RN Per Diem Level II OR/ASC

Location: Winchester, MA
Job ID: 172554-1A
Date Posted: Dec 28, 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


 Under the general supervision of the Nurse Manager, provides direct patient care in accordance with Winchester Hospital's policies and procedures and the scope of practice for Registered Nurses in Massachusetts.  Completes assessments, performs treatments, administers appropriate drug therapies, observes patient’s progress, records responses/reactions to interventions, and evaluates therapies for clinical outcomes and effectiveness.  Works collaboratively with the patient, the patient’s family/significant others, and all members of the health care team to achieve the expected outcomes.




  1. Exemplifies Winchester Hospital’s values and PROMISE behaviors.  Commits to making every encounter with our patients, patients’ family, co-workers, physicians and other customers the best that it can be.


  1. Complies with all Winchester Hospital policies and the Code of Business Conduct.  As required, maintains current license, life support certification, and tuberculosis testing.  Takes responsibility for own safety as well as the safety of patients, patients’ family, co-workers, physicians and other customers.


  1. Utilizes the nursing process to provide patient care:
  1. Assesses the patient using methods such as observation, interview, and review of clinical data.
  2. Develops individualized plan of care including discharge plan based on assessment and in conjunction with physician orders to achieve desired outcomes.  Evaluates and changes care plan as appropriate.
  3. Implements plan of care.
  4. Directs licensed and unlicensed personnel to implement plan of care.
  5. Utilizes the results of evidence-based research to improve clinical outcomes.


  1. Administers medications and performs treatments as ordered.


  1. Provides patient/family education to affect desired clinical outcomes.


  1. Observes and/or makes periodic rounds on assigned patients independently, with physicians, and other members of the health care team.


  1. Reports pertinent patient assessment data, plan of care and response to all appropriate members of the health care team.


  1. Documents nursing process and other pertinent patient/family information completely and accurately.


  1. Participates in interdisciplinary patient care conferences.  Communicates with other health care team members to resolve operational problems, patient satisfaction and clinical initiatives.


  1. Completes competency for preceptor and/or charge nurse role at the direction/discretion of the nurse manager.


  1. Completes competencies for unit specific responsibilities.


  1. Takes on-call as needed.


  1. Participates in the following:

a. Mandatory training requirements as per unit/hospital policies

b. Continuing education/in services to enhance knowledge

c. Staff meetings

d. Performance improvement initiatives

e. Orientation of new staff, students and/or volunteers

f. Participation in community activities is encouraged.       




  • Graduate of a state-approved and/or accredited RN program required
  • BSN or obtain BSN within 5 years of hire required

Note: RNs that were hired prior to 10/1/13 that do not have a BSN are grandfathered.

  • BSN upon hire preferred
  • Work experience in unit specific specialty preferred.
  • Basic computer knowledge.
  • Excellent communication and customer service skills required.



 Massachusetts Registered Nurse License.



 All registered nurses need Basic Life Support certification as per our Life Support Certification and Renewal policy.  Some departments required additional life support certification:


A4 nurses also require Pediatric Advanced Life Support (PALS), and if they float onto L&D, SCN, MBU, NRP required

Labor & Delivery, Mother/Baby Unit and Special Care Nursery nurses also require Neonatal Resuscitation Program (NRP), and if they float onto A4, PALS required

Maternal Child Health Float Pool require NRP and if float onto A4, PALS is required.


A1, ICU, Radiology, Ambulatory Care Unit, Cardiac Rehab, Cardiology, Endoscopy, Pain Center, and Med/Surg Float Pool nurses also require Advanced Cardiac Life Support (ACLS)


Emergency Department, Walk in Urgent Care, Urgent Care Woburn, Day Surgery, Post Anesthesia Care (PACU) at Ambulatory Surgery Center, and Post Anesthesia Care (PACU) Unit nurses also require both ACLS and PALS.




Positions assigned to Special Care Nursery provide patient care to Neonates and Infants.


Positions assigned to Labor & Delivery and Mother/Baby Unit provide patient care to Neonatal, Adolescent (age 13 to 18) and Adult populations.


Positions assigned to A3, B2, B3, Cardiac Rehab, Endoscopy and Pain Center provide care for Adult and Geriatric patients. 


Positions assigned to A1, C3, Intensive Care Unit, Breast Care Center, Cardiology, Oncology, Radiology, Hyperbaric Center and Wound Care Center provide patient care to Adolescent, Adult, and Geriatric populations.


Positions assigned to Surgical Services’ Holding Area, and Ambulatory Care Unit provide patient care to Children, Adolescent, Adult, and, Geriatric populations.


Positions assigned to the Ambulatory Surgery Center, ACU, Preadmission Testing, Day Surgery, Operating Room, and PACU provide care for Infant, Children, Adolescent, Adult, and, Geriatric patients.


Positions assigned to A4, Emergency Department, Walk in Urgent Care, and IV Therapy provide patient care to all population groups.



Per diem

About Us

Beth Israel Lahey Health is dedicated to improving health and wellness and making a difference in the lives of our patients, their families and all members of the communities we serve.  Formed in March 2019, Beth Israel Lahey Health is a patient-centered, integrated care delivery system providing a continuum of services spanning academic, tertiary and community hospitals, dedicated orthopedic and psychiatric hospitals, primary and specialty care, community acute care, ambulatory care, behavioral services and home health.  Beth Israel Lahey Health Performance Network is a unified joint contracting and population health management organization, jointly governed by participating physicians and hospitals.

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