MilitaryX
Search Jobs
Job Profile Summary
This role focuses on providing professional and nonprofessional nursing care services in accordance with physician orders. In addition, this role focuses on performing the following Clinical Nurse duties: Assesses, plans, implements, and evaluates the care needs of a designated group of patients or provides nursing care and identified clinical support tasks within the scope of practice for achievement of the patient’s plan of care as directed. Provides professional nursing care to patients. Requires a nursing license. A professional individual contributor role that may direct the work of other lower level professionals or manage processes and programs. The majority of time is spent overseeing the design, implementation or delivery of processes, programs and policies using specialized knowledge and skills typically acquired through advanced education. A senior level role that requires advanced knowledge of job area typically obtained through advanced education and work experience. Typically responsible for: managing projects / processes, working independently with limited supervision, coaching and reviewing the work of lower level professionals, resolving difficult and sometimes complex problems.
Job Overview
The professional registered nurse possesses and applies the skills and knowledge necessary for the delivery and management of patient care from admission through discharge. The professional registered nurse is knowledgeable of current trends in healthcare including but not limited to advances in technology, pharmacology, treatment care modalities, quality and patient safety. The professional registered nurse serves as a patient and family advocate while facilitating a cooperative and collaborative environment among all health care providers. The professional registered nurse is responsible for the planning, delivery and management of patient/family centered care utilizing the nursing process and adhering to the standards of nursing practice embedded in research, evidence based practice and/or best practices. The professional registered nurse at Tufts Medical Center provides clinical excellence, which fosters and supports an environment central to our patient and family centered model of care.
Job Description
Minimum Qualifications:
1. Registered Nurse (RN) license.
2. Basic Life Support (BLS) certification.
3. Certifications (i.e. ACLS, PALS) relevant to the department and type of care being provided may be required.
Preferred Qualifications:
1. Bachelor of Science in Nursing (BSN)
2. Specialty Nursing certifications.
Duties and Responsibilities: The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list. Other duties and responsibilities may be assigned.
1.Utilizes theoretical and evidence-based knowledge in partnering with patients and their families to assess, plan, implement and evaluate age appropriate care.
2. Assesses and collaborates with patient, family/significant others and other disciplines to: Identify expected outcomes based on synthesis of data and diagnosis; and identify cultural needs (i.e. language, etc) to develop a care plan that enhances the health care experience.
3. Plans and develops: Individualized outcomes-based care plans incorporating the patient and family’s readiness and barrier to learning; Orchestrates and validates a plan of care for each shift; Initiates interdisciplinary patient/family meetings to facilitate communication regarding the plan of care; Communicates and coordinates the patients discharge plan utilizing unit-based and community resources to ensure a seamless transition for the patient and their family; Ensures the plan of care utilizes principles and concepts of project, organizational or systems management.
4. Implements: The plan in a safe and timely manner; Documents the implementation and any modifications, including changes or omissions, of the identified plan; Collaborates with nursing colleagues and others to implement the plan; Utilizes evidence-based interventions and treatments specific to the diagnosis or problem; Provides and coordinates health teaching which is required by individuals, families and groups to maintain an optimal level of health; Documents per hospital and regulatory requirements/policies, all aspects of care, including but not limited to, treatments/procedures performed and patient response.
5. Evaluates: The effectiveness of the planned strategies in relation to patient responses and the attainment of expected outcomes and knowledge; Uses the evaluation process to update the plan of care as dictated by the patient response and/or if desired outcomes have not been achieved.
6. Demonstrates and applies the skill and judgement necessary to implement the nursing plan of care, nursing interventions and procedures necessary for the care of the patient and family based upon critical thinking skills and a spirit of inquiry. The plan of care is: Evidence based and utilizes research when appropriate; Incorporates new knowledge and strategies to initiate change in nursing care practices; Demonstrates the knowledge and skills necessary to provide age appropriate culturally and ethnically sensitive care to all patients and families.
7. Performs procedures and treatments using nursing knowledge and judgment, according to established unit/practice area guidelines and professional standards.
8. Safely administers and assesses the patient response to medication utilizing essential knowledge of pharmacology and Hospital and Department Standards of Care.
