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RN Part-time
South Shore Health

Per diem RN cath lab

South Shore Health Weymouth, MA
$38.20 - $77.39 / hour
If you are an existing employee of South Shore Health then please apply through the internal career site. Requisition Number: R-22316 Facility: LOC0001 - 55 Fogg Road55 Fogg Road Weymouth, MA 02190 Department Name: SSH Cardiac Catheterization Status: Part time Budgeted Hours: 0 Shift: Varied Shifts (United States of America) Manages individualized, outcome oriented nursing care through the use of the nursing process. Provides care, treatment and services through the successful coordination and completion of a series of processes that include assessment, planning care, providing care, in accordance with departmental and hospital policies and procedures. Commits to working a minimum of 16 hours over two (2) shifts per 4 week schedule. Also works 1 day before or after a major summer or winter holiday. Compensation Pay Range: $38.20 - $77.39 Job Description 1. Medication Administration a. Demonstrates knowledge of and follows SSH policies and procedures for administering, transcribing, and recording medications. b. Completes medication reconciliation process following SSH policy and procedure. c. Demonstrates proper procedure for the documentation of narcotic withdrawal, administration, verifies count, wastes per policy and resolves narcotic discrepancy. 2. Plan of care/Documentation/Patient Family Centered Care/Patient Experience Develops, discusses, and communicates a prioritized problem list/plan of care for each patient. a. Develop, evaluate and update individualized plan of care for patient and documents outcomes. b. Initiating admission assessment within 8 hours of admissions, identifies and documents patient/family/significant other teaching needs upon admission and throughout hospitalization. c. Continues assessment/reassessment and identifies care needs within established nursing practice. d. Documents all patient care following the department of nursing policy, unit based standards, disease processes (CHF, PNA vaccines) and nurse sensitive indicators (falls, skin, CAUTI) e. Assess/reassesses and documents patient's level of comfort utilizing the appropriate pain scale and the patient's response to each intervention both pharmacological and non-pharmacological per South Shore Hospital policy. f. Works on behalf of patient /family. Seeks help to represent patient/family when they are unable to represent themselves. g. Raises ethical questions and concerns with clinical team. Seeks available resources to help formulate and understand ethical decisions. h. Actively communicates plan of day via white board updating every shift. i. Facilitates discharge/transfer by goal of 12:00pm, communicates barriers utilizing chain of command. 3. Safety/Quality - Foster's a "Culture of Safety" through personal ownership and commitment to a safe environment. a. Verifies patient identification with two identifiers prior to the start of any invasive procedure, including "time out", administration of care, medications, labeled specimen's an documents confirming the correct patient, procedure, site, equipment and consent. b. Complies with the current CDC hand hygiene guidelines through proper handwashing. Adheres to universal precautions, makes appropriate use of personal protective equipment at all times and appropriately disposes of hazardous materials. Maintains awareness of MSDS sheets and how to access. c. Ensures environment meets regulatory requirements at all times. d. Understands and is able to demonstrate individual roles and responsibilities in the event of hospital codes/emergency preparedness. 4. Professional Development: Assumes overall responsibility for own professional development by incorporating evidenced-based practice, research, and performance improvement initiatives as a part of ongoing nursing practice. a. Obtains at least 5 contact hours per year in area of practice. b. Practices within the legal boundaries of MA Nurse Practice Act. Directs other licenses and non-licensed personnel as assigned. c. Displays the ability to accept and respond appropriately to feedback and recommendations for change. d. Demonstrates professional working relationships with colleagues from all disciplines to promote a positive/encouraging workplace. e. Critical Thinking: analyzes causes of problems, identifies and evaluates alternative solutions, and selects appropriate solution, and communicates appropriately and effectively utilizing chain of command. f. Accountable for being informed about changes in hospital policy and procedure. 