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Registered Nurse - Med/Surg

Job ID 148015 Date posted 05/11/2018

Position Summary:

In this role, you will assume responsibility to lead our team in providing quality patient care. You will assess, plan, implement and evaluate patient care from admission to discharge and you will be responsible to direct, assign and supervise ancillary staff team members in providing the appropriate level of care in the most efficient manner. You will also act as a role model to staff members.

Job Description

This is a twenty-six-bed adult and geriatric medical/surgical unit and a thirteen-bed
pediatric unit, operated on a 24-hour basis on the fifth floor of the Johnson Building. The
adult medical/surgical area serves young adult and geriatric patients. The pediatric area
specializes in the delivery of comprehensive medical and surgical care of the pediatric
patient from neonate to twenty years of age.
There are six private rooms and five multi-bed rooms. There is one negative pressure
isolation room designated for pediatrics; four private rooms and three two-bed rooms.
Additionally, the windows and are secured for pediatric patients and patients on suicide
precautions. All rooms have sufficient oxygen and suction outlets. There is back up
electrical power for emergencies when power is lost. Other available equipment includes
infusion pumps to control IV fluids, portable blood pressure equipment, thermometers,
portable suction equipment and specialty beds for optimum skin care. There is also a call
light and intercom system to provide for communication of patient needs. Special
services particular to this area include centralized pulse oximetry monitoring and bedside
cardiorespiratory/apnea monitoring.
Services provided by the staff of Johnson 5 include, patient education (including; pre-op
and post-op care, diabetic teaching, care of the newborn, discharge planning instructions),
care of the patient with self-limiting and chronic conditions.
In addition to the inpatient population, this unit provides care for pediatric and adult
patients undergoing medical and surgical day care and outpatient procedures.
Patient Population
The most frequent medical diagnoses for adult and geriatric medical patients are
• Asthma
• Pneumonia
• Gastrointestinal bleeding
• Bronchitis
• Hypovolemia
• Cellulitis
• Diverticulitis
• Abdominal pain
The adult and geriatric surgical patients represent a variety of specialties
• General surgery
• Gynecology
• Orthopedics
• Ear, nose, and throat surgery
The most frequent medical diagnoses for the pediatric patients are
• Asthma
• RSV/bronchiolitis
• Gastroenteritis
• FUO
• Pneumonia
The pediatric surgical patients represent a variety of specialties
• General surgery
• Orthopedics
• Ear, nose, and throat surgery
Qualifications of Staff
All nurses have participated in a competency?based orientation and have demonstrated
unit?specific competencies. All nurses have American Heart Association Basic Life
Support certification. Nurses receive appropriate on?going education related to the needs
of the unit and meet the requirements of the Massachusetts Board of Registration in
Nursing for continuing education credits.
Pediatric nurses have a minimum of one year of pediatric experience or successful
completion of orientation to the pediatric area, including, but not limited to
• Pediatric assessment
• Growth and development
• Pediatric fluid and electrolyte management
• Pediatric pain management
• PALS certification within the first year of pediatric care
The basic requirements for the Clinical Associate staff include
• Current BCLS training
• CNA certification or a CA with a minimum of 70 hours of clinical experience in
an accredited nursing program
Nurse Staffing
A modified primary care nursing model is utilized on Johnson 5. Each adult patient has a
Registered Nurse (RN) who is assisted by a Clinical Assistant. The nurse?to?patient ratio
ranges from 1:5 to 1:6 depending upon shift and patient acuity. In the pediatric care area,
the Registered Nurse cares for 3-4 pediatric patients, and she/he may be teamed with a
Clinical Associate for 5-6 patients, depending upon acuity and the patient care needs.
Each patient is assessed by an RN who identifies nursing problems, and then develops,
implements, and evaluates and revises an individualized plan of care. There is an
identified Charge Nurse for each shift. The Charge Nurse determines the amount of staff
required on a given shift based on patient needs

Qualifications

Qualified candidates will be a graduate of an accredited school of nursing and a current Massachusetts Registered Nurse license.
BSN preferred
BCLS required.

Scheduled Hours

32 hours per week, 8 hour night shifts, 11:00pm - 7:30am. Every other weekend & holiday required. This position is on Johnson 5.