Jobs · Healthcare · Massachusetts

Ambulatory Registered Nurse -Primary and Specialty Care

Beth Israel Lahey Health · Beverly, MA · 1 mo ago
Healthcare$34.2–$73.39/hrFull-time
We need to output HTML fragment with sections: About the role? The posting includes intro paragraph about joining BILH team, description of role, responsibilities, qualifications, skills, pay range. No explicit headings like "About the role" but we can infer sections: maybe "About the role" for intro paragraph, "Responsibilities" for duties, "Qualifications" for minimum qualifications, "Skills" for skills, knowledge & abilities, "Pay" for pay range. Benefits not mentioned, schedule not mentioned. So we include only sections with real content. We must not repeat job title as heading. Use

for each section heading. Use
  • for any list of duties/requirements/benefits. Use

    for prose. We need to preserve all substantive information, not invent or summarize away detail. Remove boilerplate: EEO, equal opportunity, etc. Also remove navigation, cookie, legal, scam-warning, application instructions. The posting includes "Equal Opportunity Employer/Veterans/Disabled" at end - remove. Also remove "Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment." That's substantive? It's a requirement; maybe keep as part of qualifications? It's a condition of employment. Could be considered a requirement. It's not boilerplate; it's a specific requirement. We'll keep it. Also remove "More than 35,000 people working together..." that's fluff but maybe not boilerplate; it's descriptive but could be considered promotional. The instruction: remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. That paragraph is not explicitly listed; but it's promotional fluff. Might be considered boilerplate? Not sure. Safer to keep? The instruction says remove boilerplate, duplicated lines, and application instructions. That paragraph is not boilerplate per se, but it's generic marketing. Might be considered filler. I'd lean to remove it as it's not substantive info about the job. However, the instruction says "Preserve ALL substantive information; do NOT invent or summarize away detail." That paragraph is not substantive about the job duties/requirements. It's more about organization size. Could be considered filler. I'd remove it. Also remove "As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities." That's also generic. Remove. We need to keep the pay range details. We need to keep the responsibilities list: they have sections I-IV with subpoints. We'll need to convert to

    • . Might be lengthy. We'll preserve all bullet points. We also have "Job Description Essential Duties & Responsibilities: including but not limited to:" then list I-IV. We'll treat that as responsibilities. We have "Minimum Qualifications Education: Graduate of a state approved and/or accredited School of Nursing BSN preferred Licensure, Certification, Registration Current license to practice professional nursing from the Massachusetts Board of Registration BLS certification with American Heart Association Skills, Knowledge & Abilities Clinical Skills/Technical Knowledge" We need to parse that into qualifications and skills. We have "Skills, Knowledge & Abilities Clinical Skills/Technical Knowledge" then after that appears "Pay Range $34.20 - $73.39". Actually the text shows: "Skills, Knowledge & Abilities Clinical Skills/Technical Knowledge Pay Range $34.20 - $73.39". Might be missing line break. We'll treat skills as "Clinical Skills/Technical Knowledge". Then pay range separate. We'll create sections:

