Stepdown Medicine Nurse BWH
About The Position
The Registered Nurse is a professional nurse registered in Massachusetts who is accountable for planning and providing patient care in accordance with the Nursing Department's Clinical Practice Manual. The nurse demonstrates initiative, knowledge, and clinical skills in caring for patients with complex needs and manages patient care through assessment, planning, implementation, and evaluation. The position is directly responsible to a designated nurse manager or supervisor. The nurse provides care for assigned patients, organizing care according to patient acuity and maintaining continuity through clear communication. Responsibilities include developing and evaluating care, education, and discharge plans; documenting care and progress; administering medication and performing procedures safely; collaborating with patients, families, and colleagues; supporting quality improvement, education, research, and unit operations; and contributing to cost-effective care and staff development. This is a per diem, onsite position at The Brigham and Women's Hospital, with a rotating work shift and weekend rotation required under the MNA contract. The position is assigned to Tower 14AB/12AB.
Requirements
- Graduate of an approved school of nursing.
- Current registration in Massachusetts as a nurse.
- 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 ability to set priorities.
- Ability to function under stress with good interpersonal and communication skills.
- Demonstrate effective application of hospital standards for service, teamwork, communication, respect for others, and time and priority management.
- Able to work 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 and organize care for patients with varying acuity.
- Maintain continuity of care through clear and concise verbal and written communication.
- Document patient care clearly and in compliance with nursing documentation standards.
- Develop comprehensive care plans based on patient and family assessment, health-team input, referrals, and medical records.
- Develop and document education plans for patients and families using appropriate resources.
- Develop discharge plans using appropriate resources, referrals, and community resources.
- Evaluate and document progress toward care goals, revising 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 medication, perform nursing procedures, and use equipment safely and efficiently.
- Recognize infection risks and modes of transmission and use 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 to staff.
- Participate in setting unit goals and objectives, their periodic review and evaluation, and unit and organizational committees; share information with peers.
- Take responsibility for personal and professional growth, 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 endeavors.
- Use time and materials effectively and economically, suggest cost-effective care, assess acuity accurately for staffing and assignment decisions, and work within budget boundaries.
- Participate in orientation of new staff, students, and others; provide input into staff 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 the required weekend rotation under the MNA contract.
Benefits
- Competitive base pay
- Career advancement opportunities
- Differentials, premiums, and bonuses as applicable
- Recognition programs
- Comprehensive benefits