9. Maintains clinical competency with respect to technology and utilizes equipment in a safe manner.
10. Performs as an advocate and as an educator for patients and families.
11. Provides high quality in an efficient and a safe manner. The professional nurse utilizes data trends to support and improve clinical practice.
12. Participates in hospital and/or unit based patient safety and quality activities and uses principles to support and improve patient outcomes (unit-based, hospital-wide, The Joint Commission, NPSGs, NDNQI, Patient First and other local, state and federal patient safety initiatives.
13. Participates in performance improvement activities through data collection, analysis and evaluation. 14. Champions quality, safety, regulatory, and patient-family satisfaction.
15. Facilitates cooperative and collaborative relationships among the various disciplines and departments to ensure effective quality patient care delivery and to create a positive and professional work environment. Supports collaboration with nursing colleagues and other disciplines to implement plan of care by participation in nursing, physician, and case management reporting rounds.
16. Delegates responsibilities to others with an understanding of their roles, knowledge and capabilities
17. Influences others to achieve Service Excellence by: Establishing a climate for optimal patient care, mutually supportive collegial relationships, and professional development; Treating both internal and external customers with courtesy, respect and caring behavior; Promoting a safe, clean, therapeutic environment for patients, families and staff; Acknowledging cultural differences that exist among staff and patients; Identifying customer service needs on the unit; Presenting self in a professional and calm manner; Providing responsible and efficient use of resources.
18. Participates in professional development and lifelong learning activities that assist in developing and maintaining their continuing competence, enhance their professional practice and support achievement of their career goals including: Maintaining current licensure and adheres to the Massachusetts Nurse Practice Act; Assuming responsibility for participating in educational opportunities to support and meet clinical competency requirements; Seeking out educational and professional resources; Developing professionally as a self-directed, motivated learner; Seeking out advanced certification opportunities and ongoing education opportunities; Precepting and mentoring newly hired staff and nursing students; Investigating available technology and resources to apply evidence based practice and research into daily professional activities; Promoting leadership at the bedside as a delegator, collaborator, facilitator, and communicator; and Promoting unit and organizational growth through a shared governance model.
19. May assume charge nurse functions in collaboration with unit leadership;
20. Facilitates communication by: Seeking and sharing job-related information that supports a culture of respect and responsibility; Assuming responsibility and ownership for professional conduct; Accepting responsibility for positive and productive communication skills; Attending and actively participating in staff meetings (when unable to attend, accepts responsibility for reading staff meeting minutes); and Accepting responsibility for reading emails to keep current with unit and hospital based information.
Physical Requirements:
1. Prolonged, extensive, or considerable standing/walking.
2. Lifts, positions, pushes and/or transfer patients and equipment.
3. Considerable reaching, stooping, bending, kneeling, crouching.
4. Frequent exposure to hazardous chemicals, sick patients, bodily substances, noise and possible exposure to radiation, lasers, electric shock, etc.
5. Regularly exposed to the risk of bloodborne diseases and other transmissible infections.
6. Contact with patients under wide variety of circumstances.
7. Subject to varying and unpredictable situations.
8. Handle emergency and crisis situations.
9. Subjected to irregular hours.
10. May have contact with hazardous materials.
Skills & Abilities:
1. Possesses and applies the skills and knowledge necessary to provide care to patients throughout the life span, with consideration of aging processes, human development stages and cultural patterns in each step of the care process.
2. Ability to provide care for a designated group of patients according to unit guidelines and hospital policies, procedures and protocols.
3. Has the skills and knowledge to provide care to the age groups of the population served including: Knowledge of growth and development; Ability to interpret age specific data and response to care; and Provide age appropriate communication.
Tufts Medicine is a leading integrated health system bringing together the best of academic and community healthcare to deliver exceptional, connected and accessible care experiences to consumers across Massachusetts. Comprised of Tufts Medical Center, Lowell General Hospital, MelroseWakefield Hospital, Lawrence Memorial Hospital of Medford, Care at Home - an expansive home care network, and large integrated physician network. We are an equal opportunity employer and value diversity and inclusion at Tufts Medicine. Tufts Medicine does not discriminate on the basis of race, color, religion, sex, sexual orientation, age, disability, genetic information, veteran status, national origin, gender identity and/or expression, marital status or any other characteristic protected by federal, state or local law. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation by emailing us at careers@tuftsmedicine.org.