5. Technology: Utilizes technological solutions to work processes and practices. a. Access Lotus Notes to review email, learning management and other resources as applicable to RN role. b. Utilizes software applications required by department and unit standards. c. Accountable to understand how to operate in downtime. 6. Compliance a. Works within legal, regulatory and ethical standards relevant to the position. b. Complies with applicable policies and procedures. c. Safeguards the privacy and security of patient information. The employee compiles will policies and procedures relating to SSH’s privacy and security programs. d. Brings potential compliance issues to a manager, supervisor, director or VP. e. Complies with the mandatory education requirements of the compliance, privacy and security programs. 7. Patient and Family Centered Care a. Conveys respect for values, preferences, and expressed needs of the patient and family. b. Recognizes the patient, and family according to patient preferences, as important members of the health care team. c. Collaborates with the patient, and family according to patient preferences, in planning, implementing, and evaluating care. d. Welcomes the presence and participation of family members at all times according to patient preferences, regardless of rounds, change of shift, or other events on unit. 8. Age & Culture a. Possesses age and cultural knowledge and awareness. b. Considers the individual needs of each person with whom they interact. c. Interacts with sensitivity in the delivery of care/services of diverse populations as needed. d. Effectively utilizes resources to provide care/services - such as, interpreter services and on-line sources. Minimum Education - Preferred Graduate of an accredited School of Nursing Minimum Work Experience Previous Acute Care RN experience preferred Required Licenses/Certifications RN - Registered Nurse Depending on department Basic Life Support (BLS) Certification, Advanced Cardiac Life Support (ACLS) Certification, Emergency Response Training Certification, Neonatal Resuscitation Program (NRP) Certification, Pediatric Advanced Life Support (PALS), Trauma Nurse Core Course (TNCC), Trauma Care After Resuscitation (TCAR) Certification may be required Per diem including on call and weekends Responsibilities if Required: Education if Required: License/Registration/Certification Requirements: ACLS (AHA) Advanced Cardiac Life Support Certification - American Heart Association (AHA) (Including courses offered through SSH), Basic Life Support (BLS) Certification - American Heart Association (AHA) (Including courses offered through SSH), INSTRUCTOR- Advanced Cardiac Life Support (ACLS) - American Heart Association (AHA) (Including courses offered through SSH), INSTRUCTOR- Basic Life Support (BLS) - American Heart Association (AHA) (Including courses offered through SSH), Neonatal Resuscitation Program (NRP) Certification - American Heart Association (AHA) (Including courses offered through SSH), OB- Emergency Response Training (ERT) - SSH Education & Training, Pediatric Advanced Life Support (PALS) Certification - American Heart Association (AHA) (Including courses offered through SSH), RN-Registered Nurse - Board of Registration in Nursing (Massachusetts), Trauma Care After Resuscitation (TCAR) - TCAR Education Programs, Trauma Nurse Core Course (TNCC) - Emergency Nurses Association - (ENA)
NP Part-time
South Shore Health

PA/NP-Cardiac Cath Lab-1

South Shore Health Weymouth, MA
$90 - $110 / hour
If you are an existing employee of South Shore Health then please apply through the internal career site. Requisition Number: R-22354 Facility: LOC0001 - 55 Fogg Road55 Fogg Road Weymouth, MA 02190 Department Name: SSH Cardiovascular PB Status: Part time Budgeted Hours: 0 Shift: Day (United States of America) Reporting to the Chief of Cardiovascular Medicine for clinical issues and the Executive Director of APCs for administrative issues, the Cardiovascular Advanced Practice Clinician (APC) will work with the Cardiovascular physicians and particularly with the Interventional Team to facilitate the assessment, evaluation, and preparation for procedures and follow up of interventional cardiology patient. Compensation Pay Range: $90.00 - $110.00 JOB REQUIREMENTS Minimum Education - Preferred Must have 4 years of college level education and bachelor’s degree or equivalent. Must be a graduate of a Nurse Practitioner program approved by the AMA; or PA program? Minimum Work Experience At least one year of clinical experience as a Nurse Practitioner, preferably in Cardiology. Required Licenses / Registrations PA - Physician Assistant NP - Nurse Practitioner This position is a licensed independent practitioner credentialed through the Medical Staff Services Office Required additional