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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: 

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 appropriatecommunication. 

Tufts Medical Center is recognized by the ANCC Magnet Recognition Program® for excellence in nursing. Magnet® recognition is the highest and most prestigious credential a health care organization can achieve for nursing excellence and quality patient care. Magnet® recognition signals to nurses that the organization is committed to nursing.

The nurses at Tufts Medical Center are integral to everything we do. They are often the ones patients interact with first, and sometimes the ones they interact with the most. It’s a critically important role, so our nurses are well-supported, well-respected, and very well-appreciated!

There’s an intensity and a pace to be embraced. You will have responsibility and accountability the minute you pull on the scrubs. You need to be the kind of person who gives everything you've got. Our patients deserve the best. Our nurses give it to them.

Position/Job Title: Flex RN D/R

Home Department: Post Anesthesia Care Unit (PACU

It takes a lot of very smart, hard-working and talented people to provide the level of care that we give to our patients. Tufts Medical Center is an internationally respected academic medical center and we pride ourselves not only on the sophistication of the care we deliver, but the compassionate way in which we provide it. And that starts with our employees.

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.

PRINCIPLE DUTIES AND RESPONSIBILITIES

Nursing Process: Utilizes theoretical and evidence-based knowledge in partnering with patients and their families to assess, plan, implement and evaluate age appropriate care.

Assess:

• Collaborates with patient, family/significant others and other disciplines to identify expected outcomes based on synthesis of data and diagnosis
• Identifies cultural needs (i.e. language, etc) to develop a care plan that enhances the health care experience

Plan:

• 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
• The plan of care utilizes principles and concepts of project, organizational or systems management

Implement:

• 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

Evaluate:

• Evaluates the effectiveness of the planned strategies in relation to patient responses and the attainment of expected outcomes and knowledge
• The nurse 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

Professional Performance:

Clinical Practice: The professional registered nurse 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
• Performs procedures and treatments using nursing knowledge and judgment, according to established unit/practice area guidelines and professional standards
• Safely administers and assesses the patient response to medication utilizing essential knowledge of pharmacology and Hospital and Department Standards of Care
• Maintains clinical competency with respect to technology and utilizes equipment in a safe manner
• Performs as an advocate and as an educator for patients and families

Quality: The professional registered nurse provides high quality in an efficient and a safe manner. The professional nurse utilizes data trends to support and improve clinical practice.

• 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
• Participates in performance improvement activities through data collection, analysis and evaluation
• Champion for quality, safety, regulatory, and patient-family satisfaction

Collaboration: Facilitates cooperative and collaborative relationships among the various disciplines and departments to ensure effective quality patient care delivery

• Maintains a collaborative work relationship with peers and colleagues in order 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
• Delegates responsibilities to others with an understanding of their roles, knowledge and capabilities

Service Excellence: The professional nurse influences others by establishing a climate for optimal patient care, mutually supportive collegial relationships, and professional development.

• Treats both internal and external customers with courtesy, respect and caring behavior
• Promotes a safe, clean, therapeutic environment for patients, families and staff
• Acknowledges cultural differences that exist among staff and patients
• Identifies customer service needs on the unit
• Presents self in a professional and calm manner
• Provides responsible and efficient use of resources

Professional Development: The professional registered nurse participates in lifelong learning activities that assist in developing and maintaining their continuing competence, enhance their professional practice and support achievement of their career goals.

• The professional registered nurse maintains current licensure and adheres to the Massachusetts Nurse Practice Act
• Assumes responsibility for participating in educational opportunities to support and meet clinical competency requirements
• Seeks out educational and professional resources
• Develops professionally as a self-directed, motivated learner
• May assume charge nurse functions in collaboration with unit leadership
• Seeks out advanced certification opportunities and ongoing education opportunities
• Precepts and mentors newly hired staff and nursing students
• Investigates available technology and resources to apply evidence based practice and research into daily professional activities
• Provides leadership at the bedside as a delegator, collaborator, facilitator, and communicator
• Promotes unit and organizational growth through a shared governance model
•  

Communication: The professional registered nurse seeks out and shares job related information that supports a culture of respect and responsibility.

• Assumes responsibility and ownership for professional conduct
• Accepts responsibility for positive and productive communication skills
• Attends and actively participates in staff meetings. Accepts responsibility for reading staff meeting minutes when not able to attend
• Accepts responsibility for reading emails to keep current with unit and hospital based information

JOB KNOWLEDGE AND SKILLS

• 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.
• Ability to provide care for a designated group of patients according to unit guidelines and hospital policies, procedures and protocols.

