Experienced Registered Nurse, 5 West PCU, Cardiology Progressive Care Unit, 36 hours, Day/Night Rotation

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.

The Staff Registered Nurse: Tertiary Care, 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. Included in such responsibility are 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 the responsibility for the plan of care and 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 the 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.

Responsibilities

• Clinical Judgment and Decision Making: Provide safe patient care by demonstrating organizational skills that maintain and coordinate safe delivery of quality care for assigned patients/families. Develop a culturally competent plan of care that identifies patient problems, expected outcomes, and addresses preventative measures. Perform systematic patient and family assessment relevant to practice settings. Deliver care specific to the age of the patient. Evaluate effectiveness of care and adapt plan based on patient/family response.
• Professional Relationship: Establish professional relationships with nurses, physicians, other colleagues, patients, and families, including the patient and family as partners in care based upon Swanson’s Theory of Caring. Educate the patient and family about the patient’s illness and treatment including preventative measures. Support Lahey Clinic's commitment to community based activities.
• Clinical Leadership: Support the development of others and create a practice climate of responsiveness and learning based on Benner’s Novice to Expert skills acquisition model. Demonstrate professional behavior by adhering to unit policies and procedures, practice guidelines specific to the setting, and the ANA Code of Ethics. Demonstrate skills as a responsive team member and role of nurse as teacher. Fulfill role in Regulatory compliance and readiness.
• Clinical Scholarship: Achieve clinical scholarship through experiences with patients, collaboration with colleagues and leadership, and formal education. Transform learning into knowledge through self-reflection and analysis. Uphold standards of quality nursing care. Demonstrate a commitment to lifelong learning and evidenced based practice (EBP) in nursing.
• Delegation & Supervision: In accordance with the Nurse Practice Act of Massachusetts Rules & Regulations- 244 CMR 3.0 and the ANA Principles of Delegation, bear full and ultimate responsibility including making an appropriate assignment; properly and adequately teaching, directing and supervising the delegate; and the outcome of the delegation.
• Provide care directly to patients and in collaboration with other health care team members.
• Maintain a current level of knowledge and skill with technical procedures as defined by nursing specialty organization.
• Comply with all regulations and standards of regulatory and accrediting bodies.

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.
• Experience: None required.

Skills

• Demonstrates the necessary clinical skills and technical knowledge to provide care for patients according to Nursing Policy and Procedures and unit-specific competencies.
• Excellent interpersonal and organizational skills.

Pay

$37.00 - $95.37 per hour (base wage range). Actual compensation is determined based on several factors, that may include 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.