Knowledge, and Abilities Must possess current PA/NP license and ACLS - Advanced Cardiac Life Support certification required. License, certification and classes will be monitored through the Medical Staff Services Department. Knowledge and competence of basic radiation safety during fluoroscopic procedures; required to attend at least one radiation safety training session per year. Must have broad knowledge of medical environment, surgical practices and performance goals of the Cardiac Catheterization Laboratory and Interventional Services. Must exercise the highest degree of professional judgement under the direction and guidance of a licensed physician. Must be able to accept instruction and guidance and assume graded responsibility in complex teamwork. Must be able to administer such care and treatment and exercise such independent originality in solving problems not covered by existing guidelines, within legal limits, to meet the needs of the patients. Must maintain a professional attitude toward patients at all times and an excellent and collegial working relationship with other personnel involved in patient care. 1 - Facilitate the assessment and work up of cardiology patients in any environment including, but not limited to: ED, Noninvasive lab, CCL, Inpatient floors. a - The Staff Physician Assistant will be responsible for obtaining and coordinating the following general items: history and physical, laboratory results, charting of clinical findings, admission orders, nursing instructions, pre-cath orders, clinical documentation required by various registries and other required elements. b - In collaboration with the Cardiovascular Access Coordinator and Hospitalist Service, will coordinate admissions and transfers to the hospital, and ensure that informed consent for procedures is obtained at the appropriate time. c - Perform pre-procedure assessments in the Recovery room/holding area, Emergency Department, Inpatient Floors, or outpatient setting as needed. 2 - Interface between Cardiac Catheterization Laboratory and Recovery Area: a - Maintains knowledge about the Cardiac Catheterization Laboratory scheduling, procedure room turnover and availability of resources including bed availability. b - He/she will be called upon to manage patients after their procedures and while they await transfer to patient floor and will assure availability of equipment for special procedures. c - Ensure blood bank preparation and formal or standing surgical backup, when required for patient care. d - The Cardiovascular Physician Assistant will assist in communicating with the patients' families at all intervals of the care process and treatment. 3 - Medical Treatment and Post-procedure Care a - The Staff Physician Assistant will be responsible for all aspects of care under the supervision of the attending physician, including but not limited to fluid and electrolyte management, nutrition, pain management, transfusion therapy, anticoagulation and antiplatelet management and patient education. b - Post procedure, the Physician Assistant will manage vascular access, monitor and manage arrhythmias, pacing, drug therapy, O2 therapy, and other non-cardiac medications, under the supervision of the attending physician. c - Assist in the evaluation and management of clinical events such as fever, altered hemodynamics, CHF, pulmonary complications, abrupt vessel closure, arrhythmias, access site complications and others. d - In collaboration with the Cardiovascular Access Coordinator and the Hospitalist Service, assist in transfers to and medical/surgical units. The provider will support transfers to CCU in collaboration with the on-call Intensivist, as appropriate, and may participate in warm hand-off. 4 - Procedure responsibilities: a - Demonstrate knowledge and proper use of all required equipment and supplies used during diagnostic and interventional procedures performed in the Cardiac Catheterization Laboratory and other clinical areas. b - Demonstrates sterile equipment and instrument set up according to standards including flushing and storage of guidewires, sheaths & coronary catheters; preparation of stent and balloon catheters; proper set up and use of medications and contrast on sterile field; Proper set up and continuous flushing of manifold to assure there is no air in system. c - Provide support as 2nd operator to assist the attending physician during routine/elective diagnostic and interventional procedures performed in the Cardiac Catheterization Laboratory and other clinical areas. d - Provide support as 2nd operator to assist the attending physician during emergency on call diagnostic and interventional procedures performed in the Cardiac Catheterization Laboratory and other clinical areas. e - Maintains knowledge and competence regarding radiation safety and use of fluoroscopy during interventional procedures. f - Demonstrates ability to gain and secure vascular access including ability to properly access femoral artery & vein, proper sheath placement. g - Demonstrates ability to perform catheter, sheath and guidewire exchanges including short exchange; long exchange; sheath; catheter. guidewire (standard & angioplasty) h - Demonstrates ability to insert angioseal/vasoseal device i - Demonstrates ability to properly prepare and use ancillary equipment and supplies including: Intra-Aortic Balloon pump; Temporary Pacemaker and catheter; Thrombectomy devices. 