Nights)

BMC Software•Boston, MA

1d•$38 - $75

About The Position

The Registered Nurse in Ambulatory OB/GYN is responsible for professional nursing performance and direct patient care. The role encompasses 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, using the nursing department’s model of care and following agency policies, procedures, protocols, guidelines, and standards of practice. The position follows Massachusetts Board of Registration in Nursing rules and regulations. The nurse provides individualized, patient-centered care by applying the nursing process, coordinating with patients, families, and health care providers, and assessing and documenting progress toward clinical and educational outcomes. The role also includes patient and family education, appropriate delegation, responding to emergency situations, and providing follow-up care in person or by telephone when appropriate.

Requirements

Graduate of an accredited school of nursing with an Associate’s degree or Bachelor of Science in Nursing (BSN).
Candidates without a BSN must enroll in a baccalaureate program within one year of hire and complete the BSN by the end of the semester in which their fourth employment anniversary occurs.
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 skills to facilitate communication with health care team members, patients, and families.
Organizational skills to set priorities and complete assigned work efficiently.
Analytical ability to solve clinical nursing issues and conduct quality improvement or research-utilization projects.
Ability to delegate appropriate patient care activities effectively.
Effective verbal and written communication skills appropriate to the patient populations served.
Physical ability to meet core job responsibilities in accordance with practice-setting demands and the needs of regularly served patient populations.
Ability to manage stress related to critical patient care issues, organizational change, and personnel issues.

Nice To Haves

BSN preferred.
Antenatal testing, NST, or fetal monitoring experience preferred.
Epic documentation experience preferred.
GYN procedure, GYN oncology, urogynecology, high-risk obstetrics, or infertility experience preferred.
Labor and Delivery experience preferred.
Multilingual skills beyond English in languages appropriate to the medical center’s patient populations preferred.
Additional certifications may be required for certain practice areas.
Relevant clinical experience and/or specialty certification may be required for certain practice areas.

Responsibilities

Apply all steps of the nursing process to provide timely, safe, efficient, and appropriate patient-centered care.
Systematically assess patients and families, gather and prioritize relevant data, and involve patients, family members, and health care providers as appropriate.
Communicate and document relevant patient care information clearly and in accordance with departmental policies.
Identify emergency or crisis situations, communicate promptly with the health care team, and respond appropriately.
Analyze assessment data and derive and document appropriate nursing diagnoses.
Establish individualized, measurable clinical and educational outcomes and develop plans of care with patients, significant others, and health care providers as appropriate.
Develop and document plans of care that reflect patient condition and priorities, current standards, continuity of care, available resources, and appropriate referrals.
Implement and prioritize nursing and medical plan-of-care interventions according to changing patient and unit needs.
Provide age-appropriate care and consult appropriate resources for patients outside regularly served age groups.
Delegate appropriate patient care activities and ensure assigned tasks are completed in a timely manner.
Maintain a safe, clean unit environment and remove broken or expired equipment and materials from service.
Use safe technical skills, including direct care skills such as phlebotomy and IV insertion, informatics, and equipment monitoring and utilization.
Implement treatments and administer medications in accordance with established standards, policies, and protocols.
Educate patients and families about illness, procedures, treatments, plans of care, health maintenance, health promotion, and illness or injury prevention.
In emergencies, make effective decisions, reprioritize care, initiate appropriate responses, and direct team members to support a coordinated response.
Evaluate patient progress and intervention effectiveness through ongoing reassessment, incorporating findings into revisions of diagnoses, outcomes, and plans of care.
Document interventions, patient responses, and revisions to diagnoses, outcomes, and plans of care according to departmental policy.
Provide follow-up care in person, through home visits, or by telephone when needed and appropriate.