Staff RN Tertiary Care - (Medical Surgical)

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Location: Burlington, MA
Job ID: 151532-1A
Date Posted: Dec 14, 2018
Category: Nursing

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Job Description

Welcome To

Lahey Health is a vibrant and growing health care system, recognized as a trailblazer in medicine and a standard bearer in patient experience. It includes an award-winning academic medical center, a superb constellation of community hospitals, home care services, rehabilitation facilities and more.

We are committed to attracting, developing and retaining top talent in a market long recognized and revered as a global leader in health. With a team approach to care, we encourage learning and growth at all levels, and we offer competitive salaries and benefits. We adhere to the principles of a just and fair work environment for all colleagues, where respect is foundational and performance is rewarded.


Full Time, 36 Hrs, Night Shift


Under the general supervision of the Administrative Director in Collaboration with the Associate Chief of
Ambulatory Nursing Practice the Staff Registered Nurse: Ambulatory Care practices within the Lahey
Hospital and Medical Center Professional Practice Model, MA Nurse Practice Act, ANA Standards of
Practice and Code of Ethics and demonstrates Lahey's core values that reflect its Mission. The nurse-
patient/family relationship, continuity of care and accountability are central to the delivery of
individualized high quality patient care. The Staff Nurse: Ambulatory works in collaboration with the
physician(s), other healthcare provider(s) and other ambulatory support staff within the department and
with other disciplines to plan and coordinate the delivery of patient care.
The Staff Registered Nurse: Ambulatory demonstrates the knowledge and skills necessary to provide
expected standards of care based on physical, psychosocial, cultural, educational, spiritual, safety and
age-appropriate considerations of patients.
The Staff Registered Nurse: Ambulatory, in accordance with the Nurse Practice Act of Massachusetts
Rules & Regulations- 244 CMR 3.0, shall bear full and ultimate responsibility for the quality of nursing
care he/she provides to individuals and groups. Responsibilities include health maintenance, teaching,
counseling, collaborative planning and restoration of optimal functioning and comfort or for the
dignified death of those they serve.
The Staff Registered Nurse: Ambulatory assumes the responsibility for the plan of care and has the
authority to make decisions. The Staff registered Nurse: Ambulatory is held accountable for decisions
specific to assessment, planning, implementation and evaluation of the plan. The registered nurse
facilitates the coordination of care across the continuum and demonstrates safe practice within the
domains of:
- Clinical judgment and decision making
- Professional relationships
- Clinical leadership
- Clinical scholarship
The delegation and supervision in accordance with the Nurse Practice Act of Massachusetts Rules &
Regulations- 244 CMR 3.0 Registered Nurse and Licensed Practical Nurse: Board of Registration in
Nursing and the ANA Principles of Delegation is a responsibility and function of the Staff Registered
Nurse: Ambulatory. The delegating registered nurse at Lahey bears the full and ultimate responsibility
that includes but is not limited to:
- Developing an appropriate patient care assignment

- Properly and adequately teaching, directing and supervising the delegate
- The outcome of the delegation
The Staff Registered Nurse: Ambulatory maintains a current level of knowledge and skill with technical
procedures as defined by nursing specialty organization, complies with all regulations and standards of
regulatory and accrediting bodies, and is currently licensed in the state of Massachusetts as a registered
Essential Duties & Responsibilities: including but not limited to:
A. 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.
B. 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.
C. Performing systematic patient and family assessment relevant to practice settings and record the
related health data.
D. Analyze and interpret recorded data. Make informed judgments as to the specific problems and
elements of nursing care mandated by a particular situation.
E. Developing a culturally competent plan of care that identifies patient problems, expected outcomes,
and addresses preventative measures.
F. Respecting the values (religious/spiritual, ethnic, cultural) of the patient and family.
G. Delivering care that is specific to the age of the patient
H. Utilizing listening skills and clinical judgment in decision making to telephonically assess the severity
of patient caller signs and symptoms.
I. Evaluating effectiveness of care and adapts plan based on patient/family response
J. Providing patient care by:
K. Providing necessary physical care to appropriate patient populations which include ADL's, positioning,
transporting, and treatments

L. Utilizing and transporting equipment
M. Monitoring and recognizing acute changes in the patient and intervenes appropriately
N. Administering medications including blood and blood products
II. Professional Relationship:
The professional relationship is based upon Lahey Hospital and Medical Center'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
A. Establishes professional relationship with nurses, physicians and other colleagues and patients and
- 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’s commitment to community based activities both within the Lahey community and
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 lifelong learning.
C. Demonstrates evidenced based practice (EBP) in nursing.


Graduate of a 2-4 year state approved and/or accredited School of Nursing
*Please note that as of 2020, all Lahey Hospital and Medical Center RNs must have a BSN
Licensure, Certification, Registration:
- Current license to practice professional nursing from the Massachusetts Board of Registration
- BLS certification with American Heart Association
Skills, Knowledge & Abilities:  
a. Demonstrates the necessary clinical skills and technical knowledge to provide care for patients
according to Nursing Policy and Procedures. See Skill Record.
b. Demonstrates the necessary clinical skills and knowledge to provide care for patients according to the
clinic specific competencies.
c. Excellent interpersonal and organizational skills.

Acute care medical-surgical experience

O-About Us

The Lahey Model of Care—right care, right time, right place—is exactly what patients, providers and payers need and deserve. Identifying and delivering on this convergence of interests has positioned Lahey Health for further growth. Our model ensures care is highly coordinated and locally delivered, with lower costs and exceptional quality.

Lahey Health is a robust, regional system including a teaching hospital, community hospitals, primary care providers, specialists, behavioral and home health services, skilled nursing and rehabilitation facilities, and senior care resources throughout northeastern Massachusetts and southern New Hampshire. The system has a global presence with programs in Canada, Jordan and Bermuda.

Equal Opportunity Employer/Minorities/Females/Disabled/Veterans.