5 - Post Procedure Care: a - Performs vascular assessment and confirm assessment findings: Skin color and temperature, Capillary refill, Pulses, Edema, Sensation/strength, movement b - Properly and safely performs sheath removal c - Demonstrates knowledge of actions and data required for patient transfer d - Performs patient education regarding discharge including preventive care and risk factor reduction; assists in coordinating health related services (Cardiac Rehab/Home Care, etc.). e - Writes discharge orders, prescriptions and dictate discharge summaries in collaboration with the attending physician. 6 - Education and Professional Development a - Attends internal and external education meetings and read appropriate professional journals in order to maintain and enhance skills and clinical competence. b - Completes 100 hours of continuing medical education necessary during each 2-year period of employment. c - Attends all Cath Lab Staff Meetings and Interventional Physician meetings (scheduled and ad-hoc) d - Analyzes causes of problems, identifies and evaluates alternative solutions, and selects appropriate solution, and communicates appropriately and effectively utilizing chain of command. e - Provides teaching to students, house staff, nurses, technologists and cardiology fellows as instructed by the attending physician, particularly with regard to the evaluation, interventional treatment and longitudinal care of patients with cardiovascular disease. f - Demonstrates conflict resolution amongst colleagues g - Assumes an active role in keeping informed about changes in hospital policy, procedure, and equipment. 7a-5p Responsibilities if Required: Education if Required: License/Registration/Certification Requirements:
NP Part-time
South Shore Health

PA/NP-Cardiac Cath Lab-2

South Shore Health Weymouth, MA
$90 - $110 / hour
If you are an existing employee of South Shore Health then please apply through the internal career site. Requisition Number: R-22355 Facility: LOC0001 - 55 Fogg Road55 Fogg Road Weymouth, MA 02190 Department Name: SSH Cardiovascular PB Status: Part time Budgeted Hours: 0 Shift: Day (United States of America) Reporting to the Chief of Cardiovascular Medicine for clinical issues and the Executive Director of APCs for administrative issues, the Cardiovascular Advanced Practice Clinician (APC) will work with the Cardiovascular physicians and particularly with the Interventional Team to facilitate the assessment, evaluation, and preparation for procedures and follow up of interventional cardiology patient Compensation Pay Range: $90.00 - $110.00 JOB REQUIREMENTS Minimum Education - Preferred Must have 4 years of college level education and bachelor’s degree or equivalent. Must be a graduate of a Nurse Practitioner program approved by the AMA; or PA program? Minimum Work Experience At least one year of clinical experience as a Nurse Practitioner, preferably in Cardiology. Required Licenses / Registrations PA - Physician Assistant NP - Nurse Practitioner This position is a licensed independent practitioner credentialed through the Medical Staff Services Office Required additional Knowledge, and Abilities Must possess current PA/NP license and ACLS - Advanced Cardiac Life Support certification required. License, certification and classes will be monitored through the Medical Staff Services Department. Knowledge and competence of basic radiation safety during fluoroscopic procedures; required to attend at least one radiation safety training session per year. Must have broad knowledge of medical environment, surgical practices and performance goals of the Cardiac Catheterization Laboratory and Interventional Services. Must exercise the highest degree of professional judgement under the direction and guidance of a licensed physician. Must be able to accept instruction and guidance and assume graded responsibility in complex teamwork. Must be able to administer such care and treatment and exercise such independent originality in solving problems not