Registered Nurse, Otolaryngology, 24 Hours (Days)

BMC Software•Boston, MA

1d•$38 - $79

About The Position

The Registered Nurse in Otolaryngology provides professional nursing practice and direct patient care in accordance with the American Nurses Association’s Standards of Clinical Nursing Practice and the nursing department’s model of care. Under the general supervision of the Nurse Manager and Nursing Director, the nurse assesses, diagnoses, plans, implements, and evaluates care, coordinating services for patients and families across the health care continuum. The role is accountable for clinical, educational, quality, and fiscal patient care outcomes and follows established agency policies, procedures, protocols, guidelines, and standards of practice. The role includes ENT patient assessment and triage by phone, portal messages, and referrals; assessing symptoms and determining urgency; documenting interactions; and managing post-operative triage and education. The nurse escalates appropriate concerns to surgeons or advanced practice providers, provides clinical advice and medication education, reviews test results and medication questions, processes refills under department protocols, and manages patient message pools and in-baskets. The nurse tracks urgent referrals and pending issues, supports timely responses to patient concerns, and participates in quality improvement and patient safety initiatives. The position is listed as 24 hours on days. Compensation is listed at $38.05–$79.47. The employer notes that the range is an estimate based on minimum qualifications and that offers consider factors such as education, experience, and relevant licensure and certifications.

Requirements

Graduate of an accredited school of nursing with an Associate’s degree or Baccalaureate degree in nursing.
Current Massachusetts RN licensure in good standing.
Current basic life support (BLS) certification.
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 four-year employment anniversary occurs.
Some units may require Advanced Cardiac Life Support (ACLS) certification.
Additional certifications may be required for certain practice areas.

Nice To Haves

Bachelor of Science in Nursing (BSN) preferred.

Responsibilities

Provide timely, safe, efficient, patient-centered nursing care using the nursing process.
Assess patients and families systematically, collect and prioritize relevant data, and communicate and document findings.
Analyze assessment data and document appropriate nursing diagnoses.
Establish measurable, individualized clinical and educational outcomes in collaboration with patients, families, and the health care team when appropriate.
Develop and document individualized plans of care that address patient needs, continuity of care, current standards, and appropriate resources and referrals.
Implement and prioritize nursing and medical plan-of-care interventions, adapting to changing patient and unit needs.
Provide age-appropriate care and consult appropriate resources when patients fall outside regularly served age populations.
Delegate appropriate care activities and ensure delegated tasks are completed in a timely manner.
Maintain a safe, clean unit environment and demonstrate safe technical competence, including direct care skills, informatics, and equipment use.
Implement treatments and administer medications in accordance with established standards, policies, and protocols.
Educate patients and families about illness, procedures, treatments, care plans, health maintenance, and prevention; reinforce post-operative discharge instructions and explain medications, expected recovery, and red-flag symptoms.
Recognize emergency or crisis situations, respond appropriately, escalate concerns, and coordinate team responses.
Reassess patients, evaluate intervention effectiveness and progress toward outcomes, revise care plans as needed, and document responses and revisions.
Provide follow-up care in person, by home visit, or by telephone when needed and appropriate.
Participate in quality improvement, research, patient safety, cost containment, and other relevant quality initiatives; complete patient classification data and incident reports in a timely manner.
Practice in compliance with professional standards, policies, procedures, statutes, and regulations; complete assigned work and communicate outcomes to appropriate staff.
Maintain professional competence through ongoing education, required training, BLS certification, and unit-specific competencies; participate in task forces, councils, or committees.
Share knowledge with colleagues, students, and novice practitioners; provide feedback, support team members, and assist with orientation or precepting.
Protect patient autonomy, dignity, confidentiality, and rights; advocate for patients and provide nonjudgmental, nondiscriminatory care.
Collaborate with patients, families, and health care providers; coordinate referrals and discharge activities, including home or agency referrals when necessary.
Answer patient calls, portal messages, and referrals; assess symptoms, determine urgency, document interactions, manage message pools and in-baskets, and track urgent referrals and pending issues.
Assess patients after ENT procedures and surgeries and escalate concerns to the surgeon or advanced practice provider when appropriate.
Manage medication refill requests according to department protocols and review medication questions and side effects.
Promptly escalate airway compromise or breathing difficulty, uncontrolled bleeding, severe neck swelling, sudden hearing loss, severe post-operative complications, signs of sepsis or serious infection, and neurologic symptoms associated with dizziness.
Interpret or translate for patients, families, or visitors when conversant in their language; serve as a shift charge nurse when requested, needed, and oriented; perform other related duties as assigned.