At Tufts Medicine, we’re saving lives, building careers, and reimagining healthcare. Ready to grow with us?
If you are a Case Manager, that enjoys working with complex cases that require strong problem-solving skills, this is an exceptional opportunity to work close to home with a community hospital.
Position Summary:
The Case Manager is responsible and accountable for the management of care for an assigned patient population by service line and across the continuum of care. The Case Manager, works to achieve daily clinical, quality, and cost outcomes by providing well-coordinated experiences for patients/families through the synchronization of care activities of multiple disciplines and negotiation with third-party payers.
Demonstrate great assessment skills and knowledge to accurately develop and implement a comprehensive care plan specific to the identified need/s.
Coordinate all aspects of the patient's care plan including by not limited to home health care/hospice referrals, home infusion services, DME, transportation, etc.
Facilitate communication and coordination among members of the interdisciplinary team. Involve the patient in the decision-making process in order to minimize fragmentation in the services provided.
Communicate the patient's preferences, serving as their advocate and verifying that interventions meet their individualized needs and goals of treatment.
Provide information about resources and options available in the community and coordinate service delivery.
Identify and address client risk factors and/ or obstacles to care
Educates the patients and families regarding various symptoms and consequences related to their specific diseases, conditions and treatment.
Hours: 40 hours/week, Day Shift-
First Shift- Minimal Weekends and Holidays
Flexible hours, either: 8-4:30, 8:30-5, or 9-5:30
Education and Qualifications:
Massachusetts RN Licensure.
Current Basic Life Support (BLS) Certification.
Bachelor of Science in Nursing (BSN). preferred
ASN required
Recent experience as an inpatient case manager
3 years + case management experience
What We Offer:
Competitive salaries & benefits that start on day one
403(b) retirement plan with company match
Tuition reimbursement
Free on-campus parking
About MelroseWakefield Hospital:
MelroseWakefield Hospital and Lawrence Memorial Hospital of Medford are two campuses with one community in mind: the people of north suburban Boston. MelroseWakefield Hospital and Lawrence Memorial Hospital are distinguished by the range of high-quality clinical care and services. Our teams welcome everyone with hospitality and humanity. We focus on reducing health disparities through 40+ local health programs across a system of hospitals, urgent care locations, outpatient services, and community physicians.
Core to our values, MelroseWakefield Healthcare’s commitment to community is demonstrated by our many local health programs throughout our service area and participation in partnerships with community agencies and events, and education programs in more than 10 communities to support the wellness and health of our residents.
About Tufts Medicine
A healthcare system that works Tufts Medicine is more than a health system — we’re a community that empowers people to live their best lives by reimagining healthcare, advancing knowledge and pioneering discovery. Every team member plays an integral role in realizing our vision of creating the most equitable and frictionless healthcare experience in the world. Here, you’ll join an enthusiastic community that champions your growth and receive generous benefits to support you and your family’s well-being.
Tufts Medicine is an equal opportunity employer.
Tufts Medicine is a leading integrated health system bringing together the best of academic and community healthcare to deliver exceptional, connected and accessible care experiences to consumers across Massachusetts. Comprised of Tufts Medical Center, Lowell General Hospital, MelroseWakefield Hospital, Lawrence Memorial Hospital of Medford, Care at Home - an expansive home care network, and large integrated physician network. We are an equal opportunity employer and value diversity and inclusion at Tufts Medicine. Tufts Medicine does not discriminate on the basis of race, color, religion, sex, sexual orientation, age, disability, genetic information, veteran status, national origin, gender identity and/or expression, marital status or any other characteristic protected by federal, state or local law. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation by emailing us at careers@tuftsmedicine.org.