AGE SPECIFIC COMPETENCIES

• 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
• Provide age appropriate communication

EDUCATION

• Bachelors Degree required, Bachelors Degree in Nursing strongly preferred.
• BLS, ACLS and PALS Certification required

EXPERIENCE

• Varies according to unit requirements and needs.
• ICU and PACU experience 

LICENSE

• Current Massachusetts Registered Nurse License

PHYSICAL DEMANDS/WORKING CONDITIONS

• Prolonged, extensive, or considerable standing/walking
• Lifts, positions, pushes and/or transfer patients and equipment
• Considerable reaching, stooping, bending, kneeling, crouching
• Frequent exposure to hazardous chemicals, sick patients, bodily substances, noise and possible exposure to radiation, lasers, electric shock, etc.
• Regularly exposed to the risk of bloodborne diseases and other transmissible infections
• Contact with patients under wide variety of circumstances
• Subject to varying and unpredictable situations
• Handle emergency and crisis situations
• Subjected to irregular hours
• May have contact with hazardous materials

All your information will be kept confidential according to EEO guidelines.

AMERICANS WITH DISABILITIES STATEMENT:

Must be able to perform all essential functions of this position with reasonable accommodation if disabled.

The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed, as an exhaustive list of all responsibilities, duties and skills required of personnel so classified. Tufts Medical Center reserves the right to modify position duties at any time, to reflect process improvements and business necessity.

COVID-19 POLICY:

Please note that effective October 1, 2021, as a condition of employment at Tufts Medical Center, all employees and new hires must have received their complete dose of the COVID-19 vaccine, unless they have been granted an exemption.  

Summary:

Lowell General Hospital is an outstanding place to work and offers amazing advancement opportunities for our staff.  We have competitive salaries & benefits, shared governance, tuition reimbursement, clinical mobility tracks and free on-campus parking. Staff are encouraged to participate in our unit-based council or one of the many council opportunities.

We are seeking a skilled and compassionate Registered Nurse to join our Emergency Department team as an ED Boarder. The RN will be responsible for providing high-quality care to patients admitted to the hospital but awaiting an inpatient bed, ensuring their needs are met while they remain in our Emergency Department

Unit Summary: - 60,000 visits annually  - 50 licensed beds, with 5 different care areas - Pediatric ED - Staffed with board certified Emergency Medicine Pediatricians- Behavioral Health section of ED - Verified American College of Surgeons Level 3 Trauma Center - Certified Stroke Center - Primary Angioplasty program - DPH SANE (Sexual Assault Nurse Examiner) program

This is an exceptional opportunity to work in a fast-paced Emergency Department (ED) and to join a 3-time Magnet-recognized, community-based hospital.

Hours:

Full Time, 36 hours/week, Days 7a-7p

Every third weekend, rotating holidays

Requirements:

• Provide continuous nursing care for admitted ED boarder patients awaiting inpatient beds.

• Monitor patient conditions, including vital signs, symptoms, and overall well-being.

• Administer medications, treatments, and interventions as ordered.

• Collaborate with physicians, specialists, and other healthcare professionals to develop and implement patient care plans.

• Ensure accurate and timely documentation of patient information in EPIC

• Educate patients and families on care plans and hospital processes.

• Independently provide direct nursing care to patients and their families in accordance with established policies, procedures, and practices
   

Qualifications:  

• A minimum of 1 year Emergency Department experience

• Active MA RN licensure in good standing

• BSN is strongly preferred 

• Associate’s degree required

• BLS required 

• ACLS required

• 1-2 years of Critical Care Experience

What We Offer: 

• Clinical Advancement Program which provides advancement opportunities and financial rewards 

• Competitive salaries & benefits

• Paid certification and educational opportunities, including BLS, ACLS, CPI, ECCO CCRN review courses.

• 403(b) retirement plan with company match

• Shared governance, where nurses are encouraged to participate in unit-based councils or one of the many other council opportunities 

• Tuition reimbursement

• Clinical mobility tracks

• Free on-campus parking

Magnet Designation:  The American Nurses Credentialing Center (ANCC) honored Lowell General Hospital with Magnet Recognition for excellence in nursing care with our 3rd designation achieved in August 2020. The Magnet Recognition Program recognizes healthcare organizations that are dedicated to nursing excellence, professionalism and patient-focused care. It is the highest level of recognition an organization can receive for providing the very best quality in patient care. Only 2% of hospitals have attained a 3rd Magnet designation.  