covered by existing guidelines, within legal limits, to meet the needs of the patients. Must maintain a professional attitude toward patients at all times and an excellent and collegial working relationship with other personnel involved in patient care. 1 - Facilitate the assessment and work up of cardiology patients in any environment including, but not limited to: ED, Non invasive lab, CCL, Inpatient floors. a - The Staff Physician Assistant will be responsible for obtaining and coordinating the following general items: history and physical, laboratory results, charting of clinical findings, admission orders, nursing instructions, pre-cath orders, clinical documentation required by various registries and other required elements. b - In collaboration with the Cardiovascular Access Coordinator and Hospitalist Service, will coordinate admissions and transfers to the hospital, and ensure that informed consent for procedures is obtained at the appropriate time. c - Perform pre-procedure assessments in the Recovery room/holding area, Emergency Department, Inpatient Floors, or outpatient setting as needed. 2 - Interface between Cardiac Catheterization Laboratory and Recovery Area: a - Maintains knowledge about the Cardiac Catheterization Laboratory scheduling, procedure room turnover and availability of resources including bed availability. b - He/she will be called upon to manage patients after their procedures and while they await transfer to patient floor and will assure availability of equipment for special procedures. c - Ensure blood bank preparation and formal or standing surgical backup, when required for patient care. d - The Cardiovascular Physician Assistant will assist in communicating with the patients' families at all intervals of the care process and treatment. 3 - Medical Treatment and Post-procedure Care a - The Staff Physician Assistant will be responsible for all aspects of care under the supervision of the attending physician, including but not limited to: fluid and electrolyte management, nutrition, pain management, transfusion therapy, anticoagulation and antiplatelet management and patient education. b - Post procedure, the Physician Assistant will manage vascular access, monitor and manage arrhythmias, pacing, drug therapy, O2 therapy, and other non-cardiac medications, under the supervision of the attending physician. c - Assist in the evaluation and management of clinical events such as fever, altered hemodynamics, CHF, pulmonary complications, abrupt vessel closure, arrhythmias, access site complications and others. d - In collaboration with the Cardiovascular Access Coordinator and the Hospitalist Service, assist in transfers to and medical/surgical units. The provider will support transfers to CCU in collaboration with the on-call Intensivist, as appropriate, and may participate in warm hand-off. 4 - Procedure responsibilities: a - Demonstrate knowledge and proper use of all required equipment and supplies used during diagnostic and interventional procedures performed in the Cardiac Catheterization Laboratory and other clinical areas. b - Demonstrates sterile equipment and instrument set up according to standards including flushing and storage of guidewires, sheaths & coronary catheters; preparation of stent and balloon catheters; proper set up and use of medications and contrast on sterile field; Proper set up and continuous flushing of manifold to assure there is no air in system. c - Provide support as 2nd operator to assist the attending physician during routine/elective diagnostic and interventional procedures performed in the Cardiac Catheterization Laboratory and other clinical areas. d - Provide support as 2nd operator to assist the attending physician during emergency on call diagnostic and interventional procedures performed in the Cardiac Catheterization Laboratory and other clinical areas. e - Maintains knowledge and competence regarding radiation safety and use of fluoroscopy during interventional procedures. f - Demonstrates ability to gain and secure vascular access including ability to properly access femoral artery & vein, proper sheath placement. g - Demonstrates ability to perform catheter, sheath and guidewire exchanges including short exchange; long exchange; sheath; catheter. guidewire (standard & angioplasty) h - Demonstrates ability to insert angioseal/vasoseal device i - Demonstrates ability to properly prepare and use ancillary equipment and supplies including: Intra-Aortic Balloon pump; Temporary Pacemaker and catheter; Thrombectomy devices. 