Job Overview
The LPN provides nursing care to patients and families in their home. The scope of nursing includes direct patient care, and patient advocacy in the coordination of care with the multidisciplinary team, and with the nursing case manager. The LPN may collect data on the health status of the patient, in conjunction with other members of the health care team, for the identification of health goals. The LPN assures care for patient and families that is reflective of the organization's core values. The Licensed Practical Nurse is knowledgeable about and supportive of the primary nursing model.
Hours: Full Time- Days 8:00AM- 4:30PM
Location: Lowell and surrounding areas
Job Description
1. High school diploma or equivalent.
2. Graduation from an accredited practical nursing program.
3. Licensed Practical Nurse (LPN).
4. One (1) year of acute nursing experience
5. Basic Life Support Certification.
6. State issued driver’s License and personal auto insurance.
7. IV certification required dependent upon needs of the role
Preferred Qualifications:
1. Home care nursing experience preferred.
Duties and Responsibilities: The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list. Other duties and responsibilities may be assigned.
- Assess, and using evidence based practice, implements nursing interventions
- Assess the patient’s physical and psychosocial needs to determine health status within the scope of licensure.
- Collects relevant data and documents the information according to Medicare record policy & procedure.
- Completes all nursing documentation per procedures and nursing standard of practice including assessments, interventions, responses to interventions, communications, verbal orders, etc.
- Derives a holistic nursing diagnosis from comprehensive patient assessment and prioritizes same according to patient need. Nursing diagnoses are documented according to agency record procedure and are reviewed and revised as indicated.
- Follows the nursing care plan, established by the RN Case Manager, based on nursing diagnoses that includes measurable, realistic, and time directed goals and nursing interventions specific to the problem and individual patient; reports information about progress or changes to the RN Case Manager. Follows the nursing care plan demonstrating consideration of the following criteria: Patient learning needs; Patient’s priority needs; Patient’s maximum health potential; Patient’s changing health status; Patient’s discharge planning needs; Safe, skillful, effective and efficient therapeutic action; and Collaboration and communication with other health care team members (i.e., R.N.’s, rehabilitation staff, physicians, social services, community agencies staff and home health aides).
- Communicates the effectiveness of the nursing care plan as needed and consults with RN Case Manager regarding revision of the plan of care as needed.
- Provides therapeutic care, education and referral, seeking maximum patient & family participation and independence.
- Keeps the RN Case Manager informed of visit via voice mail messages or in person after patient assignment completed.
- In consultation with the RN Case Manager, may coordinate the delivery of multidisciplinary services to a primary patient population through appropriate referral, follow-up, and advocacy.
- Assesses patient needs relative to HHAs and communicates with team RNs and HHA Manager. Demonstrates responsiveness to the observations and concerns of the HHA; documents accordingly.
- Develops, maintains, and applies a knowledge of third party payer (Medicare, Medicaid and, private insurance) guidelines governing eligibility for reimbursable home health services
- Documents data in the computerized patient record, and in a timely, legible, organized, concise manner to insure compliance with legal, certification, and third party payer requirements.
- Seeks supervisory consultation with unusual/unfamiliar patient care situations and/or questions regarding home health policy and procedure and/or reimbursement guidelines.
- Maintains a current body of knowledge and clinical competence through ongoing participation in continuing education relevant to the area of practice.
- Participates in performance evaluation through professional and clinical goal setting.
- Understands and practices agency safety guidelines and procedures including general safety, office (ergonomic) safety, fire safety, proper body mechanics, and proper patient/material handling.
- Performs in a professional manner at all times, and maintains professional boundaries.
- Assists in orientation and education of new employees and students as assigned; provides field demonstrations and acts as Preceptor.
- Demonstrates a knowledge and understanding of what to report to the CEO or Chief Compliance Officer when concerns of corporate compliance arise.
- Ensures compliance within guidelines set forth by regulatory agencies (DPH, ERISA etc.) and demonstrates compliance with Home Health Foundation policies and procedures.
- Practices confidentiality principles set by the agency and federal HIPAA/HITECH guidelines.
- Participates in all mandatory in-services.
