Senior Staff RN- Medical Center

This role focuses on providing professional and nonprofessional nursing care services in accordance with physician orders. Assesses, plans, implements, and evaluates the care needs of a designated group of patients or provides nursing care and identified clinical support tasks within the scope of practice for achievement of the patient’s plan of care as directed. Provides professional nursing care to patients. Requires a nursing license. The majority of time is spent overseeing the design, implementation or delivery of processes, programs and policies using specialized knowledge and skills typically acquired through advanced education. A senior level role that requires advanced knowledge of job area typically obtained through advanced education and work experience. Typically responsible for: managing projects / processes, working independently with limited supervision, coaching and reviewing the work of lower level professionals, resolving difficult and sometimes complex problems. 
The professional registered nurse possesses and applies the skills and knowledge necessary for the delivery and management of patient care from admission through discharge. The professional registered nurse is knowledgeable of current trends in healthcare including but not limited to advances in technology, pharmacology, treatment care modalities, quality and patient safety. The professional registered nurse serves as a patient and family advocate while facilitating a cooperative and collaborative environment among all health care providers. The professional registered nurse is responsible for the planning, delivery and management of patient/family centered care utilizing the nursing process and adhering to the standards of nursing practice embedded in research, evidence based practice and/or best practices. The professional registered nurse at Tufts Medical Center provides clinical excellence, which fosters and supports an environment central to our patient and family centered model of care. 
Bachelors degree in Nursing (Associates considered with the review of the Nursing Executive Council). 
Specialty Nursing certifications. 
Utilizes theoretical and evidence-based knowledge in partnering with patients and their families to assess, plan, implement and evaluate age appropriate care.
Assesses and collaborates with patient, family/significant others and other disciplines to: Identify expected outcomes based on synthesis of data and diagnosis; and identify cultural needs (i.e. language, etc) to develop a care plan that enhances the health care experience. 
Individualized outcomes-based care plans incorporating the patient and family’s readiness and barrier to learning; Orchestrates and validates a plan of care for each shift; Initiates interdisciplinary patient/family meetings to facilitate communication regarding the plan of care; Communicates and coordinates the patients discharge plan utilizing unit-based and community resources to ensure a seamless transition for the patient and their family; Ensures the plan of care utilizes principles and concepts of project, organizational or systems management. 
Documents the implementation and any modifications, including changes or omissions, of the identified plan; Collaborates with nursing colleagues and others to implement the plan; Provides and coordinates health teaching which is required by individuals, families and groups to maintain an optimal level of health; Documents per hospital and regulatory requirements/policies, all aspects of care, including but not limited to, treatments/procedures performed and patient response. 
Uses the evaluation process to update the plan of care as dictated by the patient response and/or if desired outcomes have not been achieved. 
Demonstrates and applies the skill and judgement necessary to implement the nursing plan of care, nursing interventions and procedures necessary for the care of the patient and family based upon critical thinking skills and a spirit of inquiry. The plan of care is: Evidence based and utilizes research when appropriate; Incorporates new knowledge and strategies to initiate change in nursing care practices; Demonstrates the knowledge and skills necessary to provide age appropriate culturally and ethnically sensitive care to all patients and families. 
Performs procedures and treatments using nursing knowledge and judgment, according to established unit/practice area guidelines and professional standards. 
Safely administers and assesses the patient response to medication utilizing essential knowledge of pharmacology and Hospital and Department Standards of Care. 
Maintains clinical competency with respect to technology and utilizes equipment in a safe manner. 
Provides high quality in an efficient and a safe manner. The professional nurse utilizes data trends to support and improve clinical practice. 
Participates in hospital and/or unit based patient safety and quality activities and uses principles to support and improve patient outcomes (unit-based, hospital-wide, The Joint Commission, NPSGs, NDNQI, Patient First and other local, state and federal patient safety initiatives. 
Participates in performance improvement activities through data collection, analysis and evaluation. Champions quality, safety, regulatory, and patient-family satisfaction. 
Facilitates cooperative and collaborative relationships among the various disciplines and departments to ensure effective quality patient care delivery and to create a positive and professional work environment. Supports collaboration with nursing colleagues and other disciplines to implement plan of care by participation in nursing, physician, and case management reporting rounds. 
Establishing a climate for optimal patient care, mutually supportive collegial relationships, and professional development; Promoting a safe, clean, therapeutic environment for patients, families and staff; Acknowledging cultural differences that exist among staff and patients; Identifying customer service needs on the unit; Precepting and mentoring newly hired staff and nursing students; and Promoting unit and organizational growth through a shared governance model. 
May assume charge nurse functions in collaboration with unit leadership; 
Attending and actively participating in staff meetings (when unable to attend, accepts responsibility for reading staff meeting minutes); and Accepting responsibility for reading emails to keep current with unit and hospital based information. 
Lifts, positions, pushes and/or transfer patients and equipment. 
Frequent exposure to hazardous chemicals, sick patients, bodily substances, noise and possible exposure to radiation, lasers, electric shock, etc. 
Regularly exposed to the risk of bloodborne diseases and other transmissible infections. 
May have contact with hazardous materials. 
Possesses and applies the skills and knowledge necessary to provide care to patients throughout the life span, with consideration of aging processes, human development stages and cultural patterns in each step of the care process. 
Ability to provide care for a designated group of patients according to unit guidelines and hospital policies, procedures and protocols. 
Has the skills and knowledge to provide care to the age groups of the population served including: Ability to interpret age specific data and response to care; Tufts Medicine is a leading integrated health system bringing together the best of academic and community healthcare to deliver exceptional, connected and accessible care experiences to consumers across Massachusetts. Comprised of Tufts Medical Center, Lowell General Hospital, MelroseWakefield Hospital, Lawrence Memorial Hospital of Medford, Care at Home - an expansive home care network, and large integrated physician network. We are an equal opportunity employer and value diversity and inclusion at Tufts Medicine. Tufts Medicine does not discriminate on the basis of race, color, religion, sex, sexual orientation, age, disability, genetic information, veteran status, national origin, gender identity and/or expression, marital status or any other characteristic protected by federal, state or local law. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.