Lead Clinical Nurse OR/ASC - NEW INCREASED RATES!!!! - POTENTIAL FOR UP TO $10,000 SIGN ON BONUS

Location: Winchester, MA
Job ID: 165043-1A
Date Posted: Jan 11, 2021
Category: Nursing

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Job Description

Welcome To

Welcome to Winchester Hospital, part of Beth Israel Lahey Health. Winchester Hospital was the first hospital in Massachusetts to earn Magnet recognition, the American Nurses Association’s highest honor for nursing excellence, three times. It has since received the recognition a fourth time. As the northwest suburban Boston area’s leading provider of comprehensive health care services, the 229-bed facility provides care in general, bariatric and vascular surgery, orthopedics, pediatrics, cardiology, pulmonary medicine, oncology, gastroenterology, rehabilitation, radiation oncology, pain management, obstetrics/gynecology and a Level IIB Special Care Nursery.

 

About the Job

JOB SUMMARY:  Contributes to the Hospital’s mission to care, heal and to excel in service to our community by promoting patient care continuity, enhancing patient throughput, and being responsible and accountable for the day to day operational decision making. Develops and promotes collaborative and collegial relationships with physicians and interdepartmental personnel in order to enhance patient care and patient flow.  This professional licensed staff utilizes the nursing process in the coordination and delivery of quality, safe clinical care and meets the highest level of professionalism consistent with a Magnet hospital.

 

QUALIFICATIONS

Education:

Required:

·        Graduate of a state approved and/or accredited RN program.

·        BSN or obtain BSN within 5 years of hire/promotion.

 

Grandfather situation for those in the position prior to 4/5/13:  Nursing Diploma or Associate’s Degree in Nursing  

 

Preferred: Completed Bachelor’s Degree in Nursing

 

Experience:

Required: At least two years of work experience as a nurse and one year clinical experience relevant to the unit’s patient population

 

Other Skills/Knowledge:

Required:   

·        Demonstrated ability to function in both Charge and Preceptor roles

·        Basic computer skills

·        For safety and quality reasons, must be able to read, write and communicate effectively in English with patients, visitors and fellow members of the hospital team.

Preferred: Membership in professional nursing organization

 

LICENSES, REGISTRATIONS, CERTIFICATIONS: 

Required: Massachusetts Registered Nurse License

Preferred: Certification in clinical specialty            

LIFE SUPPORT CERTIFICATION REQUIRED:  Basic Life Support certification is required.  Additional certification may be required as noted below:

·        A1 – ACLS is preferred

·        C3 – ACLS is preferred

·        Emergency Department  - ACLS and PALs are required.

            

POPULATION SPECIFIC REQUIREMENTS: 

The population specific requirements differ based on the patients cared for on the unit:

 

 

Neonate

Infant

Children

Adolescent (age 13 to 18)

Adult

Geriatric

A1

 

 

 

X

X

X

A3

 

 

 

 

X

X

B2 Med/Surg

 

 

 

 

X

X

B3 Med/Surg/Oncology

 

 

 

 

X

X

C3

 

 

 

X

X

Emergency Department

X

X

X

X

X

X

Ambulatory Surgery Center

 

X

X

X

X

X

Operating Room (OR)

 

 

X

X

X

X

Oncology

 

 

 

 

X

X

 

 

J. OTHER JOB REQUIREMENTS:

Professional Commitment Requirements:  Keep abreast of developments in the field and/or licensure through continuing education, participation in professional organizations or a combination of both.

On-call:  based on department needs.

Schedule requirements:  Works full time Monday through Friday day schedule unless schedule adjustments are necessitated by operational or clinical needs.

Emergency Department: Has day shift and evening shift coverage

Travel requirements: Based on department needs

 

REPORTING RELATIONSHIPS:

·        Reports to Nurse Manager.  In the Emergency Department, reports to the Director.

·        Directs the work of others; does not supervise others.

As part of the Patient Care Services team, this position:

 

Lead Role:

  • Works collaboratively with the nurse manager/director in the planning and implementing of patient care and performance improvement for a specific unit. 

  • Demonstrates clinical expertise in the assigned area and fosters a climate of clinical and professional excellence.

  • Promotes patient care continuity and enhances patient throughput.

  • Functions effectively in patient crisis situations.  Coordinates the triage, stabilization and/or transfer of patients to the appropriate level of care.  Supports staff, patients and others as workload increases and effectively redirects staff to increase productivity.

  • Responsible and accountable for the day to day operational decision making, and oversees the Registered Nurses and ancillary staff in the performance of their daily duties.

  • Develops and promotes collaborative and collegial relationships with physicians and interdepartmental personnel in order to enhance patient care and patient flow.

  • Mentors, coaches, and directs personnel to ensure provision of effective and safe patient care according to established standards of care. 

  • Ensures that patient care assignments are made and accomplished in accordance with the qualifications, skill level, and effectiveness of personnel as dictated by the complexity of patient care needs.