5 - Post Procedure Care: a - Performs vascular assessment and confirm assessment findings: Skin color and temperature, Capillary refill, Pulses, Edema, Sensation/strength, movement b - Properly and safely performs sheath removal c - Demonstrates knowledge of actions and data required for patient transfer d - Performs patient education regarding discharge including preventive care and risk factor reduction; assists in coordinating health related services (Cardiac Rehab/Home Care, etc.). e - Writes discharge orders, prescriptions and dictate discharge summaries in collaboration with the attending physician. 6 - Education and Professional Development a - Attends internal and external education meetings and read appropriate professional journals in order to maintain and enhance skills and clinical competence. b - Completes 100 hours of continuing medical education necessary during each 2-year period of employment. c - Attends all Cath Lab Staff Meetings and Interventional Physician meetings (scheduled and ad-hoc) d - Analyzes causes of problems, identifies and evaluates alternative solutions, and selects appropriate solution, and communicates appropriately and effectively utilizing chain of command. e - Provides teaching to students, house staff, nurses, technologists and cardiology fellows as instructed by the attending physician, particularly with regard to the evaluation, interventional treatment and longitudinal care of patients with cardiovascular disease. f - Demonstrates conflict resolution among colleagues g - Assumes an active role in keeping informed about changes in hospital policy, procedure, and equipment. 7a-5p Responsibilities if Required: Education if Required: License/Registration/Certification Requirements:
NP Manager/Supervisor Full-time
South Shore Health

EMS Manager

South Shore Health Weymouth, MA
$73,000 - $104,400 / year
If you are an existing employee of South Shore Health then please apply through the internal career site. Requisition Number: R-22253 Facility: LOC0033 - 60 Winter Street60 Winter Street Weymouth, MA 02190 Department Name: SSH Paramedic Services-Advanced Life Support Status: Full time Budgeted Hours: 40 Shift: Day (United States of America) Under the direction of the Emergency Medical Services Director, or the designee, the EMS Manager has 24 hour responsibility for the effective implementation of the philosophy, goals, policies and procedures of the Hospital; has authority to make decisions in the areas of patient care, human resource and financial management and is responsible for the coordination of overall programs, activities, objectives, policies and procedures. Compensation Pay Range: $73,000.00 - $104,400.00 Essential Functions 1. Ensures all EMS staff (hospital, outside ambulance contracts, and contracted fire departments) maintain certification and credentials. Schedules and coordinates all mandated training and education. 2. Responsible to oversee and ensure proper maintenance of the Workday ,EPIC systems and Healthstream for all EMS staff. 3. Monitors equipment needs and schedules routine and preventative maintenance 4. Assists in planning and evaluating Emergency Preparedness for the EMS system. 5. Participates in various special projects as requested, utilizing subject matter expertise to assist in project development. 6. Responsible for responding to requests for ALS intervention and for providing emergency medical care in the pre-hospital environment according to Paramedic Protocols and Policies approved by SSHS and the ALS system Medical Director. 7. Make decisions in the areas of patient care, human resource and financial management. 8. Responsible for day to day EMS operations. 9. Conduct employee performance appraisals when due. Identify staff problems/strengths/weaknesses, and provide counseling, instruction, or coaching as necessary. 10. Represents the EMS division at State and regional EMS meetings 11. Large scale event planning and ICS planning. Act as incident command at major incidents and events ESSENTIAL FUNCTIONS (Cont.) I. Technology and Learning a. Participates in continued learning and possess a willingness and ability to learn and utilize new technology and procedures that continue to develop in their role and throughout the organization. b. Embraces technological advances that allow us to communicate information effectively and efficiently based on role. Minimum Education - Preferred Refer to Required Licenses/Registrations, Required Certifications, and Required Classes/Skills Minimum Work Experience Equivalent of 4 years of college. Must possess a valid driver's license. Minimum of 5 years full time experience as a provider of pre-hospital care in an emergency setting at the paramedic level. Required Licenses / Registrations VDL - Valid Drivers License Required Certifications - EMT- P - Emergency Medical Technician-Paramedic Required Classes/Skills - BLS