RN, Martha's Vineyard Hospital

Mass General Brigham•Oak Bluffs, MA

4d•$39 - $94•Onsite

About The Position

The RN performs standard nursing practices in accordance with Dialysis Unit policies and procedures, providing patient care related to hemodialysis and end-stage renal disease (ESRD). The role assesses patients before, during, and after treatment; performs and monitors dialysis treatments; responds to complications; develops and communicates individualized plans of care; administers and documents medications; and provides patient education. The RN collaborates with patients, families, and other health care providers, and documents assessments, interventions, and outcomes in the patient record. The position also supports safe unit operations by maintaining dialysis machine performance and sterility, keeping supplies and clinical forms stocked, participating in quality improvement, staff orientation, and professional development, and preserving patient confidentiality. The RN may rotate to other units and must be available for assigned day or evening shifts, weekend rotations, additional shifts, hospital emergencies, and overnight stays when needed during patient transports off island. This is a full-time, onsite position scheduled for 36 hours per week, with a stated shift of 5:30 AM to 6:00 PM and rotating work shift.

Requirements

Associate’s degree in Nursing required; experience cannot be accepted in lieu of a degree.
Registered Nurse (RN) state license required.
More than one year of experience in a medical/surgical unit required.
BLS/CPR certification required within one week of hire; AHA and ARC certifications accepted.
Demonstrate adequate technical skills and judgment to function unsupervised during on-call, second-shift, and weekend hours.
Ability to communicate tactfully with internal and external customers and to handle stress and emergency situations.
Ability to operate department equipment and related office equipment, including a beeper, telephone, calculator, and fax.
Ability to differentiate colors; color-blindness testing is required upon hire.
Ability to stand and walk for approximately 90% of the shift and frequently climb, bend, reach, stoop, squat, and help lift objects and/or patients weighing from 5 to 300 or more pounds.
Ability to bend, twist, crouch, squat, pull, push, reach, remain stationary for short periods, and perform repetitive motions.
Ability to use hands, fingers, arms, and wrists, and to use hearing, smell, and verbal skills to perform job duties.

Nice To Haves

Bachelor’s degree in Nursing preferred.
Critical care experience preferred.
ACLS preferred.

Responsibilities

Perform standard nursing practices according to Dialysis Unit policies and procedures.
Assess dialysis access for patency or complications; perform cannulation; assess patients before and after treatment; conduct and monitor dialysis treatments; assess patients for discharge; monitor estimated dry weight; and manage complications.
Collect and document data relevant to patients’ actual and potential needs, and report significant assessment findings.
Develop individualized patient plans of care in collaboration with patients and other health care providers, and attend short- and long-term care plan conferences.
Communicate initial and revised plans of care through shift reports and other established procedures.
Implement and document patient education related to ESRD and the dialysis plan of care.
Evaluate nursing interventions and revise the plan of care in response to patient outcomes and changing situations.
Prioritize interventions in complex or rapidly changing situations, recognize acute problems, and intervene safely according to Nursing Department and Hospital procedures.
Report unusual occurrences to the Clinical Coordinator, Clinical Nurse Manager, and/or physician as appropriate.
Administer treatments and procedures and use unit equipment competently; administer and document medications according to established procedures.
Use standard precautions and appropriate personal protective equipment.
Participate in professional growth in nursing and nephrology, mandatory training, meetings, conferences, in-service updates, and performance appraisal.
Maintain dialysis machine performance and sterility through heat and bleach disinfection, monthly cultures, and machine logs.
Maintain adequate supplies and forms for clinical records and patient education.
Participate in department quality improvement activities and assist other staff members when needed.
Participate in orientation of new staff members.
Assist with scheduling seasonal or transient patients and obtaining required transfer paperwork.
Maintain confidentiality of patient information in accordance with Hospital policy and applicable laws and regulations.
Be available for assigned day or evening shifts, weekend rotations, additional shifts, hospital emergencies, possible overnight stays during patient transports off island, and rotation to other units.