientation and ongoing support of new staff.
  • Advocates for the patient by escalating care concerns up the chain of command.
  • Manages urgent and emergent situations effectively.
  • Communicates effectively.
  • Promotes a cooperative working environment by using effective communication skills.
  • Communicates and addresses conflicts with appropriate personnel, utilizing listening skills and showing sensitivity.
  • Communicates expectations to assigned team members with tact and in clear, concise, and thorough manner.
  • Solves problems effectively.
  • Ensures that critical patient information and data are communicated across the continuum of care.
  • Supports and promotes management decisions, goals and initiatives.
  • Enrolls, interrogates, and programs outpatient pacemaker patients.
  • Recognizes abnormalities, malfunctions, and End of Service indicators; notifies cardiologist and assists in scheduling patients for follow up or replacement as indicated.
  • Coordinates and prioritizes with other members of the healthcare team to respond to, plan, and initiate timely and efficient care.
  • Educates patients and families regarding device function and clinic follow up routine.
  • Forwards information to referring physicians.
  • Ensures timely and proper documentation and billing.
  • Leads device recall team.
  • Responsible for administrative duties of all device trans-telephonic monitoring, including purchase orders, billing issues, and reporting.
  • Oversees Cardiac Arrhythmia Service event monitoring.
  • Provides cross-coverage as necessary.
  • Serves as a resource to staff, other departments, and administration; provides input and recommendations to develop and maintain budgetary goals.
  • Maintains knowledge of hospital, department, and regulatory agency policies and requirements.
  • Participates in continuing education.
  • Assists with rapid responses and Code Blue on inpatient units.
  • Assists with admissions/transfers of critically ill patients to the ICU from the Emergency Department (ED), Operating Room (OR), Post-Anesthesia Care Unit (PACU), medical/surgical or Labor and Delivery/Post-Partum units.
  • Assists with care of unstable or critically ill, ICU-level patients in the ED, PACU, and medical surgical units as needed.
  • Assists in IV access and phlebotomy as needed.
  • Assists with patients in the Intensive Care Unit (ICU) when census/acuity exceeds core staffing and attempts to recruit additional resources have been unsuccessful.
  • Assists in the transport and supervision of patients requiring diagnostic testing off a patient unit.
  • All other clinical duties as assigned when there are no critical care support needs in house.
  • Works under the direct supervision of the Nursing Administrator and overall direction of the nurse manager of intensive care.

Benefits

  • comprehensive benefits
  • career advancement opportunities
  • differentials
  • premiums
  • bonuses
  • recognition programs
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