Experienced Registered Nurse, 6 West PCU, Neurology Progressive Care Unit, Per Diem

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.

The 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 shall bear 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 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 & Duties

• 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 based on Lahey Clinic's guiding principles and positive effective communication. Integrate the patient's response and their religious/spiritual, ethnic and cultural beliefs into the plan of care. Include 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 appropriate to the patient. Support Lahey Clinic's commitment to community based activities both within the Lahey community and beyond.
• 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. Demonstrate ability to fulfill role in Regulatory compliance and readiness.
• Clinical Scholarship: Achieve clinical scholarship through experiences with patients, through collaboration with colleagues and leadership and through formal education. Transform learning into knowledge through self-reflection and analysis. Uphold standards of quality nursing care. Demonstrate a commitment to life long 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.

Minimum 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: At least one full year as a practicing Registered Nurse, preferably in an inpatient setting.

Skills & Knowledge

• 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. 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.