State of Massachusetts Registered Nurse/Medical Intermediate Care Unit in Boston, Massachusetts
The Lemuel Shattuck Hospital (LSH) operated by the Department of Public Health (DPH) is seeking an experienced and dedicated Registered Nurse (RN) for our Medical Intermediate Care Unit (MICU) for the hospital campus in Jamaica Plain.
Implementing the nursing process in collaboration with a health care team, the selected RN will be responsible and accountable for delegating, coordinating, and providing care to patients in a critical care setting, which includes providing perioperative and post anesthesia nursing care according to PI concepts and integrating departmental, hospital mission and standards, state, federal laws and regulatory agencies into professional standards of care/ practice for clients from the community and other referral agencies under the direction of the nurse manager.
Please Note: This position is 40 hours per week, 7:00 a.m. to 3:30 p.m. Every other weekend. Days off are as assigned.
_Duties and Responsibilities (These duties and responsibilities are not all inclusive):_
Provides leadership and guidance in the delivery of patient care as team leader in absence of nurse manager to assign, supervise, and evaluate the perioperative nursing care of RN’s, LPN's, NA's and support staff.
Ensures nursing care is provided based on established nursing standards with ongoing documentation for clients from the community and other referral agencies under the direction of the Nurse Manager/Charge Nurse.
Initiates physical, psychosocial and spiritual assessment of patients nursing care needs according to admission procedure and as specified per unit policy.
Develops a Plan of Care with patient, patient's significant others, multi-disciplinary health care team, and other resources which supports the analysis of data.
Implements and documents nursing interventions as per plan of care and in accordance with nursing theory, LSH/Nursing Department/Unit policies and procedures, Joint Commission, DPH, and federal and state laws
Transcribes physician orders accurately for medications/tests/interventions; administers and documents prescribed medications and monitors/documents response to medication and any adverse or toxic effects.
Provides ongoing assessment and evaluation of patient status to determine effectiveness of interventions, patient's response to treatment, outcomes and/or significant conditions occur.
Documents nursing care process and outcomes/situational occurrences in accordance with LSH/ Nursing Department/Unit Policies/Procedures.
Assesses, identifies and provides for education and training of patient/ patient's significant others to improve patient's health outcomes; assists in gaining the knowledge and skills that facilitate understanding of health status, return to function, healthy behaviors, and that meets the ongoing health care needs of the patient.
Provides consistent leadership in organizing the delivery of care according to department standards by performing charge duties as delegated by nurse manager.
Participates and contributes to departmental and hospital wide performance improvement activities/ risk management by assisting in data collection and analysis, identifying opportunities for evaluation and improvement in care or services, and by involvement in and assessment of findings and actions taken to improve care.
Demonstrates competence in assessing and providing age appropriate care to all patients and is cognizant of and sensitive to patients' cultural and spiritual needs.
Administers all types of medications, including but not limited to, antibiotics, analgesics, medications for hypotension, TPN, medications for ventilator management.
Knowledge of the scientific theories and principles of nursing in medical/surgical or critical care settings.
Ability to recognize symptoms of mental illness and/or emotional disorders.
Ability to collaborate and communicate through oral and written reporting to providers, other nursing personnel, and members of the interdisciplinary team.
Ability to remain calm, make decisions, and act quickly in stressful and/or emergency situations.
Ability to establish a rapport and deal tactfully with persons from varied ethnic, cultural and/or socioeconomic backgrounds.
Capacity to coordinate the efforts of others in accomplishing work objectives.
Familiarity of principles and practices of supervision.
Demonstrated knowledge of critical care nursing.
Experience assessing patients per Clinical Institute Withdrawal Assessment (CIWA) scale and medicating appropriately.
Ability to prioritize and re-prioritize in emergency/critical situations.
_About the Lemuel Shattuck Hospital:_
Lemuel Shattuck Hospital is a fully Joint Commission accredited teaching facility that provides acute, subacute, and ambulatory care to patients referred by public agencies and private sector providers. Shattuck Hospital’s services help economically and socially disadvantaged patients to get high quality, cost-effective care from a staff that respects their dignity.
Located in the heart of Boston’s Jamaica Plain neighborhood, the Shattuck Hospital includes 260 inpatient beds including 115 Psychiatric beds and 28 Correctional Health beds. In addition, the Shattuck has a full outpatient clinic with many specialties that offers treatment to patients of the Department of Mental Health as well as Department of Correction inmates and community patients. The Shattuck hospital is on the forefront of substance use disorder treatment including a Suboxone clinic serving 200 patients. In addition to direct medical services LSH hosts and supports an array of services located on the campus, serving patients struggling with addictions and homelessness.
As an employee of the Commonwealth of Massachusetts you are offered a great career opportunity influencing a wide-spectrum of services to the diverse populations we serve - but it is more than a paycheck. The State's total compensation package features an outstanding set of employee benefits which you should consider towards your overall compensation, including:
75% state paid medical insurance premium
Reasonable Dental and Vision Plans
Flexible Spending Account and Dependent Care Assistance programs
Low cost basic and optional life insurance
Retirement Savings: State Employees' Pension and a Deferred Compensation 457(b) plan
11 paid holidays per year and competitive Sick, Vacation and Personal Time
Tuition Benefit for employee and spouse at state colleges and universities
Long-Term Disability and Extended Illness program participation options
Incentive-based Wellness Programs
Professional Development and Continuing Education opportunities
Qualified Employer for Public Service Student Loan Forgiveness Program
A criminal background check will be completed on the recommended candidate as required by the regulations set forth by the Executive Office of Health and Human Services prior to the candidate being hired. For more information, please visit http://www.mass.gov/hhs/cori
Education, licensure and certifications will be verified in accordance with the Human Resources Division’s Hiring Guidelines.
Education and license/certification information provided by the selected candidate(s) is subject to the Massachusetts Public Records Law and may be published on the Commonwealth’s website.
For questions, please contact Health Human Resources at 617-971-3087.
First consideration will be given to those applicants that apply within the first 14 days.
MINIMUM ENTRANCE REQUIREMENTS:
Applicants must have at least (A) one year of full-time or equivalent part-time, experience as a registered nurse in a recognized hospital, clinic or medical facility, and (B) six months of which must have been in a supervisory, administrative or managerial capacity.
SPECIAL REQUIREMENTS FOR ALL LEVELS IN SERIES: Current and valid registration as a professional nurse under the Massachusetts Board of Registration in Nursing.*
*Recent graduates from an approved school of nursing must have applied for the first available registered nurse examination.
Based on assignment, possession of a current and valid Massachusetts Motor Vehicle Operator's license may be required.
An Equal Opportunity / Affirmative Action Employer. Females, minorities, veterans, and persons with disabilities are strongly encouraged to apply.
Job: *Medical Services
Organization: *Department of Public Health
Title: Registered Nurse/Medical Intermediate Care Unit
Location: Massachusetts-Boston-170 Morton Street
Requisition ID: 200003UQ