      About the role

      with intro paragraph(s) up to before "Responsibilities". The intro includes first paragraph(s) describing role, mission, etc. We'll capture until "Responsibilities include health maintenance..." Actually the text: "When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Under the general supervision of the Administrative Director in Collaboration with the Associate Chief of Ambulatory Nursing Practice the Staff Registered Nurse: Ambulatory Care practices within the Lahey Clinic Professional Practice Model, MA Nurse Practice Act, ANA Standards of Practice and Code of Ethics and demonstrates Lahey Clinic’s core values that reflect its Mission. The nurse patient/family relationship, continuity of care and accountability are central to the delivery of individualized high quality patient care. The Staff Nurse: Ambulatory works in collaboration with the physician(s), other healthcare provider(s) and other ambulatory support staff within the department and with other disciplines to plan and coordinate the delivery of patient care. The Staff Registered Nurse: Ambulatory demonstrates the knowledge and skills necessary to provide expected standards of care based on physical, psychosocial, cultural, educational, spiritual, safety and age-appropriate considerations of patients. The Staff Registered Nurse: Ambulatory, in accordance with the Nurse Practice Act of Massachusetts Rules & Regulations- 244 CMR 3.0, shall bear full and ultimate responsibility for the quality of nursing care he/she provides to individuals and groups. Responsibilities include health maintenance, teaching, counseling, collaborative planning and restoration of optimal functioning and comfort or for the dignified death of those they serve. The Staff Registered Nurse: Ambulatory assumes the responsibility for the plan of care and has the authority to make decisions. The Staff registered Nurse: Ambulatory is held accountable for decisions specific to assessment, planning, implementation and evaluation of the plan. The registered nurse facilitates the coordination of care across the continuum and demonstrates safe practice within the domains of: - Clinical judgment and decision making Professional relationships Clinical leadership Clinical scholarship The delegation and supervision in accordance with the Nurse Practice Act of Massachusetts Rules & Regulations- 244 CMR 3.0 Registered Nurse and Licensed Practical Nurse: Board of Registration in Nursing and the ANA Principles of Delegation is a responsibility and function of the Staff Registered Nurse: Ambulatory. The delegating registered nurse at Lahey Clinic bears the full and ultimate responsibility that includes but is not limited to: Developing an appropriate patient care assignment Properly and adequately teaching, directing and supervising the delegate The outcome of the delegation The Staff Registered Nurse: Ambulatory maintains a current level of knowledge and skill with technical procedures as defined by nursing specialty organization, complies with all regulations and standards of regulatory and accrediting bodies, and is currently licensed in the state of Massachusetts as a registered nurse." That's a lot; but we can treat as About the role. Then we have "Job Description Essential Duties & Responsibilities: including but not limited to:" then sections I-IV. We'll create Responsibilities section with
      • for each bullet. We need to preserve all subpoints. Let's extract the responsibilities text: I. Clinical Judgment and Decision Making: The process by which nurses come to understand the problems, issues or concerns of patients/families, to attend to relevant/critical information, and to respond in concerned and involved ways. The Staff Registered Nurse: Ambulatory is expected to and is accountable for providing safe patient care by demonstrating organizational skills that maintain and coordinate safe delivery of quality care for assigned patients/families. Performing systematic patient and family assessment relevant to practice settings and record the related health data.. C Analyze and interpret recorded data. Make informed judgements as to the specific problems and elements of nursing care mandated by a particular situation. Developing a culturally competent plan of care that identifies patient problems, expected outcomes, and addresses preventative measures. Respecting the values (religious/spiritual, ethnic, cultural) of the patient and family. Delivering care that is specific to the age of the patient Utilizing listening skills and clinical judgment in decision making to telephonically assess the severity of patient caller signs and symptoms. Evaluating effectiveness of care and adapts plan based on patient/family response Providing patient care by: Providing necessary physical care to appropriate patient populations which include ADL’s, positioning, transporting, and treatments Utilizing and transporting equipment Monitoring and recognizing acute changes in the patient and intervenes appropriately Administering medications including blood and blood products II. Professional Relationship: The professional relationship is based upon Lahey Clinic’s guiding principles and positive effective communication. This relationship extends beyond formal assessment to integrate the particular patient’s response and his/her religious/spiritual, ethnic and cultural beliefs into the plan of care. Establishes professional relationship with nurses, physicians and other colleagues and patients and families. The relationship includes the patient and family as a partner in care and is based upon Swanson’s Theory of Caring. Educates the patient and family about the patient’s illness and treatment including preventative measures appropriate to the patient. Supports Lahey Clinics commitment to community based activities both within the Lahey community and beyond. Collaborates, cooperates and communicates with other healthcare providers to ensure quality and continuity of care. III. Clinical Leadership: The Staff Registered Nurse: Ambulatory supports the development of others and creates a practice climate of responsiveness and learning based on Benner’s Novice to Expert skills acquisition model. This supports the retention and recruitment of clinically competent nurses. The ability to lead and influence the reasoning of colleagues in the patient’s best interest depends on skillful comportment, authoritative clinical knowledge and wisdom, the conviction to act as an ethical agent despite adverse consequences, and the ability to listen and enhance others’ strengths. Demonstrates professional behavior by adhering to unit policies and procedures, practice guidelines specific to the setting and the ANA Code of Ethics. Demonstrates skills as a responsive team member. Demonstrates role of nurse as teacher. Demonstrates ability to fulfill role in regulatory compliance and readiness. Achieves and maintains ACLS certification as required by departmental standards Serve as patient advocate, within the limits of the law. IV. Clinical Scholarship: The Staff Registered Nurse: Ambulatory Care achieves clinical scholarship through experiences with patients, through collaboration with colleagues and leadership and through formal education. Learning is transformed into knowledge through self-reflection and analysis. Upholds standards of quality nursing care. Demonstrates a commitment to life long learning. Demonstrates evidenced based practice (EBP) in nursing. We'll turn each sentence into
      • maybe grouping. But we need to preserve all substantive information; we can keep as paragraphs inside
      • or just keep as

        inside

      • . Simpler: each major bullet as
      • with the text. We'll create
          with
        • for each major point (I-IV) and maybe subpoints? Could break further but not required. Now Minimum Qualifications: "Education: Graduate of a state approved and/or accredited School of Nursing BSN preferred Licensure, Certification, Registration Current license to practice professional nursing from the Massachusetts Board of Registration BLS certification with American Heart Association" We can split into Education, Licensure/Certification. We'll create Qualifications section with
          • for each. Skills: "Clinical Skills/Technical Knowledge" maybe just that. We'll create Skills section with
            • Clinical Skills/Technical Knowledge
            • . Pay: we have Pay Range $34.20 - $73.39 plus explanation. We'll create Pay section with

              containing the range and explanation. We must not create Benefits or Schedule sections. Now ensure we don't include boilerplate like "Equal Opportunity Employer/Veterans/Disabled". Remove. Also remove "More than 35,000 people working together..." and the generic care statement. Now produce HTML fragment. Let's craft. About the role: combine the introductory paragraphs up to before "Job Description Essential Duties & Responsibilities". We'll include all that text as

              . We need to ensure we don't duplicate lines. Let's write the About the role paragraph(s). Might be long but okay. We'll output:

              About the role

              When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Under the general supervision of the Administrative Director in Collaboration with the Associate Chief of Ambulatory Nursing Practice the Staff Registered Nurse: Ambulatory Care practices within the Lahey Clinic Professional Practice Model, MA Nurse Practice Act, ANA Standards of Practice and Code of Ethics and demonstrates Lahey Clinic’s core values that reflect its Mission. The nurse patient/family relationship, continuity of care and accountability are central to the delivery of individualized

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