EMT B/I/P - Basic Life Support for EMT B/I/P ACLS - Advanced Cardiac Life Support PALS - Pediatric Advanced Life Support Required additional Knowledge, and Abilities Demonstrated leadership ability and potential managerial competency. Effective communication skills, written and verbal. Strong problem solving skills. Ability to manage and resolve issues. Requires ability to plan, organize, direct and motivate others. Mon- Fri Varied hours as needed Responsibilities if Required: Education if Required: License/Registration/Certification Requirements: ACLS (AHA) Advanced Cardiac Life Support Certification - American Heart Association (AHA) (Including courses offered through SSH), Basic Life Support (BLS) Certification - American Heart Association (AHA) (Including courses offered through SSH), Emergency Medical Services EMT Paramedic - Massachusetts Department of Public Health (DPH) - Office of Health and Human Services (EOHHS), INSTRUCTOR- Advanced Cardiac Life Support (ACLS) - American Heart Association (AHA) (Including courses offered through SSH), INSTRUCTOR- Basic Life Support (BLS) - American Heart Association (AHA) (Including courses offered through SSH), Valid Driver’s License - Various
RN ICU PACU Part-time
South Shore Health

Registered Nurse - PACU )ICU/PACU exp. needed

South Shore Health Weymouth, MA
$38.20 - $77.39 / hour
If you are an existing employee of South Shore Health then please apply through the internal career site. Requisition Number: R-22277 Facility: LOC0001 - 55 Fogg Road55 Fogg Road Weymouth, MA 02190 Department Name: SSH Recovery Room Status: Part time Budgeted Hours: 24 Shift: Day/Eve Rotation (United States of America) Manages individualized, outcome oriented nursing care through the use of the nursing process. Provides care, treatment and services through the successful coordination and completion of a series of processes that include assessment, planning care, providing care, in accordance with departmental and hospital policies and procedures Compensation Pay Range: $38.20 - $77.39 1. Medication Administration a. Demonstrates knowledge of and follows SSH policies and procedures for administering, transcribing, and recording medications. b. Completes medication reconciliation process following SSH policy and procedure. c. Demonstrates proper procedure for the documentation of narcotic withdrawal, administration, verifies count, wastes per policy and resolves narcotic discrepancy. 2. Plan of care/Documentation/Patient Family Centered Care/Patient Experience Develops, discusses, and communicates a prioritized problem list/plan of care for each patient. a. Develop, evaluate and update individualized plan of care for patient and documents outcomes. b. Initiating admission assessment within 8 hours of admissions, identifies and documents patient/family/significant other teaching needs upon admission and throughout hospitalization. c. Continues assessment/reassessment and identifies care needs within established nursing practice. d. Documents all patient care following the department of nursing policy, unit based standards, disease processes (CHF, PNA vaccines) and nurse sensitive indicators (falls, skin, CAUTI) e. Assess/reassesses and documents patient's level of comfort utilizing the appropriate pain scale and the patient's response to each intervention both pharmacological and non-pharmacological per South Shore Hospital policy. f. Works on behalf of patient /family. Seeks help to represent patient/family when they are unable to represent themselves. g. Raises ethical questions and concerns with clinical team. Seeks available resources to help formulate and understand ethical decisions. h. Actively communicates plan of day via white board updating every shift. i. Facilitates discharge/transfer by goal of 12:00pm, communicates barriers utilizing chain of command. 3. Safety/Quality - Foster's a "Culture of Safety" through personal ownership and commitment to a safe environment. a. Verifies patient identification with two identifiers prior to the start of any invasive procedure, including "time out", administration of care, medications, labeled specimen's an documents confirming the correct patient, procedure, site, equipment and consent. b. Complies with the current CDC hand hygiene guidelines through proper handwashing. Adheres to universal precautions, makes appropriate use of personal protective equipment at all times and appropriately disposes of hazardous materials. Maintains awareness of MSDS sheets and how to access. c. Ensures environment meets regulatory requirements at all times. d. Understands and is able to demonstrate individual roles and responsibilities in the event of hospital codes/emergency preparedness. 