What we Offer:
- Generous salaries
- Benefits effective day one
- PTO
- Mileage reimbursement
- 403 B with employer match
Tufts Medicine is a leading integrated health system bringing together the best of academic and community healthcare to deliver exceptional, connected and accessible care experiences to consumers across Massachusetts. Comprised of Tufts Medical Center, Lowell General Hospital, MelroseWakefield Hospital, Lawrence Memorial Hospital of Medford, Care at Home - an expansive home care network, and large integrated physician network. We are an equal opportunity employer and value diversity and inclusion at Tufts Medicine. Tufts Medicine does not discriminate on the basis of race, color, religion, sex, sexual orientation, age, disability, genetic information, veteran status, national origin, gender identity and/or expression, marital status or any other characteristic protected by federal, state or local law. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation by emailing us at careers@tuftsmedicine.org.
Job Overview
The LPN provides nursing care to patients and families in their home. The scope of nursing includes direct patient care, and patient advocacy in the coordination of care with the multidisciplinary team, and with the nursing case manager. The LPN may collect data on the health status of the patient, in conjunction with other members of the health care team, for the identification of health goals. The LPN assures care for patient and families that is reflective of the organization's core values. The Licensed Practical Nurse is knowledgeable about and supportive of the primary nursing model.
Hours: Full Time- Days 8:00AM- 4:30PM
Location: Lowell and surrounding areas
Job Description
1. High school diploma or equivalent.
2. Graduation from an accredited practical nursing program.
3. Licensed Practical Nurse (LPN).
4. One (1) year of acute nursing experience
5. Basic Life Support Certification.
6. State issued driver’s License and personal auto insurance.
7. IV certification required dependent upon needs of the role
Preferred Qualifications:
1. Home care nursing experience preferred.
Duties and Responsibilities: The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list. Other duties and responsibilities may be assigned.
- Assess, and using evidence based practice, implements nursing interventions
- Assess the patient’s physical and psychosocial needs to determine health status within the scope of licensure.
- Collects relevant data and documents the information according to Medicare record policy & procedure.
- Completes all nursing documentation per procedures and nursing standard of practice including assessments, interventions, responses to interventions, communications, verbal orders, etc.
- Derives a holistic nursing diagnosis from comprehensive patient assessment and prioritizes same according to patient need. Nursing diagnoses are documented according to agency record procedure and are reviewed and revised as indicated.
- Follows the nursing care plan, established by the RN Case Manager, based on nursing diagnoses that includes measurable, realistic, and time directed goals and nursing interventions specific to the problem and individual patient; reports information about progress or changes to the RN Case Manager. Follows the nursing care plan demonstrating consideration of the following criteria: Patient learning needs; Patient’s priority needs; Patient’s maximum health potential; Patient’s changing health status; Patient’s discharge planning needs; Safe, skillful, effective and efficient therapeutic action; and Collaboration and communication with other health care team members (i.e., R.N.’s, rehabilitation staff, physicians, social services, community agencies staff and home health aides).
- Communicates the effectiveness of the nursing care plan as needed and consults with RN Case Manager regarding revision of the plan of care as needed.
- Provides therapeutic care, education and referral, seeking maximum patient & family participation and independence.
- Keeps the RN Case Manager informed of visit via voice mail messages or in person after patient assignment completed.
- In consultation with the RN Case Manager, may coordinate the delivery of multidisciplinary services to a primary patient population through appropriate referral, follow-up, and advocacy.
- Assesses patient needs relative to HHAs and communicates with team RNs and HHA Manager. Demonstrates responsiveness to the observations and concerns of the HHA; documents accordingly.
- Develops, maintains, and applies a knowledge of third party payer (Medicare, Medicaid and, private insurance) guidelines governing eligibility for reimbursable home health services
- Documents data in the computerized patient record, and in a timely, legible, organized, concise manner to insure compliance with legal, certification, and third party payer requirements.
- Seeks supervisory consultation with unusual/unfamiliar patient care situations and/or questions regarding home health policy and procedure and/or reimbursement guidelines.
- Maintains a current body of knowledge and clinical competence through ongoing participation in continuing education relevant to the area of practice.
- Participates in performance evaluation through professional and clinical goal setting.
- Understands and practices agency safety guidelines and procedures including general safety, office (ergonomic) safety, fire safety, proper body mechanics, and proper patient/material handling.
