NICU RN - Per Diem Tier 1

About the role

The Messina Family Neonatal Intensive Care Unit (NICU) at South Shore Hospital is the first and only Level III NICU located in a community hospital in Massachusetts. The Level III Messina Family NICU and the Level II Andrade Family Special Care Nursery enable us to care for babies born at any time in pregnancy who have a wide range of medical conditions. The unit is staffed by doctors, nurses, and respiratory therapists with specific training in the care of ill, premature, and recovery newborns. Our NICU doctors are dually affiliated with both South Shore Hospital and Boston Children’s Hospital.

Responsibilities

• Demonstrates knowledge of and follows SSH policies and procedures for administering, transcribing, and recording medications.
• Completes medication reconciliation process following SSH policy and procedure.
• Demonstrates proper procedure for the documentation of narcotic withdrawal, administration, verifies count, wastes per policy and resolves narcotic discrepancy.
• Develops, discusses, and communicates a prioritized problem list/plan of care for each patient.
• Evaluates and updates individualized plan of care for patient and documents outcomes.
• Initiates admission assessment within 8 hours of admissions, identifies and documents patient/family/significant other teaching needs upon admission and throughout hospitalization.
• Continues assessment/reassessment and identifies care needs within established nursing practice.
• Documents all patient care following the department of nursing policy, unit based standards, disease processes (CHF, PNA vaccines) and nurse sensitive indicators (falls, skin, CAUTI).
• Works on behalf of patient /family. Seeks help to represent patient/family when they are unable to represent themselves.
• Raises ethical questions and concerns with clinical team. Seeks available resources to help formulate and understand ethical decisions.
• Facilitates discharge/transfer by goal of 12:00pm, communicates barriers utilizing chain of command.
• Fosters a "Culture of Safety" through personal ownership and commitment to a safe environment.
• Verifies patient identification with two identifiers prior to the start of any invasive procedure, including "time out", administration of care, medications, labeled specimen's an documents confirming the correct patient, procedure, site, equipment and consent.
• Complies with the current CDC hand hygiene guidelines through proper handwashing.
• Adheres to universal precautions, makes appropriate use of personal protective equipment at all times and appropriately disposes of hazardous materials.
• Maintains awareness of MSDS sheets and how to access.
• Ensures environment meets regulatory requirements at all times.
• Understands and is able to demonstrate individual roles and responsibilities in the event of hospital codes/emergency preparedness.
• Assumes overall responsibility for own professional development by incorporating evidenced-based practice, research, and performance improvement initiatives as a part of ongoing nursing practice.
• Obtains at least 5 contact hours per year in area of practice.
• Practices within the legal boundaries of MA Nurse Practice Act.
• Directs other licenses and non-licensed personnel as assigned.
• Displays the ability to accept and respond appropriately to feedback and recommendations for change.
• Demonstrates professional working relationships with colleagues from all disciplines to promote a positive/encouraging workplace.
• Analyzes causes of problems, identifies and evaluates alternative solutions, and selects appropriate solution, and communicates appropriately and effectively utilizing chain of command.
• Works within the legal, regulatory and ethical standards relevant to the position.
• Complies with applicable policies and procedures.
• Safeguards the privacy and security of patient information.
• Complies with the mandatory education requirements of the compliance, privacy and security programs.
• Conveys respect for values, preferences, and expressed needs of the patient and family.
• Recognizes the patient, and family according to patient preferences, as important members of the health care team.
• Collaborates with the patient, and family according to patient preferences, in planning, implementing, and evaluating care.
• Welcomes the presence and participation of family members at all times according to patient preferences, regardless of rounds, change of shift, or other events on unit.
• Possesses age and cultural knowledge and awareness.
• Considers the individual needs of each person with whom they interact.
• Interacts with sensitivity in the delivery of care/services of diverse populations as needed.
• Effectively utilizes resources to provide care/services - such as, interpreter services and on-line sources.

Requirements

• Minimum 3-5 years NICU Nursing experience required.
• License/Registration/Certification Requirements:
  • American Heart Association (AHA) ACLS (Advanced Cardiac Life Support) Certification
  • American Heart Association (AHA) BLS (Basic Life Support) Certification
  • Oncology Nursing Society (ONS) FCIA (Fundamentals of Chemotherapy Immunotherapy Administration)
  • American Heart Association (AHA) Instructor- ACLS
  • American Heart Association (AHA) Instructor- BLS
  • American Heart Association (AHA) Intermediate Fetal Heart Monitoring
  • International Board Certified Lactation Consultant (IBCLC) Certification
  • American Heart Association (AHA) NRP (Neonatal Resuscitation Program) Certification
  • Oncology Nursing Certification Corporation (ONCC) OCN (Oncology Certified Nurse) Certification
  • Oncology Nursing Society (ONS) ONS/ONCC Chemotherapy Immunotherapy Certificate
  • American Heart Association (AHA) PALS (Pediatric Advanced Life Support) Certification
  • Board of Registration in Nursing (Massachusetts) RN (Registered Nurse) Certification
  • Trauma Care After Resuscitation (TCAR) Certification
  • Emergency Nurses Association (ENA) TNCC (Trauma Nurse Core Course) Certification

Qualifications

• Graduate of an accredited School of Nursing.
• Previous Acute Care RN experience preferred.
• Commits to working a minimum of (16) hours over two (2) shifts per 4 week schedule.
• Also works 1 day before or after a major summer or winter holiday.

Skills

• Knowledge of and adherence to SSH policies and procedures.
• Proper documentation of medications and procedures.
• Effective communication and collaboration with patients, families, and interdisciplinary teams.
• Safe patient handling and transportation techniques.
• Understanding of and ability to implement infection control measures.
• Ability to prioritize tasks and manage time effectively.
• Strong critical thinking and problem-solving skills.
• Effective leadership and mentoring abilities.
• Ability to work independently and as part of a team.

Benefits

• Competitive compensation package.
• Flexible scheduling options.
• Inclusive and supportive work environment.
• Professional development opportunities.
• Health and wellness programs.
• Employee assistance program.

Pay

$38.20 - $77.39 per hour.

Schedule

Varied Shifts (United States of America).