Experienced Registered Nurse, 36 Hour Day, Critical Care Float Pool

About the role

Under the general supervision of the Nurse Manager/Assistant Nurse Manager/Tertiary Team Leader, the Staff Registered Nurse: Tertiary 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.

A Staff Registered Nurse: Tertiary Care 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. In accordance with the Nurse Practice Act of Massachusetts Rules & Regulations (244 CMR 3.0), the nurse bears full and ultimate responsibility for the quality of nursing care provided to individuals and groups, including 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: Tertiary Care assumes responsibility for the plan of care, has the authority to make decisions, and is held accountable for decisions specific to assessment, planning, implementation and evaluation of the plan. The registered nurse facilitates coordination of care across the continuum and demonstrates safe practice within the domains of clinical judgment and decision making, professional relationships, clinical leadership, and clinical scholarship.

Delegation & Supervision are performed in accordance with the Nurse Practice Act of Massachusetts Rules & Regulations (244 CMR 3.0) and the ANA Principles of Delegation. The delegating registered nurse bears full and ultimate responsibility for making appropriate assignments, properly and adequately teaching, directing and supervising the delegate, and the outcome of the delegation.

The Staff Registered Nurse: Tertiary Care provides care directly to patients and in collaboration with other health care team members, maintains a current level of knowledge and skill with technical procedures as defined by nursing specialty organizations, complies with all regulations and standards of regulatory and accrediting bodies, and holds a current Massachusetts registered nurse license.

Responsibilities

• I. Clinical Judgment and Decision Making
  • Demonstrates organizational skills that maintain and coordinate safe delivery of quality care for assigned patients/families.
  • Develops a culturally competent plan of care that identifies patient problems, expected outcomes, and addresses preventative measures.
  • Performs systematic patient and family assessment relevant to practice settings.
  • Delivers care specific to the age of the patient.
  • Evaluates effectiveness of care and adapts plan based on patient/family response.
• II. Professional Relationship
  • Establishes professional relationships with nurses, physicians, other colleagues, patients and families based on Lahey Clinic’s guiding principles and positive effective communication.
  • Integrates the patient’s religious/spiritual, ethnic and cultural beliefs into the plan of care; includes patient and family as partners in care based on Swanson’s Theory of Caring.
  • Educates the patient and family about the patient’s illness, treatment, and preventative measures appropriate to the patient.
  • Supports Lahey Clinic’s commitment to community-based activities within the Lahey community and beyond.
• III. Clinical Leadership
  • Supports development of others and creates a practice climate of responsiveness and learning based on Benner’s Novice to Expert skills acquisition model.
  • 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 and fulfills the role of nurse as teacher.
  • Demonstrates ability to fulfill role in regulatory compliance and readiness.
• IV. Clinical Scholarship
  • Achieves clinical scholarship through experiences with patients, collaboration with colleagues and leadership, and formal education.
  • Upholds standards of quality nursing care and demonstrates a commitment to lifelong learning.
  • Demonstrates evidence-based practice (EBP) in nursing.

Organizational Requirements

• Incorporates Lahey Clinic Guiding Principles, Mission Statement, and Goals into daily activities.
• Complies with all Lahey Clinic Policies.
• Complies with behavioral expectations of the department and Lahey Clinic.
• Maintains courteous and effective interactions with colleagues and patients.
• Demonstrates an understanding of the job description, performance expectations, and competency assessment.
• Demonstrates a commitment toward meeting and exceeding the needs of customers and consistently adheres to Customer Service standards.
• Participates in departmental and/or interdepartmental quality improvement activities.
• Participates in and successfully completes Mandatory Education.
• Performs all other duties as needed or directed to meet the needs of the department.

Qualifications

• Education
  • Graduate of a state approved and/or accredited School of Nursing.
• Licensure, Certification, Registration
  • Current license to practice professional nursing from the Massachusetts Board of Registration.
  • BLS certification from American Heart Association or American Red Cross.
• Skills, Knowledge & Abilities
  • Demonstrates necessary clinical skills and technical knowledge to provide care for patients according to Nursing Policy and Procedures (see Skill Record).
  • Demonstrates necessary clinical skills and knowledge to provide care for patients according to unit-specific competencies (see Skill Record).
  • Excellent interpersonal and organizational skills.
• Experience
  • 2+ years of Critical Care experience preferred.

Pay

Base hourly wage range: $37.00 – $95.37. Actual compensation is determined based on factors such as seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law.