- Performs in a professional manner at all times, and maintains professional boundaries.
- Assists in orientation and education of new employees and students as assigned; provides field demonstrations and acts as Preceptor.
- Demonstrates a knowledge and understanding of what to report to the CEO or Chief Compliance Officer when concerns of corporate compliance arise.
- Ensures compliance within guidelines set forth by regulatory agencies (DPH, ERISA etc.) and demonstrates compliance with Home Health Foundation policies and procedures.
- Practices confidentiality principles set by the agency and federal HIPAA/HITECH guidelines.
- Participates in all mandatory in-services.
What we Offer:
- Generous salaries
- Benefits effective day one
- PTO
- Mileage reimbursement
- 403 B with employer match
Tufts Medicine is a leading integrated health system bringing together the best of academic and community healthcare to deliver exceptional, connected and accessible care experiences to consumers across Massachusetts. Comprised of Tufts Medical Center, Lowell General Hospital, MelroseWakefield Hospital, Lawrence Memorial Hospital of Medford, Care at Home - an expansive home care network, and large integrated physician network. We are an equal opportunity employer and value diversity and inclusion at Tufts Medicine. Tufts Medicine does not discriminate on the basis of race, color, religion, sex, sexual orientation, age, disability, genetic information, veteran status, national origin, gender identity and/or expression, marital status or any other characteristic protected by federal, state or local law. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation by emailing us at careers@tuftsmedicine.org.
Unit Summary:
The Medical 4 position is a terrific position for an RN who is looking for an environment with an opportunity to work with a collaborative, hard-working, interdisciplinary team.
You will work with a variety of patients from medical positions, wound care patients and surgical patients.
38 bed unit
Qualifications:
RN Massachusetts license required
Associates required
BLS preferred
BLS required
ACLS preferred but not required
Tele experience preferred but not required
IV experience preferred but not required
Hours: 36 hours/week, Nights
Every third weekend
What We Offer:
Competitive salaries & benefits that start on day one
403(b) retirement plan with company match
Tuition reimbursement
Clinical mobility tracks
Free on-campus parking
About MelroseWakefield Hospital:
MelroseWakefield Hospital and Lawrence Memorial Hospital of Medford are two campuses with one community in mind: the people of north suburban Boston. MelroseWakefield Hospital and Lawrence Memorial Hospital are distinguished by the range of high-quality clinical care and services. Our teams welcome everyone with hospitality and humanity. We focus on reducing health disparities through 40+ local health programs across a system of hospitals, urgent care locations, outpatient services, and community physicians.
Core to our values, MelroseWakefield Healthcare’s commitment to community is demonstrated by our many local health programs throughout our service area and participation in partnerships with community agencies and events, and education programs in more than 10 communities to support the wellness and health of our residents.
About Tufts Medicine
A healthcare system that works Tufts Medicine is more than a health system — we’re a community that empowers people to live their best lives by reimagining healthcare, advancing knowledge and pioneering discovery. Every team member plays an integral role in realizing our vision of creating the most equitable and frictionless healthcare experience in the world. Here, you’ll join an enthusiastic community that champions your growth and receive generous benefits to support you and your family’s well-being.
Tufts Medicine is an equal opportunity employer.
Tufts Medicine is a leading integrated health system bringing together the best of academic and community healthcare to deliver exceptional, connected and accessible care experiences to consumers across Massachusetts. Comprised of Tufts Medical Center, Lowell General Hospital, MelroseWakefield Hospital, Lawrence Memorial Hospital of Medford, Care at Home - an expansive home care network, and large integrated physician network. We are an equal opportunity employer and value diversity and inclusion at Tufts Medicine. Tufts Medicine does not discriminate on the basis of race, color, religion, sex, sexual orientation, age, disability, genetic information, veteran status, national origin, gender identity and/or expression, marital status or any other characteristic protected by federal, state or local law. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation by emailing us at careers@tuftsmedicine.org.
