Stepdown Intermediate Medicine Nurse BWH

Mass General Brigham•Boston, MA

8d•$42 - $106•Onsite

About The Position

The Registered Nurse is a Massachusetts-registered professional nurse accountable for planning and providing care to assigned patients in accordance with the Nursing Department's Clinical Practice Manual and Nursing Standards of Care. The nurse demonstrates initiative, knowledge, and clinical skills when caring for patients with complex needs, and assumes responsibility for assessing, planning, implementing, and evaluating patient care. The position is directly responsible to a designated nurse manager or supervisor and is part of the Stepdown Medicine Float Pool at The Brigham and Women's Hospital, Inc. This is an onsite role at 75 Francis Street, with a 36-hour variable rotating shift schedule. Weekend rotation is required under the MNA contract. The nurse organizes and prioritizes care for patients with varying acuity; communicates clearly to maintain continuity; develops and evaluates individualized care, education, and discharge plans; and documents care according to nursing standards. The role includes administering medications and performing procedures safely, using equipment properly, applying infection-control precautions, maintaining a safe environment, and participating in quality improvement, collaboration, education, research, budgeting, and personnel activities. For newly licensed nurses, a Bachelor of Science in Nursing is required. The pay range is $41.71–$105.65 per hour. The employer notes that it offers comprehensive benefits, career advancement opportunities, applicable differentials, premiums and bonuses, and recognition programs.

Requirements

Graduate of an approved school of nursing.
Current Massachusetts nursing registration.
For newly licensed nurses, a Bachelor of Science Degree in Nursing is required.
Demonstrate basic analytic thinking necessary to care for a group of patients.
Demonstrate observational skills and the ability to set priorities.
Ability to function under stress with good interpersonal and communication skills.
Demonstrate effective skills in applying hospital standards for service, teamwork, communication, respect for others, and time and priority management.
Able to work a weekend rotation per the MNA contract.

Nice To Haves

Stepdown medicine experience is preferred.
Membership in professional organizations is recommended.
Certification in a specialty area is encouraged.

Responsibilities

Assess, plan, implement, and evaluate a plan of care for assigned patients.
Set priorities while organizing care for patients with varying acuity.
Maintain continuity of care through clear and concise verbal and written communication.
Apply appropriate knowledge of growth and development for adult and geriatric patients, and for neonates where applicable.
Document patient care clearly, completely, concisely, and in compliance with nursing documentation standards.
Develop comprehensive care plans using assessment data, patient and family information, input from the health care team, referrals, and medical records.
Develop and document patient and family education plans using appropriate resources.
Develop discharge plans using appropriate resources, referrals, and community resources.
Evaluate and document progress toward care goals and revise plans as needed.
Participate in unit-based and organizational quality management and improvement programs.
Provide a safe environment for patients, staff, families, and visitors.
Administer medications and perform nursing procedures safely and efficiently according to established policies and procedures.
Use equipment safely and efficiently, recognize infection risks and modes of transmission, and apply universal precautions.
Interact professionally with patients, families, and colleagues and collaborate with other disciplines.
Develop, use, and evaluate unit-specific standards of care; uphold the A.N.A. code of ethics and serve as a role model.
Participate in setting and reviewing unit goals and objectives, and serve on committees and share information with peers.
Take responsibility for personal and professional development, share knowledge with colleagues, participate in educational programs, and seek guidance for learning needs.
Use nursing research findings in clinical practice and support nursing or medical research efforts.
Use time and materials effectively and economically, suggest cost-effective care approaches, and manage within budgetary boundaries.
Assess patient acuity accurately when making staffing, transfer, and assignment decisions.
Participate in orientation of new staff, students, and others; provide input into clinical evaluations as appropriate.
Assume responsibility for the unit in the absence of leadership personnel, follow hospital and nursing policies, and recommend policy changes through appropriate channels.
Support smooth unit operations, including flexibility with patient assignments, shift assignments, and work schedules.
Work a weekend rotation as required by the MNA contract.