RN - Critical Care Stepdown Unit - Per Diem Nights

Mass General Brigham•Dover, NH

2d•$32 - $63•Onsite

About The Position

Accountable for interpreting the plan of medical care, assessment of patients' clinical decision-making regarding nursing care, assuring nursing care is provided in a safe and competent manner, providing individualized nursing care, and evaluating nursing care for groups of patients. This role involves administering medications, monitoring patients for reactions or side effects, recording medical information and vital signs, monitoring and reporting symptoms or changes in patients' conditions, and consulting/coordinating with healthcare team members to assess, plan, implement, or evaluate patient care plans. Treatment plans may be modified based on patient responses and conditions.

Requirements

Graduate of accredited nursing program with RN licensure.
Registered Nursing License
AHA or ARC BLS
Clinical nursing experience 0-1 year required
CLINICAL JUDGMENT: Appropriately assesses, plans, implements and evaluates patient care, specific to population served
CLINICAL JUDGMENT: Follows policies/procedures, clinical practice standards pertinent to care, including emergency situations
CLINICAL JUDGMENT: Matches formal knowledge with clinical events to make decisions
CLINICAL JUDGMENT: Demonstrates the ability to provide competent, effective care
CLINICAL JUDGMENT: Seeks validation for clinical decisions, integrates input from other clinicians for decision making
CLINICAL JUDGMENT: Prioritizes and organizes work appropriately to effectively meet patient needs
CLINICAL JUDGMENT: Appropriately delegates to and supervises team members based on assessment of competencies, within scope of practice to ensure appropriate implementation of care
CLINICAL JUDGMENT: Collaborates & communicates relevant patient data to appropriate persons clearly and effectively, both orally and in writing (e.g. handoffs)
CLINICAL JUDGMENT: Effectively develops teaching plan and regularly integrates teaching into patient care
SYSTEMS THINKING: Recognizes available resources/tools for meeting patient/family needs
SYSTEMS THINKING: Completes assignments in an efficient and timely manner, requesting and utilizing resources appropriately
SYSTEMS THINKING: Documents patient assessment, plan, interventions and response in accordance with applicable policies and procedures
SYSTEMS THINKING: Communicates with Nurse Manager/ or designee about availability and management of supplies, system equipment and personnel resources at unit/department level
SYSTEMS THINKING: Demonstrates contribution to unit-based programs and strategies to monitor and continuously improve the quality of patient care
SYSTEMS THINKING: Optimizes use of staff (overtime, agency, skill mix, etc.) based on unit census and patient acuity
CLINICAL INQUIRY: Shows commitment to learning new knowledge and skills to enhance service to patients/ families and achieve organizational goals
CLINICAL INQUIRY: Implements and validates practices based upon current nursing evidence
CLINICAL INQUIRY: Advances the profession by assisting in clinical education and orientation of other staff and students; may function as preceptor for new staff
CLINICAL INQUIRY: Uses available resources to answer questions in regards to best practices, reflects upon practices on an ongoing basis
CLINICAL INQUIRY: Identifies opportunities for improvement in processes of care and other improvements at a unit level
CLINICAL INQUIRY: Actively participates in the collection and use of data and/or evaluation relative to unit-based performance improvements

Nice To Haves

BSN or enrollment in BSN program

Responsibilities

Administer medications to patients and monitor patients for reactions or side effects.
Record patients' medical information and vital signs.
Monitor, record, and report symptoms or changes in patients' conditions.
Consult and coordinate with healthcare team members to assess, plan, implement, or evaluate patient care plans.
Modify patient treatment plans as indicated by patients' responses and conditions.
Maintain accurate, detailed reports, and records.
Participates in selection of and completes all unit-specific competencies.
Articulates Nursing Sensitive Indicators and quality goals for unit and describes role in accomplishing expectations; describes role and participates in quality improvement initiatives.