Job Profile Summary
This role focuses on providing professional and nonprofessional nursing care services in accordance with physician orders. In addition, this role focuses on performing the following Clinical Nurse duties: Assesses, plans, implements, and evaluates the care needs of a designated group of patients or provides nursing care and identified clinical support tasks within the scope of practice for achievement of the patient’s plan of care as directed. Provides professional nursing care to patients. Requires a nursing license. A professional individual contributor role that may direct the work of other lower level professionals or manage processes and programs. The majority of time is spent overseeing the design, implementation or delivery of processes, programs and policies using specialized knowledge and skills typically acquired through advanced education. A senior level role that requires advanced knowledge of job area typically obtained through advanced education and work experience. Typically responsible for: managing projects / processes, working independently with limited supervision, coaching and reviewing the work of lower level professionals, resolving difficult and sometimes complex problems.
Job Overview
The professional registered nurse possesses and applies the skills and knowledge necessary for the delivery and management of patient care from admission through discharge. The professional registered nurse is knowledgeable of current trends in healthcare including but not limited to advances in technology, pharmacology, treatment care modalities, quality and patient safety. The professional registered nurse serves as a patient and family advocate while facilitating a cooperative and collaborative environment among all health care providers. The professional registered nurse is responsible for the planning, delivery and management of patient/family centered care utilizing the nursing process and adhering to the standards of nursing practice embedded in research, evidence based practice and/or best practices. The professional registered nurse at Tufts Medical Center provides clinical excellence, which fosters and supports an environment central to our patient and family centered model of care.
Job Description
Minimum Qualifications:
1. Registered Nurse (RN) license.
2. Basic Life Support (BLS) certification.
Preferred Qualifications:
1. Bachelor of Science in Nursing (BSN)
2. Specialty Nursing certifications.
Duties and Responsibilities: The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list. Other duties and responsibilities may be assigned.
1.Utilizes theoretical and evidence-based knowledge in partnering with patients and their families to assess, plan, implement and evaluate age appropriate care.
2. Assesses and collaborates with patient, family/significant others and other disciplines to: Identify expected outcomes based on synthesis of data and diagnosis; and identify cultural needs (i.e. language, etc) to develop a care plan that enhances the health care experience.
3. Plans and develops: Individualized outcomes-based care plans incorporating the patient and family’s readiness and barrier to learning; Orchestrates and validates a plan of care for each shift; Initiates interdisciplinary patient/family meetings to facilitate communication regarding the plan of care; Communicates and coordinates the patients discharge plan utilizing unit-based and community resources to ensure a seamless transition for the patient and their family; Ensures the plan of care utilizes principles and concepts of project, organizational or systems management.
4. Implements: The plan in a safe and timely manner; Documents the implementation and any modifications, including changes or omissions, of the identified plan; Collaborates with nursing colleagues and others to implement the plan; Utilizes evidence-based interventions and treatments specific to the diagnosis or problem; Provides and coordinates health teaching which is required by individuals, families and groups to maintain an optimal level of health; Documents per hospital and regulatory requirements/policies, all aspects of care, including but not limited to, treatments/procedures performed and patient response.
5. Evaluates: The effectiveness of the planned strategies in relation to patient responses and the attainment of expected outcomes and knowledge; Uses the evaluation process to update the plan of care as dictated by the patient response and/or if desired outcomes have not been achieved.
6. Demonstrates and applies the skill and judgement necessary to implement the nursing plan of care, nursing interventions and procedures necessary for the care of the patient and family based upon critical thinking skills and a spirit of inquiry. The plan of care is: Evidence based and utilizes research when appropriate; Incorporates new knowledge and strategies to initiate change in nursing care practices; Demonstrates the knowledge and skills necessary to provide age appropriate culturally and ethnically sensitive care to all patients and families.
7. Performs procedures and treatments using nursing knowledge and judgment, according to established unit/practice area guidelines and professional standards.
8. Safely administers and assesses the patient response to medication utilizing essential knowledge of pharmacology and Hospital and Department Standards of Care.
9. Maintains clinical competency with respect to technology and utilizes equipment in a safe manner.
10. Performs as an advocate and as an educator for patients and families.
11. Provides high quality in an efficient and a safe manner. The professional nurse utilizes data trends to support and improve clinical practice.
