Staff Registered Nurse (RN), Urology, 40hr - Days

Location: Woburn, MA
Job ID: 173952-1A
Date Posted: Apr 29, 2022
Category: Nursing

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Job Description

Welcome To

Welcome to Lahey Health Primary Care. With over 55 primary care practices in more than 30 nearby communities , our primary care physicians and care teams provide quality close to where our patients live or work. We have a team approach to patient care and have developed long-standing, mutually respectful relationships with local specialists at our affiliate hospitals to guide and support the most effective and efficient patient care. As part of the Beth Israel Lahey Health system, we now have the opportunity to care for even more individuals across eastern Massachusetts.

About the Job

Clinic Hours: Monday through Friday 8:00am-5:00pm

Position Hours: Monday through Friday 8:00am-5:00pm (Flexible)

GENERAL SUMMARY: Under the general supervision of the Practice Administrator/Coordinator, the Staff Registered Nurse: Ambulatory Care practices within the Winchester Clinic Professional Practice Model, MA Nurse Practice Act, ANA Standards of Practice and Code of Ethics and demonstrates Winchester Hospital’s PROMISE Standards 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 Winchester 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 nurse.

PRINCIPAL FUNCTIONS:

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

2. Complies with all Winchester Hospital and WPA policies and the Code of Business Conduct.  As required, maintains current 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.

3. 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.

  •  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.
  •  Performing systematic patient and family assessment relevant to practice settings and record the related health data.
  • Analyze and interpret recorded data. Make informed judgements as to the specific problems and elements of nursing care mandated by a particular situation.
  •  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.
  •  Delivering care that is specific to the age of the patient 
  • Utilizing listening skills and clinical judgment in decision making to telephonically assess the severity of patient caller signs and symptoms.
  • Evaluating effectiveness of care and adapts plan based on patient/family response
  • 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


4. Professional Relationship: The professional relationship is based upon Winchester’s PROMISE standards 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.

  • Establishes professional relationship with nurses, physicians and other colleagues and patients and families.
  • Educates the patient and family about the patient’s illness and treatment including preventative measures appropriate to the patient.
  • Supports Winchester’s commitment to community based activities both within the Lahey community and beyond.
  • Collaborates, cooperates and communicates with other healthcare providers to ensure quality and continuity of care.


5. Clinical Leadership:  The Staff Registered Nurse: Ambulatory supports the development of others and creates a practice climate of responsiveness and learning.  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. 

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


6. Participates in the following:

  • Mandatory training requirements as per hospital/unit policies
  • Continuing education/in-services to enhance knowledge
  • Staff meetings
  • Performance improvement initiatives
  • Orientation of new staff, students and/or volunteers
  • Performs all other duties as needed or directed to meet the needs of the department.

KNOWLEDGE, SKILLS AND ABILITIES:

1. Graduate of a state approved and/or accredited School of Nursing, BSN preferred
2.  At least 2 years of experience as a nurse in a medical office setting preferred.

LICENSE, CERTIFICATION REQUIRED:  Massachusetts Registered Nurse License

LIFE SUPPORT CERTIFICATION:  Basic Life Support from American Heart Association

 

Shift

FULL TIME/DAYS

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.