RN, Infusion - Nantucket

Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.

About the Role

The Chemotherapy/IV therapy Nurse functions as an experienced clinical Registered Nurse in coordinating patient care and collaborating with other care providers and health team members to provide high-quality care of patients needing outpatient infusion therapy. This nurse acts as a patient guide and advocate by assisting patients and families to seek information, ensuring informed consent regarding treatment decisions, and promoting the maximal level of patient-desired independence. This nurse is accountable for delivering care to the patient within the framework of the nursing process. This is a clinical position assuming department-wide responsibility.

Responsibilities

• Assessment:
  • Systematically and continually collects data regarding the health status of the patient and communicates this data in a timely manner with other members of the health care team.
  • Collects pertinent objective and subjective data in a timely, ongoing, systematic, and culturally competent manner from multiple sources, including the patient, family, interdisciplinary cancer care team, and community.
  • Uses theoretical and evidence-based concepts in nursing to assess individual patient populations.
  • Collects data in problem areas that may include but are not limited to health promotion, patient/family education, coping, comfort, nutrition, complementary and alternative medicine, protective mechanisms, mobility, gastrointestinal and urinary function, sexuality, cardiopulmonary function, oncology emergencies, end-stage renal disease, psychosocial issues, and palliative and end-of-life care.
• Diagnosis:
  • Analyzes assessment data to determine nursing diagnoses and potential problem statements.
  • Formulates nursing diagnoses that conform to an accepted classification system and are physically, psychosocially, spiritually, and culturally appropriate to the patient.
  • Ensures nursing diagnoses reflect the patient’s actual or potential health problems and validates them with the patient, family, and interdisciplinary care team when possible.
• Outcome Identification and Planning:
  • Identifies individualized expected outcomes and ensures an individualized, holistic plan of care that prescribes interventions to attain expected outcomes.
  • Initiates patient plan of care using assessment data upon admission based on age-specific needs.
  • Incorporates the following into the patient plan of care:
    • Nursing diagnosis specific to the patient’s actual problems/needs.
    • Nursing diagnosis reflecting complex etiology.
    • Individual teaching plans using identified teaching needs.
    • Nursing interventions consistent with nursing diagnosis and etiology.
    • Attainable goals with target dates.
  • Documents nursing intervention and patient’s response by the end of treatments according to established procedures.
  • Implements discharge plans by making appropriate referrals and implementing individualized teaching plans based on actual discharge needs.
  • Formulates the patient plan of care based on acceptable standards of practice and communicates it through established procedures.
  • Plans individualized patient care using nursing theory in collaboration with the patient and other health care providers.
  • Implements the patient’s plan of care in collaboration with the patient, family members, and significant others.
  • Evaluates nursing interventions to changing patient situations and revises the plan of care as needed.
  • Prioritizes nursing interventions in complex and rapidly changing patient situations.
  • Recognizes acute problems in the unit and intervenes safely, reporting unusual occurrences as appropriate.
  • Demonstrates proficiency in administering treatments, procedures, and equipment appropriate to the unit/department.
• Evaluation:
  • Systematically and regularly evaluates the patient’s response to interventions to determine progress toward achievement of expected outcomes.
  • Ensures that the patient/family and interdisciplinary care team participate collaboratively in the evaluation process when possible.
  • Collects evaluation data from all pertinent sources and compares actual findings to expected findings.
  • Reviews and revises nursing diagnoses, expected outcomes, and plan of care based on evaluation findings.
  • Uses evidence-based research in the evaluation of expected outcomes.
  • Communicates the patient’s response with the interdisciplinary cancer care team and documents findings in the patient’s record.
• Nursing Competency:
  • Demonstrates competency in equipment use, age-specific assessment and intervention, procedures such as IV therapy, and medication administration as listed on the annual competency assessment form.
• Professionalism:
  • Attends all mandatory hospital/unit-based in-services.
  • Actively participates in 75% of unit staff meetings, patient care conferences, and/or one project relevant to the unit per year.
  • Maintains an environment committed to high standards of patient care and supportive of nursing personnel.
  • Assumes responsibility and accountability for open communication, consensus decision-making, group goal setting, and shared responsibility.
  • Functions in a collaborative and collegial relationship with other health professionals and providers.
  • Demonstrates consideration toward patients, family, and other hospital personnel by communicating professionally and respectfully.
  • Adheres to hospital/department policy and dresses professionally, maintaining personal cleanliness and hygiene.
• Staff Development:
  • Participates in performance improvement and activities designed for professional growth.
  • Reviews and signs all in-service updates.
  • Identifies own deficits in knowledge and pursues venues to enhance learning using credible, evidence-based resources.
  • Identifies and meets individual goals annually which are congruent with the Nursing Department’s long and short-term goals.
  • Involved in the decision-making process by participating in committees or one unit/department-based project.
• Other Duties:
  • Maintains order of the department by ensuring adequate stock of supplies and forms for clinical records and patient education.
  • Maintains equipment and participates in the recommendation and purchase of new equipment.
  • Assists in the performance improvement plan by gathering data and recommending implementation of a plan of action.

Requirements

• Current nursing standards of practice required.
• Previous demonstration of leadership skills and experience required.
• Ability to tactfully communicate with both internal and external customers.
• Ability to use a telephone, fax, copier, and all other equipment associated with nursing practice.
• Ability to stand/walk 90% of the shift, frequent pushing, climbing, bending, reaching, stooping, squatting, and helping lift objects and patients ranging from five (5) to three hundred (300) pounds.
• Ability to use hands, fingers, arms, wrists, hearing, smell, and verbal skills to perform job duties.
• Ability to utilize protective equipment such as face shields/masks, gloves, protective clothing, and safety glasses.

Qualifications

• Graduate of an accredited nursing school required; Bachelor’s Degree in Nursing preferred.
• Current valid Massachusetts Registered Nurse (RN) license required.
• Current chemotherapy/biotherapy card required within 3 months of employment.
• BLS/CPR certification required within one week of hire (AHA & ARC accepted).
• 1 year of experience in a Medical Surgical setting.
• Strong IV skills or certification.

Special Requirements

• Must be available to work day, evening, and/or night shifts as well as rotation on weekends as assigned.
• Must be able to rotate to units as assigned.
• Must be willing to work additional/irregular shifts as needed to meet patient needs.
• May be exposed to temperature fluctuations, moderate noise levels, minimal dust, infectious diseases, and other chemicals as customarily used in a hospital setting.
• Must be available to work overtime as needed to complete all job duties.
• Must be available to work in the case of a Hospital-declared emergency.

Pay

$37.69 - $89.59/Hourly

Schedule

• Scheduled Weekly Hours: 40
• Work Shift: Day (United States of America)
• Employee Type: Regular

Location

57 Prospect Street, Nantucket, MA (Onsite)