RN Registered Nurse Internal Medicine FT Days Norwell

Facility: 143 Longwater Drive, Norwell, MA 02061 – SMC Internal Medicine PB. Full-time, 40 budgeted hours per week on a day/evening rotation.

About the Role

Manages individualized, outcome-oriented nursing care through the nursing process. Provides care, treatment, and services by coordinating assessment, planning, intervention, cross-continuum care, and outcome evaluation in accordance with system, departmental, and ambulatory policies. Delivers clinically-based, risk-reducing care and coordination that facilitates cost-effective, quality healthcare across the continuum. Interfaces directly with physicians, care managers, healthcare teams, patients, and caregivers to achieve desired patient outcomes.

Excellent communication skills (written and verbal), a commitment to coaching patients on health-promoting behaviors, and the ability to assimilate complex clinical information are required. Works both autonomously and in teams. Participates in quality improvement, research, and evaluation processes related to patient care management.

Responsibilities

• Medication Administration
  • Demonstrates knowledge of and follows SSH policies and procedures for administering and documenting medications.
  • Completes medication reconciliation process following SSH policy and procedure.
  • Demonstrates safe procedures for the administration of medication and vaccines.
• Plan of Care / Documentation / Patient & Family-Centered Care / Patient Experience
  • Develops, discusses, and communicates a prioritized problem and plan of care for each patient.
  • Develops, evaluates, and updates individualized plans for patients, documenting outcomes.
  • Initiates patient outreach, identifies and documents patient/family/significant other needs, and makes appropriate interventions, evaluating outcomes.
  • Continues assessment/reassessment and identifies care needs within established nursing practice.
  • Documents all patient care following department of nursing policy, department-based standards, disease processes (CHF, PNA vaccines), and nurse-sensitive indicators (falls, safety risk, isolation, etc.).
  • Assesses/reassesses and documents patient's response to each intervention (pharmacological and non-pharmacological) per South Shore Health and ambulatory policies.
  • Works on behalf of patient/family, seeking help to represent them when they are unable to represent themselves.
  • Raises ethical questions and concerns with the clinical team, seeking resources to help formulate and understand ethical decisions.
  • Actively communicates and collaborates with health team members: primary care, specialty care, and ancillary providers and departments.
  • Facilitates care across the continuum to ensure patient needs are met in the right setting and at the right time.
• Safety / Quality
  • Fosters a "Culture of Safety" through personal ownership and commitment to a safe environment.
  • Verifies patient identification with two identifiers prior to any procedure, including "time out," administration of care, medications, labeled specimens, and documents confirming the correct patient, procedure, site, equipment, and consent.
  • Complies with current CDC hand hygiene guidelines through proper handwashing, adheres to universal precautions, makes appropriate use of personal protective equipment, and disposes of hazardous materials properly.
  • Ensures the environment meets regulatory requirements at all times.
  • Understands and demonstrates individual roles and responsibilities in the event of ambulatory codes/emergency preparedness.
• Professional Development
  • Assumes responsibility for professional development by incorporating evidence-based practice, research, and performance improvement initiatives.
  • Obtains at least 5 contact hours per year in area of practice.
  • Practices within the legal boundaries of the MA Nurse Practice Act; directs other licensed 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, selects appropriate solutions, and communicates effectively using the chain of command.
  • Accountable for staying informed about changes in policy and procedure.
• Technology
  • Utilizes technological solutions in work processes and practices, including Outlook, Epic, HealthStream, and Workday.
  • Uses software applications required by the health system, nursing, and department standards.
  • Understands how to operate during downtime.
• Compliance
  • Works within 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 policies relating to SSH’s privacy and security programs.
  • Brings potential compliance issues through the chain of command.
  • Complies with mandatory education requirements of compliance, privacy, and security programs.
• Patient and Family-Centered Care
  • Conveys respect for values, preferences, and expressed needs of the patient and family.
  • Recognizes the patient and family as important members of the healthcare team according to patient preferences.
  • Collaborates with the patient and family in planning, implementing, and evaluating care according to patient preferences.
  • Welcomes the presence and participation of family members at all times according to patient preferences.
• Age & Culture
  • Possesses and practices age and cultural knowledge and awareness.
  • Considers the individual needs of each person with whom they interact.
  • Interacts with sensitivity and inclusion in the delivery of care/services to diverse populations as needed.
  • Effectively utilizes resources such as interpreter services and online sources to provide care/services.
• Technology and Learning
  • Participates in continued learning and demonstrates willingness and ability to learn and utilize new technology and procedures.
  • Embraces technological advances that allow effective and efficient communication of information based on role.
• Unit / Department-Specific Job Functions
  • Demonstrates aspects of caring, including accountability and respect for patients and colleagues as part of daily work.
  • Demonstrates professional working relationships with colleagues to promote a positive/encouraging workplace.
  • Consistently advocates for, facilitates, and implements principles of positive patient experience, including caring, kindness, and service.
  • Communicates the plan of care to the patient and family, keeping them informed, providing information about condition/treatment, including them in care plan decisions, and using terminology they can understand.

Requirements

• Graduate of an accredited School of Nursing; BSN preferred.
• Previous ambulatory care RN experience preferred.
• Current RN license (Board of Registration in Nursing, Massachusetts).
• BLS (Basic Life Support) certification required.
• Demonstrated proficiency in ambulatory care nursing, knowledge, and skills.
• One year of telephone triage experience required.
• Excellent verbal and written communication skills.
• Demonstrates flexibility and ability to adapt to changing priorities and regulations.
• Basic computer skills required.
• Demonstrated skills in communication (verbal and written), interdisciplinary collaboration, creative problem-solving, and critical thinking.
• Knowledge of health system and community resources preferred.

Pay

Pay range: $35.01 - $50.00 per hour.

Schedule

• Monday, Tuesday, Wednesday, Friday: 9:30 AM – 6:00 PM
• Thursday: 11:30 AM – 8:00 PM
• One weekend shift per month
• One holiday per year
• Two flu clinics every fall