Stepdown Medicine Nurse BWH

Mass General Brigham•Boston, MA

7d•Onsite

About The Position

The Registered Nurse is a professional nurse registered in Massachusetts who is responsible and accountable for planning and providing patient care for assigned patients in accordance with Nursing Standards of Care set forth in 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 RN assesses patient needs, sets priorities according to acuity, communicates clearly with patients, families, and colleagues, and develops and evaluates individualized care, education, and discharge plans. The RN provides safe medication administration and nursing procedures, uses equipment safely, follows infection-control practices, and contributes to quality improvement, education, research, unit operations, and cost-effective care. The role also includes collaboration with other disciplines, support for colleagues and new staff, and participation in unit goals and committees. This is an onsite position at The Brigham and Women's Hospital, Tower 16AB, with a 36-hour variable night shift. Weekend rotation is required per the MNA contract. Stepdown medicine experience is preferred.

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 the ability to set priorities.
Be able to function under stress and demonstrate 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 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 when organizing care for patients with varying acuity.
Maintain continuity of care through clear and concise verbal and written communication.
Apply appropriate knowledge of adult and geriatric growth and development.
Document patient care clearly, completely, concisely, and in accordance with nursing documentation standards.
Develop comprehensive care plans using patient and family assessments, healthcare team input, referrals, and medical records.
Develop and document patient and family education plans using appropriate resources.
Develop discharge plans using appropriate resources and referrals, including 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 according to established policies and procedures.
Use equipment safely and efficiently and apply infection-control awareness and 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 act as a role model.
Participate in determining, implementing, reviewing, and evaluating unit goals and objectives; serve on committees and share information with peers.
Identify personal learning needs, share knowledge with colleagues, participate in educational programs, and seek guidance for additional learning.
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 practices, assess patient acuity for staffing and assignment decisions, and work within budget boundaries.
Participate in orientation of new staff and students, provide input into staff clinical evaluations as appropriate, and assume responsibility for the unit in the absence of leadership personnel.
Follow hospital and nursing policies, recommend policy or procedure changes through appropriate channels, and support unit operations through flexibility with assignments, shifts, and schedules.
Work the required weekend rotation per the MNA contract.