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RN Ambulatory Heart Failure Program

Job ID 147359 Date posted 05/18/2018

Position Summary:
The Division of Cardiovascular Medicine at Lahey Hospital & Medical Center is seeking a Registered Nurse for our expanding Heart Failure Program. This is an exciting opportunity to work in collaboration with the Medical Director and staff of the multidisciplinary Heart Failure Program to provide advanced clinical services to both inpatients and outpatients with heart failure, cardiomyopathy and related diagnoses.

The primary goals of the Advanced Heart Failure Program Inpatient Consultative Service are optimizing heart failure medical therapy, improving quality of life and reducing heart failure admissions through intensive education, follow up and coordination of care with Emergency Department, inpatient clinicians, specialists, post acute care providers and home care agencies. The Inpatient Consultative Service team will be responsible for all aspects of heart failure care including comprehensive inpatient diagnostic evaluation, advanced therapies, management of outpatients with heart failure for the 30 day post discharge period utilizing disease management including tele-management activities, patient/family education, palliative care and referrals as appropriate. Education of the nursing staff regarding contemporary evidence based knowledge of heart failure treatment broadly and specific to individual patient is expected.

Qualified RNs will have a strong background in heart failure, cardiology, case management and acute care medical management.

In addition, this position will round on hospitalized HF patients and see patients triaged to HF consultative service within 7 days of discharge, as well as devise a customized management plan focusing on autonomy and self care promotion. This RN will also serve as a direct liaison to post-acute care providers. The position will work closely with a multi-disciplinary team that includes Heart Failure Specialists, cardiologists, nurse practitioners, Palliative Care Specialists, pharmacotherapists, dietitians, Heart Failure research nurse and a psychologist.

Lahey Clinic Medical Center, a 335-bed tertiary care facility, outpatient clinic and Level II trauma center located in Burlington, MA, is a physician-led, multi-disciplinary group practice of more than 500 physicians. We maintain several accredited residency and fellowship programs and are an academic affiliate of Tufts Medical School. We offer a competitive salary and excellent benefits.

Burlington, Massachusetts is 17 miles north of Boston and a short drive to the lakes, mountains and shores of New England and the cultural opportunities of Boston.

Reports to Associate Director Heart Failure and Cardiomyopathy Program

Essential Duties & Responsibilities including but not limited to:

I. Clinical Judgment and Decision Making: The process by which nurses come to understand the problems, issues or concerns of patients/families, to attend to relevant/critical information, and to respond in concerned and involved ways.

A. The Staff Registered Nurse: Ambulatory is expected to and is accountable for providing safe patient care by demonstrating organizational skills that maintain and coordinate safe delivery of quality care for assigned patients/families.
B. Performing systematic patient and family assessment relevant to practice settings and record the related health data..
C Analyze and interpret recorded data. Make informed judgments as to the specific problems and elements of nursing care mandated by a particular situation.
D. Developing a culturally competent plan of care that identifies patient problems, expected outcomes, and addresses preventative measures.
- Respecting the values (religious/spiritual, ethnic, cultural) of the patient and family.
E. Delivering care that is specific to the age of the patient
F. Utilizing listening skills and clinical judgment in decision making to telephonically assess the severity of patient caller signs and symptoms.
G. Evaluating effectiveness of care and adapts plan based on patient/family response
H. Providing patient care by:
- Providing necessary physical care to appropriate patient populations which include ADL's, positioning, transporting, and treatments
- Utilizing and transporting equipment
- Monitoring and recognizing acute changes in the patient and intervenes appropriately
- Administering medications including blood and blood products

II. Professional Relationship: The professional relationship is based upon Lahey Clinic's guiding principles and positive effective communication. This relationship extends beyond formal assessment to integrate the particular patient's response and his/her religious/spiritual, ethnic and cultural beliefs into the plan of care.

A. Establishes professional relationship with nurses, physicians and other colleagues and patients and families.
- The relationship includes the patient and family as a partner in care and is based upon Swanson's Theory of Caring.
B. Educates the patient and family about the patient's illness and treatment including preventative measures appropriate to the patient.
C. Supports Lahey Clinics commitment to community based activities both within the Lahey community and beyond.
D. Collaborates, cooperates and communicates with other healthcare providers to ensure quality and continuity of care.

III. Clinical Leadership: The Staff Registered Nurse: Ambulatory supports the development of others and creates a practice climate of responsiveness and learning based on Benner's Novice to Expert skills acquisition model. This supports the retention and recruitment of clinically competent nurses. The ability to lead and influence the reasoning of colleagues in the patient's best interest depends on skillful comportment, authoritative clinical knowledge and wisdom, the conviction to act as an ethical agent despite adverse consequences, and the ability to listen and enhance others' strengths.

A. Demonstrates professional behavior by adhering to unit policies and procedures, practice guidelines specific to the setting and the ANA Code of Ethics.
B. Demonstrates skills as a responsive team member.
C. Demonstrates role of nurse as teacher.
D. Demonstrates ability to fulfill role in regulatory compliance and readiness.
E. Achieves and maintains ACLS certification as required by departmental standards
F. Serve as patient advocate, within the limits of the law.

IV. Clinical Scholarship: The Staff Registered Nurse: Ambulatory Care achieves clinical scholarship through experiences with patients, through collaboration with colleagues and leadership and through formal education. Learning is transformed into knowledge through self-reflection and analysis.

A. Upholds standards of quality nursing care.
B. Demonstrates a commitment to life long learning.
C. Demonstrates evidenced based practice (EBP) in nursing.


Minimum Qualifications:

Education: Candidates must be graduates of a Baccalaureate Program in Nursing and must maintain currency through Clinical Education Units.

Licensure, Certification, Registration:
- Current license to practice professional nursing from the Massachusetts Board of Registration
- BLS certification with American Heart Association
-ACLS certification with American Heart Association

Skills, Knowledge & Abilities:
Clinical Skills/Technical Knowledge
a. Demonstrates the necessary clinical skills and knowledge to provide care for patients according to the clinic specific competencies. See Skill Record.
b. Excellent interpersonal and organizational skills.


DAYS/ Monday - Friday 8 hour shifts

How To Apply

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