12. Participates in hospital and/or unit based patient safety and quality activities and uses principles to support and improve patient outcomes (unit-based, hospital-wide, The Joint Commission, NPSGs, NDNQI, Patient First and other local, state and federal patient safety initiatives.
13. Participates in performance improvement activities through data collection, analysis and evaluation. 14. Champions quality, safety, regulatory, and patient-family satisfaction.
15. Facilitates cooperative and collaborative relationships among the various disciplines and departments to ensure effective quality patient care delivery and to create a positive and professional work environment. Supports collaboration with nursing colleagues and other disciplines to implement plan of care by participation in nursing, physician, and case management reporting rounds.
16. Delegates responsibilities to others with an understanding of their roles, knowledge and capabilities
17. Influences others to achieve Service Excellence by: Establishing a climate for optimal patient care, mutually supportive collegial relationships, and professional development; Treating both internal and external customers with courtesy, respect and caring behavior; Promoting a safe, clean, therapeutic environment for patients, families and staff; Acknowledging cultural differences that exist among staff and patients; Identifying customer service needs on the unit; Presenting self in a professional and calm manner; Providing responsible and efficient use of resources.
18. Participates in professional development and lifelong learning activities that assist in developing and maintaining their continuing competence, enhance their professional practice and support achievement of their career goals including: Maintaining current licensure and adheres to the Massachusetts Nurse Practice Act; Assuming responsibility for participating in educational opportunities to support and meet clinical competency requirements; Seeking out educational and professional resources; Developing professionally as a self-directed, motivated learner; Seeking out advanced certification opportunities and ongoing education opportunities; Precepting and mentoring newly hired staff and nursing students; Investigating available technology and resources to apply evidence based practice and research into daily professional activities; Promoting leadership at the bedside as a delegator, collaborator, facilitator, and communicator; and Promoting unit and organizational growth through a shared governance model.
19. May assume charge nurse functions in collaboration with unit leadership;
20. Facilitates communication by: Seeking and sharing job-related information that supports a culture of respect and responsibility; Assuming responsibility and ownership for professional conduct; Accepting responsibility for positive and productive communication skills; Attending and actively participating in staff meetings (when unable to attend, accepts responsibility for reading staff meeting minutes); and Accepting responsibility for reading emails to keep current with unit and hospital based information.
Physical Requirements:
1. Prolonged, extensive, or considerable standing/walking.
2. Lifts, positions, pushes and/or transfer patients and equipment.
3. Considerable reaching, stooping, bending, kneeling, crouching.
4. Frequent exposure to hazardous chemicals, sick patients, bodily substances, noise and possible exposure to radiation, lasers, electric shock, etc.
5. Regularly exposed to the risk of bloodborne diseases and other transmissible infections.
6. Contact with patients under wide variety of circumstances.
7. Subject to varying and unpredictable situations.
8. Handle emergency and crisis situations.
9. Subjected to irregular hours.
10. May have contact with hazardous materials.
Skills & Abilities:
1. Possesses and applies the skills and knowledge necessary to provide care to patients throughout the life span, with consideration of aging processes, human development stages and cultural patterns in each step of the care process.
2. Ability to provide care for a designated group of patients according to unit guidelines and hospital policies, procedures and protocols.
3. Has the skills and knowledge to provide care to the age groups of the population served including: Knowledge of growth and development; Ability to interpret age specific data and response to care; and Provide age appropriate communication.
Tufts Medicine is a leading integrated health system bringing together the best of academic and community healthcare to deliver exceptional, connected and accessible care experiences to consumers across Massachusetts. Comprised of Tufts Medical Center, Lowell General Hospital, MelroseWakefield Hospital, Lawrence Memorial Hospital of Medford, Care at Home - an expansive home care network, and large integrated physician network. We are an equal opportunity employer and value diversity and inclusion at Tufts Medicine. Tufts Medicine does not discriminate on the basis of race, color, religion, sex, sexual orientation, age, disability, genetic information, veteran status, national origin, gender identity and/or expression, marital status or any other characteristic protected by federal, state or local law. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation by emailing us at careers@tuftsmedicine.org.