4. Professional Development: Assumes overall responsibility for own professional development by incorporating evidenced-based practice, research, and performance improvement initiatives as a part of ongoing nursing practice. a. Obtains at least 5 contact hours per year in area of practice. b. Practices within the legal boundaries of MA Nurse Practice Act. Directs other licenses and non-licensed personnel as assigned. c. Displays the ability to accept and respond appropriately to feedback and recommendations for change. d. Demonstrates professional working relationships with colleagues from all disciplines to promote a positive/encouraging workplace. e. Critical Thinking: analyzes causes of problems, identifies and evaluates alternative solutions, and selects appropriate solution, and communicates appropriately and effectively utilizing chain of command. f. Accountable for being informed about changes in hospital policy and procedure. 5. Technology: Utilizes technological solutions to work processes and practices. a. Access Lotus Notes to review email, learning management and other resources as applicable to RN role. b. Utilizes software applications required by department and unit standards. c. Accountable to understand how to operate in downtime. 6. Compliance a. Works within legal, regulatory and ethical standards relevant to the position. b. Complies with applicable policies and procedures. c. Safeguards the privacy and security of patient information. The employee compiles will policies and procedures relating to SSH’s privacy and security programs. d. Brings potential compliance issues to a manager, supervisor, director or VP. e. Complies with the mandatory education requirements of the compliance, privacy and security programs. 7. Patient and Family Centered Care a. Conveys respect for values, preferences, and expressed needs of the patient and family. b. Recognizes the patient, and family according to patient preferences, as important members of the health care team. c. Collaborates with the patient, and family according to patient preferences, in planning, implementing, and evaluating care. d. Welcomes the presence and participation of family members at all times according to patient preferences, regardless of rounds, change of shift, or other events on unit. 8. Age & Culture a. Possesses age and cultural knowledge and awareness. b. Considers the individual needs of each person with whom they interact. c. Interacts with sensitivity in the delivery of care/services of diverse populations as needed. d. Effectively utilizes resources to provide care/services - such as, interpreter services and on-line sources. Minimum Education - Preferred Graduate of an accredited School of Nursing Minimum Work Experience Previous Acute Care RN experience preferred Required Licenses/Certifications RN - Registered Nurse Depending on department Basic Life Support (BLS) Certification, Advanced Cardiac Life Support (ACLS) Certification, Emergency Response Training Certification, Neonatal Resuscitation Program (NRP) Certification, Pediatric Advanced Life Support (PALS), Trauma Nurse Core Course (TNCC), Trauma Care After Resuscitation (TCAR) Certification may be required mostly eves with some weekend and some call Responsibilities if Required: Education if Required: License/Registration/Certification Requirements: ACLS (AHA) Advanced Cardiac Life Support Certification - American Heart Association (AHA) (Including courses offered through SSH), Basic Life Support (BLS) Certification - American Heart Association (AHA) (Including courses offered through SSH), INSTRUCTOR- Advanced Cardiac Life Support (ACLS) - American Heart Association (AHA) (Including courses offered through SSH), INSTRUCTOR- Basic Life Support (BLS) - American Heart Association (AHA) (Including courses offered through SSH), INSTRUCTOR-Neonatal Resuscitation Program (NRP) - American Heart Association (AHA) (Including courses offered through SSH), INSTRUCTOR-Pediatric Advanced Life Support (PALS) - American Heart Association (AHA) (Including courses offered through SSH), INSTRUCTOR-Trauma Nurse Core Course (TNCC) - Emergency Nurses Association - (ENA), Neonatal Resuscitation Program (NRP) Certification - American Heart Association (AHA) (Including courses offered through SSH), OB- Emergency Response Training (ERT) - SSH Education & Training, Pediatric Advanced Life Support (PALS) Certification - American Heart Association (AHA) (Including courses offered through SSH), RN-Registered Nurse - Board of Registration in Nursing (Massachusetts), Trauma Care After Resuscitation (TCAR) - TCAR Education Programs, Trauma Nurse Core Course (TNCC) - Emergency Nurses Association - (ENA)
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