·        Leads and/or participates in effective hand-off communications, fostering a commitment to ensure respectful feedback and enhancing teamwork.

  • Responsible for ensuring that the care provided is in keeping with established standards of nursing care, infection control guidelines; and The Joint Commission’s National Patient Safety Goals, CMS, OSHA, Magnet and unit specific nursing professional organizations.

  • Actively participates in daily unit rounds and serves as the rounds leader to ensure that appropriately interdisciplinary involvement and care occurs. Collaborates and communicates with the physicians and unit staff to establish a daily plan of care for patients.

  • Fosters a culture of commitment to continual improvement of quality indicators and patient, staff and physician satisfaction goals.

  • Monitors the department’s daily operation enhancing fiscally prudent operational decisions.

·        Coordinates work schedule with departmental supervisor to provide coverage and maintain safe staffing levels and charge coverage.

 

Assumes the role of staff nurse when necessary:

  • Utilizes the nursing process to provide quality and safe patient care by identifying the specific needs of the patient, developing the plan of care with the patient to answer these needs, then implementing and evaluating the effects of that plan.

  • Establishes a therapeutic relationship with the patient, the patient's family and significant others by involving them in each step of the process and accommodates factors that may influence the provision of care.

·        Utilizes critical thinking skills to coordinate and direct the healthcare team in the implementation of the patient’s plan of care to ensure the best possible outcomes and patient/family experience.

·        Implement nursing interventions and treatments and administers medications ensuring the patient’s physical, emotional, cultural, and spiritual needs are met.

·        Performs all required documentation accurately, legibly and timely.

·        Appropriately follows the chain of command and adheres to hospital policies and procedures.

·        Educates and informs patients and family members throughout the patients’ experience from admission through discharge.

·        Minimizes preventable harm events and consistently executes the infection control protocols.  Incorporates the Culture of Safety tools in daily practice, adhering to quality and safety guidelines and communicating near-miss or potential risks.

·        Maintains a clean and safe work environment to enhance patient satisfaction and a culture of safety.

·        Responds to supply/equipment issues in a timely manner to ensure availability of equipment and to maximize its useful life.

 

  • Communicates with the Staffing Office and bed coordinator regarding census, acuity of patients, and staffing needs.

 

A1

l

Cares for patients requiring telemetry and progressive care  monitoring.

A3

l

Cares for a variety of surgical patients, including but not limited to bariatric, orthopedic, general and vascular surgery.

l

Cares for patients requiring telemetry monitoring, epidural analgesia and femoral nerve block infusions.

B2 Med/Surg

l

Cares for medical patients, including but not limited to chronic conditions such as respiratory, COPD and patients requiring telemetry monitoring.

B3 Med/Surg/Oncology

l

Administers chemotherapy.

 

 

 

 

 

C3

l

Cares for patients requiring telemetry monitoring.

Emergency Department

l

Cares for emergent adult and pediatric patients.

l

Starts IV’s.

l

Decontaminates hazmat patients who have been exposed to potentially hazardous materials.

Center for Cancer Care

l

Administers chemotherapy

l

 

In the absence of the manager/supervisor, the Lead will assume the supervisory role and make decisions that will impact patient care

 

Surgical Services:

 

 

    Ambulatory Surgery Center

l

Circulates and/or scrubs surgical procedures as described in the AORN guidelines.

    Operating Room (OR)

l

Circulates and/or scrubs surgical procedures as described in the AORN guidelines.

    Holding Areas

l

Starts IVs.

 

l

In the absence of the manager, the Lead will assume the supervisory role and make decisions that will impact patient care and departmental operations to ensure continuity of patient care.

 

l

Precepts and mentors staff so to expand their knowledge and competence in clinical issues, operations and processes.

 

l

Provides performance feedback on staff directly to the staff member thus fostering a culture of continuous learning and improvement and to the manager as appropriate.  Addresses patient and staff safety concerns promptly.  Gives input into the performance evaluation process.

 

l

In the absence of the Manager, approves payroll for clinical team.

 

l

Assists the Nurse Manager in building and maintaining a staffing plan in the scheduling system that is fair, efficient and fiscally prudent.

 

l

Administers blood transfusions.

l

Administers chemotherapy.

l

Triages patient calls based on protocols, educating patients and/or making appointments after assessing the urgency of the issue.

    

 

 

Shift

Full time, 40 hours

About Us

Beth Israel Lahey Health is an integrated system providing patients with better care wherever they are. Care informed by world-class research and education. We are doctors and nurses, technicians and social workers, innovators and educators, and so many others. All with a shared vision for what healthcare can and should be. We are committed to attracting, developing and retaining top talent. We strive to create a diverse and inclusive workplace that reflects the communities in which we work and serve. With a team approach to care, we encourage learning and growth at all levels and offer competitive salaries and benefits.

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