About Lowell General:

For more than 125 years, Lowell General has served the Greater Lowell community with pride. We balance the first-rate care of a premier medical center with the warmth of a three-time Magnet®-recognized community hospital. As a member of our team, you’ll join over 3,000 dedicated care providers to offer complete, connected care, when and where patients need it most.

Hours: Monday-Friday day shifts. 40 hours a week.

Location: Tufts Medical Center Primary Care - Quincy

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 duties: Functions as part of the health care team in providing safe and effective therapy for assigned patients under the direct supervision of a registered nurse. Participates in the implementation and evaluation of patient care. Requires an LPN 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.   An entry level role that applies broad theoretical job knowledge typically obtained through advanced education.  May require the following proficiency:  work is closely supervised, problems faced are not typically difficult or complex, and explains facts, policies and practices related to job area. 

Job Overview 

This position works closely with a broad spectrum of healthcare providers and administration to ensure optimal patient care. Along with the patients work with radiologists, primary care physicians, treatment nurses, nutritionists, social workers, community health programs, to ensure each patient receive seamless care.  Responsible for planning, and coordinating a plan of care for patients as part of the multidisciplinary team.  This process would include the coordination of patient appointments and schedules, patient information and follow-up and delivery and oversight of patient care utilizing the nursing process and adhering to the standards of nursing practice. This position follows the patient from one department to another to ensure smooth coordination and patient outcomes. 

Job Description 

Minimum Qualifications: 

1. High school diploma or equivalent. 

2. Graduation from an accredited practical nursing program. 

3. Licensed Practical Nurse (LPN). 

4. Two (2) years of relevant nursing experience. 

Preferred Qualifications: 

1. Three (3) years of relevant nursing experience. 

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 the nursing process for the delivery and management of patient’s experience through the continuum of care demonstrating diagnostic reasoning and critical thinking to ensure a seamless transition for the patient and family.   

2. Informs patient and family of services at hospital, provides information on disease process, tests and the schedule, hours of operation, cancer and related services, contact numbers to call, and provides patient education materials.   

3. Works with physicians and their staff to coordinate patient schedules thru the system. Triages phone calls from patients to assist them and their families in getting services and answers to their care. 

4. Track patients throughout the continuum of care.  When needed follows up with patients to check up on their status and to refer them to resources  

5. Consult and refer patients to other resources such as the LCSW, Oncology Nurse, Dietician. 

6. Serves as a patient and family advocate. Involves patient, family/significant others and other disciplines in decision making related to the patient’s plan of care. 

7. Implements interventions consistent with hospital standards of practice and prescribed medical plan of care. 

8. Documents the plan of care and meets all unit documentation and completes all patient charges promptly and correctly.  

9. Provide care appropriate to the age of patients served in the clinical areas which will include all of the areas that oncology patients usually go.  It may require observation of surgical procedures, procedures in ambulatory settings and radiation medicine. 

10. Explain the purpose and the side effects of drugs and monitoring the patient’s response. 

11. Remains knowledgeable about equipment and utilizes equipment in a safe and cost effective manner. 

12. Collaborates with nursing team members, departments and physicians to ensure the smooth transition and handoff of patients between departments. 

13. Coordinate the appointments, workup, results of tests and other data necessary for the Multidisciplinary conferences. 

14. Maintains clinical information and data as required. 

15. Delegate’s responsibilities to others with an understanding of their roles, knowledge and capabilities.  

16. Facilitates cooperative and collaborative relationships among the various disciplines and departments to ensure effective quality patient care delivery and continuous flow of the patient’s plan of care between all disciplines. 

17. Maintains a collaborative work relationship with peers and colleagues in order to create a positive work environment.   

18. Holds self-accountable for professional practice. 

19. Presents self in a calm and professional manner and effectively verbalizes relevant problems during daily interactions, and/or staff meetings. 

20. Participates in MQSA quality data gathering and analysis for required regulatory framework to support and improve patient care. 

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. Ability to effectively communicate with patients, families, physicians, and healthcare team. 

2. Knowledge and application of the nursing process to implement a nursing plan of care. 

3. 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. 

4. 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. 

5. Knowledge of pharmacology/medications in administering drugs and monitoring the patient's response.